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

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.

$268 Overall median paid
840 hospitals
17,854,747 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 $4,596,375 $4,505,000 ↑ 2.0% 44 47
J1414 HCPCS Inj, Beqvez, Per Tx Dose $3,882,990 $3,508,750 ↑ 10.7% 41 54
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,869,530 $3,685,267 ↑ 5.0% 84 113
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,482,286 $3,325,455 ↑ 4.7% 83 115
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,348,810 $3,248,446 ↑ 3.1% 75 102
J3393 HCPCS Inj, Betibeglogene Autotemce $3,089,874 $2,968,000 ↑ 4.1% 79 106
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,577,866 $2,455,111 ↑ 5.0% 89 175
J3392 HCPCS Inj, Exagamglogene Autotem $2,472,470 $2,332,000 ↑ 6.0% 70 138
Q2042 HCPCS Tisagenlecleucel Car-pos T $616,247 $621,313 ↓ 0.8% 129 241
Q2056 HCPCS Ciltacabtagene Car-pos T $592,246 $599,737 ↓ 1.2% 122 226
Q2054 HCPCS Lisocabtagene Mara Car Pos T $584,689 $579,571 ↑ 0.9% 127 233
Q2055 HCPCS Idecabtagene Vicleucel Car $580,405 $574,037 ↑ 1.1% 126 229
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $533,076 $562,501 ↓ 5.2% 121 186
Q2053 HCPCS Brexucabtagene Car Pos T $514,206 $513,770 ↑ 0.1% 121 225
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $285,049 $168,055 ↑ 69.6% 272 452
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $203,152 $186,516 ↑ 8.9% 281 479
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $163,828 $131,925 ↑ 24.2% 277 468
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $155,239 $145,435 ↑ 6.7% 306 516
C1776 HCPCS — $1,499 $3,543 ↓ 57.7% 208 197,934
C1713 HCPCS — $484 $1,045 ↓ 53.7% 232 506,064

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
       
IN $43,976 $38,380 $57,534 1 78
DE $15,992 $15,992 $15,992 1 1
RI $7,600 $3,285 $13,894 1 1,926
OH $3,589 $118 $11,356 5 12,702
SD $1,792 $282 $3,415 2 8,631
MA $1,255 $128 $6,983 5 15,021
MT $1,062 $264 $4,294 1 3,760
FL $960 $84 $4,645 43 222,648
MD $803 $198 $2,741 13 1,176,024
ID $751 $69 $2,974 3 13,918
KY $641 $108 $2,996 4 21,108
AL $630 $52 $3,122 2 8,324
WI $586 $59 $2,341 7 130,809
CA $448 $51 $3,110 3 13,939
IL $437 $65 $3,480 1 14,212
CO $432 $193 $1,661 2 882
NE $423 $76 $2,479 19 619,243
VA $381 $27 $2,807 8 133,893
DC $379 $54 $5,170 9 49,152
NM $338 $51 $4,140 11 28,578
MO $324 $44 $1,284 9 61,583
OR $316 $85 $1,359 1 6,476
KS $315 $62 $957 12 49,152
NY $299 $45 $2,426 16 170,086
WA $299 $59 $2,013 52 500,807
NC $293 $63 $830 2 34,027
SC $273 $24 $1,242 9 26,430
TX $268 $40 $1,414 261 10,336,384
NJ $238 $38 $1,777 31 806,278
AZ $227 $32 $3,100 10 30,203
IA $215 $48 $1,150 51 869,048
GA $187 $33 $1,212 114 1,722,870
PA $180 $100 $679 10 9,054
AR $164 $32 $1,166 6 29,374
MS $162 $38 $375 5 2,290
NV $150 $53 $379 1 1,598
TN $149 $14 $1,264 79 647,115
LA $103 $15 $720 20 37,400
OK $102 $16 $575 8 31,061
MI $86 $15 $868 2 8,662

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 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 1
Houma - Amg Specialty Hospital LA Houma $43,976 $38,650 $57,510 39 39
Central Indiana Amg Specialty Hospital Llc IN Muncie $43,976 $38,650 $57,510 39 39
Clear Lake - AMG Specialty Hospital TX Webster $43,976 $38,650 $57,510 39 39
Kindred Hospital Houston Nw TX Houston $40,262 $32,060 $44,142 4 4
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 $36,016 380 380
Encompass Health Rehab Hospital Of Vineland NJ Vineland $28,676 $22,805 $35,934 380 380
Lifecare Hospitals Of North Texas TX Carrollton $28,532 $183 $45,532 145 148
MEDSTAR WASHINGTON HOSPITAL CENTER DC Washington $28,255 $15,898 $49,252 1,319 1,319
SHRINERS HOSPITALS FOR CHILDREN SC Greenville $28,119 $15,884 $54,661 1,407 1,442

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