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 43269 · BRADY, TX

43269 — Endo Cholangiopancreatograph

What each payer pays HEART OF TEXAS MEMORIAL HOSPITAL (CCN 451348) 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.

$10,715 All-payer median here
$8,929 Cash / self-pay here
11 payer/plan-name variants
← This hospital National rates for 43269 →
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
   
Blue Cross Blue Shield Association $15,180 41.7% 1
UnitedHealthcare $11,965 11.7% 2
BCBS Medicaid $10,715 0.0% 1
Firstcare Medicaid $10,715 0.0% 1
Aetna $10,715 0.0% 3
Amerigroup $10,715 0.0% 1
Superior HealthPlan $10,715 0.0% 1
PGBA TRIWEST VA CCN $7,858 -26.7% 1
VA / CHAMPVA $7,858 -26.7% 1
BCBS-Medicare Advantage $7,858 -26.7% 1
Humana $7,858 -26.7% 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.