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 →

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Payer

WellMed Medical Management (UHC subsidiary)

Negotiated rates filed under this payer name across every hospital in our index — the fee-schedule medians by code roll up across regional plans so one human payer is one row, not 47. Click any procedure or hospital row to drill into per-code detail.

$715 Overall median paid
254 hospitals
370,155 distinct codes
2,719,247 rate rows
→ search rates from this payer ← All payers

Top procedures

Procedures filed by this payer, sorted by what they pay. The vs national column is signed: green means below market, red means above.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Payer median National median vs national Hospitals Rates
       
J1414 HCPCS — $3,710,000 $3,710,000 0% 5 5
J1411 HCPCS — $3,685,267 $3,710,000 ↓ 0.7% 5 5
J1413 HCPCS — $3,324,572 $3,325,455 ↓ 0.0% 5 5
J3394 HCPCS — $3,261,355 $3,286,000 ↓ 0.8% 5 5
J3393 HCPCS — $2,950,687 $3,006,423 ↓ 1.9% 5 5
J3399 HCPCS — $2,452,116 $2,469,189 ↓ 0.7% 5 5
J3392 HCPCS — $2,332,000 $2,448,600 ↓ 4.8% 5 5
18 MS_DRG — $273,957 $370,174 ↓ 26.0% 35 59
1 MS_DRG — $204,669 $265,286 ↓ 22.8% 65 93
927 MS_DRG — $166,059 $206,368 ↓ 19.5% 128 164
3 MS_DRG — $159,122 $202,986 ↓ 21.6% 130 169
Q0480 HCPCS — $105,917 $111,989 ↓ 5.4% 92 108
4 MS_DRG — $105,734 $133,176 ↓ 20.6% 132 170
212 MS_DRG — $81,841 $102,358 ↓ 20.0% 128 165
426 MS_DRG — $80,605 $98,905 ↓ 18.5% 127 157
215 MS_DRG — $76,932 $99,019 ↓ 22.3% 128 164
216 MS_DRG — $73,201 $93,672 ↓ 21.9% 130 166
850 MS_DRG — $66,980 $83,442 ↓ 19.7% 127 156
456 MS_DRG — $63,883 $81,118 ↓ 21.2% 129 167
231 MS_DRG — $63,756 $79,312 ↓ 19.6% 128 165

By state

Where this payer pays the most, by hospital state. IQR shows the middle 50% of rates within each state.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State Median paid p25 p75 Hospitals Rate rows
       
IN $2,611 $385 $5,705 2 2,923
OK $980 $145 $19,446 1 1,138
NV $808 $95 $12,014 2 3,462
TX $715 $91 $3,071 172 2,253,214
NY $396 $47 $7,144 1 60
MS $375 $82 $1,591 1 4,612
NC $264 $264 $264 1 1
AZ $220 $96 $495 2 318
FL $205 $27 $3,600 61 450,470
OR $117 $117 $117 1 1
TN $110 $51 $192 3 33
NM $73 $39 $183 4 3,005
AL $11 $5 $94 3 10

Hospitals where this payer pays most

One row per hospital. Default sort is descending by overall median — click any header to flip.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Hospital State City Overall median p25 p75 Codes Rate rows
       
JPS HEALTH NETWORK TX Fort Worth $61,656 $47,372 $70,936 924 1,315
Cornerstone Hospital Conroe TX Conroe $47,555 $33,752 $95,438 10 13
Kindred Hospital Clear Lake TX Webster $43,425 $32,203 $50,462 12 12
Kindred Hospital Houston Medical Center TX Houston $41,908 $32,266 $61,384 33 42
Kindred Hospital Sugar Land TX Sugar Land $40,487 $25,931 $50,615 20 22
Kindred Hospital-tarrant County TX Arlington $40,176 $29,854 $47,075 24 25
Kindred Hospital San Antonio TX San Antonio $38,076 $27,647 $46,341 34 41
Kindred Hosptial El Paso TX El Paso $37,077 $14,510 $49,977 23 64
KINDRED HOSPITAL TARRANT COUNTY - FORT WORTH SOUTHWEST TX Fort Worth $36,935 $31,970 $56,819 26 28
Kindred Hospital- San Antonio Central TX San Antonio $35,992 $26,183 $41,909 25 25
Solara Specialty Hospital Mcallen TX Mc Allen $34,526 $27,736 $51,322 15 17
Kindred Hospital Dallas Central TX Dallas $33,604 $26,127 $55,739 26 27
Solara Specialty Hospitals Harlingen-brownville TX Harlingen $33,151 $26,248 $47,615 37 74
Kindred Hospital Houston Nw TX Houston $32,068 $27,167 $47,561 13 26
Clearsky Rehabilitation Hospital Of Flower Mound TX Flower Mound $26,904 $21,458 $33,623 380 760
Cornerstone Specialty Hospitals Austin TX Austin $26,422 $22,570 $34,787 13 13
Laredo Rehabilitation Hospital, Llc TX Laredo $25,849 $23,059 $30,357 78 78
Healthsouth Rehabilitation Hospital Of Humble TX Humble $25,758 $20,485 $32,278 380 760
Encompass Health Rehabilitation Hospital Of Dallas TX Dallas $25,696 $20,435 $32,200 380 380
Encompass Health Rehabilitation Hospital Of Sugar TX Sugar Land $25,606 $20,364 $32,087 380 380

Source: payer name as filed in MRFs. UUIDs grouped by canonical name across 1 regional plan.