TX Hospital Rate Snapshot Q2 2026
Per-hospital × per-payer × per-CPT distributions for the top shoppable procedures across 519 publishing Texas hospitals. One delivery within 24 hours of purchase. Refresh next quarter for the same price.
$2,499
one-time · PDF brief + raw CSV bundle
Multi-state, annual, or API access: hello@medbillresolve.com.
What you get:
MedBillResolve provides informational tools only. Not legal advice or representation.
This Week in Hospital Pricing
Week of March 24–26, 2026 · 655M+ pricing records · 494 hospitals
Knee replacement spreads in Austin hit 645% — UHC pays $14,112 at Dell Seton but $1,894 at Ascension Seton Williamson, 12 miles apart.
Impact: $24,436/year overspend for a 500-life group with 2 annual cases
Cigna PPO ER rates at Dell Seton are 4,901% above floor — $5,592 vs $112 for the same CPT 99285 at the same facility.
Impact: $438,400 annual overspend for a 1,000-life Cigna group
Ascension Seton charges Cigna $40,016 for a knee replacement across all 7 locations. No other payer exceeds $32K.
Impact: Cigna members subsidizing every other payer's discount
CHI St. Joseph (Bryan) shows 11,610% payer variance on ER visits — $16,536 vs $141 for the same service.
Impact: Municipal and small-group plans are the worst performers
Steerage Opportunities Found This Week
Same procedure. Same payer. Different hospital. Massive savings.
What Inaction Costs Your Clients
Knee Replacement (CPT 27447), Austin Metro, UHC PPO
| Group Size | Est. Cases/yr | Current Cost | Steered Cost | Annual Savings |
|---|---|---|---|---|
| 1,000 lives | 4 | $56,448 | $7,576 | $48,872 |
| 2,500 lives | 10 | $141,120 | $18,940 | $122,180 |
| 5,000 lives | 20 | $282,240 | $37,880 | $244,360 |
Use This on Your Next Client
This isn't a data science project. It's a tool you use before decisions get made — in the meetings where plans get chosen, hospitals get recommended, and renewals get signed.
Renewals
Show clients how their current plan rates stack up against alternatives at the hospitals their employees actually use. Data-backed renewal conversations reduce churn.
Proposals
Walk into a pitch with side-by-side hospital pricing that no other broker has. Concrete cost differences close deals that generic plan comparisons can't.
Client Conversations
When an employer asks "which hospital is cheapest for this?" — answer with data instead of guessing. One conversation like this changes the relationship.
This Is What You'd Show a Client
Same procedure, same payer, same metro — 86% price difference. This is what hospital choice costs your clients.
CPT 27447 — Total Knee Replacement
Dallas-Fort Worth · BCBS TX PPO
Imagine putting this in front of an employer during renewal. That's what Broker Intelligence does.
Rates from hospital machine-readable files published under the CMS Price Transparency Rule (45 CFR 180).
Get a free pricing comparison — your hospitals, your payer
Tell us which hospitals and payer to compare. We'll send you a real rate comparison within one business day. No login, no commitment.
One report. No sales calls. No subscription required.
The Data Exists. It's Just Unusable.
Since 2021, every hospital must publish negotiated rates in machine-readable files. But each file is 5-50GB, in a different format, and nearly impossible to use. We parse all of them so you can search in seconds.
What You Can Do With It
Everything is built for broker workflows — not data analysts.
PDF brief
20-30 page summary: per-CPT distribution stats (min/p25/median/p75/p90/max), the headline finding, methodology, and provenance notes you can paste into a client deck.
Raw CSV bundle
Per-hospital × per-payer × per-CPT median rate for every covered TX hospital. Filter by your client's network, their carrier, the procedure they're being billed.
Per-payer rollup
How each major payer's contracted rates spread across the state's hospitals. The steerage-opportunity file — where a single carrier's rates vary 80%+ at named facilities.
One product. One price.
Buy a single quarter of TX hospital rate data. If it's useful, buy next quarter when it ships. No subscription, no login.
TX Hospital Rate Snapshot
Q2 2026 · one-time delivery
$2,499
USD
- 519 publishing Texas hospitals
- Top shoppable CPTs: knee, colonoscopy, brain MRI, vaginal delivery, cardiac cath, E/M visit
- 5 canonicalized payers: BCBS · UHC · Aetna · Cigna · Humana
- PDF brief + raw CSV bundle
- Per-hospital × per-payer × per-CPT median, p25/p50/p75/p90, min/max
- Per-payer rollup with spread analysis
- Delivered within 24 hours of purchase
- Provenance: every rate row reconcilable to a SHA-256 hashed MRF file
Email us; we send a Stripe invoice the same day. Invoice + receipt provided.
Need multi-state, an annual cadence, REST API access, or white-labeled reports for your TPA / RBP firm? Those are quoted as custom engagements. Email hello@medbillresolve.com and we'll scope.
Questions
Where does the data come from?+
Actual negotiated rates from hospital machine-readable files published under the CMS Price Transparency Rule (45 CFR 180). Every US hospital is legally required to publish these. We parse, normalize, and index them so you can search in seconds instead of downloading 50GB files.
How do I use this in practice?+
Pull up a procedure your client cares about, compare rates across hospitals in their area, and drop the comparison into your renewal deck or proposal. When a client asks "which hospital is cheapest for a knee replacement under BCBS?" — you answer with data.
Which payers are included?+
All major payers that hospitals report: BCBS TX, Aetna, UnitedHealthcare, Cigna, Humana, and dozens of regional plans. If a hospital published it, we indexed it.
How current is the data?+
The Q2 2026 snapshot uses MRF data captured through 2026-05-04 — the last full hospital-file refresh before Q2 close. Q3 2026 will use data through 2026-09-30 and ship in October.
What if I just want to see a sample first?+
Email hello@medbillresolve.com with a few hospital names and a payer. We'll send you back a real comparison exhibit — free, no login, no commitment. The full $2,499 snapshot is the same methodology applied across all 519 publishing TX hospitals.
Do you cover states outside Texas?+
The $2,499 self-serve snapshot is TX-only for Q2 2026. Multi-state engagements (FL, NY, plus other publishing states) are quoted as custom engagements — email hello@medbillresolve.com with the states you need.
Stop guessing what hospitals cost
The data is public; the advantage is knowing how to use it. Put real hospital pricing into your next renewal, proposal, or client conversation. Delivered within 24 hours of purchase.
Or email hello@medbillresolve.com for multi-state, annual, or custom engagements.