Payer comparison · CDM 7092938 · LULING, TX

7092938 — Component Femoral Rt 57.5x64

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.

$40,966 All-payer median here

$32,060 Cash / self-pay here

88 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

BCBS OON	$89,056	117.4%	4
ASCENSION PERSONALIZED CARE	$89,056	117.4%	1
HEART SAVER	$89,056	117.4%	2
HOSPICE AUSTIN 20161001	$89,056	117.4%	1
ORGAN SHARING ALLIANCE	$89,056	117.4%	1
PROVIDER LIABLE	$89,056	117.4%	1
CDM DEFAULT - NON-NEGOTIATED RATE	$89,056	117.4%	1
HEALTH SOUTH LAB	$89,056	117.4%	1
OXFORD HEALTH INSURANCE	$84,603	106.5%	1
PPO NEXT (EBD,SHL) 20140101	$84,603	106.5%	1
Health Net	$84,603	106.5%	1
CAPP CARE Inc	$82,377	101.1%	2
GALAXY HC PPO	$80,151	95.7%	1
USA HEALTHNET	$80,151	95.7%	1
SHANNON HEALTH PLAN	$80,151	95.7%	1
BeechStreet Corporation	$80,151	95.7%	1
COASTAL COMP	$80,151	95.7%	1
PNOA PPO	$80,151	95.7%	1
INTERPLAN	$80,151	95.7%	1
HEALTHSMART PPO	$80,151	95.7%	1
UHC STUDENT RESOURCE	$80,151	95.7%	2
INTEGRATED PPO	$79,260	93.5%	1
PPHP MCR ADVANTAGE	$79,260	93.5%	3
Great-West Healthcare	$77,924	90.2%	2
TRICARE	$75,698	84.8%	2
MEDICARE OON	$75,698	84.8%	3
Cigna Healthcare	$75,698	84.8%	10
WellMed Medical Management (UHC subsidiary)	$75,698	84.8%	3
ADDR CANCER TOGETHER	$75,698	84.8%	3
COVENANT HEALTH	$73,026	78.3%	3
PHCS (Private Healthcare Systems)	$71,245	73.9%	3
MultiPlan	$71,245	73.9%	1
TX TRUE CHOICE	$71,245	73.9%	1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301	$71,245	73.9%	1
AVERDE HEALTH	$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
Humana	$60,558	47.8%	9
EMPHESYS	$60,558	47.8%	1
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
WHOLE FOODS	$47,645	16.3%	2
HUMANA HMO CUST	$47,645	16.3%	2
DEVOTED HEALTH MCR REPLACEMENT	$47,200	15.2%	2
Aetna	$46,309	13.0%	24
BCBS HPN	$45,419	10.9%	3
FIRST CARE PROVIDENCE EMPLOYEE	$44,528	8.7%	2
UnitedHealthcare	$40,966	0.0%	26
SUPERIOR CHIP/CHIP PERINATE	$40,075	-2.2%	2
AUSTIN STATE HOSPITAL	$40,075	-2.2%	1
BCBS BAV EXCHANGE	$36,513	-10.9%	2
SUPERIOR STAR	$35,622	-13.0%	4
Superior HealthPlan	$35,622	-13.0%	15
SENDERO IDEALCARE	$28,498	-30.4%	2
CORNERSTONE	$26,717	-34.8%	1
TX REHAB	$24,045	-41.3%	1
UTMB	$20,483	-50.0%	1
SMARTHEALTH	$20,483	-50.0%	5
TEXAS REHAB	$20,483	-50.0%	1
WINGS	$19,592	-52.2%	1
MDSAVE	$18,702	-54.3%	1
Allwell (Centene Medicare Advantage)	$16,921	-58.7%	1
WellCare Health Plans	$16,921	-58.7%	1
COUNTY INDIGENT	$16,030	-60.9%	3
BCBS of Texas	$16,030	-60.9%	6
TRAVIS COUNTY INDIGENT	$15,140	-63.0%	2
CONNECTED SENIOR CARE	$15,140	-63.0%	1
UHC MCR REPLACEMENT	$15,140	-63.0%	1
SENDERO CHAP	$15,140	-63.0%	1
BCBS CHIP/CHIP PERINATE	$12,468	-69.6%	6
UHC STAR KIDS	$12,468	-69.6%	4
DELL CHILDRENS HEALTH PLAN	$12,468	-69.6%	4
WELLPOINT STAR	$12,468	-69.6%	6
WELLPOINT STAR PLUS	$12,468	-69.6%	6
DELL STAR	$12,468	-69.6%	4
WELLPOINT STAR KIDS	$12,023	-70.7%	2
BCBS STAR KIDS	$12,023	-70.7%	2
WELLPOINT CHIP/CHIP PERINATE	$12,023	-70.7%	4
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.