Payer comparison · CDM 7092873 · LULING, TX

7092873 — Component Femoral Left Sz 1

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.

$44,443 All-payer median here

$35,164 Cash / self-pay here

87 payer/plan-name variants

← This hospital National rates for 7092873 →

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

PROVIDER LIABLE	$97,678	119.8%	1
ASCENSION PERSONALIZED CARE	$97,678	119.8%	1
ORGAN SHARING ALLIANCE	$97,678	119.8%	1
BCBS OON	$97,678	119.8%	4
CDM DEFAULT - NON-NEGOTIATED RATE	$97,678	119.8%	1
HEALTH SOUTH LAB	$97,678	119.8%	1
OXFORD HEALTH INSURANCE	$92,794	108.8%	1
Health Net	$92,794	108.8%	1
PPO NEXT (EBD,SHL) 20140101	$92,794	108.8%	1
CAPP CARE Inc	$90,352	103.3%	2
UHC STUDENT RESOURCE	$87,910	97.8%	2
HEALTHSMART PPO	$87,910	97.8%	1
SHANNON HEALTH PLAN	$87,910	97.8%	1
PNOA PPO	$87,910	97.8%	1
BeechStreet Corporation	$87,910	97.8%	1
COASTAL COMP	$87,910	97.8%	1
USA HEALTHNET	$87,910	97.8%	1
INTERPLAN	$87,910	97.8%	1
GALAXY HC PPO	$87,910	97.8%	1
INTEGRATED PPO	$86,933	95.6%	1
PPHP MCR ADVANTAGE	$86,933	95.6%	3
Great-West Healthcare	$85,468	92.3%	2
TRICARE	$83,026	86.8%	2
WellMed Medical Management (UHC subsidiary)	$83,026	86.8%	3
MEDICARE OON	$83,026	86.8%	3
Cigna Healthcare	$83,026	86.8%	10
ADDR CANCER TOGETHER	$83,026	86.8%	3
MultiPlan	$78,142	75.8%	1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301	$78,142	75.8%	1
PHCS (Private Healthcare Systems)	$78,142	75.8%	3
TX TRUE CHOICE	$78,142	75.8%	1
AVERDE HEALTH	$78,142	75.8%	1
First Health Network	$76,188	71.4%	1
FIRST CARE HMO	$73,258	64.8%	2
FIRST CARE PPO	$73,258	64.8%	2
HEALTHSMART BENEFIT SOLUTIONS	$68,374	53.8%	2
COVENTRY HPN (EBD,SHL) 20140101	$68,374	53.8%	1
Oscar Health	$67,397	51.6%	3
Humana	$66,421	49.5%	9
EMPHESYS	$66,421	49.5%	1
BCBS HMO ESSENTIALS	$61,048	37.4%	2
VISTA HEALTH	$58,607	31.9%	2
CSHCN CIDC	$57,141	28.6%	2
FIRST CARE PROVIDENCE	$56,653	27.5%	1
SETON PERFORMANCE PLUS	$56,165	26.4%	4
WHOLE FOODS	$52,257	17.6%	2
HUMANA HMO CUST	$52,257	17.6%	2
DEVOTED HEALTH MCR REPLACEMENT	$51,769	16.5%	2
Aetna	$50,792	14.3%	24
BCBS HPN	$49,816	12.1%	3
HEART SAVER	$48,863	9.9%	2
FIRST CARE PROVIDENCE EMPLOYEE	$48,839	9.9%	2
UnitedHealthcare	$44,932	1.1%	26
SUPERIOR CHIP/CHIP PERINATE	$43,955	-1.1%	2
AUSTIN STATE HOSPITAL	$43,955	-1.1%	1
BCBS BAV EXCHANGE	$40,048	-9.9%	2
SUPERIOR STAR	$39,071	-12.1%	4
Superior HealthPlan	$39,071	-12.1%	15
SENDERO IDEALCARE	$31,257	-29.7%	2
CORNERSTONE	$29,303	-34.1%	1
COVENANT HEALTH	$28,326	-36.3%	3
TX REHAB	$26,373	-40.7%	1
UTMB	$22,466	-49.5%	1
SMARTHEALTH	$22,466	-49.5%	5
TEXAS REHAB	$22,466	-49.5%	1
WINGS	$21,489	-51.6%	1
MDSAVE	$20,512	-53.8%	1
Allwell (Centene Medicare Advantage)	$18,559	-58.2%	1
WellCare Health Plans	$18,559	-58.2%	1
COUNTY INDIGENT	$17,582	-60.4%	3
BCBS of Texas	$17,582	-60.4%	6
TRAVIS COUNTY INDIGENT	$16,605	-62.6%	2
CONNECTED SENIOR CARE	$16,605	-62.6%	1
SENDERO CHAP	$16,605	-62.6%	1
UHC MCR REPLACEMENT	$16,605	-62.6%	1
DELL STAR	$13,675	-69.2%	4
DELL CHILDRENS HEALTH PLAN	$13,675	-69.2%	4
UHC STAR KIDS	$13,675	-69.2%	4
WELLPOINT STAR	$13,675	-69.2%	6
WELLPOINT STAR PLUS	$13,675	-69.2%	6
BCBS CHIP/CHIP PERINATE	$13,675	-69.2%	6
WELLPOINT STAR KIDS	$13,186	-70.3%	2
BCBS STAR KIDS	$13,186	-70.3%	2
WELLPOINT CHIP/CHIP PERINATE	$13,186	-70.3%	4
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101	$11,721	-73.6%	1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101	$10,745	-75.8%	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.