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 →

Export CSV
Payer

Allwell (Centene Medicare Advantage)

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.

$360 Overall median paid
230 hospitals
240,987 distinct codes
1,588,602 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 — $4,508,825 $4,505,000 ↑ 0.1% 5 6
J1414 HCPCS — $3,710,000 $3,710,000 0% 39 53
J1411 HCPCS — $3,685,267 $3,710,000 ↓ 0.7% 46 60
J1413 HCPCS — $3,325,455 $3,325,455 0% 47 61
J3394 HCPCS — $3,286,000 $3,286,000 0% 47 61
J3393 HCPCS — $2,968,000 $3,006,423 ↓ 1.3% 47 61
J3399 HCPCS — $2,423,131 $2,469,189 ↓ 1.9% 49 63
J3392 HCPCS — $2,332,000 $2,448,600 ↓ 4.8% 46 60
Q2057 HCPCS — $793,739 $824,563 ↓ 3.7% 27 32
Q2042 HCPCS — $594,858 $754,974 ↓ 21.2% 61 96
Q2054 HCPCS — $560,073 $674,188 ↓ 16.9% 58 92
Q2056 HCPCS — $557,975 $675,122 ↓ 17.4% 53 70
Q2055 HCPCS — $557,503 $625,184 ↓ 10.8% 58 92
Q2041 HCPCS — $537,117 $634,511 ↓ 15.3% 58 92
Q2053 HCPCS — $502,694 $620,080 ↓ 18.9% 57 91
18 MS_DRG — $321,961 $370,174 ↓ 13.0% 85 129
1 MS_DRG — $212,024 $265,286 ↓ 20.1% 92 139
927 MS_DRG — $164,805 $206,368 ↓ 20.1% 84 129
3 MS_DRG — $160,200 $202,986 ↓ 21.1% 95 146
4 MS_DRG — $104,742 $133,176 ↓ 21.4% 98 152

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
       
KY $10,368 $7,586 $13,057 1 12
AZ $7,965 $123 $16,194 18 40,733
CA $1,176 $222 $5,914 1 3,976
NM $1,087 $136 $3,979 3 18,531
OH $790 $115 $4,656 29 179,799
WI $688 $115 $3,151 11 63,072
NV $677 $100 $3,586 1 11,347
NJ $625 $121 $3,850 7 158,057
OK $609 $474 $744 1 2
LA $486 $71 $3,521 18 45,078
TX $360 $55 $3,065 37 384,425
FL $325 $325 $325 2 5
SC $303 $37 $3,720 21 155,967
AR $273 $49 $2,529 28 102,065
IL $264 $33 $1,500 2 55,864
MO $247 $57 $1,746 7 52,635
PA $237 $51 $1,317 17 218,485
KS $226 $45 $1,370 12 65,848
MS $203 $16 $7,479 6 4,856
IN $164 $27 $1,286 6 21,651
WA $130 $43 $413 1 2,558
IA $41 $15 $186 1 3,636

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
       
John Heinz Institute of Rehabilitation PA Wilkes Barre Townshi $28,824 $81 $40,068 150 300
Allied Services Institute of Rehabilitation PA Scranton $28,824 $81 $40,057 150 150
Rusk Rehabilitation Ctr MO Columbia $28,656 $22,789 $35,908 380 380
Encompass Health Rehabilitation Hospital Ft Smith AR Fort Smith $28,296 $22,503 $35,458 380 380
Healthsouth Rehabilitation Hospital Of Texarkana TX Texarkana $27,970 $22,244 $35,049 380 760
ClearSky Rehabilitation Hospital of Avondale AZ Avondale $26,988 $21,463 $33,819 380 380
Chi St Vincent Sherwood Rehabilitation Hospital AR Sherwood $26,975 $21,452 $33,803 380 380
ClearSky Rehabilitation Hospital of Baytown TX Baytown $26,817 $21,327 $33,605 380 380
Encompass Health Rehab Hosp A Partner Of Wash Reg AR Fayetteville $26,692 $21,227 $33,448 380 380
Midamerica Rehabilitation Hospital KS Overland Park $26,532 $21,100 $33,247 380 380
ClearSky Rehabilitation Hospital of Lancaster LLC OH Lancaster $26,081 $20,741 $32,682 380 380
Chi St Vincent Hs Rehab Hosp, A Part Of Encompass AR Hot Springs $26,014 $20,688 $32,598 380 380
Encompass Health Rehabilitation Hospital of Jonesboro AR Jonesboro $26,012 $20,686 $32,596 380 380
ClearSky Rehabilitation Hospital of Kenosha WI Kenosha $25,758 $20,484 $32,277 380 380
Covington - A M G Physical Rehabilitation Hospital LA Covington $25,657 $23,026 $27,802 25 25
CLEARSKY REHABILITATION HOSPITAL OF ELWOOD ST JOSEPH LLC KS Elwood $24,617 $19,577 $30,848 380 380
Kansas Rehabilitation Hospital, A Joint Venture Of KS Topeka $24,428 $19,427 $30,611 380 380
TIDELANDS GEORGETOWN MEMORIAL HOSPITAL SC Georgetown $22,982 $15,997 $38,913 313 313
Lafayette Physical Rehabilitation Hospital LA Lafayette $20,962 $19,109 $27,325 25 25
Conway Regional Rehabilitation Hospital AR Conway $18,048 $14,265 $34,240 3 6

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