Payer comparison · CDM 10026890 · LULING, TX

10026890 — Ammonul 10mg/ml 50ml

What each payer pays ASCENSION SETON EDGAR B DAVIS (CCN 451371) 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.

$119,107 All-payer median here

$89,331 Cash / self-pay here

88 payer/plan-name variants

← This hospital National rates for 10026890 →

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

BCBS OON	$248,140	108.3%	4
HOSPICE AUSTIN 20161001	$248,140	108.3%	1
ORGAN SHARING ALLIANCE	$248,140	108.3%	1
ASCENSION PERSONALIZED CARE	$248,140	108.3%	1
PROVIDER LIABLE	$248,140	108.3%	1
CDM DEFAULT - NON-NEGOTIATED RATE	$248,140	108.3%	1
HEALTH SOUTH LAB	$248,140	108.3%	1
OXFORD HEALTH INSURANCE	$235,733	97.9%	1
Health Net	$235,733	97.9%	1
PPO NEXT (EBD,SHL) 20140101	$235,733	97.9%	1
CAPP CARE Inc	$229,530	92.7%	2
GALAXY HC PPO	$223,326	87.5%	1
USA HEALTHNET	$223,326	87.5%	1
UHC STUDENT RESOURCE	$223,326	87.5%	2
SHANNON HEALTH PLAN	$223,326	87.5%	1
BeechStreet Corporation	$223,326	87.5%	1
COASTAL COMP	$223,326	87.5%	1
PNOA PPO	$223,326	87.5%	1
INTERPLAN	$223,326	87.5%	1
HEALTHSMART PPO	$223,326	87.5%	1
INTEGRATED PPO	$220,845	85.4%	1
PPHP MCR ADVANTAGE	$220,845	85.4%	3
Great-West Healthcare	$217,123	82.3%	2
WellMed Medical Management (UHC subsidiary)	$210,919	77.1%	3
TRICARE	$210,919	77.1%	2
ADDR CANCER TOGETHER	$210,919	77.1%	3
Cigna Healthcare	$210,919	77.1%	10
MEDICARE OON	$210,919	77.1%	3
COVENANT HEALTH	$203,475	70.8%	3
PHCS (Private Healthcare Systems)	$198,512	66.7%	3
MultiPlan	$198,512	66.7%	1
TX TRUE CHOICE	$198,512	66.7%	1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301	$198,512	66.7%	1
AVERDE HEALTH	$198,512	66.7%	1
First Health Network	$193,550	62.5%	1
FIRST CARE HMO	$186,105	56.3%	2
FIRST CARE PPO	$186,105	56.3%	2
COVENTRY HPN (EBD,SHL) 20140101	$173,698	45.8%	1
HEALTHSMART BENEFIT SOLUTIONS	$173,698	45.8%	2
Oscar Health	$171,217	43.8%	3
Humana	$168,736	41.7%	9
EMPHESYS	$168,736	41.7%	1
Aetna	$161,291	35.4%	24
HUMANA HMO CUST	$156,329	31.3%	2
BCBS HMO ESSENTIALS	$155,088	30.2%	2
VISTA HEALTH	$148,884	25.0%	2
CSHCN CIDC	$145,162	21.9%	2
FIRST CARE PROVIDENCE	$143,921	20.8%	1
SETON PERFORMANCE PLUS	$142,681	19.8%	4
WHOLE FOODS	$132,755	11.5%	2
DEVOTED HEALTH MCR REPLACEMENT	$131,514	10.4%	2
BCBS HPN	$126,552	6.2%	3
HEART SAVER	$124,095	4.2%	2
FIRST CARE PROVIDENCE EMPLOYEE	$124,070	4.2%	2
UnitedHealthcare	$114,145	-4.2%	26
SUPERIOR CHIP/CHIP PERINATE	$111,663	-6.2%	2
AUSTIN STATE HOSPITAL	$111,663	-6.2%	1
BCBS BAV EXCHANGE	$101,738	-14.6%	2
SUPERIOR STAR	$99,256	-16.7%	4
Superior HealthPlan	$99,256	-16.7%	11
SENDERO IDEALCARE	$79,405	-33.3%	2
CORNERSTONE	$74,442	-37.5%	1
TX REHAB	$66,998	-43.8%	1
UTMB	$57,072	-52.1%	1
SMARTHEALTH	$57,072	-52.1%	5
TEXAS REHAB	$57,072	-52.1%	1
WINGS	$54,591	-54.2%	1
MDSAVE	$52,110	-56.3%	1
Allwell (Centene Medicare Advantage)	$47,147	-60.4%	1
WellCare Health Plans	$47,147	-60.4%	1
COUNTY INDIGENT	$44,665	-62.5%	3
BCBS of Texas	$44,665	-62.5%	6
CONNECTED SENIOR CARE	$42,184	-64.6%	1
UHC MCR REPLACEMENT	$42,184	-64.6%	1
SENDERO CHAP	$42,184	-64.6%	1
TRAVIS COUNTY INDIGENT	$42,184	-64.6%	2
BCBS CHIP/CHIP PERINATE	$34,740	-70.8%	6
UHC STAR KIDS	$34,740	-70.8%	4
DELL CHILDRENS HEALTH PLAN	$34,740	-70.8%	4
WELLPOINT STAR	$34,740	-70.8%	6
WELLPOINT STAR PLUS	$34,740	-70.8%	6
DELL STAR	$34,740	-70.8%	4
WELLPOINT STAR KIDS	$33,499	-71.9%	2
BCBS STAR KIDS	$33,499	-71.9%	2
WELLPOINT CHIP/CHIP PERINATE	$33,499	-71.9%	4
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101	$29,777	-75.0%	1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101	$27,295	-77.1%	1
HEART SAVER VETERANS	$75	-99.9%	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.