Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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438 — Disorders Of Pancreas Except Malignancy With Mcc & Without Cc/mcc

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $18,895

Usually $10,610–$23,872 (25th–75th percentile) across 2 hospitals · 11 payers.

“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 438 — the consumer-grade median across the country. An inpatient (DRG) price bundles the whole admission: operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies. It does not include the surgeon’s or anesthesiologist’s professional fees, which are billed separately.

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital Payer Plan Negotiated rate Gross Cash Observed Source
ST JOSEPH'S MEDICAL CENTER Inpatient EMPIRE MEDICAID|HARP|CHP|INDIVIDUAL NETWORK $10,610.00 $36,368.20 2025-05-07 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient UNITED HEALTHCARE MEDICAID|CHP|HARP $10,610.00 $36,368.20 2025-05-07 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient MVP MEDICAID|CHP|HARP $10,610.00 $36,368.20 2025-05-07 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient HEALTHFIRST MEDICAID|CHP|HARP $10,610.00 $36,368.20 2025-05-07 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient FIDELIS MEDICAID|CHP|HARP|QHP $10,610.00 $36,368.20 2025-05-07 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient EMBLEM HEALTH MEDICAID|CHP|HARP $10,610.00 $36,368.20 2025-05-07 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient MOLINA HEALTHCARE MEDICAID|CHP|HARP $10,610.00 $36,368.20 2025-05-07 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient VNS MEDICAID $10,610.00 $36,368.20 2025-05-07 MRF ↗
SANFORD MEDICAL CENTER ABERDEEN InpatientFacility Sanford Health Plan SD Exchange True $15,883.50 2026-03-04 MRF ↗
SANFORD MEDICAL CENTER ABERDEEN InpatientFacility Sanford Health Plan Group Health/True $18,111.18 2026-03-04 MRF ↗
SANFORD MEDICAL CENTER ABERDEEN InpatientFacility Sanford Health Plan SD Exchange Commercial $18,686.48 2026-03-04 MRF ↗
SANFORD MEDICAL CENTER ABERDEEN InpatientFacility Health Partners State Employees $19,104.00 2026-03-04 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient PARTNERS HEALTH PLAN MEDICAID $19,923.00 $36,368.20 2025-05-07 MRF ↗
SANFORD MEDICAL CENTER ABERDEEN InpatientFacility Sanford Health Plan Commercial $21,307.27 2026-03-04 MRF ↗
SANFORD MEDICAL CENTER ABERDEEN InpatientFacility Health Partners Commercial $22,127.00 2026-03-04 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient EMBLEM HEALTH ESSENTIAL PLAN 1|ESSENTIAL PLAN 2|ESSENTIAL PLAN 3|ESSENTIAL PLAN 4 $23,872.21 $36,368.20 2025-05-07 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient MVP ESSENTIAL PLAN 1|ESSENTIAL PLAN 2|ESSENTIAL PLAN 3|ESSENTIAL PLAN 4 $23,872.21 $36,368.20 2025-05-07 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient HEALTHFIRST ESSENTIAL PLAN 1|ESSENTIAL PLAN 2|ESSENTIAL PLAN 3|ESSENTIAL PLAN 4 $23,872.21 $36,368.20 2025-05-07 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient EMPIRE ESSENTIAL PLAN 1|ESSENTIAL PLAN 2|ESSENTIAL PLAN 3|ESSENTIAL PLAN 4 $23,872.21 $36,368.20 2025-05-07 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient FIDELIS ESSENTIAL PLAN 1|ESSENTIAL PLAN 2|ESSENTIAL PLAN 3|ESSENTIAL PLAN 4|ESSENTIAL PLAN 5|ESSENTIAL PLAN 6 $23,872.21 $36,368.20 2025-05-07 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient UNITED HEALTHCARE ESSENTIAL PLAN 1|ESSENTIAL PLAN 2|ESSENTIAL PLAN 3|ESSENTIAL PLAN 4 $23,872.21 $36,368.20 2025-05-07 MRF ↗
ST JOSEPH'S MEDICAL CENTER Inpatient MOLINA HEALTHCARE ESSENTIAL PLAN 1|ESSENTIAL PLAN 2|ESSENTIAL PLAN 3|ESSENTIAL PLAN 4 $23,872.21 $36,368.20 2025-05-07 MRF ↗