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
841 hospitals
17,961,855 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 48
J1414 HCPCS Inj, Beqvez, Per Tx Dose $3,882,990 $3,710,000 ↑ 4.7% 41 55
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,869,530 $3,705,478 ↑ 4.4% 84 114
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,482,286 $3,324,572 ↑ 4.7% 83 116
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,351,720 $3,286,000 ↑ 2.0% 75 103
J3393 HCPCS Inj, Betibeglogene Autotemce $3,093,027 $2,994,107 ↑ 3.3% 79 107
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,577,866 $2,467,989 ↑ 4.5% 89 176
J3392 HCPCS Inj, Exagamglogene Autotem $2,472,470 $2,401,965 ↑ 2.9% 70 139
Q2042 HCPCS Tisagenlecleucel Car-pos T $614,055 $739,658 ↓ 17.0% 129 242
Q2056 HCPCS Ciltacabtagene Car-pos T $590,047 $646,415 ↓ 8.7% 123 228
Q2054 HCPCS Lisocabtagene Mara Car Pos T $584,689 $640,950 ↓ 8.8% 127 234
Q2055 HCPCS Idecabtagene Vicleucel Car $580,405 $623,527 ↓ 6.9% 126 230
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $533,076 $608,239 ↓ 12.4% 122 188
Q2053 HCPCS Brexucabtagene Car Pos T $514,206 $592,235 ↓ 13.2% 122 227
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $284,056 $359,244 ↓ 20.9% 272 455
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $203,599 $248,541 ↓ 18.1% 282 483
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $163,848 $198,115 ↓ 17.3% 279 473
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $155,302 $190,359 ↓ 18.4% 307 520
C1776 HCPCS — $1,501 $3,394 ↓ 55.8% 208 199,682
C1713 HCPCS — $487 $864 ↓ 43.6% 232 510,968

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
       
TX $268 $40 $1,414 260 10,334,757
GA $186 $33 $1,211 114 1,725,890
MD $803 $198 $2,741 13 1,176,024
IA $219 $48 $1,170 51 902,063
NJ $240 $38 $1,819 31 811,279
TN $147 $14 $1,223 79 661,976
NE $423 $76 $2,479 19 619,243
WA $299 $59 $2,014 51 499,278
FL $979 $85 $4,683 44 224,592
NY $299 $45 $2,426 16 170,086
VA $412 $34 $3,014 8 154,711
WI $574 $59 $2,318 7 132,185
MO $324 $44 $1,284 9 61,583
KS $315 $62 $957 12 49,180
DC $379 $54 $5,170 9 49,152
CA $688 $105 $2,365 3 37,617
LA $103 $15 $720 20 37,407
NC $293 $63 $830 2 34,027
AZ $249 $33 $3,459 11 33,193
OK $102 $16 $575 8 31,061
AR $164 $32 $1,166 6 29,374
NM $338 $51 $4,140 11 28,578
SC $273 $24 $1,242 9 26,430
KY $641 $108 $2,996 4 21,108
MA $1,255 $128 $6,983 5 15,021
IL $437 $65 $3,480 1 14,212
ID $751 $69 $2,974 3 13,918
OH $3,589 $118 $11,356 5 12,702
AL $383 $45 $3,081 3 11,850
PA $180 $100 $679 10 9,054
MI $86 $15 $868 2 8,662
SD $1,792 $282 $3,415 2 8,631
OR $316 $85 $1,359 1 6,476
MT $1,062 $264 $4,294 1 3,760
MS $162 $38 $375 5 2,290
RI $7,600 $3,285 $13,894 1 1,926
NV $150 $53 $379 1 1,598
CO $432 $193 $1,661 2 882
IN $43,976 $38,380 $57,534 1 78
DE $15,992 $15,992 $15,992 1 1

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 $38,380 $57,534 39 78
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.