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

Amerigroup

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.

$382 Overall median paid
724 hospitals
1,197,464 distinct codes
12,223,893 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 — $4,640,150 $4,505,000 ↑ 3.0% 37 40
J1414 HCPCS — $3,895,500 $3,710,000 ↑ 5.0% 40 57
J1411 HCPCS — $3,869,530 $3,710,000 ↑ 4.3% 81 111
J3389 HCPCS — $3,502,611 $3,335,820 ↑ 5.0% 18 18
J1413 HCPCS — $3,482,286 $3,325,455 ↑ 4.7% 79 112
J3394 HCPCS — $3,385,334 $3,286,000 ↑ 3.0% 73 101
J3387 HCPCS — $3,244,500 $3,180,000 ↑ 2.0% 18 18
J3393 HCPCS — $3,093,027 $3,006,423 ↑ 2.9% 77 105
J3399 HCPCS — $2,577,866 $2,469,189 ↑ 4.4% 91 178
J3392 HCPCS — $2,508,940 $2,448,600 ↑ 2.5% 67 140
Q2042 HCPCS — $617,248 $754,974 ↓ 18.2% 116 224
Q2056 HCPCS — $594,162 $675,122 ↓ 12.0% 109 218
Q2054 HCPCS — $584,689 $674,188 ↓ 13.3% 116 221
Q2055 HCPCS — $580,405 $625,184 ↓ 7.2% 116 219
Q2041 HCPCS — $533,230 $634,511 ↓ 16.0% 112 176
Q2053 HCPCS — $514,206 $620,080 ↓ 17.1% 112 216
18 MS_DRG — $280,360 $370,174 ↓ 24.3% 217 325
1 MS_DRG — $204,569 $265,286 ↓ 22.9% 216 338
C1776 HCPCS — $1,426 $3,432 ↓ 58.4% 166 174,286
C1713 HCPCS — $471 $836 ↓ 43.7% 185 423,721

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
       
DE $15,992 $15,992 $15,992 1 1
ID $11,023 $1,825 $21,443 1 71
OH $1,821 $97 $10,122 5 12,990
MT $1,062 $264 $4,294 1 1,880
SD $964 $96 $3,415 1 2,053
KY $841 $144 $3,513 2 20,109
MD $830 $203 $2,796 12 1,148,138
CA $708 $91 $2,365 2 27,286
VA $704 $114 $3,742 7 111,305
IL $598 $92 $3,445 1 23,624
WI $586 $59 $2,341 7 130,836
MA $455 $98 $1,649 1 12,892
NE $447 $78 $2,600 18 376,933
KS $398 $75 $1,973 5 15,696
TX $382 $57 $2,135 234 5,200,734
DC $377 $71 $2,182 7 64,603
OR $352 $89 $1,545 1 6,705
NY $330 $49 $2,662 16 173,979
MO $324 $44 $1,284 9 61,601
FL $301 $49 $3,698 35 264,661
NC $293 $63 $829 2 22,701
WA $292 $54 $2,129 45 375,694
NM $256 $42 $4,185 11 23,869
NJ $254 $44 $1,813 30 797,033
LA $249 $25 $1,889 17 61,655
MS $248 $244 $916 3 17
IA $239 $52 $1,434 45 743,212
SC $223 $23 $1,176 7 22,059
TN $195 $27 $1,458 64 511,325
PA $190 $98 $712 7 12,224
GA $166 $29 $1,026 108 1,902,365
AR $164 $32 $1,166 4 29,360
NV $150 $53 $379 1 1,598
OK $102 $16 $575 8 31,063
MI $86 $15 $868 2 8,614
CO $68 $59 $128 1 7
RI $45 $10 $360 1 18,306
AZ $33 $8 $118 2 6,694

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
       
Kindred Hospital East New Jersey NJ Passaic $92,068 $77,048 $109,751 3 3
Kindred Hospital-seattle WA Seattle $90,856 $68,021 $105,329 4 4
Kindred Hospital Houston Medical Center TX Houston $62,028 $50,229 $92,068 5 5
Kindred Hospital New Jersey - Morris County NJ Dover $54,306 $49,703 $105,650 3 3
Cornerstone Hospital Conroe TX Conroe $48,623 $25,575 $71,670 2 2
Kindred Hospital-tarrant County TX Arlington $46,971 $34,194 $62,757 4 4
KINDRED HOSPITAL TARRANT COUNTY - FORT WORTH SOUTHWEST TX Fort Worth $45,585 $43,263 $47,907 2 2
Cornerstone Specialty Hospitals Austin TX Austin $45,557 $45,557 $45,557 1 2
Kindred Hospital Houston Nw TX Houston $40,262 $32,060 $44,142 4 8
Kindred Hospital Sugar Land TX Sugar Land $40,164 $22,306 $62,044 8 8
Bridgepoint -national Harbor DC Washington $38,664 $32,638 $53,874 744 1,488
Bridgepoint Hospital Capitol Hill DC Washington $38,664 $32,638 $53,874 744 744
Encompass Health Rehab Hospital Of Tinton Falls NJ Tinton Falls $28,992 $23,056 $36,330 380 380
Encompass Health Rehab Hospital Of Toms River NJ Toms River $28,741 $22,857 $36,016 380 760
Encompass Health Rehab Hospital Of Vineland NJ Vineland $28,676 $22,805 $35,934 380 760
Encompass Health Rehabilitation Hospital Of Albuqu NM Albuquerque $27,407 $21,796 $34,344 380 380
Clearsky Rehabilitation Hospital Of Rio Rancho Llc NM Rio Rancho $27,269 $21,707 $34,071 380 760
Clearsky Rehabilitation Hospital Of Flower Mound TX Flower Mound $26,904 $21,458 $33,623 380 760
Post Acute Medical At Luling Llc TX Luling $21,949 $305 $40,275 1,321 2,642
COVENANT HOSPITAL LEVELLAND TX Levelland $21,417 $17,102 $28,669 811 1,680

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