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MedBillResolve
For Insurance Brokers, TPAs & Benefits Consultants

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:

A clear, usable reportSupporting data + explanationNext steps you can act on immediately

MedBillResolve provides informational tools only. Not legal advice or representation.

WEEKLY PRICING INTELLIGENCE

This Week in Hospital Pricing

Week of March 24–26, 2026 · 655M+ pricing records · 494 hospitals

1

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

2

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

3

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

4

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.

Total Knee Replacement (CPT 27447)UHC
Save $12,218/case
$14,112Dell Seton Medical Center
$1,894Ascension Seton Williamson
Procedure (CPT XXXXX) — Payer NameSave $X,XXX/case
$XX,XXX at Hospital A → $X,XXX at Hospital B
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Procedure (CPT XXXXX) — Payer NameSave $X,XXX/case
$XX,XXX at Hospital A → $X,XXX at Hospital B
Sign in to view

What Inaction Costs Your Clients

Knee Replacement (CPT 27447), Austin Metro, UHC PPO

Group SizeEst. Cases/yrCurrent CostSteered CostAnnual Savings
1,000 lives4$56,448$7,576$48,872
2,500 lives10$141,120$18,940$122,180
5,000 lives20$282,240$37,880$244,360

132 insights found this week across 14 procedures.

The TX Snapshot delivers all steerage opportunities, payer contract gaps, and the per-CPT distribution stats your team needs to act on the data.

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

Parkland HealthLowest
$22,100
Texas Health Resources
$28,900
Baylor Scott & White
$32,450
Methodist Health SystemHighest
$41,200
Price spread$19,100 (86%)

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.

6.2 billion negotiated rates parsed519 publishing Texas hospitalsBCBS · UHC · Aetna · Cigna · Humana (canonicalized)Multi-state available on request

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.

MedBillResolve is not a law firm and does not provide legal advice. Use of this platform does not create an attorney-client relationship. Documents and templates are self-help tools. Laws, billing rules, and payer policies change frequently — always verify current information and consult a licensed attorney or qualified professional for advice specific to your situation.