Price Transparency 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.

$448 Overall median paid
4,368 hospitals
197,177,263 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
       
18 MS_DRG — $394,981 $370,174 ↑ 6.7% 1,315 3,837
C1713 HCPCS — $862 $836 ↑ 3.0% 1,424 8,072,718
C1767 HCPCS — $25,226 $22,481 ↑ 12.2% 1,071 57,754
C1776 HCPCS — $3,823 $3,432 ↑ 11.4% 1,303 2,607,902
C1874 HCPCS — $5,243 $4,694 ↑ 11.7% 1,162 338,307
C1882 HCPCS — $29,959 $27,114 ↑ 10.5% 940 61,099
C1889 HCPCS — $2,479 $2,392 ↑ 3.6% 1,180 909,456
J1411 HCPCS — $3,691,450 $3,710,000 ↓ 0.5% 540 861
J1413 HCPCS — $3,322,473 $3,325,455 ↓ 0.1% 549 1,038
J3391 HCPCS — $4,505,000 $4,505,000 0% 241 330
J3392 HCPCS — $2,378,640 $2,448,600 ↓ 2.9% 487 1,073
J3393 HCPCS — $2,968,000 $3,004,655 ↓ 1.2% 510 821
J3394 HCPCS — $3,252,890 $3,286,000 ↓ 1.0% 507 815
J3399 HCPCS — $2,541,039 $2,468,984 ↑ 2.9% 582 1,318
Q2041 HCPCS — $706,303 $634,303 ↑ 11.4% 737 2,519
Q2042 HCPCS — $839,218 $753,246 ↑ 11.4% 763 2,963
Q2053 HCPCS — $650,363 $619,808 ↑ 4.9% 703 2,458
Q2054 HCPCS — $733,961 $673,137 ↑ 9.0% 732 2,610
Q2055 HCPCS — $602,728 $625,184 ↓ 3.6% 716 2,595
Q2056 HCPCS — $634,662 $674,867 ↓ 6.0% 701 2,357

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
       
NV $1,319 $218 $4,729 41 1,308,987
AK $1,267 $102 $6,745 15 365,282
HI $1,045 $179 $4,882 9 86,248
CA $885 $95 $5,322 284 6,966,412
SC $868 $218 $3,189 72 8,106,717
WA $808 $127 $5,092 81 2,362,815
TX $800 $120 $3,499 488 35,945,086
MD $720 $169 $2,679 19 3,947,084
AZ $698 $103 $3,458 86 2,474,111
DC $668 $193 $3,042 10 784,393
GA $657 $101 $4,297 140 4,823,116
NY $644 $111 $3,387 134 6,461,525
ID $640 $141 $2,448 36 1,368,354
DE $600 $127 $3,809 13 124,282
NH $587 $126 $2,138 24 1,062,141
VA $583 $86 $3,618 89 2,096,754
IL $526 $97 $2,184 166 7,186,733
NM $520 $111 $2,779 33 691,596
CO $494 $73 $3,349 92 3,451,449
MO $489 $81 $2,628 102 3,181,701
MA $469 $89 $2,516 60 933,173
OR $449 $75 $4,114 38 1,046,921
OK $448 $372 $1,034 100 4,769,825
TN $436 $60 $2,254 107 5,946,853
FL $435 $54 $3,129 238 16,005,959
UT $412 $96 $2,069 43 2,614,878
NJ $409 $62 $2,952 73 7,403,788
IN $398 $63 $1,994 124 6,921,072
IA $395 $76 $1,886 79 2,791,611
PA $392 $50 $2,330 180 9,604,227
VT $388 $90 $1,497 13 192,412
KY $375 $54 $2,165 90 3,331,393
LA $367 $76 $1,808 139 3,124,205
WI $361 $61 $1,995 104 2,172,773
WV $339 $72 $1,958 47 1,968,021
WY $338 $91 $1,575 14 115,441
KS $319 $55 $1,885 95 1,756,390
SD $312 $69 $2,039 17 206,902
MI $295 $51 $1,366 128 5,752,800
NC $293 $68 $1,519 111 9,315,202
NE $290 $68 $1,512 59 775,170
ND $289 $46 $2,000 17 280,892
OH $280 $42 $1,902 178 9,098,893
MT $271 $56 $1,367 23 286,160
ME $262 $63 $1,264 34 750,707
RI $247 $40 $1,790 12 389,476
AR $224 $26 $2,000 66 1,348,447
AL $223 $34 $1,504 78 1,558,588
CT $145 $13 $2,250 28 632,513
MN $102 $24 $625 61 1,834,965
MS $96 $4 $669 74 1,452,457
PR $24 $13 $70 4 363

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
       
CHILDRENS HOSPITAL OF WISCONSIN WI Milwaukee $252,533 $213,929 $292,300 3 4
Kindred Hospital -- La Mirada CA La Mirada $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 San Gabriel Valley CA West Covina $140,925 $140,925 $140,925 1 1
Nexus Specialty Hospital The Woodlands TX Shenandoah $137,716 $77,110 $231,150 39 39
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 $84,814 $114,084 2 4
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 Hospital Lima OH Lima $86,992 $86,992 $86,992 1 2
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 Rehabilitation 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 - St Louis MO Saint Louis $64,133 $47,340 $64,133 1 3

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