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 · CDM 131370 · SAN ANTONIO, TX

131370 — Expander Tissue Artoura 500cc Breast Smooth High Profile

What each payer pays METHODIST HOSPITAL (CCN 450388) 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.

$324,406 All-payer median here
$519,050 Cash / self-pay here
26 payer/plan-name variants
← This hospital National rates for 131370 →
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
   
MedicalControl $441,192 36.0% 1
Galaxy Health Network $441,192 36.0% 1
Managed Healthcare $441,192 36.0% 1
USA Managed Care $415,240 28.0% 1
BLUE BELL BENEFITS TRUST $415,240 28.0% 1
Direct Care America $415,240 28.0% 1
United Payors United Providers $415,240 28.0% 1
Admar Corporation $415,240 28.0% 2
MultiPlan $389,288 20.0% 1
PGBA TRIWEST VA CCN $389,288 20.0% 2
PHCS (Private Healthcare Systems) $368,526 13.6% 2
TML Intergovernmental EBP $363,335 12.0% 1
National Healthcare Solutions $337,382 4.0% 1
UnitedHealthcare $326,482 0.6% 2
Emerging Therapy Solutions $311,430 -4.0% 2
HAA Preferred Partners $311,430 -4.0% 1
HealthSmart Preferred Care $285,478 -12.0% 1
Independent Medical Systems $285,478 -12.0% 1
Physician Cooperative of Texas $285,478 -12.0% 1
Aetna $265,754 -18.1% 1
National ChoiceCare $259,525 -20.0% 1
Superior HealthPlan $197,239 -39.2% 3
Blue Cross Blue Shield Association $165,577 -49.0% 1
Cigna Healthcare $160,906 -50.4% 1
Molina Healthcare $129,762 -60.0% 1
Amerigroup $72,667 -77.6% 4

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.