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

Buckeye Health Plan

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.

$480 Overall median paid
197 hospitals
269,397 distinct codes
2,122,141 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 — $4,640,150 $4,505,000 ↑ 3.0% 7 8
J1414 HCPCS — $4,637,500 $3,710,000 ↑ 25.0% 4 5
J1413 HCPCS — $4,155,715 $3,325,455 ↑ 25.0% 12 22
J3389 HCPCS — $4,136,417 $3,335,820 ↑ 24.0% 4 8
J3394 HCPCS — $4,076,694 $3,286,000 ↑ 24.1% 12 22
J3387 HCPCS — $3,943,200 $3,180,000 ↑ 24.0% 4 8
J1411 HCPCS — $3,869,530 $3,710,000 ↑ 4.3% 14 19
J3393 HCPCS — $3,688,358 $3,006,423 ↑ 22.7% 12 22
J3392 HCPCS — $3,381,400 $2,448,600 ↑ 38.1% 21 40
J3399 HCPCS — $2,664,700 $2,469,189 ↑ 7.9% 18 43
Q2057 HCPCS — $1,117,399 $824,563 ↑ 35.5% 19 38
Q2042 HCPCS — $878,260 $754,974 ↑ 16.3% 40 90
Q2056 HCPCS — $818,036 $675,122 ↑ 21.2% 24 72
Q2054 HCPCS — $794,020 $674,188 ↑ 17.8% 40 86
Q2041 HCPCS — $771,181 $634,511 ↑ 21.5% 40 86
Q2053 HCPCS — $709,471 $620,080 ↑ 14.4% 40 86
Q2055 HCPCS — $696,647 $625,184 ↑ 11.4% 38 79
18 MS_DRG — $355,945 $370,174 ↓ 3.8% 40 110
1 MS_DRG — $240,543 $265,286 ↓ 9.3% 42 122
3 MS_DRG — $175,322 $202,986 ↓ 13.6% 47 137

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
       
VT $13,581 $8,475 $22,723 1 1,699
IL $12,657 $8,013 $21,222 1 1,625
NY $12,311 $7,661 $20,420 1 1,184
IA $2,804 $375 $7,791 2 17,846
IN $1,621 $108 $11,186 11 18,149
KY $812 $126 $4,352 2 14,248
WI $569 $569 $569 1 3
OH $480 $80 $3,861 162 1,755,476
AR $355 $355 $355 1 1
PA $224 $40 $3,748 2 10,160
WV $158 $29 $1,428 9 251,687
MI $150 $38 $533 2 30,629
NE $144 $18 $517 1 19,433
AZ $62 $62 $62 1 1
NH — — — 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
       
Grace Hospital OH Bedford $98,492 $83,559 $101,999 5 10
Kindred Hospital Lima OH Lima $39,145 $30,946 $47,344 2 4
Kindred Hospitals-dayton OH Dayton $21,573 $4,786 $38,220 10 11
PARKVIEW WHITLEY HOSPITAL IN Columbia City $15,006 $10,503 $23,389 775 775
PARKVIEW NOBLE HOSPITAL IN Kendallville $14,973 $10,355 $23,436 781 783
PARKVIEW HUNTINGTON HOSPITAL IN Huntington $14,765 $10,226 $23,249 774 1,548
THE JEWISH HOSPITAL-MERCY HEALTH OH Cincinnati $13,995 $9,021 $23,733 610 1,807
SPRINGFIELD HOSPITAL VT Springfield $13,581 $8,475 $22,723 563 1,699
MERCY ST VINCENT MEDICAL CENTER OH Toledo $13,561 $8,457 $23,225 665 2,092
PARKVIEW REGIONAL MEDICAL CENTER IN Fort Wayne $13,379 $8,680 $20,832 839 2,639
SURGICAL HOSPITAL AT SOUTHWOODS OH Youngstown $13,343 $9,579 $20,577 56 112
MADISON HEALTH OH London $13,228 $9,038 $20,116 819 2,505
MERCY HEALTH-ST RITA'S MEDICAL CENTER OH Lima $13,156 $7,962 $22,813 619 1,889
Mercy St Anne Hospital OH Toledo $13,118 $8,015 $21,398 381 1,073
MERCY HEALTH - WEST HOSPITAL OH Cincinnati $12,764 $8,182 $20,145 506 1,490
ANDERSON HOSPITAL IL Maryville $12,657 $8,013 $21,222 550 1,625
VAN WERT COUNTY HOSPITAL OH Van Wert $12,632 $8,156 $19,588 828 872
Mercy Health - Perrysburg Hospital OH Perrysburg $12,592 $8,002 $20,240 343 935
ST ELIZABETH YOUNGSTOWN HOSPITAL OH Youngstown $12,508 $7,594 $21,372 638 2,000
ST CHARLES HOSPITAL NY Port Jefferson $12,311 $7,661 $20,420 427 1,184

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