By Josh Nakka – Co-Founder @ PriceMedic | Healthcare Market Intelligence
Tenet Healthcare’s surgery centers are getting reimbursed at 2x+ the local market median in nearly every state they operate in.
The Florida market tells the story well. Most Ambulatory Surgical Centers are getting reimbursed roughly 90% of medicare from UHC. Tenet? They’re getting 215%.
And it’s not just Florida:
– Texas: 287% vs. 133% local median (2.2x)
– California: 242% vs. 120% (2.0x)
– Arizona: 210% vs. 99% (2.1x)
– Tennessee: 217% vs. 93% (2.3x)
– Missouri: 220% vs. 113% (2.0x)
Why are they able to do this? National fee schedules are the equivalent of economies of scale in the healthcare industry. When a single owner has significant market share of a specialty or geographic area you start to see the reimbursements scale far beyond what local market limits allow. Tenet’s national footprint is a massive lever they are pulling in reimbursement contract negotiations.
Price Transparency data is putting every group’s contracting strategy out in the open. If you are looking to understand the reimbursement dynamics for a group or a market PriceMedic has the data. Reach out if you want to benchmark your market.
Source: UHC Transparency in Coverage machine-readable files, June 2026 snapshot. Institutional ASC facility rates, median percent of CMS ASC fee schedule across top procedures per service line.
