BCBS-TX
What does BCBS-TX actually pay hospitals? We analyzed 969 negotiated rates from 3 hospitals across 1 states.
Is BCBS-TX Expensive or Cheap?
Based on our analysis of 969 negotiated rates, BCBS-TX is significantly cheaper than average compared to other insurance companies in our database. They pay roughly the same or less than Medicare for equivalent services.
Top Procedures with Negotiated Rates
Procedures where BCBS-TX has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 20610 | HC ASPIR/INJ JOINT MAJOR | 12 | $43 | $23 | $60 |
| 97140 | HC PT MANUAL THRPY 15 MIN | 12 | $67 | $42 | $91 |
| 97110 | HC PT THER EXERCISE 15 MIN | 12 | $74 | $46 | $100 |
| 99213 | HC CLINIC VISIT LEVEL 3 EST | 12 | $123 | $76 | $165 |
| 73030 | HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | 12 | $190 | $113 | $269 |
| 73060 | HC XR HUMERUS MIN 2 VIEWS | 12 | $190 | $113 | $269 |
| 73590 | HC XR LEG TIBIA & FIBULA 2 VWS | 12 | $190 | $113 | $269 |
| 99214 | HC CLINIC VISIT LEVEL 4 EST | 12 | $189 | $117 | $254 |
| 70450 | HC CT BRAIN | 12 | $333 | $164 | $488 |
| 72131 | HC CT SPINE LUMBAR WO CONTR | 12 | $333 | $164 | $488 |
| 72133 | HC CT SPINE LUMBAR WOW CONTR | 12 | $576 | $266 | $819 |
| 99283 | HC CEC LEVEL 3 | 12 | $525 | $326 | $710 |
| 70551 | HC MR BRAIN W/O CONTRAST | 12 | $690 | $340 | $1,014 |
| 72148 | HC MR SPINE LUMBAR | 12 | $690 | $340 | $1,014 |
| 73721 | HC MR LOWER EXTREM JNT WO CONT | 12 | $690 | $340 | $1,014 |
| 62322 | NJX INTERLAMINAR LMBR/SAC | 12 | $859 | $469 | $1,200 |
| 99284 | HC CEC LEVEL 4 | 12 | $834 | $514 | $1,119 |
| 64483 | HC INJ(S) FORAMEN LUMB/SAC | 12 | $1,108 | $609 | $1,559 |
| 99285 | HC CEC LEVEL 5 | 12 | $1,200 | $737 | $1,604 |
| 27236 | TREAT THIGH FRACTURE | 12 | $1,744 | $932 | $2,387 |
| 27244 | TREAT THIGH FRACTURE | 12 | $1,796 | $960 | $2,457 |
| 27130 | TOTAL HIP ARTHROPLASTY | 12 | $14,279 | $1,925 | $22,849 |
| 29881 | KNEE ARTHROSCOPY/SURGERY | 12 | $3,822 | $2,053 | $5,256 |
| 23412 | REPAIR ROTATOR CUFF CHRONIC | 12 | $8,313 | $4,486 | $11,485 |
| 27447 | TOTAL KNEE ARTHROPLASTY | 12 | $16,299 | $8,926 | $22,849 |
Hospitals with BCBS-TX Rates
Hospitals where we have negotiated rate data for BCBS-TX
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| CHI St. Luke's Health Brazosport | TX | 514 | 87 | $3,533 | $19 - $230,615 |
| St. Luke's Sugar Land Hospital | TX | 420 | 84 | $6,776 | $11 - $279,273 |
| CHI St. Luke's Health Springwood Village | TX | 35 | 35 | $2,960 | $45 - $23,122 |
About This Data
These rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your specific plan, deductible, copay, coinsurance, and network status. Data sources include CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.