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 7092903 · BURNET, TX

7092903 — Component Femoral Dist Rt 3

What each payer pays ASCENSION SETON HIGHLAND LAKES (CCN 451365) 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.

$41,960 All-payer median here
$32,838 Cash / self-pay here
87 payer/plan-name variants
← This hospital National rates for 7092903 →
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
   
ORGAN SHARING ALLIANCE $91,217 117.4% 1
HEART SAVER $91,217 117.4% 2
PROVIDER LIABLE $91,217 117.4% 1
ASCENSION PERSONALIZED CARE $91,217 117.4% 1
BCBS OON $91,217 117.4% 4
CDM DEFAULT - NON-NEGOTIATED RATE $91,217 117.4% 1
HEALTH SOUTH LAB $91,217 117.4% 1
PPO NEXT (EBD,SHL) 20140101 $86,656 106.5% 1
Health Net $86,656 106.5% 1
OXFORD HEALTH INSURANCE $86,656 106.5% 1
CAPP CARE Inc $84,376 101.1% 2
UHC STUDENT RESOURCE $82,096 95.7% 2
HEALTHSMART PPO $82,096 95.7% 1
BeechStreet Corporation $82,096 95.7% 1
GALAXY HC PPO $82,096 95.7% 1
PNOA PPO $82,096 95.7% 1
USA HEALTHNET $82,096 95.7% 1
SHANNON HEALTH PLAN $82,096 95.7% 1
INTERPLAN $82,096 95.7% 1
COASTAL COMP $82,096 95.7% 1
INTEGRATED PPO $81,183 93.5% 1
PPHP MCR ADVANTAGE $81,183 93.5% 3
Great-West Healthcare $79,815 90.2% 2
Cigna Healthcare $77,535 84.8% 10
ADDR CANCER TOGETHER $77,535 84.8% 3
TRICARE $77,535 84.8% 2
WellMed Medical Management (UHC subsidiary) $77,535 84.8% 3
MEDICARE OON $77,535 84.8% 3
COVENANT HEALTH $74,798 78.3% 3
TX TRUE CHOICE $72,974 73.9% 1
MultiPlan $72,974 73.9% 1
PHCS (Private Healthcare Systems) $72,974 73.9% 3
AVERDE HEALTH $72,974 73.9% 1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $72,974 73.9% 1
First Health Network $71,149 69.6% 1
FIRST CARE HMO $68,413 63.0% 2
FIRST CARE PPO $68,413 63.0% 2
HEALTHSMART BENEFIT SOLUTIONS $63,852 52.2% 2
COVENTRY HPN (EBD,SHL) 20140101 $63,852 52.2% 1
Oscar Health $62,940 50.0% 3
Humana $62,028 47.8% 9
EMPHESYS $62,028 47.8% 1
BCBS HMO ESSENTIALS $57,011 35.9% 2
VISTA HEALTH $54,730 30.4% 2
CSHCN CIDC $53,362 27.2% 2
FIRST CARE PROVIDENCE $52,906 26.1% 1
HUMANA HMO CUST $52,450 25.0% 2
SETON PERFORMANCE PLUS $52,450 25.0% 4
WHOLE FOODS $48,801 16.3% 2
Aetna $47,433 13.0% 24
BCBS HPN $46,521 10.9% 3
FIRST CARE PROVIDENCE EMPLOYEE $45,609 8.7% 2
DEVOTED HEALTH MCR REPLACEMENT $45,609 8.7% 2
UnitedHealthcare $41,960 0.0% 26
AUSTIN STATE HOSPITAL $41,048 -2.2% 1
SUPERIOR CHIP/CHIP PERINATE $41,048 -2.2% 2
BCBS BAV EXCHANGE $37,399 -10.9% 2
Superior HealthPlan $36,487 -13.0% 15
SUPERIOR STAR $36,487 -13.0% 4
CORNERSTONE $27,365 -34.8% 1
SENDERO IDEALCARE $25,085 -40.2% 2
TX REHAB $24,629 -41.3% 1
TEXAS REHAB $20,980 -50.0% 1
UTMB $20,980 -50.0% 1
WINGS $20,068 -52.2% 1
SMARTHEALTH $17,331 -58.7% 5
TRAVIS COUNTY INDIGENT $16,875 -59.8% 2
BCBS of Texas $16,875 -59.8% 6
UHC MCR REPLACEMENT $14,595 -65.2% 1
BCBS STAR KIDS $14,139 -66.3% 2
WELLPOINT CHIP/CHIP PERINATE $14,139 -66.3% 4
WELLPOINT STAR KIDS $14,139 -66.3% 2
MDSAVE $13,683 -67.4% 1
DELL CHILDRENS HEALTH PLAN $12,770 -69.6% 4
COUNTY INDIGENT $12,770 -69.6% 3
DELL STAR $12,770 -69.6% 4
WELLPOINT STAR $12,770 -69.6% 6
WELLPOINT STAR PLUS $12,770 -69.6% 6
BCBS CHIP/CHIP PERINATE $12,770 -69.6% 6
UHC STAR KIDS $12,770 -69.6% 4
WellCare Health Plans $11,858 -71.7% 1
Allwell (Centene Medicare Advantage) $11,858 -71.7% 1
CONNECTED SENIOR CARE $10,946 -73.9% 1
SENDERO CHAP $10,946 -73.9% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $10,946 -73.9% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $10,034 -76.1% 1
HEART SAVER VETERANS $75 -99.8% 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.