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

CarePlus (Encounters)

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.

$1,242 Overall median paid
184 hospitals
4,537,178 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
       
Q2042 HCPCS Tisagenlecleucel Car-pos T $2,274,927 $621,313 ↑ 266.1% 17 25
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $2,156,300 $562,501 ↑ 283.3% 17 24
Q2053 HCPCS Brexucabtagene Car Pos T $2,038,300 $513,770 ↑ 296.7% 17 23
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $343,233 $168,055 ↑ 104.2% 60 122
C1767 HCPCS — $52,265 $25,172 ↑ 107.6% 87 1,830
C1820 HCPCS — $46,885 $21,100 ↑ 122.2% 88 1,365
C1882 HCPCS — $44,443 $24,131 ↑ 84.2% 85 2,357
C1721 HCPCS — $38,817 $19,958 ↑ 94.5% 83 1,931
C1722 HCPCS — $38,522 $19,800 ↑ 94.6% 83 1,933
C2621 HCPCS — $28,775 $11,743 ↑ 145.0% 88 1,260
C1786 HCPCS — $16,796 $7,961 ↑ 111.0% 90 1,932
C1785 HCPCS — $13,650 $7,020 ↑ 94.4% 92 2,521
C1874 HCPCS — $12,928 $5,596 ↑ 131.0% 93 14,819
C1778 HCPCS — $11,926 $5,009 ↑ 138.1% 94 2,816
C1757 HCPCS — $8,554 $2,532 ↑ 237.8% 93 6,171
C1776 HCPCS — $7,363 $3,543 ↑ 107.8% 97 90,435
C1876 HCPCS — $6,429 $2,732 ↑ 135.3% 91 10,695
C1768 HCPCS — $4,714 $2,193 ↑ 115.0% 92 11,983
C1781 HCPCS — $3,943 $1,566 ↑ 151.7% 98 21,024
C1713 HCPCS — $1,942 $1,045 ↑ 85.8% 98 262,457

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
       
AL $1,077 $129 $8,648 3 38,438
AZ $778 $51 $14,156 2 6,949
CA $253 $36 $1,469 1 23,034
CO $2,495 $462 $12,039 7 139,812
CT $3,051 $271 $16,794 4 16,220
FL $1,242 $174 $4,205 78 2,239,110
GA $5,769 $752 $11,531 7 28,137
ID $135 $115 $2,249 1 81,114
IL $339 $98 $1,301 1 7,632
IN $650 $98 $7,578 3 18,598
KY $380 $91 $1,363 10 87,191
LA $47,861 $38,005 $65,375 4 263
MT $321 $67 $866 1 14,759
NC $1,022 $145 $5,950 9 885,981
NJ $450 $103 $2,253 5 263,887
NM $52,412 $42,032 $69,224 1 180
NV $61,434 $50,946 $88,283 2 224
NY $326 $76 $1,347 3 10,084
OK $63,347 $48,961 $80,493 1 112
PA $471 $90 $3,358 10 15,075
SC $1,719 $212 $8,846 3 100,336
TN $728 $152 $3,035 16 345,813
TX $1,449 $266 $6,705 12 214,229

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
       
Okc-amg Specialty Hospital OK Oklahoma City $63,347 $48,961 $80,493 56 112
Pam Specialty Hospital Of Las Vegas, Llc NV Las Vegas $61,434 $50,946 $88,283 56 112
Las Vegas-amg Specialty Hospital NV Las Vegas $61,434 $50,946 $88,283 56 112
Lafayette - A M G Specialty Hospital LA Lafayette $60,251 $47,352 $76,818 53 106
Zachary - A M G Specialty Hospital LA Zachary $59,708 $46,413 $70,341 41 82
Albuquerque - Amg Specialty Hospital, Llc NM Albuquerque $52,412 $42,032 $69,224 90 180
Central Indiana Amg Specialty Hospital Llc IN Muncie $50,903 $41,267 $69,542 154 473
Good Shepherd Specialty Hospital PA Bethlehem $35,300 $35,300 $35,300 77 77
Covington - A M G Physical Rehabilitation Hospital LA Covington $34,072 $30,198 $37,405 25 25
Encompass Health Rehabilitation Hospital Of Miami FL Miami $26,887 $21,382 $33,692 380 380
Lafayette Physical Rehabilitation Hospital LA Lafayette $26,827 $24,178 $36,363 25 50
Encompass Health Rehab Hospital Of Treasure Coast FL Vero Beach $26,479 $21,058 $33,181 380 380
Encompass Health Rehab Hospital Of Sunrise FL Sunrise $25,963 $20,648 $32,535 380 380
Encompass Health Rehabilitation Hospital Of Altamo FL Altamonte Springs $25,817 $20,531 $32,351 380 380
Sea Pines Rehab Hosp Affiliate Of Encompass Health FL Melbourne $25,158 $20,007 $31,525 380 380
Encompass Health Rehabilitation Hospital of North Tampa FL Tampa $24,347 $19,362 $30,509 380 380
Encompass Health Rehabilitation Hospital Of Largo FL Largo $23,976 $19,067 $30,044 380 380
JOHNSON MEMORIAL HOSPITAL CT Stafford Springs $19,285 $427 $34,975 1,101 2,380
HCA FLORIDA BLAKE HOSPITAL FL Bradenton $16,701 $11,061 $25,839 652 652
SAINT MARY'S HOSPITAL CT Waterbury $15,588 $368 $35,085 1,377 1,563

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