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 43840 · KENEDY, TX

43840 — Repair Of Stomach Lesion

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.

$5,184 All-payer median here
$7,640 Cash / self-pay here
20 payer/plan-name variants
← This hospital National rates for 43840 →
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
   
Galaxy Health Network $7,258 40.0% 1
Aetna $7,258 40.0% 3
Blue Cross Blue Shield $7,258 40.0% 3
Three Rivers Provider Network $7,258 40.0% 1
Omni $7,258 40.0% 1
HEALTHSMART BENEFIT SOLUTIONS $7,258 40.0% 1
MultiPlan / PHCS Network $6,876 32.6% 1
Ims $6,876 32.6% 1
Corcare Healthcare $5,348 3.2% 1
UnitedHealthcare $5,343 3.1% 3
Cigna Healthcare $5,272 1.7% 1
Texas Independence Health Plan $5,184 0.0% 1
Provider Partners Health Plan (PPHP) $5,184 0.0% 1
Superior HealthPlan $5,089 -1.8% 5
Allwell (Centene Medicare Advantage) $4,733 -8.7% 1
Sedgewick $4,508 -13.0% 1
CHRISTUS Health $4,508 -13.0% 1
Triwest Va $4,508 -13.0% 1
MultiPlan $4,508 -13.0% 1
Humana $3,526 -32.0% 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.