KelseyCare
What does KelseyCare actually pay hospitals? We analyzed 178 negotiated rates from 1 hospitals across 1 states.
Is KelseyCare Expensive or Cheap?
Based on our analysis of 178 negotiated rates, KelseyCare is somewhat 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 KelseyCare has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 36415 | HC VENIPUNCTURE OTHER POC | 2 | $1,209 | $12 | $2,405 |
| 99281 | HC CEC LEVEL 1 | 2 | $680 | $119 | $1,240 |
| 70450 | HC CT BRAIN | 2 | $649 | $144 | $1,155 |
| 71250 | HC CT CHEST WO CONTRAST | 2 | $649 | $144 | $1,155 |
| 72125 | HC CT SPINE CERVICAL WO CONTR | 2 | $649 | $144 | $1,155 |
| 72131 | HC CT SPINE LUMBAR WO CONTR | 2 | $649 | $144 | $1,155 |
| 99282 | HC CEC LEVEL 2 | 2 | $727 | $214 | $1,240 |
| 70460 | HC CT BRAIN CONTRAST | 2 | $698 | $241 | $1,155 |
| 71260 | HC CT CHEST W CONTRAST | 2 | $698 | $241 | $1,155 |
| 72133 | HC CT SPINE LUMBAR WOW CONTR | 2 | $698 | $241 | $1,155 |
| 12001 | HC REPAIR SIMSCLP 2.5CM/< | 2 | $815 | $269 | $1,362 |
| 12002 | HC REPAIR SIM SCLP 2.6-7.5CM | 2 | $815 | $269 | $1,362 |
| 12004 | HC REPAIR SIM SCLP 7.6-12.5CM | 2 | $815 | $269 | $1,362 |
| 12011 | HC REPAIR SIM FACE 2.5CM/< | 2 | $815 | $269 | $1,362 |
| 25600 | HC CL TX COLLES FX W/O MNP | 2 | $633 | $324 | $942 |
| 70551 | HC MR BRAIN W/O CONTRAST | 2 | $863 | $327 | $1,399 |
| 72141 | HC MR SPINE CERVICAL | 2 | $863 | $327 | $1,399 |
| 72146 | HC MR SPINE THORACIC | 2 | $863 | $327 | $1,399 |
| 72148 | HC MR SPINE LUMBAR | 2 | $863 | $327 | $1,399 |
| 73221 | HC MR UPPER EXTREM JNT WO CONT | 2 | $863 | $327 | $1,399 |
| 73721 | HC MR LOWER EXTREM JNT WO CONT | 2 | $863 | $327 | $1,399 |
| 74176 | HC CT ABD&PEL WO CONTRAST | 2 | $741 | $327 | $1,155 |
| 99283 | HC CEC LEVEL 3 | 2 | $807 | $374 | $1,240 |
| 20610 | HC ASPIR/INJ JOINT MAJOR | 2 | $671 | $399 | $942 |
| 20611 | HC DRAIN/INJ JOINT/BURSA W/US MAJOR | 2 | $1,402 | $399 | $2,405 |
Hospitals with KelseyCare Rates
Hospitals where we have negotiated rate data for KelseyCare
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| St. Luke's Sugar Land Hospital | TX | 178 | 108 | $8,666 | $10 - $280,689 |
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.