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 · LOCAL D0407 · HOUSTON, TX

D0407 — Traumatic Spinal Cord Injury M <24.50 And A >=61.50

What each payer pays Cobalt Rehabilitation Houston Heights (CCN 673072) 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.

$72,263 All-payer median here
23 payer/plan-name variants
← This hospital National rates for D0407 →
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
   
Sana Benefits $108,395 50.0% 1
90 Degree Benefits $108,395 50.0% 1
Prime Health Services $101,169 40.0% 2
Velocity Provider PPO Network $86,716 20.0% 1
Provider Partners Health Plan (PPHP) $75,877 5.0% 1
CareSource $75,877 5.0% 1
Texas Independence Health Plan $75,877 5.0% 1
FedMed (PMCS) $72,263 0.0% 1
Ilumed ACO REACH $72,263 0.0% 1
SCAN Group $72,263 0.0% 1
Superior HealthPlan $72,263 0.0% 1
WellMed Medical Management (UHC subsidiary) $72,263 0.0% 1
Aetna $72,263 0.0% 1
Amerigroup $72,263 0.0% 1
BCBS of Texas $72,263 0.0% 1
Cigna Healthcare $72,263 0.0% 1
COMMUNITY HEALTH CHOICE - HEALTH INSURANCE MARKETPLACE $72,263 0.0% 1
CURATIVE $72,263 0.0% 1
Verda Healthcare, Inc. $72,263 0.0% 1
WellCare Health Plans $72,263 0.0% 1
Molina Healthcare $68,815 -4.8% 2
Memorial Hermann Health System $68,650 -5.0% 1
UnitedHealthcare $65,037 -10.0% 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.