Payer comparison · CDM 7092938 · BURNET, TX

7092938 — Component Femoral Rt 57.5x64

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.

$40,966 All-payer median here

$32,060 Cash / self-pay here

87 payer/plan-name variants

← This hospital National rates for 7092938 →

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

CDM DEFAULT - NON-NEGOTIATED RATE	$89,056	117.4%	1
HEALTH SOUTH LAB	$89,056	117.4%	1
PROVIDER LIABLE	$89,056	117.4%	1
BCBS OON	$89,056	117.4%	4
ASCENSION PERSONALIZED CARE	$89,056	117.4%	1
ORGAN SHARING ALLIANCE	$89,056	117.4%	1
Health Net	$84,603	106.5%	1
PPO NEXT (EBD,SHL) 20140101	$84,603	106.5%	1
OXFORD HEALTH INSURANCE	$84,603	106.5%	1
CAPP CARE Inc	$82,377	101.1%	2
SHANNON HEALTH PLAN	$80,151	95.7%	1
USA HEALTHNET	$80,151	95.7%	1
HEALTHSMART PPO	$80,151	95.7%	1
BeechStreet Corporation	$80,151	95.7%	1
GALAXY HC PPO	$80,151	95.7%	1
PNOA PPO	$80,151	95.7%	1
INTERPLAN	$80,151	95.7%	1
COASTAL COMP	$80,151	95.7%	1
UHC STUDENT RESOURCE	$80,151	95.7%	2
PPHP MCR ADVANTAGE	$79,260	93.5%	3
INTEGRATED PPO	$79,260	93.5%	1
Great-West Healthcare	$77,924	90.2%	2
Cigna Healthcare	$75,698	84.8%	10
TRICARE	$75,698	84.8%	2
ADDR CANCER TOGETHER	$75,698	84.8%	3
MEDICARE OON	$75,698	84.8%	3
WellMed Medical Management (UHC subsidiary)	$75,698	84.8%	3
COVENANT HEALTH	$73,026	78.3%	3
AVERDE HEALTH	$71,245	73.9%	1
TX TRUE CHOICE	$71,245	73.9%	1
PHCS (Private Healthcare Systems)	$71,245	73.9%	3
MultiPlan	$71,245	73.9%	1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301	$71,245	73.9%	1
First Health Network	$69,464	69.6%	1
FIRST CARE PPO	$66,792	63.0%	2
FIRST CARE HMO	$66,792	63.0%	2
COVENTRY HPN (EBD,SHL) 20140101	$62,339	52.2%	1
HEALTHSMART BENEFIT SOLUTIONS	$62,339	52.2%	2
Oscar Health	$61,449	50.0%	3
EMPHESYS	$60,558	47.8%	1
Humana	$60,558	47.8%	9
BCBS HMO ESSENTIALS	$55,660	35.9%	2
VISTA HEALTH	$53,434	30.4%	2
CSHCN CIDC	$52,098	27.2%	2
FIRST CARE PROVIDENCE	$51,653	26.1%	1
SETON PERFORMANCE PLUS	$51,207	25.0%	4
HUMANA HMO CUST	$51,207	25.0%	2
WHOLE FOODS	$47,645	16.3%	2
Aetna	$46,309	13.0%	24
BCBS HPN	$45,419	10.9%	3
HEART SAVER	$44,553	8.8%	2
FIRST CARE PROVIDENCE EMPLOYEE	$44,528	8.7%	2
DEVOTED HEALTH MCR REPLACEMENT	$44,528	8.7%	2
UnitedHealthcare	$40,966	0.0%	26
AUSTIN STATE HOSPITAL	$40,075	-2.2%	1
SUPERIOR CHIP/CHIP PERINATE	$40,075	-2.2%	2
BCBS BAV EXCHANGE	$36,513	-10.9%	2
Superior HealthPlan	$35,622	-13.0%	15
SUPERIOR STAR	$35,622	-13.0%	4
CORNERSTONE	$26,717	-34.8%	1
SENDERO IDEALCARE	$24,490	-40.2%	2
TX REHAB	$24,045	-41.3%	1
TEXAS REHAB	$20,483	-50.0%	1
UTMB	$20,483	-50.0%	1
WINGS	$19,592	-52.2%	1
SMARTHEALTH	$16,921	-58.7%	5
TRAVIS COUNTY INDIGENT	$16,475	-59.8%	2
BCBS of Texas	$16,475	-59.8%	6
UHC MCR REPLACEMENT	$14,249	-65.2%	1
BCBS STAR KIDS	$13,804	-66.3%	2
WELLPOINT CHIP/CHIP PERINATE	$13,804	-66.3%	4
WELLPOINT STAR KIDS	$13,804	-66.3%	2
MDSAVE	$13,358	-67.4%	1
DELL CHILDRENS HEALTH PLAN	$12,468	-69.6%	4
COUNTY INDIGENT	$12,468	-69.6%	3
DELL STAR	$12,468	-69.6%	4
WELLPOINT STAR	$12,468	-69.6%	6
WELLPOINT STAR PLUS	$12,468	-69.6%	6
BCBS CHIP/CHIP PERINATE	$12,468	-69.6%	6
UHC STAR KIDS	$12,468	-69.6%	4
WellCare Health Plans	$11,577	-71.7%	1
Allwell (Centene Medicare Advantage)	$11,577	-71.7%	1
CONNECTED SENIOR CARE	$10,687	-73.9%	1
SENDERO CHAP	$10,687	-73.9%	1
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101	$10,687	-73.9%	1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101	$9,796	-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.