Healthcare Highways
What does Healthcare Highways actually pay hospitals? We analyzed 166 negotiated rates from 3 hospitals across 1 states.
Is Healthcare Highways Expensive or Cheap?
Based on our analysis of 166 negotiated rates, Healthcare Highways is significantly more expensive than average compared to other insurance companies in our database. They pay roughly 1.4x what Medicare pays for equivalent services.
Top Procedures with Negotiated Rates
Procedures where Healthcare Highways has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 36415 | Collection of venous blood by venipuncture | 3 | $7 | $7 | $7 |
| 99281 | Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional | 3 | $609 | $609 | $609 |
| 99282 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making | 3 | $973 | $973 | $973 |
| 99283 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making | 3 | $1,947 | $1,947 | $1,947 |
| 64483 | Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level | 3 | $2,251 | $2,251 | $2,251 |
| 25605 | Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation | 3 | $2,251 | $2,251 | $2,251 |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3 | $2,434 | $2,434 | $2,434 |
| 27245 | Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage | 3 | $2,434 | $2,434 | $2,434 |
| 99284 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making | 3 | $2,920 | $2,920 | $2,920 |
| 99291 | Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 3 | $4,258 | $4,258 | $4,258 |
| 99285 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making | 3 | $4,258 | $4,258 | $4,258 |
| 29881 | Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s) | 3 | $4,988 | $4,988 | $4,988 |
| 27236 | Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement | 3 | $5,841 | $5,841 | $5,841 |
| 12002 | Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm | 3 | $5,841 | $5,841 | $5,841 |
| 20610 | Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance | 3 | $5,841 | $5,841 | $5,841 |
| 20611 | Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting | 3 | $5,841 | $5,841 | $5,841 |
| 62323 | Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i | 3 | $5,841 | $5,841 | $5,841 |
| 22630 | Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; | 3 | $5,841 | $5,841 | $5,841 |
| 25600 | Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation | 3 | $5,841 | $5,841 | $5,841 |
| 12001 | Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less | 3 | $5,841 | $5,841 | $5,841 |
| 64484 | Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p | 3 | $5,841 | $5,841 | $5,841 |
| 62322 | Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i | 3 | $5,841 | $5,841 | $5,841 |
| 12031 | Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less | 3 | $5,841 | $5,841 | $5,841 |
| 23412 | Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic | 3 | $6,326 | $6,326 | $6,326 |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | 3 | $6,887 | $6,887 | $6,887 |
Hospitals with Healthcare Highways Rates
Hospitals where we have negotiated rate data for Healthcare Highways
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| HCA HOUSTON HEALTHCARE MEDICAL CENTER | TX | 58 | 58 | $24,242 | $7 - $340,967 |
| HCA HOUSTON HEALTHCARE TOMBALL | TX | 56 | 56 | $24,489 | $7 - $340,967 |
| HCA HOUSTON HEALTHCARE CLEAR LAKE | TX | 52 | 52 | $14,680 | $7 - $258,247 |
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.