▸ Payer

texas childrens health plan [3995]

Negotiated rates published by hospitals for texas childrens health plan [3995] across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

100

States

Rate rows

227

Median neg. rate

$1,008.15

Top procedures for texas childrens health plan [3995]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Upper GI endoscopy diagnostic	CPT	43235	4	$1,258.79
Upper GI endoscopy with biopsy	CPT	43239	4	$1,755.75
Sigmoidoscopy diagnostic	CPT	45330	4	$1,481.57
Sigmoidoscopy with biopsy	CPT	45331	4	$1,302.05
Colonoscopy with polyp removal	CPT	45385	4	$2,261.94
Colonoscopy with biopsy	CPT	45380	4	$2,115.89
Colonoscopy diagnostic	CPT	45378	4	$1,929.47
General health panel	CPT	80050	3	$469.35
Tissue exam by pathologist level IV	CPT	88305	3	$440.72
Transthoracic echocardiogram complete	CPT	93306	3	$731.02
Office visit, established patient, 5 min	CPT	99211	3	$160.79
Diagnostic mammography unilateral	CPT	77065	3	$466.46
Diagnostic mammography bilateral	CPT	77066	3	$601.2
Screening mammography bilateral	CPT	77067	3	$459.89
EKG tracing only	CPT	93005	3	$333.83
CT cervical spine without contrast	CPT	72125	2	$1,326.78
MRI brain with and without contrast	CPT	70553	2	$3,272.88
MRI lumbar spine without contrast	CPT	72148	2	$2,989.35
MRI brain with contrast	CPT	70552	2	$2,845.44
MRI chest without contrast	CPT	71550	2	$2,989.35
MRI chest with and without contrast	CPT	71552	2	$2,806.05
MRI cervical spine without contrast	CPT	72141	2	$2,705.82
MRI thoracic spine without contrast	CPT	72146	2	$2,989.35
CT head with and without contrast	CPT	70470	2	$1,139.58
CT neck with contrast	CPT	70491	2	$735.93
CT chest with and without contrast	CPT	71270	2	$2,369.25
MRI brain without contrast	CPT	70551	2	$2,474.16
CT thoracic spine without contrast	CPT	72128	2	$1,568.97
CT lumbar spine without contrast	CPT	72131	2	$1,682.46
Lumbosacral spine X-ray	CPT	72100	2	$521.43

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Top 20 cheapest hospitals for texas childrens health plan [3995]

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Amarillo Surgical and Endoscopy	—	—	$963.86
Lifecare Spec Hosp Of North Texas	Dallas	TX	$1,086.01
Baptist Saint Anthonys Hospital	Amarillo	TX	$1,559.6
Harrington Cancer Center	—	—	$1,564.74

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States covered

States with hospitals publishing rates for texas childrens health plan [3995].

State	Hospitals	Avg rate
TX	2	$1,482.6

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