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 22126326 · KYLE, TX

22126326 — Zolgensma 8.6-9.0 Kg Kit

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.

$1,225,700 All-payer median here
$787,950 Cash / self-pay here
75 payer/plan-name variants
← This hospital National rates for 22126326 →
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
   
HEALTH SOUTH LAB $2,188,750 78.6% 1
ORGAN SHARING ALLIANCE $2,188,750 78.6% 1
HOSPICE AUSTIN 20161001 $2,188,750 78.6% 1
ASCENSION PERSONALIZED CARE $2,188,750 78.6% 1
PROVIDER LIABLE $2,188,750 78.6% 1
BCBS OON $2,188,750 78.6% 4
CDM DEFAULT - NON-NEGOTIATED RATE $2,188,750 78.6% 1
PPO NEXT (EBD,SHL) 20140101 $2,079,312 69.6% 1
OXFORD HEALTH INSURANCE $2,079,312 69.6% 1
CAPP CARE Inc $2,024,594 65.2% 2
Health Net $2,024,594 65.2% 2
Galaxy Health Network $1,969,875 60.7% 1
INTERPLAN $1,969,875 60.7% 1
UHC STUDENT RESOURCE $1,969,875 60.7% 2
Provider Network of America (PNOA) $1,969,875 60.7% 1
BeechStreet Corporation $1,969,875 60.7% 1
HEALTHSMART PPO $1,969,875 60.7% 1
COASTAL COMP $1,969,875 60.7% 1
SHANNON HEALTH PLAN $1,969,875 60.7% 1
Provider Partners Health Plan (PPHP) $1,947,988 58.9% 2
INTEGRATED PPO $1,947,988 58.9% 1
Great-West Healthcare $1,915,156 56.2% 2
Devoted Health $1,904,212 55.4% 1
TRICARE $1,860,438 51.8% 2
ADDR CANCER TOGETHER $1,860,438 51.8% 2
Cigna Healthcare $1,860,438 51.8% 10
WellMed Medical Management (UHC subsidiary) $1,860,438 51.8% 2
Medicare (Generic) $1,860,438 51.8% 3
COVENANT HEALTH $1,794,775 46.4% 3
TRUE CHOICE $1,751,000 42.9% 1
AVERDE HEALTH $1,751,000 42.9% 1
PHCS (Private Healthcare Systems) $1,751,000 42.9% 3
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $1,751,000 42.9% 1
MultiPlan $1,751,000 42.9% 1
First Health Network $1,707,225 39.3% 1
FIRST CARE PPO $1,641,562 33.9% 2
FIRST CARE HMO $1,641,562 33.9% 2
COVENTRY HPN (EBD,SHL) 20140101 $1,532,125 25.0% 1
HEALTHSMART BENEFIT SOLUTIONS $1,532,125 25.0% 2
EMPHESYS INSURANCE COMPANY $1,488,350 21.4% 1
Humana $1,488,350 21.4% 9
SMARTHEALTH $1,455,519 18.8% 4
Aetna $1,422,688 16.1% 23
BCBS HMO ESSENTIALS $1,367,969 11.6% 2
VISTA HEALTH $1,313,250 7.1% 2
CSHCN CIDC $1,280,419 4.5% 2
FIRST CARE PROVIDENCE $1,269,475 3.6% 1
SETON PERFORMANCE PLUS $1,258,531 2.7% 4
Oscar Health $1,214,756 -0.9% 2
WHOLE FOODS $1,170,981 -4.5% 2
BCBS HPN $1,116,262 -8.9% 3
HEART SAVER $1,094,400 -10.7% 2
FIRST CARE PROVIDENCE EMPLOYEE $1,094,375 -10.7% 2
UnitedHealthcare $1,006,825 -17.9% 26
AUSTIN STATE HOSPITAL $984,938 -19.6% 1
BCBS BAV EXCHANGE $897,388 -26.8% 2
Superior HealthPlan $875,500 -28.6% 16
Sendero IdealCare $744,175 -39.3% 1
CORNERSTONE $656,625 -46.4% 1
TX REHAB $590,962 -51.8% 1
UTMB $503,412 -58.9% 1
TEXAS REHAB $503,412 -58.9% 1
WINGS $481,525 -60.7% 1
TRAVIS COUNTY INDIGENT $317,369 -74.1% 2
COUNTY INDIGENT $306,425 -75.0% 3
BCBS of Texas $306,425 -75.0% 8
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $262,650 -78.6% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $240,762 -80.4% 1
BCBS CHIP/CHIP PERINATE $218,875 -82.1% 6
DELL CHILDRENS HEALTH PLAN $218,875 -82.1% 8
UnitedHealthcare Community Plan $218,875 -82.1% 4
WELLPOINT CHIP/CHIP PERINATE $218,875 -82.1% 4
WELLPOINT STAR KIDS $218,875 -82.1% 2
Amerigroup $218,875 -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.