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

Blue Shield of California

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.

$1,085 Overall median paid
336 hospitals
544,438 distinct codes
9,482,504 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 — $4,335,000 $4,505,000 ↓ 3.8% 19 76
J1414 HCPCS — $3,710,000 $3,710,000 0% 24 93
J1411 HCPCS — $3,570,000 $3,710,000 ↓ 3.8% 41 151
C9172 HCPCS — $3,570,000 $3,570,000 0% 18 79
J1413 HCPCS — $3,264,000 $3,325,455 ↓ 1.8% 43 154
J3394 HCPCS — $3,193,000 $3,286,000 ↓ 2.8% 33 119
J3393 HCPCS — $2,945,740 $3,006,423 ↓ 2.0% 33 119
J3399 HCPCS — $2,561,517 $2,469,189 ↑ 3.7% 48 174
J3392 HCPCS — $2,332,000 $2,448,600 ↓ 4.8% 32 122
Q2054 HCPCS — $541,977 $674,188 ↓ 19.6% 54 213
Q2055 HCPCS — $538,879 $625,184 ↓ 13.8% 52 214
Q2042 HCPCS — $493,738 $754,974 ↓ 34.6% 68 362
18 MS_DRG — $479,767 $370,174 ↑ 29.6% 129 409
1 MS_DRG — $341,147 $265,286 ↑ 28.6% 149 457
927 MS_DRG — $271,885 $206,368 ↑ 31.7% 133 419
3 MS_DRG — $248,102 $202,986 ↑ 22.2% 162 505
C1767 HCPCS — $38,248 $22,478 ↑ 70.2% 87 2,897
C1882 HCPCS — $35,978 $27,112 ↑ 32.7% 79 4,213
C1776 HCPCS — $3,971 $3,432 ↑ 15.7% 98 101,707
C1713 HCPCS — $736 $836 ↓ 12.0% 103 239,224

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
       
WA $3,495 $405 $12,479 16 325,782
CA $1,085 $105 $5,535 285 8,231,208
MA $628 $132 $2,316 1 34,902
ID $517 $103 $2,468 5 72,451
NY $472 $88 $2,381 5 636,681
MI $423 $96 $1,192 2 70,586
OR $361 $118 $2,275 1 9,737
IA $288 $53 $2,750 11 19,454
TX $286 $52 $2,031 2 20,415
AR $198 $34 $1,106 1 49,134
PA $122 $58 $217 1 3,192
IL $109 $22 $454 1 8,843
WI $83 $44 $338 4 117
ND $37 $35 $38 1 2

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 Ontario CA Ontario $114,043 $114,043 $114,043 1 1
Kindred Hospital -- La Mirada CA La Mirada $111,211 $57,861 $115,485 5 5
Kindred Hospital Houston Medical Center TX Houston $111,211 $57,861 $115,485 5 5
Kindred Hospital San Gabriel Valley CA West Covina $111,211 $57,861 $115,485 5 5
Central Valley Specialty Hospital CA Modesto $106,383 $74,122 $154,052 65 65
Sonoma Specialty Hospital CA Sebastopol $103,154 $72,284 $142,446 55 64
Kindred Hospital Rancho CA Rancho Cucamonga $63,388 $40,804 $85,971 2 2
Kindred Hospital Paramount CA Paramount $63,216 $35,120 $98,336 15 15
Kindred Hospital Santa Ana CA Santa Ana $52,118 $49,840 $93,840 5 5
Kindred Hospital Westminster CA Westminster $49,624 $18,558 $60,482 7 16
HOAG ORTHOPEDIC INSTITUTE CA Irvine $48,039 $23,700 $64,222 22 33
Kindred Hospital South Bay CA Gardena $46,068 $28,792 $140,679 3 6
Kindred Hospital Baldwin Park CA Baldwin Park $45,189 $21,806 $53,896 6 6
PEACEHEALTH SOUTHWEST MEDICAL CENTER WA Vancouver $36,034 $20,896 $61,055 904 3,923
Encompass Health Rehabilitation Hospital Of Modest CA Modesto $35,150 $27,953 $44,046 380 380
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
EL CAMINO HEALTH CA Mountain View $30,622 $9,539 $54,703 431 2,808
STANFORD HEALTH CARE CA Stanford $22,145 $22,145 $22,145 1,621 5,390

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