Price Transparency 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 · OTHER 9138 · DECATUR, TX

9138 — Inj, Hemgenix, Per Tx Dos

What each payer pays Wise Health System (CCN 670116) 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.

$3,722,120 All-payer median here
20 payer/plan-name variants
← This hospital National rates for 9138 →
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
   
Verda Healthcare, Inc. $4,790,847 28.7% 1
Imperial Insurance Company $4,053,794 8.9% 1
Texas Independence Health Plan $3,906,383 5.0% 1
Provider Partners Health Plan (PPHP) $3,906,383 5.0% 1
American Health Plan of Texas, Inc. $3,869,530 4.0% 1
Superior HealthPlan $3,869,530 4.0% 6
ProCare Advantage $3,869,530 4.0% 1
Integranet $3,795,825 2.0% 1
WellCare Health Plans $3,795,825 2.0% 1
Cigna Healthcare $3,758,972 1.0% 1
CARE N' CARE $3,722,120 0.0% 1
Aetna $3,716,592 -0.1% 1
UnitedHealthcare $3,703,693 -0.5% 1
Mutual of Omaha $3,685,267 -1.0% 1
Amerigroup $3,685,267 -1.0% 1
Blue Cross Blue Shield Association $3,685,267 -1.0% 2
Devoted Health $3,685,267 -1.0% 6
Humana $3,685,267 -1.0% 1
TriWest Veterans $3,685,267 -1.0% 1
WellMed Medical Management (UHC subsidiary) $3,666,841 -1.5% 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.