Payer

Blue Cross Blue Shield Association

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.

$1,092 Overall median paid

1,090 hospitals

1,707,792 distinct codes

50,593,352 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	—	$4,505,000	$4,505,000	0%	67	137
J1411	HCPCS	—	$3,685,267	$3,710,000	↓ 0.7%	171	406
J1413	HCPCS	—	$3,316,463	$3,325,455	↓ 0.3%	189	470
J3394	HCPCS	—	$3,286,000	$3,286,000	0%	154	335
J3393	HCPCS	—	$2,975,197	$3,006,423	↓ 1.0%	157	382
J3399	HCPCS	—	$2,528,764	$2,469,189	↑ 2.4%	189	509
J3392	HCPCS	—	$2,378,640	$2,448,600	↓ 2.9%	154	313
Q2057	HCPCS	—	$1,582,883	$824,563	↑ 92.0%	140	455
Q2056	HCPCS	—	$907,754	$675,122	↑ 34.5%	277	1,096
Q2042	HCPCS	—	$842,618	$754,974	↑ 11.6%	273	1,107
Q2055	HCPCS	—	$818,931	$625,184	↑ 31.0%	269	1,009
Q2054	HCPCS	—	$800,971	$674,188	↑ 18.8%	269	1,015
Q2053	HCPCS	—	$769,022	$620,080	↑ 24.0%	275	1,048
Q2041	HCPCS	—	$733,504	$634,511	↑ 15.6%	279	1,113
18	MS_DRG	—	$356,430	$370,174	↓ 3.7%	555	2,796
1	MS_DRG	—	$288,573	$265,286	↑ 8.8%	567	2,984
3	MS_DRG	—	$242,364	$202,986	↑ 19.4%	590	3,631
C1874	HCPCS	—	$8,412	$4,694	↑ 79.2%	163	71,770
C1776	HCPCS	—	$6,136	$3,432	↑ 78.8%	156	521,588
C1713	HCPCS	—	$1,536	$836	↑ 83.7%	178	1,263,859

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	$13,861	$8,329	$22,428	1	554
MD	$10,865	$7,537	$17,570	1	437
OR	$7,009	$871	$16,861	16	370,230
WI	$4,198	$241	$10,560	13	322,056
DE	$3,889	$546	$15,994	4	100,696
GA	$3,652	$265	$12,029	49	1,890,009
FL	$3,362	$128	$15,000	97	8,371,912
IN	$2,814	$198	$12,000	15	325,134
KY	$2,546	$25	$8,800	3	36,979
NM	$2,448	$200	$12,182	13	86,160
WA	$2,414	$293	$10,991	21	593,160
VA	$2,393	$247	$10,782	15	779,596
RI	$2,152	$159	$8,919	5	300,019
OH	$1,867	$124	$10,913	47	1,026,946
NH	$1,578	$146	$9,001	6	265,665
SC	$1,471	$193	$6,914	31	938,576
CT	$1,308	$78	$5,426	3	72,500
IL	$1,176	$210	$3,763	55	3,253,132
AK	$1,142	$41	$5,429	7	96,111
CA	$1,113	$133	$6,358	75	3,168,833
TX	$1,092	$150	$5,772	144	13,302,542
AL	$1,068	$129	$5,266	15	227,915
OK	$941	$64	$7,188	30	608,647
AZ	$818	$94	$4,109	14	377,081
CO	$717	$113	$3,501	7	112,956
TN	$709	$108	$3,261	26	1,189,873
LA	$593	$77	$3,361	20	179,084
SD	$576	$111	$2,469	3	29,283
ME	$548	$372	$2,734	2	30
ID	$493	$115	$4,088	5	390,746
NY	$484	$87	$2,888	33	1,830,574
MO	$479	$95	$1,915	36	3,091,378
KS	$471	$60	$3,489	13	503,375
MS	$460	$58	$5,440	18	130,312
NC	$458	$80	$2,331	35	1,866,617
MA	$428	$74	$4,398	25	571,881
WV	$411	$75	$7,111	7	49,925
PA	$388	$77	$2,698	24	1,646,957
NE	$339	$66	$2,931	11	260,226
MI	$329	$60	$1,835	63	858,768
UT	$300	$100	$819	4	19,409
MT	$262	$55	$1,522	14	105,720
NV	$258	$100	$939	2	4,821
PR	$221	$101	$221	1	5
WY	$190	$58	$840	6	32,780
VT	$189	$44	$666	3	110,264
AR	$185	$28	$1,414	22	312,883
MN	$152	$21	$832	15	633,722
NJ	$121	$14	$626	2	62,018
IA	$97	$30	$331	11	78,804
ND	$93	$30	$300	2	6,051

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

Hackensack University Medical Center	NJ	Hackensack	$398,794	$370,645	$618,456	8	8
Houston Methodist Continuing Care Hospital	TX	Katy	$94,650	$60,634	$112,681	22	26
VANDERBILT UNIVERSITY MEDICAL CENTER	TN	Nashville	$88,193	$4,759	$174,300	13	150
Greater Peoria Specialty Hospital	IL	Peoria	$68,152	$58,526	$97,219	15	17
Covenant Specialty Hospital	TX	Lubbock	$59,982	$41,978	$87,666	14	19
Spartanburg Hosp For Restorative Care	SC	Spartanburg	$58,755	$24,324	$113,470	46	66
St Elias Specialty Hospital	AK	Anchorage	$55,125	$45,150	$66,476	26	26
Vibra Hospital Of Northern California	CA	Redding	$53,614	$40,140	$76,691	73	78
Albuquerque - Amg Specialty Hospital, Llc	NM	Albuquerque	$43,669	$35,162	$57,687	93	93
Vibra Hospital Of Charleston	SC	Mount Pleasant	$41,795	$33,717	$55,338	91	91
UCI HEALTH-LAKEWOOD	CA	Lakewood	$38,577	$20,345	$70,186	945	6,534
UCI HEALTH - LOS ALAMITOS	CA	Los Alamitos	$38,577	$20,345	$70,186	945	6,534
UCI HEALTH - PLACENTIA LINDA	CA	Placentia	$38,577	$20,353	$70,174	945	3,267
UCI HEALTH - FOUNTAIN VALLEY	CA	Fountain Valley	$38,577	$20,353	$70,174	945	3,267
Dana-farber Cancer Institute	MA	Boston	$38,421	$20,722	$72,956	1,620	5,848
UCI HEALTH-ORANGE	CA	Orange	$37,347	$19,773	$68,259	947	3,662
HOAG ORTHOPEDIC INSTITUTE	CA	Irvine	$36,001	$27,382	$53,405	15	15
North Mississippi Specialty Hospital	MS	Batesville	$35,810	$28,777	$51,211	41	41
ALLEGIANCE SPECIALTY HOSPITAL OF GREENVILLE	MS	Greenville	$33,550	$19,250	$52,650	11	22
Emory Long Term Acute Care	GA	Decatur	$32,064	$20,713	$55,397	771	799

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