Payer comparison · CDM 7092903 · LULING, TX

7092903 — Component Femoral Dist Rt 3

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.

$41,960 All-payer median here

$32,838 Cash / self-pay here

88 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

BCBS OON	$91,217	117.4%	4
ASCENSION PERSONALIZED CARE	$91,217	117.4%	1
CDM DEFAULT - NON-NEGOTIATED RATE	$91,217	117.4%	1
HEALTH SOUTH LAB	$91,217	117.4%	1
HOSPICE AUSTIN 20161001	$91,217	117.4%	1
ORGAN SHARING ALLIANCE	$91,217	117.4%	1
PROVIDER LIABLE	$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
GALAXY HC PPO	$82,096	95.7%	1
USA HEALTHNET	$82,096	95.7%	1
SHANNON HEALTH PLAN	$82,096	95.7%	1
BeechStreet Corporation	$82,096	95.7%	1
COASTAL COMP	$82,096	95.7%	1
PNOA PPO	$82,096	95.7%	1
INTERPLAN	$82,096	95.7%	1
HEALTHSMART PPO	$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
WellMed Medical Management (UHC subsidiary)	$77,535	84.8%	3
TRICARE	$77,535	84.8%	2
ADDR CANCER TOGETHER	$77,535	84.8%	3
Cigna Healthcare	$77,535	84.8%	10
MEDICARE OON	$77,535	84.8%	3
COVENANT HEALTH	$74,798	78.3%	3
PHCS (Private Healthcare Systems)	$72,974	73.9%	3
MultiPlan	$72,974	73.9%	1
TX TRUE CHOICE	$72,974	73.9%	1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301	$72,974	73.9%	1
AVERDE HEALTH	$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
EMPHESYS	$62,028	47.8%	1
Humana	$62,028	47.8%	9
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
SETON PERFORMANCE PLUS	$52,450	25.0%	4
HUMANA HMO CUST	$48,801	16.3%	2
WHOLE FOODS	$48,801	16.3%	2
DEVOTED HEALTH MCR REPLACEMENT	$48,345	15.2%	2
Aetna	$47,433	13.0%	24
BCBS HPN	$46,521	10.9%	3
HEART SAVER	$45,633	8.8%	2
FIRST CARE PROVIDENCE EMPLOYEE	$45,609	8.7%	2
UnitedHealthcare	$41,960	0.0%	26
SUPERIOR CHIP/CHIP PERINATE	$41,048	-2.2%	2
AUSTIN STATE HOSPITAL	$41,048	-2.2%	1
BCBS BAV EXCHANGE	$37,399	-10.9%	2
SUPERIOR STAR	$36,487	-13.0%	4
Superior HealthPlan	$36,487	-13.0%	15
SENDERO IDEALCARE	$29,190	-30.4%	2
CORNERSTONE	$27,365	-34.8%	1
TX REHAB	$24,629	-41.3%	1
UTMB	$20,980	-50.0%	1
SMARTHEALTH	$20,980	-50.0%	5
TEXAS REHAB	$20,980	-50.0%	1
WINGS	$20,068	-52.2%	1
MDSAVE	$19,156	-54.3%	1
Allwell (Centene Medicare Advantage)	$17,331	-58.7%	1
WellCare Health Plans	$17,331	-58.7%	1
BCBS of Texas	$16,419	-60.9%	6
COUNTY INDIGENT	$16,419	-60.9%	3
TRAVIS COUNTY INDIGENT	$15,507	-63.0%	2
CONNECTED SENIOR CARE	$15,507	-63.0%	1
UHC MCR REPLACEMENT	$15,507	-63.0%	1
SENDERO CHAP	$15,507	-63.0%	1
BCBS CHIP/CHIP PERINATE	$12,770	-69.6%	6
UHC STAR KIDS	$12,770	-69.6%	4
DELL CHILDRENS HEALTH PLAN	$12,770	-69.6%	4
WELLPOINT STAR	$12,770	-69.6%	6
WELLPOINT STAR PLUS	$12,770	-69.6%	6
DELL STAR	$12,770	-69.6%	4
WELLPOINT STAR KIDS	$12,314	-70.7%	2
BCBS STAR KIDS	$12,314	-70.7%	2
WELLPOINT CHIP/CHIP PERINATE	$12,314	-70.7%	4
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.