Payer comparison · CDM 7043392 · LULING, TX

7043392 — Sys Hip Integral 180 13x180mm

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.

$41,387 All-payer median here

$32,390 Cash / self-pay here

87 payer/plan-name variants

← This hospital National rates for 7043392 →

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	$89,972	117.4%	1
HEART SAVER	$89,972	117.4%	2
PROVIDER LIABLE	$89,972	117.4%	1
ASCENSION PERSONALIZED CARE	$89,972	117.4%	1
BCBS OON	$89,972	117.4%	4
CDM DEFAULT - NON-NEGOTIATED RATE	$89,972	117.4%	1
HEALTH SOUTH LAB	$89,972	117.4%	1
PPO NEXT (EBD,SHL) 20140101	$85,473	106.5%	1
Health Net	$85,473	106.5%	1
OXFORD HEALTH INSURANCE	$85,473	106.5%	1
CAPP CARE Inc	$83,224	101.1%	2
UHC STUDENT RESOURCE	$80,975	95.7%	2
HEALTHSMART PPO	$80,975	95.7%	1
BeechStreet Corporation	$80,975	95.7%	1
GALAXY HC PPO	$80,975	95.7%	1
PNOA PPO	$80,975	95.7%	1
USA HEALTHNET	$80,975	95.7%	1
SHANNON HEALTH PLAN	$80,975	95.7%	1
INTERPLAN	$80,975	95.7%	1
COASTAL COMP	$80,975	95.7%	1
INTEGRATED PPO	$80,075	93.5%	1
PPHP MCR ADVANTAGE	$80,075	93.5%	3
Great-West Healthcare	$78,725	90.2%	2
Cigna Healthcare	$76,476	84.8%	10
ADDR CANCER TOGETHER	$76,476	84.8%	3
TRICARE	$76,476	84.8%	2
WellMed Medical Management (UHC subsidiary)	$76,476	84.8%	3
MEDICARE OON	$76,476	84.8%	3
COVENANT HEALTH	$73,777	78.3%	3
TX TRUE CHOICE	$71,977	73.9%	1
MultiPlan	$71,977	73.9%	1
PHCS (Private Healthcare Systems)	$71,977	73.9%	3
AVERDE HEALTH	$71,977	73.9%	1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301	$71,977	73.9%	1
First Health Network	$70,178	69.6%	1
FIRST CARE HMO	$67,479	63.0%	2
FIRST CARE PPO	$67,479	63.0%	2
HEALTHSMART BENEFIT SOLUTIONS	$62,980	52.2%	2
COVENTRY HPN (EBD,SHL) 20140101	$62,980	52.2%	1
Oscar Health	$62,081	50.0%	3
Humana	$61,181	47.8%	9
EMPHESYS	$61,181	47.8%	1
BCBS HMO ESSENTIALS	$56,232	35.9%	2
VISTA HEALTH	$53,983	30.4%	2
CSHCN CIDC	$52,633	27.2%	2
FIRST CARE PROVIDENCE	$52,184	26.1%	1
SETON PERFORMANCE PLUS	$51,734	25.0%	4
HUMANA HMO CUST	$48,135	16.3%	2
WHOLE FOODS	$48,135	16.3%	2
DEVOTED HEALTH MCR REPLACEMENT	$47,685	15.2%	2
Aetna	$46,785	13.0%	24
BCBS HPN	$45,886	10.9%	3
FIRST CARE PROVIDENCE EMPLOYEE	$44,986	8.7%	2
UnitedHealthcare	$41,387	0.0%	26
AUSTIN STATE HOSPITAL	$40,487	-2.2%	1
SUPERIOR CHIP/CHIP PERINATE	$40,487	-2.2%	2
BCBS BAV EXCHANGE	$36,888	-10.9%	2
SUPERIOR STAR	$35,989	-13.0%	4
Superior HealthPlan	$35,989	-13.0%	15
SENDERO IDEALCARE	$28,791	-30.4%	2
CORNERSTONE	$26,992	-34.8%	1
TX REHAB	$24,292	-41.3%	1
TEXAS REHAB	$20,694	-50.0%	1
UTMB	$20,694	-50.0%	1
SMARTHEALTH	$20,694	-50.0%	5
WINGS	$19,794	-52.2%	1
MDSAVE	$18,894	-54.3%	1
WellCare Health Plans	$17,095	-58.7%	1
Allwell (Centene Medicare Advantage)	$17,095	-58.7%	1
COUNTY INDIGENT	$16,195	-60.9%	3
BCBS of Texas	$16,195	-60.9%	6
CONNECTED SENIOR CARE	$15,295	-63.0%	1
SENDERO CHAP	$15,295	-63.0%	1
UHC MCR REPLACEMENT	$15,295	-63.0%	1
TRAVIS COUNTY INDIGENT	$15,295	-63.0%	2
DELL CHILDRENS HEALTH PLAN	$12,596	-69.6%	4
WELLPOINT STAR PLUS	$12,596	-69.6%	6
BCBS CHIP/CHIP PERINATE	$12,596	-69.6%	6
UHC STAR KIDS	$12,596	-69.6%	4
DELL STAR	$12,596	-69.6%	4
WELLPOINT STAR	$12,596	-69.6%	6
WELLPOINT STAR KIDS	$12,146	-70.7%	2
BCBS STAR KIDS	$12,146	-70.7%	2
WELLPOINT CHIP/CHIP PERINATE	$12,146	-70.7%	4
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101	$10,797	-73.9%	1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101	$9,897	-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.