KELSEY
What does KELSEY actually pay hospitals? We analyzed 525 negotiated rates from 4 hospitals across 1 states.
Is KELSEY Expensive or Cheap?
Based on our analysis of 525 negotiated rates, KELSEY 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 KELSEY has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 471 | CERVICAL SPINAL FUSION WITH MCC | 7 | $31,739 | $3,846 | $51,083 |
| 36415 | HC VENIPUNCTURE OTHER POC | 6 | $1,116 | $3 | $4,255 |
| 99281 | HC CEC LEVEL 1 | 6 | $358 | $68 | $1,240 |
| 99282 | HC CEC LEVEL 2 | 6 | $522 | $123 | $1,240 |
| 12001 | HC REPAIR SIMSCLP 2.5CM/< | 6 | $1,176 | $166 | $4,255 |
| 12004 | HC REPAIR SIM SCLP 7.6-12.5CM | 6 | $1,176 | $166 | $4,255 |
| 25600 | HC CL TX COLLES FX W/O MNP | 6 | $1,130 | $211 | $4,255 |
| 99283 | HC CEC LEVEL 3 | 6 | $819 | $215 | $1,866 |
| 20610 | HC ASPIR/INJ JOINT MAJOR | 6 | $1,157 | $241 | $4,255 |
| 20611 | HC DRAIN/INJ JOINT/BURSA W/US MAJOR | 6 | $1,400 | $241 | $4,255 |
| 12031 | HC REPAIR INT SCLP 2.5CM /< | 6 | $1,278 | $306 | $4,255 |
| 99284 | HC CEC LEVEL 4 | 6 | $1,612 | $350 | $4,649 |
| 99285 | HC CEC LEVEL 5 | 6 | $2,331 | $512 | $5,925 |
| 62322 | NJX INTERLAMINAR LMBR/SAC | 6 | $1,683 | $534 | $4,255 |
| 62323 | HC INJ LUMBAR W IMAGING | 6 | $1,605 | $534 | $4,255 |
| 64483 | HC INJ(S) FORAMEN LUMB/SAC | 6 | $1,460 | $661 | $4,255 |
| 43239 | EGD BIOPSY SINGLE/MULTIPLE | 6 | $1,605 | $731 | $4,255 |
| 25605 | HC CL TX COLLES FX W/MNP | 6 | $2,165 | $1,233 | $4,255 |
| 27427 | RECONSTRUCTION KNEE | 6 | $5,037 | $1,233 | $9,660 |
| 29881 | KNEE ARTHROSCOPY/SURGERY | 6 | $3,071 | $1,528 | $4,387 |
| 63030 | LOW BACK DISK SURGERY | 6 | $5,071 | $1,732 | $9,660 |
| 63047 | REMOVE SPINE LAMINA 1 LMBR | 6 | $5,071 | $1,732 | $9,660 |
| 22551 | NECK SPINE FUSEREMOV BEL C2 | 6 | $8,149 | $1,997 | $17,398 |
| 22612 | LUMBAR SPINE FUSION | 6 | $10,316 | $1,997 | $24,867 |
| 27447 | TOTAL KNEE ARTHROPLASTY | 6 | $8,149 | $1,997 | $17,398 |
Hospitals with KELSEY Rates
Hospitals where we have negotiated rate data for KELSEY
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| St. Luke's Sugar Land Hospital | TX | 348 | 109 | $7,824 | $3 - $280,689 |
| CHI St. Luke's Health Brazosport | TX | 101 | 101 | $10,040 | $8 - $201,454 |
| HCA HOUSTON HEALTHCARE CLEAR LAKE | TX | 75 | 68 | $11,453 | $9 - $164,572 |
| CHI St. Luke's Health Springwood Village | TX | 1 | 1 | $3,846 | $3,846 |
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.