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 01903 · GAINESVILLE, TX

01903 — New Technology - Level 50 ($115,001-$130,000)

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.

$91,844 All-payer median here
32 payer/plan-name variants
← This hospital National rates for 01903 →
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
   
HEALTHSMART WC $183,688 100.0% 1
CORVEL WORK COMP $183,688 100.0% 1
WORKERS COMPENSATION $183,688 100.0% 1
PRIME HEALTH SERVICES PPO $137,766 50.0% 1
Centene $101,028 10.0% 1
Prominence Health Plan $96,436 5.0% 3
Humana $91,844 0.0% 2
MCM BLUE CROSS HMO $91,844 0.0% 2
MCM MISCELLANEOUS $91,844 0.0% 1
MCM PRIME HEALTH SERVICES $91,844 0.0% 1
MCM TEXAN PLUS $91,844 0.0% 1
MCM TEXAN VALUE $91,844 0.0% 1
Medicare (Generic) $91,844 0.0% 2
Aetna $91,844 0.0% 1
MONCRIEF INSTITUTE $91,844 0.0% 1
MUTUAL OF OMAHA $91,844 0.0% 1
Palmetto GBA $91,844 0.0% 1
Provider Partners Health Plan (PPHP) $91,844 0.0% 1
SELECTCARE $91,844 0.0% 1
Superior HealthPlan $91,844 0.0% 2
TRICARE $91,844 0.0% 3
UnitedHealthcare $91,844 0.0% 5
UTMB HEALTH $91,844 0.0% 1
VA / CHAMPVA $91,844 0.0% 3
WellCare Health Plans $91,844 0.0% 1
WellMed Medical Management (UHC subsidiary) $91,844 0.0% 1
MEDICARE SWB $91,844 0.0% 1
Anthem (Elevance Health) $91,844 0.0% 2
BCBS of Florida (Florida Blue) $91,844 0.0% 1
CARE N' CARE $91,844 0.0% 1
Centers for Medicare & Medicaid Services $91,844 0.0% 2
Cigna Healthcare $91,844 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.