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 1904 · EDINBURG, TX

1904 — New Technology - Level 50 ($115,001-$130,000)

What each payer pays SOUTH TEXAS HEALTH SYSTEM (CCN 450119) 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.

$124,975 All-payer median here
9 payer/plan-name variants
← This hospital National rates for 1904 →
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
   
Molina Healthcare $147,001 17.6% 4
Aetna $126,176 1.0% 2
UnitedHealthcare $126,176 1.0% 2
WellMed Medical Management (UHC subsidiary) $125,000 0.0% 2
BCBS of Texas $124,951 -0.0% 2
Humana $122,500 -2.0% 2
Prominence Health Plan $122,500 -2.0% 2
Superior HealthPlan $122,500 -2.0% 2
Cigna Healthcare $122,500 -2.0% 2

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.