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 9138 · EDINBURG, TX

9138 — Inj, Hemgenix, Per Tx Dose

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.

$3,784,200 All-payer median here
9 payer/plan-name variants
← This hospital National rates for 9138 →
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 $3,895,500 2.9% 2
Aetna $3,821,300 1.0% 2
UnitedHealthcare $3,821,300 1.0% 2
WellMed Medical Management (UHC subsidiary) $3,785,684 0.0% 2
BCBS of Texas $3,784,200 0.0% 2
Humana $3,710,000 -2.0% 2
Prominence Health Plan $3,710,000 -2.0% 2
Superior HealthPlan $3,710,000 -2.0% 2
Cigna Healthcare $3,710,000 -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.