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 →

Export CSV
Payer

AMERIHEALTH NEW JERSEY (NON-HMO)

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.

$386 Overall median paid
236 hospitals
7,718,177 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% 22 27
J1414 HCPCS Inj, Beqvez, Per Tx Dose $3,895,500 $3,508,750 ↑ 11.0% 23 28
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,795,825 $3,685,267 ↑ 3.0% 36 45
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,384,580 $3,248,446 ↑ 4.2% 33 43
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,325,167 $3,325,455 ↓ 0.0% 39 52
J3393 HCPCS Inj, Betibeglogene Autotemce $3,036,660 $2,968,000 ↑ 2.3% 34 44
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,574,721 $2,455,111 ↑ 4.9% 47 63
J3392 HCPCS Inj, Exagamglogene Autotem $2,448,600 $2,332,000 ↑ 5.0% 43 53
Q2042 HCPCS Tisagenlecleucel Car-pos T $685,557 $621,313 ↑ 10.3% 64 145
Q2056 HCPCS Ciltacabtagene Car-pos T $570,822 $599,737 ↓ 4.8% 69 140
Q2055 HCPCS Idecabtagene Vicleucel Car $558,082 $574,037 ↓ 2.8% 64 129
Q2053 HCPCS Brexucabtagene Car Pos T $555,964 $513,770 ↑ 8.2% 62 128
Q2054 HCPCS Lisocabtagene Mara Car Pos T $541,636 $579,571 ↓ 6.5% 61 126
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $533,076 $562,501 ↓ 5.2% 61 124
C1882 HCPCS — $16,253 $24,131 ↓ 32.6% 78 5,079
C1767 HCPCS — $16,143 $25,172 ↓ 35.9% 89 5,057
C1874 HCPCS — $3,268 $5,596 ↓ 41.6% 93 28,882
C1776 HCPCS — $2,210 $3,543 ↓ 37.6% 96 190,116
C1889 HCPCS — $1,919 $1,642 ↑ 16.9% 102 122,648
C1713 HCPCS — $562 $1,045 ↓ 46.2% 108 680,295

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
       
DC $18,912 $4,927 $40,459 1 1,964
MD $16,143 $6,041 $29,909 2 64
FL $1,575 $303 $5,364 13 277,462
DE $939 $127 $5,657 3 19,270
VA $762 $361 $1,255 1 4
NM $700 $700 $700 1 1
NJ $386 $74 $1,806 48 3,962,682
NH $316 $88 $1,950 5 11,366
MI $313 $54 $1,430 19 567,123
PA $289 $64 $1,230 35 1,011,431
LA $281 $33 $753 13 53,186
NY $231 $58 $838 5 243,250
OH $199 $33 $1,293 54 539,077
NC $139 $26 $889 33 993,230
SC $55 $34 $822 3 38,067
ME — — — 0 0
TN — — — 0 0
WI — — — 0 0

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
       
GEORGE WASHINGTON UNIV HOSPITAL DC Washington $18,912 $4,927 $40,459 1,964 1,964
SUBURBAN HOSPITAL MD Bethesda $18,810 $10,248 $41,610 21 46
Northeast Rehabilitation Hospital NH Salem $15,737 $15,737 $15,737 6 6
HAYWOOD REGIONAL MEDICAL CENTER NC Clyde $15,532 $9,892 $25,524 753 753
MARIA PARHAM MEDICAL CENTER NC Henderson $14,031 $9,000 $23,057 753 753
Ohio State University Hospitals OH Columbus $12,794 $7,468 $22,752 1,324 1,324
ALLEGHENY GENERAL HOSPITAL PA Pittsburgh $12,344 $7,790 $19,988 775 785
BEAUMONT HOSPITAL ROYAL OAK MI Royal Oak $12,169 $8,006 $19,392 792 828
UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OH Cincinnati $7,392 $1,815 $16,440 386 386
SUMMA HEALTH SYSTEM OH Akron $7,136 $1,275 $13,685 281 281
ELLIOT HOSPITAL NH Manchester $6,583 $1,329 $11,876 275 275
KETTERING HEALTH MAIN CAMPUS OH Kettering $6,360 $4,119 $10,218 138 138
RIVERSIDE METHODIST HOSPITAL OH Columbus $6,014 $1,797 $11,542 265 265
JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER MD Columbia $5,522 $2,693 $8,633 7 18
GRANT MEDICAL CENTER OH Columbus $5,414 $1,740 $9,866 231 231
KETTERING HEALTH DAYTON OH Dayton $5,176 $2,663 $7,252 140 140
CHRISTIANA HOSPITAL DE Newark $5,053 $2,214 $19,340 34 48
SOUTHERN NH MEDICAL CENTER NH Nashua $5,015 $679 $8,881 191 191
KETTERING HEALTH GREENE MEMORIAL OH Xenia $4,945 $2,485 $7,314 175 232
FORT HAMILTON HUGHES MEMORIAL HOSPITAL OH Hamilton $4,945 $3,292 $7,941 78 78

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