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

Anthem Blue Cross CA

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.

$260 Overall median paid
188 hospitals
336,226 distinct codes
3,053,771 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
       
J1414 HCPCS — $3,710,000 $3,710,000 0% 3 7
J1411 HCPCS — $3,685,267 $3,710,000 ↓ 0.7% 8 17
J1413 HCPCS — $3,321,782 $3,325,455 ↓ 0.1% 6 10
J3394 HCPCS — $3,220,723 $3,286,000 ↓ 2.0% 5 8
J3393 HCPCS — $2,956,870 $3,006,423 ↓ 1.6% 5 8
J3399 HCPCS — $2,455,111 $2,469,189 ↓ 0.6% 9 17
J3392 HCPCS — $2,332,000 $2,448,600 ↓ 4.8% 7 11
C9098 HCPCS — $1,933,319 $57,174 ↑ 3281.5% 3 9
Q2055 HCPCS — $818,445 $625,184 ↑ 30.9% 9 25
Q2056 HCPCS — $765,799 $675,122 ↑ 13.4% 11 28
Q2054 HCPCS — $676,916 $674,188 ↑ 0.4% 9 28
5834 APR_DRG — $657,025 $309,665 ↑ 112.2% 10 24
Q2053 HCPCS — $615,378 $620,080 ↓ 0.8% 9 28
Q2041 HCPCS — $615,378 $634,511 ↓ 3.0% 9 28
18 MS_DRG — $455,994 $370,174 ↑ 23.2% 21 48
1 MS_DRG — $331,537 $265,286 ↑ 25.0% 31 70
927 MS_DRG — $258,704 $206,368 ↑ 25.4% 25 62
3 MS_DRG — $257,186 $202,986 ↑ 26.7% 39 87
C1776 HCPCS — $3,258 $3,432 ↓ 5.1% 34 22,158
C1713 HCPCS — $938 $836 ↑ 12.2% 38 85,383

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
       
SC $29,532 $18,828 $48,092 4 1,355
VA $27,611 $17,314 $45,418 11 3,053
CT $11,286 $7,104 $19,636 2 1,293
PA $830 $830 $830 1 1
ID $644 $163 $2,187 1 33,310
MA $628 $132 $2,316 1 34,903
NV $488 $112 $2,034 1 6,804
OH $477 $31 $6,369 4 27,849
MI $423 $96 $1,192 2 70,586
OR $412 $158 $2,316 1 13,008
KS $388 $31 $1,586 1 6,452
NY $382 $77 $4,382 2 3,517
GA $332 $48 $12,391 3 8,909
IA $288 $53 $2,750 11 19,454
TX $274 $32 $1,979 2 53,627
CA $260 $31 $2,330 122 2,624,154
IN $234 $51 $1,425 3 60,227
AZ $220 $96 $886 1 33
CO $201 $50 $988 3 22,567
WI $196 $38 $1,057 7 32,385
MO $150 $28 $961 1 3,105
AR $141 $22 $1,821 2 14,063
KY $39 $5 $179 2 13,116

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 - Los Angeles CA Los Angeles $125,158 $57,596 $136,339 7 7
Sonoma Specialty Hospital CA Sebastopol $119,681 $83,582 $148,945 55 55
Kindred Hospital - San Diego CA San Diego $119,182 $119,182 $119,182 1 1
Kindred Hospital South Bay CA Gardena $103,163 $57,626 $137,992 5 12
Kindred Hospital Ontario CA Ontario $97,718 $81,883 $113,552 2 2
Kindred Hospital Baldwin Park CA Baldwin Park $96,910 $11,353 $190,822 4 4
Kindred Hospital - San Francisco Bay Area CA San Leandro $90,037 $69,464 $119,633 2 3
Kentfield Hospital CA Kentfield $71,000 $71,000 $71,000 736 738
Kindred Hospital Rancho CA Rancho Cucamonga $61,589 $38,131 $85,047 2 2
Vibra Hospital Of Sacramento CA Folsom $52,072 $45,849 $76,314 741 781
Kindred Hospital Westminster CA Westminster $51,738 $34,283 $85,543 7 14
Vibra Hospital Of Northern California CA Redding $43,719 $43,719 $43,719 5 5
BON SECOURS ST MARYS HOSPITAL VA Richmond $42,878 $26,658 $66,052 565 565
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER VA Mechanicsville $35,844 $22,112 $56,503 477 477
Encompass Health Rehabilitation Hospital Of Modest CA Modesto $35,150 $27,953 $44,046 380 380
ROPER HOSPITAL SC Charleston $34,630 $21,399 $57,683 462 462
Encompass Health Rehabilitation Hospital Of Tustin CA Tustin $34,179 $27,181 $42,829 380 380
Encompass Health Rehabilitation Hospital Of Murrie CA Murrieta $33,707 $26,806 $42,238 380 380
Encompass Health Rehabilitaton Hospital Of Bakers CA Bakersfield $33,344 $26,517 $41,783 380 380
BON SECOURS ST FRANCIS MEDICAL CENTER VA Midlothian $33,189 $19,695 $47,819 446 446

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