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 23420 · KENEDY, TX

23420 — Repair Of Shoulder

What each payer pays OTTO KAISER MEMORIAL HOSPITAL (CCN 451364) 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.

$7,256 All-payer median here
$10,694 Cash / self-pay here
20 payer/plan-name variants
← This hospital National rates for 23420 →
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
   
Omni $10,160 40.0% 1
Three Rivers Provider Network $10,160 40.0% 1
Galaxy Health Network $10,160 40.0% 1
HEALTHSMART BENEFIT SOLUTIONS $10,160 40.0% 1
Aetna $10,160 40.0% 3
Blue Cross Blue Shield $10,160 40.0% 3
MultiPlan / PHCS Network $9,625 32.6% 1
Ims $9,625 32.6% 1
Corcare Healthcare $7,486 3.2% 1
Cigna Healthcare $7,379 1.7% 1
Texas Independence Health Plan $7,256 0.0% 1
Provider Partners Health Plan (PPHP) $7,256 0.0% 1
Allwell (Centene Medicare Advantage) $6,625 -8.7% 1
UnitedHealthcare $6,310 -13.0% 3
CHRISTUS Health $6,310 -13.0% 1
MultiPlan $6,310 -13.0% 1
Sedgewick $6,310 -13.0% 1
Triwest Va $6,310 -13.0% 1
Humana $4,436 -38.9% 2
Superior HealthPlan $874 -88.0% 5

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.