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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Payer

Aetna

Negotiated rates filed under this payer name across every hospital in our index — the fee-schedule medians by code roll up across regional plans so one human payer is one row, not 47. Click any procedure or hospital row to drill into per-code detail.

$436 Overall median paid
4,727 hospitals
204,136,291 rate rows
→ search rates from this payer ← All payers

Top procedures

Procedures filed by this payer, sorted by what they pay. The vs national column is signed: green means below market, red means above.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Payer median National median vs national Hospitals Rates
       
J3391 HCPCS Inj, Atidarsagene Autotemcel $4,505,000 $4,505,000 0% 296 407
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,691,450 $3,685,267 ↑ 0.2% 618 987
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,322,473 $3,325,455 ↓ 0.1% 632 1,179
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,252,890 $3,248,446 ↑ 0.1% 585 899
J3393 HCPCS Inj, Betibeglogene Autotemce $2,968,000 $2,968,000 0% 587 904
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,525,679 $2,455,111 ↑ 2.9% 677 1,510
J3392 HCPCS Inj, Exagamglogene Autotem $2,378,640 $2,332,000 ↑ 2.0% 560 1,125
Q2042 HCPCS Tisagenlecleucel Car-pos T $774,143 $621,313 ↑ 24.6% 867 3,233
Q2054 HCPCS Lisocabtagene Mara Car Pos T $619,783 $579,571 ↑ 6.9% 842 2,889
Q2055 HCPCS Idecabtagene Vicleucel Car $607,559 $574,037 ↑ 5.8% 819 2,761
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $596,251 $562,501 ↑ 6.0% 848 2,800
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $388,512 $168,055 ↑ 131.2% 1,657 4,686
C1882 HCPCS — $30,593 $24,131 ↑ 26.8% 1,404 84,438
C1767 HCPCS — $27,193 $25,172 ↑ 8.0% 1,573 77,960
C1721 HCPCS — $24,769 $19,958 ↑ 24.1% 1,411 71,421
C1722 HCPCS — $22,961 $19,800 ↑ 16.0% 1,413 73,612
C1874 HCPCS — $5,365 $5,596 ↓ 4.1% 1,702 444,696
C1776 HCPCS — $3,806 $3,543 ↑ 7.4% 1,920 3,483,471
C1889 HCPCS — $2,476 $1,642 ↑ 50.8% 1,705 1,133,806
C1713 HCPCS — $918 $1,045 ↓ 12.1% 2,133 10,562,787

By state

Where this payer pays the most, by hospital state. IQR shows the middle 50% of rates within each state.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State Median paid p25 p75 Hospitals Rate rows
       
AK $1,668 $223 $8,021 18 293,717
NV $1,294 $206 $4,605 44 1,481,747
DE $1,037 $155 $4,710 14 80,951
AZ $916 $113 $3,676 90 2,168,284
UT $888 $277 $2,623 47 5,246,678
CA $869 $103 $5,102 300 8,950,458
SC $854 $168 $4,120 76 4,273,644
WA $787 $128 $4,834 88 2,736,706
NY $763 $141 $3,338 150 7,867,800
TX $721 $110 $3,283 522 36,339,335
MD $702 $163 $2,616 19 4,053,315
GA $686 $104 $4,440 141 4,811,201
NH $648 $129 $2,994 25 858,663
VA $631 $90 $3,579 95 2,407,073
OR $617 $103 $3,677 44 1,280,521
MT $595 $104 $2,711 23 335,904
NM $556 $123 $2,849 35 607,186
ID $506 $93 $2,835 41 829,687
DC $503 $101 $2,874 11 384,591
CO $502 $74 $3,156 97 3,344,868
MA $473 $86 $2,395 74 1,166,273
PA $449 $62 $2,719 191 8,535,083
OK $448 $154 $2,235 112 3,209,651
IA $436 $89 $1,949 92 3,348,814
KY $429 $63 $2,457 99 4,507,526
MO $428 $74 $2,405 114 2,975,058
WI $426 $86 $2,073 105 2,068,722
HI $417 $88 $2,648 11 77,703
IN $407 $72 $1,998 139 7,739,298
NJ $402 $63 $2,790 78 9,570,545
TN $360 $50 $1,920 118 5,436,478
LA $357 $74 $1,744 160 3,036,860
VT $352 $80 $1,310 13 137,415
FL $332 $48 $2,223 249 17,776,470
KS $326 $58 $1,897 111 2,019,681
WV $324 $70 $1,909 51 1,292,278
IL $315 $65 $1,649 182 6,818,770
SD $308 $69 $2,215 17 210,611
AL $305 $45 $1,946 85 1,798,961
ND $304 $54 $2,059 19 246,642
NC $304 $69 $1,588 116 10,166,205
WY $288 $76 $1,234 17 178,820
OH $283 $41 $1,730 205 11,629,029
NE $267 $68 $1,467 63 705,579
ME $266 $62 $1,264 34 765,230
MI $248 $40 $1,235 133 5,401,704
RI $245 $31 $2,091 12 256,803
AR $233 $28 $1,795 74 1,454,727
VI $201 $51 $859 1 6,896
MN $166 $38 $948 61 1,161,195
CT $130 $13 $1,960 31 805,193
MS $75 $4 $656 76 1,278,271
PR $24 $14 $52 4 1,471

Hospitals where this payer pays most

One row per hospital. Default sort is descending by overall median — click any header to flip.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Hospital State City Overall median p25 p75 Codes Rate rows
       
The Hospital of the University of Pennsylvania PA Philadelphia $260,523 $260,523 $260,523 8 15
Kindred Hospital San Gabriel Valley CA West Covina $140,925 $140,925 $140,925 1 1
Kindred Hospital Santa Ana CA Santa Ana $140,925 $140,925 $140,925 1 1
Kindred Hospital -- La Mirada CA La Mirada $140,925 $140,925 $140,925 1 1
ALLEGIANCE SPECIALTY HOSPITAL OF GREENVILLE MS Greenville $135,450 $12,072 $218,770 9 17
Kindred Hospital Ontario CA Ontario $118,992 $113,748 $124,236 2 2
Central Valley Specialty Hospital CA Modesto $106,383 $74,122 $154,052 65 65
Kindred Hospital New Jersey - Rahway NJ Rahway $101,139 $101,139 $101,139 1 1
Kindred Hospital - Los Angeles CA Los Angeles $100,469 $100,469 $100,469 1 1
Kindred Hospital South Bay CA Gardena $99,449 $92,131 $106,766 2 2
Kindred Hospital Philadelphia - Havertown PA Lawncrest $98,362 $25,600 $101,813 4 5
Kindred Hospital Aurora CO Aurora $92,438 $92,438 $92,438 1 1
Kindred - Chicago - Lakeshore IL Chicago $89,160 $73,626 $104,693 2 2
Kindred Hospital Lima OH Lima $86,992 $86,992 $86,992 1 1
St Elias Specialty Hospital AK Anchorage $74,347 $62,424 $104,426 20 20
Kindred Hospital - Chattanooga TN Chattanooga $72,312 $72,312 $72,312 1 1
Roosevelt Warm Springs Ltac Hospital GA Warm Springs $70,287 $70,287 $70,287 1 1
HOAG ORTHOPEDIC INSTITUTE CA Irvine $67,193 $31,421 $154,236 5 6
Kindred Hospital - San Francisco Bay Area CA San Leandro $64,324 $62,194 $179,561 5 5
Kindred Hospital Brea CA Brea $61,537 $48,156 $81,697 4 4

Source: payer name as filed in MRFs. UUIDs grouped by canonical name across 1 regional plan.