SUPERIOR
What does SUPERIOR actually pay hospitals? We analyzed 1,000 negotiated rates from 5 hospitals across 1 states.
Is SUPERIOR Expensive or Cheap?
Based on our analysis of 1,000 negotiated rates, SUPERIOR 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 SUPERIOR has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 36415 | Collection of venous blood by venipuncture | 38 | $258 | $10 | $948 |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | 28 | $7,713 | $6,064 | $10,360 |
| 97530 | Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 27 | $39 | $33 | $55 |
| 97162 | Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o | 27 | $109 | $91 | $152 |
| 97110 | THER EXERCISES 15 MIN PT | 23 | $31 | $23 | $45 |
| 97163 | EVAL PT HIGH COMPLEX | 23 | $107 | $68 | $152 |
| 85025 | CBC W/DIFFERENTIAL | 20 | $9 | $7 | $12 |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU | 19 | $9,495 | $7,722 | $12,514 |
| 97140 | Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes | 18 | $32 | $26 | $43 |
| 97112 | Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act | 18 | $37 | $30 | $51 |
| 97161 | Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st | 18 | $111 | $91 | $152 |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | 18 | $9,378 | $8,815 | $9,716 |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 18 | $11,275 | $10,707 | $11,570 |
| 12001 | SIMP RP SCALPNECKAXILLAETRU | 17 | $857 | $47 | $948 |
| 20611 | DRAIN/INJ JOINT/BURSA W/US | 17 | $866 | $52 | $948 |
| 12002 | RPR S/N/AX/GEN/TRNK2.6-7.5CM | 17 | $858 | $61 | $948 |
| 12031 | INTMD RPR S/A/T/EXT 2.5 CM/< | 17 | $881 | $158 | $948 |
| 62322 | NJX INTERLAMINAR LMBR/SAC | 17 | $932 | $290 | $1,338 |
| 62323 | NJX INTERLAMINAR LMBR/SAC | 17 | $915 | $290 | $1,040 |
| 43239 | EGD BIOPSY SINGLE/MULTIPLE | 17 | $941 | $370 | $1,409 |
| 64483 | INJ FORAMEN EPIDURAL L/S | 17 | $937 | $376 | $1,338 |
| 25605 | TREAT FRACTURE RADIUS/ULNA | 17 | $1,016 | $655 | $2,405 |
| 63047 | Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm | 17 | $1,624 | $948 | $10,733 |
| 27427 | Ligamentous reconstruction (augmentation), knee; extra-articular High Cost Surgery | 17 | $2,928 | $2,369 | $10,733 |
| 23412 | Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic High Cost Surgery | 17 | $2,877 | $2,369 | $10,733 |
Hospitals with SUPERIOR Rates
Hospitals where we have negotiated rate data for SUPERIOR
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| HCA HOUSTON HEALTHCARE CLEAR LAKE | TX | 319 | 53 | $2,455 | $10 - $12,514 |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER | TX | 288 | 46 | $3,198 | $8 - $12,613 |
| HCA HOUSTON HEALTHCARE TOMBALL | TX | 257 | 43 | $3,168 | $8 - $12,516 |
| St. Luke's Sugar Land Hospital | TX | 72 | 72 | $2,635 | $12 - $12,586 |
| CHI St. Luke's Health Brazosport | TX | 64 | 64 | $605 | $7 - $7,789 |
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.