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 · CPT 856 · SEGUIN, TX

856 — Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc

What each payer pays GUADALUPE REGIONAL MEDICAL CENTER (CCN 450104) 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.

$57,656 All-payer median here
$45,876 Cash / self-pay here
11 payer/plan-name variants
← This hospital National rates for 856 →
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
   
Cigna Healthcare $82,577 43.2% 1
TEXAS MUTUAL INSURANCE CO $82,577 43.2% 1
Aetna $77,990 35.3% 1
Humana $77,990 35.3% 1
UnitedHealthcare $68,815 19.4% 1
Healthcare Highways $57,656 0.0% 2
Superior HealthPlan $41,289 -28.4% 1
Blue Cross Blue Shield Association $28,215 -51.1% 1
BCBS OTHER $28,215 -51.1% 1
BCBS of Texas $27,547 -52.2% 1
BCBS BAV NETWORK $19,910 -65.5% 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.