Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CDM 22124081 · KYLE, TX

22124081 — Inj Onase Abepar-xioi Treat

What each payer pays ASCENSION SETON HAYS (CCN 670056) 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.

$1,190,000 All-payer median here
$765,000 Cash / self-pay here
74 payer/plan-name variants
← This hospital National rates for 22124081 →
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
   
CDM DEFAULT - NON-NEGOTIATED RATE $2,125,000 78.6% 1
HEART SAVER $2,125,000 78.6% 2
PROVIDER LIABLE $2,125,000 78.6% 1
HEALTH SOUTH LAB $2,125,000 78.6% 1
BCBS OON $2,125,000 78.6% 4
ASCENSION PERSONALIZED CARE $2,125,000 78.6% 1
ORGAN SHARING ALLIANCE $2,125,000 78.6% 1
PPO NEXT (EBD,SHL) 20140101 $2,018,750 69.6% 1
OXFORD HEALTH INSURANCE $2,018,750 69.6% 1
CAPP CARE Inc $1,965,625 65.2% 2
Health Net $1,965,625 65.2% 2
Provider Network of America (PNOA) $1,912,500 60.7% 1
UHC STUDENT RESOURCE $1,912,500 60.7% 2
BeechStreet Corporation $1,912,500 60.7% 1
COASTAL COMP $1,912,500 60.7% 1
SHANNON HEALTH PLAN $1,912,500 60.7% 1
Galaxy Health Network $1,912,500 60.7% 1
HEALTHSMART PPO $1,912,500 60.7% 1
INTERPLAN $1,912,500 60.7% 1
Provider Partners Health Plan (PPHP) $1,891,250 58.9% 2
INTEGRATED PPO $1,891,250 58.9% 1
Great-West Healthcare $1,859,375 56.2% 2
Devoted Health $1,848,750 55.4% 1
Medicare (Generic) $1,806,250 51.8% 3
TRICARE $1,806,250 51.8% 2
WellMed Medical Management (UHC subsidiary) $1,806,250 51.8% 2
Cigna Healthcare $1,806,250 51.8% 10
ADDR CANCER TOGETHER $1,806,250 51.8% 2
COVENANT HEALTH $1,742,500 46.4% 3
TRUE CHOICE $1,700,000 42.9% 1
MultiPlan $1,700,000 42.9% 1
AVERDE HEALTH $1,700,000 42.9% 1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $1,700,000 42.9% 1
PHCS (Private Healthcare Systems) $1,700,000 42.9% 3
First Health Network $1,657,500 39.3% 1
FIRST CARE PPO $1,593,750 33.9% 2
FIRST CARE HMO $1,593,750 33.9% 2
HEALTHSMART BENEFIT SOLUTIONS $1,487,500 25.0% 2
COVENTRY HPN (EBD,SHL) 20140101 $1,487,500 25.0% 1
EMPHESYS INSURANCE COMPANY $1,445,000 21.4% 1
Humana $1,445,000 21.4% 9
SMARTHEALTH $1,413,125 18.8% 4
Aetna $1,381,250 16.1% 23
BCBS HMO ESSENTIALS $1,328,125 11.6% 2
VISTA HEALTH $1,275,000 7.1% 2
CSHCN CIDC $1,243,125 4.5% 2
FIRST CARE PROVIDENCE $1,232,500 3.6% 1
SETON PERFORMANCE PLUS $1,221,875 2.7% 4
Oscar Health $1,179,375 -0.9% 2
WHOLE FOODS $1,136,875 -4.5% 2
BCBS HPN $1,083,750 -8.9% 3
FIRST CARE PROVIDENCE EMPLOYEE $1,062,500 -10.7% 2
UnitedHealthcare $977,500 -17.9% 26
AUSTIN STATE HOSPITAL $956,250 -19.6% 1
BCBS BAV EXCHANGE $871,250 -26.8% 2
Superior HealthPlan $850,000 -28.6% 16
Sendero IdealCare $722,500 -39.3% 1
CORNERSTONE $637,500 -46.4% 1
TX REHAB $573,750 -51.8% 1
UTMB $488,750 -58.9% 1
TEXAS REHAB $488,750 -58.9% 1
WINGS $467,500 -60.7% 1
TRAVIS COUNTY INDIGENT $308,125 -74.1% 2
COUNTY INDIGENT $297,500 -75.0% 3
BCBS of Texas $297,500 -75.0% 8
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $255,000 -78.6% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $233,750 -80.4% 1
BCBS CHIP/CHIP PERINATE $212,500 -82.1% 6
DELL CHILDRENS HEALTH PLAN $212,500 -82.1% 8
UnitedHealthcare Community Plan $212,500 -82.1% 4
WELLPOINT CHIP/CHIP PERINATE $212,500 -82.1% 4
WELLPOINT STAR KIDS $212,500 -82.1% 2
Amerigroup $212,500 -82.1% 12
HEART SAVER VETERANS $75 -100.0% 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.