Wellpoint
What does Wellpoint actually pay hospitals? We analyzed 689 negotiated rates from 2 hospitals across 1 states.
Is Wellpoint Expensive or Cheap?
Based on our analysis of 689 negotiated rates, Wellpoint 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 Wellpoint has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 85025 | HC LAB CBC W/AUTO DIFF | 9 | $45 | $7 | $199 |
| 80053 | HC LAB COMP METABOLIC PANEL | 9 | $147 | $9 | $703 |
| 71045 | HC XR CHEST 1 VIEW | 9 | $268 | $26 | $1,113 |
| 20610 | HC ASPIR/INJ JOINT MAJOR | 9 | $154 | $28 | $444 |
| 73590 | HC XR LEG TIBIA & FIBULA 2 VWS | 9 | $315 | $32 | $1,340 |
| 73060 | HC XR HUMERUS MIN 2 VIEWS | 9 | $264 | $32 | $1,076 |
| 71046 | HC XR CHEST 2 VIEWS | 9 | $294 | $34 | $1,229 |
| 73030 | HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | 9 | $316 | $35 | $1,340 |
| 72100 | HC XR SPINE LUMBAR 2- 3 VIEWS | 9 | $326 | $40 | $1,337 |
| 73562 | HC XR KNEE 3 VIEWS | 9 | $319 | $41 | $1,340 |
| 20611 | HC DRAIN/INJ JOINT/BURSA W/US MAJOR | 9 | $168 | $47 | $444 |
| 99281 | HC CEC LEVEL 1 | 9 | $79 | $51 | $132 |
| 99282 | HC CEC LEVEL 2 | 9 | $115 | $51 | $238 |
| 99283 | HC CEC LEVEL 3 | 9 | $173 | $51 | $416 |
| 72110 | HC XR SPINE LUMBAR 4-5 VIEW | 9 | $333 | $51 | $1,340 |
| 25600 | HC CL TX COLLES FX W/O MNP | 9 | $172 | $85 | $360 |
| 70450 | HC CT BRAIN | 9 | $359 | $105 | $1,340 |
| 71250 | HC CT CHEST WO CONTRAST | 9 | $359 | $105 | $1,340 |
| 72125 | HC CT SPINE CERVICAL WO CONTR | 9 | $359 | $105 | $1,340 |
| 72131 | HC CT SPINE LUMBAR WO CONTR | 9 | $359 | $105 | $1,340 |
| 12031 | HC REPAIR INT SCLP 2.5CM /< | 9 | $287 | $143 | $600 |
| 70460 | HC CT BRAIN CONTRAST | 9 | $414 | $152 | $1,340 |
| 71260 | HC CT CHEST W CONTRAST | 9 | $423 | $172 | $1,340 |
| 72126 | HC CT SPINE CERVICAL W CONTR | 9 | $504 | $173 | $1,340 |
| 72132 | HC CT SPINE LUMBAR W CONTRAST | 9 | $505 | $174 | $1,340 |
Hospitals with Wellpoint Rates
Hospitals where we have negotiated rate data for Wellpoint
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| St. Luke's Sugar Land Hospital | TX | 357 | 102 | $4,743 | $7 - $311,876 |
| CHI St. Luke's Health Brazosport | TX | 332 | 108 | $8,216 | $8 - $302,180 |
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.