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

BCBS of North Carolina

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.

$238 Overall median paid
96 hospitals
121,739 distinct codes
3,314,471 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
       
J3399 HCPCS — $4,305,070 $2,469,189 ↑ 74.4% 22 114
J3391 HCPCS — $4,284,976 $4,505,000 ↓ 4.9% 12 14
J1411 HCPCS — $3,505,278 $3,710,000 ↓ 5.5% 15 20
J1413 HCPCS — $3,481,816 $3,325,455 ↑ 4.7% 18 27
J3392 HCPCS — $3,320,651 $2,448,600 ↑ 35.6% 12 69
J3394 HCPCS — $3,089,792 $3,286,000 ↓ 6.0% 12 14
J3393 HCPCS — $2,801,870 $3,006,423 ↓ 6.8% 12 14
Q2057 HCPCS — $1,374,030 $824,563 ↑ 66.6% 13 83
Q2042 HCPCS — $1,127,512 $754,974 ↑ 49.3% 23 193
Q2056 HCPCS — $1,077,636 $675,122 ↑ 59.6% 22 149
Q2055 HCPCS — $1,027,868 $625,184 ↑ 64.4% 23 151
Q2054 HCPCS — $1,006,088 $674,188 ↑ 49.2% 23 151
Q2058 HCPCS — $992,250 $324,450 ↑ 205.8% 13 83
Q2041 HCPCS — $979,591 $634,511 ↑ 54.4% 22 149
Q2053 HCPCS — $953,405 $620,080 ↑ 53.8% 22 149
18 MS_DRG — $617,144 $370,174 ↑ 66.7% 20 104
1 MS_DRG — $444,696 $265,286 ↑ 67.6% 25 109
927 MS_DRG — $341,651 $206,368 ↑ 65.6% 20 104
3 MS_DRG — $337,020 $202,986 ↑ 66.0% 27 112
C1713 HCPCS — $197 $836 ↓ 76.5% 34 230,367

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
       
VA $27,530 $17,267 $45,401 11 3,066
SC $11,666 $141 $27,731 7 3,825
TX $935 $935 $935 1 381
LA $853 $853 $853 1 3
ID $676 $167 $2,261 1 33,856
TN $650 $650 $650 1 5
MA $628 $132 $2,316 1 34,902
MI $423 $96 $1,192 2 70,586
NY $384 $91 $1,363 2 34,054
WI $356 $198 $361 1 3
IA $288 $53 $2,750 11 19,454
NC $238 $62 $1,309 57 3,114,336

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
       
BON SECOURS ST MARYS HOSPITAL VA Richmond $43,336 $26,818 $67,785 562 562
Kindred Hospital Greensboro NC Greensboro $40,940 $21,770 $98,264 11 22
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER VA Mechanicsville $35,644 $21,881 $56,561 480 480
ROPER HOSPITAL SC Charleston $34,454 $21,015 $57,595 467 467
BON SECOURS ST FRANCIS MEDICAL CENTER VA Midlothian $32,935 $19,704 $46,975 456 456
BON SECOURS-ST FRANCIS XAVIER HOSPITAL SC Charleston $29,918 $19,445 $47,124 365 365
BON SECOURS MARYVIEW MEDICAL CENTER VA Portsmouth $28,763 $17,256 $44,133 401 401
MARY IMMACULATE HOSPITAL VA Newport News $25,239 $16,095 $37,644 301 301
MOUNT PLEASANT HOSPITAL SC Mount Pleasant $25,181 $16,198 $38,487 248 248
ROPER ST FRANCIS HOSPITAL-BERKELEY INC SC Summerville $24,854 $16,633 $39,066 273 273
BON SECOURS SOUTHSIDE MEDICAL CENTER VA Petersburg $21,962 $13,870 $30,815 418 418
BON SECOURS RICHMOND COMMUNITY HOSPITAL VA Richmond $21,688 $17,688 $31,513 95 95
ST FRANCIS-DOWNTOWN SC Greenville $21,277 $13,948 $31,965 547 750
Bon Secours Harbour View Medical Center VA Suffolk $18,221 $14,778 $29,730 113 113
BON SECOURS SOUTHERN VIRGINIA MEDICAL CENTER VA Emporia $11,964 $9,923 $17,214 65 65
BON SECOURS SOUTHAMPTON MEMORIAL HOSPITAL VA Franklin $11,861 $8,648 $17,513 95 95
RAPPAHANNOCK GENERAL HOSPITAL VA Kilmarnock $10,735 $9,467 $14,970 80 80
NORTH CAROLINA SPECIALTY HOSPITAL NC Durham $4,664 $2,278 $11,658 1,578 4,096
COMMUNITY MEMORIAL HOSPITAL, INC NY Hamilton $2,730 $88 $9,719 44 44
HAYWOOD REGIONAL MEDICAL CENTER NC Clyde $986 $202 $5,299 3,544 16,998

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