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

Anthem (Elevance Health)

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.

$481 Overall median paid
1,463 hospitals
65,414,571 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 $4,505,000 $4,505,000 0% 85 152
J1414 HCPCS Inj, Beqvez, Per Tx Dose $3,710,000 $3,508,750 ↑ 5.7% 97 202
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,685,267 $3,685,267 0% 179 387
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,316,463 $3,325,455 ↓ 0.3% 191 636
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,261,355 $3,248,446 ↑ 0.4% 184 353
J3393 HCPCS Inj, Betibeglogene Autotemce $2,950,687 $2,968,000 ↓ 0.6% 188 354
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,452,116 $2,455,111 ↓ 0.1% 209 497
J3392 HCPCS Inj, Exagamglogene Autotem $2,332,000 $2,332,000 0% 171 320
Q2042 HCPCS Tisagenlecleucel Car-pos T $637,719 $621,313 ↑ 2.6% 242 848
Q2054 HCPCS Lisocabtagene Mara Car Pos T $595,996 $579,571 ↑ 2.8% 230 814
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $561,351 $562,501 ↓ 0.2% 250 849
Q2055 HCPCS Idecabtagene Vicleucel Car $557,318 $574,037 ↓ 2.9% 228 833
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $392,599 $168,055 ↑ 133.6% 583 1,826
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $276,089 $186,516 ↑ 48.0% 580 1,777
C1882 HCPCS — $39,039 $24,131 ↑ 61.8% 359 16,636
C1767 HCPCS — $35,676 $25,172 ↑ 41.7% 411 15,810
C1874 HCPCS — $6,952 $5,596 ↑ 24.2% 445 91,807
C1776 HCPCS — $5,468 $3,543 ↑ 54.3% 505 712,650
C1889 HCPCS — $3,752 $1,642 ↑ 128.5% 496 213,091
C1713 HCPCS — $922 $1,045 ↓ 11.8% 546 1,966,723

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
       
HI $11,743 $744 $25,679 2 9
NV $1,758 $125 $5,123 30 743,370
KS $1,709 $110 $7,516 3 72,927
DC $1,607 $380 $4,774 2 96,375
NM $1,565 $228 $7,158 5 32,804
NH $1,253 $153 $5,196 12 798,804
CA $1,222 $154 $6,300 135 3,741,612
TX $1,122 $156 $5,492 156 2,425,225
VA $1,096 $90 $7,104 63 1,804,529
NY $1,069 $239 $3,276 60 10,389,781
SD $951 $95 $3,369 1 2,053
CO $913 $130 $5,107 61 3,427,330
ND $809 $111 $4,082 2 10,091
AL $789 $256 $2,645 2 30,772
MS $748 $97 $4,156 2 14,907
PA $719 $85 $5,726 5 61,454
FL $664 $130 $3,840 12 223,479
WA $583 $81 $3,352 37 277,478
WI $535 $108 $2,153 90 4,337,294
MA $531 $85 $2,923 48 457,687
IL $519 $110 $2,112 8 46,390
NE $507 $119 $2,740 2 73,188
KY $481 $69 $2,905 90 8,503,250
ME $467 $78 $3,231 31 850,539
AZ $455 $51 $7,574 21 63,378
NJ $451 $63 $3,444 41 1,101,603
OR $443 $114 $2,514 2 5,379
MI $419 $102 $1,873 5 53,376
MD $409 $58 $2,343 5 272,729
TN $366 $80 $1,699 52 1,681,796
NC $357 $64 $1,502 23 154,479
UT $345 $102 $2,216 1 3,997
MT $343 $53 $3,303 3 24,812
WV $328 $82 $1,245 20 489,201
ID $284 $53 $938 1 15,481
IN $275 $55 $1,192 120 14,079,770
VT $269 $48 $1,868 3 63,178
MN $265 $71 $979 11 78,623
GA $264 $58 $1,489 35 1,239,665
OH $262 $43 $1,539 139 5,993,953
AR $261 $46 $1,656 6 67,037
IA $225 $46 $1,053 34 396,628
WY $199 $18 $4,514 1 5,484
MO $171 $41 $982 36 312,207
CT $154 $15 $2,202 27 805,768
LA $128 $32 $606 4 19,703
SC $86 $33 $909 10 10,607
DE $38 $11 $229 2 428
RI $12 $1 $147 2 53,941
OK — — — 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
       
Kindred Hospital San Gabriel Valley CA West Covina $84,779 $26,987 $270,080 8 8
Kindred Hospital -- La Mirada CA La Mirada $84,779 $26,987 $270,080 8 8
Kindred Hospital Santa Ana CA Santa Ana $84,779 $26,987 $270,080 8 8
METRO NASHVILLE GENERAL HOSPITAL TN Nashville $79,324 $71,088 $88,742 846 1,755
LOMA LINDA UNIVERSITY MEDICAL CENTER CA Loma Linda $65,645 $50,453 $114,711 17 17
Kindred Hospital Paramount CA Paramount $55,675 $54,468 $56,882 2 2
Las Vegas-amg Specialty Hospital NV Las Vegas $51,495 $39,735 $70,052 64 179
Houston Methodist Continuing Care Hospital TX Katy $45,612 $29,470 $75,381 3 3
Kindred Hospital Indianapolis IN Indianapolis $44,131 $43,214 $53,499 3 3
ARH Advanced Care - KY River KY Hazard $43,633 $36,282 $55,886 22 66
ARH Advanced Care – Big Sandy KY South Williamson $43,633 $36,282 $55,886 22 66
Kindred Hospital-denver CO Denver $41,841 $41,841 $41,841 1 1
Regional One Health Extended Care Hospital TN Memphis $41,091 $36,482 $54,814 28 28
Hospital For Extended Recovery VA Norfolk $40,582 $31,177 $48,026 73 73
Kindred Hospital - St Louis MO Saint Louis $36,869 $23,627 $38,403 9 18
Kindred Hospital Lima OH Lima $36,291 $26,163 $66,305 11 11
Continuing Care Hospital, Inc KY Lexington $34,745 $29,764 $49,105 743 1,488
NEW YORK-PRESBYTERIAN HOSPITAL NY New York $34,272 $32,324 $39,889 1 19
Encompass Health Rehab Hospital Of Fredericksburg VA Fredericksburg $29,542 $23,494 $37,019 380 380
Kindred Hospital Aurora CO Aurora $29,463 $13,212 $87,026 4 4

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