Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · OTHER 01584 · GAINESVILLE, TX

01584 — New Technology - Level 47 ($80,001-$90,000)

What each payer pays NORTH TEXAS MEDICAL CENTER (CCN 450090) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$87,550 All-payer median here
31 payer/plan-name variants
← This hospital National rates for 01584 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
CORVEL $175,101 100.0% 1
HEALTHSMART - WORKCOMP AND AUTO $175,101 100.0% 1
WORKERS COMPENSATION $175,101 100.0% 1
Prime Health Services $109,438 25.0% 2
Centene $96,305 10.0% 1
Prominence Health Plan $91,928 5.0% 3
Humana $87,550 0.0% 2
MCM BLUE CROSS HMO $87,550 0.0% 2
MCM MISCELLANEOUS $87,550 0.0% 1
MCM TEXAN PLUS $87,550 0.0% 1
MCM TEXAN VALUE $87,550 0.0% 1
Medicare (Generic) $87,550 0.0% 2
Aetna $87,550 0.0% 1
MONCRIEF INSTITUTE $87,550 0.0% 1
MUTUAL OF OMAHA INSURANCE $87,550 0.0% 1
Palmetto GBA $87,550 0.0% 1
Provider Partners Health Plan (PPHP) $87,550 0.0% 1
SELECTCARE $87,550 0.0% 1
Superior HealthPlan $87,550 0.0% 2
TRICARE $87,550 0.0% 3
UnitedHealthcare $87,550 0.0% 5
UTMB HEALTH $87,550 0.0% 1
VA / CHAMPVA $87,550 0.0% 3
WellCare Health Plans $87,550 0.0% 1
WellMed Medical Management (UHC subsidiary) $87,550 0.0% 1
MEDICARE SWB $87,550 0.0% 1
Anthem (Elevance Health) $87,550 0.0% 2
BCBS of Florida (Florida Blue) $87,550 0.0% 1
CARE N' CARE $87,550 0.0% 1
Centers for Medicare & Medicaid Services $87,550 0.0% 2
Cigna Healthcare $87,550 0.0% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.