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.

$479 Overall median paid
1,470 hospitals
65,562,446 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
       
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $276,169 $186,516 ↑ 48.1% 582 1,781
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $392,599 $168,055 ↑ 133.6% 584 1,829
C1713 HCPCS — $922 $1,045 ↓ 11.8% 549 1,969,122
C1767 HCPCS — $35,693 $25,172 ↑ 41.8% 412 15,827
C1776 HCPCS — $5,461 $3,543 ↑ 54.1% 508 713,473
C1874 HCPCS — $6,959 $5,596 ↑ 24.4% 446 91,933
C1882 HCPCS — $39,039 $24,131 ↑ 61.8% 360 16,653
C1889 HCPCS — $3,752 $1,642 ↑ 128.5% 497 213,103
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,685,267 $3,685,267 0% 178 385
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,316,463 $3,325,455 ↓ 0.3% 190 634
J1414 HCPCS Inj, Beqvez, Per Tx Dose $3,710,000 $3,508,750 ↑ 5.7% 96 200
J3391 HCPCS Inj, Atidarsagene Autotemcel $4,505,000 $4,505,000 0% 85 152
J3392 HCPCS Inj, Exagamglogene Autotem $2,332,000 $2,332,000 0% 170 318
J3393 HCPCS Inj, Betibeglogene Autotemce $2,950,687 $2,968,000 ↓ 0.6% 187 352
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,261,355 $3,248,446 ↑ 0.4% 183 351
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,452,116 $2,455,111 ↓ 0.1% 208 495
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $561,351 $562,501 ↓ 0.2% 250 849
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
Q2055 HCPCS Idecabtagene Vicleucel Car $557,318 $574,037 ↓ 2.9% 228 833

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 $1,761 $125 $5,123 30 743,304
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 12 798,799
CA $1,206 $152 $6,242 136 3,807,233
TX $1,130 $156 $5,491 156 2,478,597
VA $1,097 $90 $7,104 63 1,804,476
NY $1,069 $239 $3,276 60 10,389,739
SD $951 $95 $3,369 1 2,053
CO $911 $130 $5,091 62 3,431,803
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 38 277,460
IL $539 $114 $2,210 9 48,481
WI $535 $108 $2,153 90 4,337,167
MA $531 $85 $2,923 48 457,681
NE $507 $119 $2,740 2 73,188
KY $479 $69 $2,899 90 8,517,742
ME $467 $78 $3,232 31 850,500
AZ $455 $51 $7,574 21 63,376
NJ $451 $63 $3,444 41 1,101,597
OR $426 $98 $2,959 3 8,775
MI $419 $102 $1,873 5 53,376
MD $409 $58 $2,343 5 272,729
TN $367 $80 $1,699 52 1,680,946
NC $357 $64 $1,502 23 154,478
MT $346 $54 $3,303 3 24,787
UT $345 $102 $2,216 1 3,997
WV $327 $82 $1,245 20 491,196
ID $284 $53 $938 1 15,481
IN $275 $55 $1,192 120 14,077,546
VT $269 $48 $1,868 3 63,176
MN $265 $71 $979 11 78,623
GA $264 $58 $1,489 35 1,239,635
OH $262 $43 $1,540 140 5,994,713
AR $261 $46 $1,657 6 67,038
IA $225 $46 $1,053 34 396,624
WY $199 $18 $4,514 1 5,484
MO $170 $41 $961 37 317,386
CT $154 $15 $2,202 27 805,764
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 53,940
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.