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

CareSource

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.

$296 Overall median paid
653 hospitals
1,172,624 distinct codes
9,455,116 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 — $4,527,525 $4,505,000 ↑ 0.5% 18 26
J1411 HCPCS — $3,722,119 $3,710,000 ↑ 0.3% 56 77
J1414 HCPCS — $3,605,000 $3,710,000 ↓ 2.8% 14 17
J1413 HCPCS — $3,427,200 $3,325,455 ↑ 3.1% 61 92
J3394 HCPCS — $3,313,415 $3,286,000 ↑ 0.8% 49 73
J3393 HCPCS — $3,093,027 $3,006,423 ↑ 2.9% 56 88
J3399 HCPCS — $2,769,495 $2,469,189 ↑ 12.2% 98 148
J3392 HCPCS — $2,584,428 $2,448,600 ↑ 5.5% 75 113
Q2057 HCPCS — $926,575 $824,563 ↑ 12.4% 62 121
Q2042 HCPCS — $777,962 $754,974 ↑ 3.0% 136 275
Q2055 HCPCS — $774,133 $625,184 ↑ 23.8% 141 275
Q2054 HCPCS — $760,696 $674,188 ↑ 12.8% 142 283
Q2041 HCPCS — $719,861 $634,511 ↑ 13.5% 139 279
Q2053 HCPCS — $685,007 $620,080 ↑ 10.5% 140 281
Q2056 HCPCS — $670,600 $675,122 ↓ 0.7% 121 242
18 MS_DRG — $389,624 $370,174 ↑ 5.3% 135 249
1 MS_DRG — $274,800 $265,286 ↑ 3.6% 150 298
3 MS_DRG — $185,169 $202,986 ↓ 8.8% 175 359
C1776 HCPCS — $1,876 $3,432 ↓ 45.4% 112 71,439
C1713 HCPCS — $513 $836 ↓ 38.6% 117 227,209

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 $11,460 $5,919 $21,563 1 1,565
NY $9,723 $5,222 $16,722 1 1,154
IL $7,989 $4,426 $15,909 1 1,832
FL $3,685 $298 $9,531 56 285,776
IA $2,897 $368 $7,791 2 17,787
MO $2,312 $1,545 $3,400 1 10
CA $1,529 $87 $2,491 1 8,056
MT $1,062 $264 $4,294 1 1,880
MS $610 $52 $2,882 11 101,631
NC $609 $102 $4,379 25 354,164
MI $586 $117 $2,517 13 185,296
TX $475 $78 $4,460 6 41,075
WV $464 $95 $2,200 29 793,920
OH $397 $66 $3,186 170 2,477,390
NV $313 $45 $1,090 8 57,920
KY $299 $46 $2,856 43 301,019
IN $296 $64 $1,342 109 1,937,256
PA $237 $68 $2,188 3 31,977
CO $228 $228 $800 1 13
SC $223 $23 $1,176 7 22,059
GA $207 $35 $1,346 123 2,436,567
TN $191 $26 $2,092 3 162,360
AZ $169 $169 $169 1 1
KS $97 $21 $264 2 3,420
AR $84 $30 $468 30 204,815
NE $69 $20 $476 1 21,993
AL $21 $4 $179 4 4,180

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
       
Continuing Care Hospital, Inc KY Lexington $69,301 $59,232 $97,825 739 739
Grace Hospital OH Bedford $56,470 $47,977 $97,167 6 16
Central Indiana Amg Specialty Hospital Llc IN Muncie $47,421 $39,435 $60,170 106 106
Kindred Hospital Indianapolis North IN Indianapolis $32,615 $17,583 $48,440 13 16
Rehabilitation Hospital Of Henry GA Mcdonough $31,185 $24,646 $39,842 380 1,520
Rehabilitation Hospital Of Newnan GA Newnan $31,140 $24,611 $39,785 380 760
Encompass Health Rehabilitation Hospital Cumming GA Cumming $30,147 $23,826 $38,517 380 760
Rehabilitation Hospital of Atlanta GA Atlanta $29,899 $23,630 $38,200 380 760
Cardinal Hill Rehabilitation Hospital KY Lexington $28,531 $22,689 $35,752 380 380
Kindred Hospitals-dayton OH Dayton $28,418 $10,295 $30,046 21 21
Encompass Health Deaconess Rehabilitation Hospital - Downtown IN Evansville $27,934 $22,215 $35,004 380 380
Encompass Health Deaconess Rehabilitation Hospital IN Newburgh $27,934 $22,215 $35,004 380 380
Encompass Health Rehabilitation Hospital Of Northe KY Edgewood $27,721 $22,045 $34,736 380 380
Encompass Health Rehab Hospital Of Savannah GA Savannah $26,309 $20,793 $33,613 380 760
Walton Rehab Hospital, Affiliate Of Encompass Hlth GA Augusta $25,588 $20,223 $32,692 380 760
Indianapolis Rehabilitation Hospital, Llc IN Carmel $25,515 $23,618 $26,620 4 8
Kindred Hospital Lima OH Lima $25,499 $3,946 $27,930 5 10
Encompass Health Rehabilitation Hospital Of Lakevi KY Elizabethtown $25,430 $20,223 $31,866 380 760
Rehabilitation Hospital of Columbus GA Columbus $25,133 $19,863 $32,110 380 1,520
Bloomington Regional Rehabilitation Hospital Llc IN Bloomington $24,178 $17,812 $28,649 157 481

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