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

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.

$400 Overall median paid
735 hospitals
10,058,568 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 Inj, Atidarsagene Autotemcel $4,505,000 $4,505,000 0% 23 31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,722,119 $3,685,267 ↑ 1.0% 64 90
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,425,218 $3,325,455 ↑ 3.0% 73 111
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,326,582 $3,248,446 ↑ 2.4% 54 75
J3393 HCPCS Inj, Betibeglogene Autotemce $3,066,907 $2,968,000 ↑ 3.3% 63 92
J3392 HCPCS Inj, Exagamglogene Autotem $2,930,400 $2,332,000 ↑ 25.7% 81 111
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,649,861 $2,455,111 ↑ 7.9% 106 157
Q2057 HCPCS Afamitresgene Autoleucel $813,967 $813,967 0% 69 122
Q2042 HCPCS Tisagenlecleucel Car-pos T $681,884 $621,313 ↑ 9.7% 150 266
Q2054 HCPCS Lisocabtagene Mara Car Pos T $648,249 $579,571 ↑ 11.8% 159 295
Q2055 HCPCS Idecabtagene Vicleucel Car $642,233 $574,037 ↑ 11.9% 158 292
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $623,956 $562,501 ↑ 10.9% 157 288
Q2056 HCPCS Ciltacabtagene Car-pos T $611,138 $599,737 ↑ 1.9% 144 252
Q2053 HCPCS Brexucabtagene Car Pos T $575,294 $513,770 ↑ 12.0% 156 291
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $329,787 $168,055 ↑ 96.2% 190 350
5834 APR_DRG — $288,310 $390,362 ↓ 26.1% 140 297
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $224,749 $186,516 ↑ 20.5% 207 396
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $170,799 $145,435 ↑ 17.4% 248 495
C1776 HCPCS — $2,250 $3,543 ↓ 36.5% 162 99,605
C1713 HCPCS — $698 $1,045 ↓ 33.2% 175 317,341

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 $49 $11 $474 4 3,191
AR $92 $28 $449 44 229,462
AZ $169 $169 $169 1 1
CA $5,382 $499 $11,124 1 6,048
CO $228 $228 $800 1 13
FL $3,651 $339 $9,449 63 394,896
GA $229 $38 $1,596 132 2,185,351
IA $300 $104 $1,126 2 3,375
IL $8,002 $4,459 $15,984 1 1,821
IN $400 $84 $1,822 130 2,793,915
KS $81 $17 $256 2 3,391
KY $511 $82 $3,725 47 428,874
MI $600 $120 $2,318 11 150,413
MO $2,312 $1,545 $3,400 1 10
MS $1,021 $74 $2,882 11 75,089
MT $1,062 $264 $4,294 1 3,760
NC $535 $88 $3,346 30 569,416
NE $70 $20 $477 1 21,920
NV $320 $48 $1,069 8 55,709
OH $444 $71 $3,177 188 2,502,547
OK $1,081 $156 $6,690 1 12,458
PA $302 $94 $4,869 3 21,920
SC $216 $22 $1,110 8 24,988
TN $61 $12 $411 4 40,919
TX $856 $122 $6,431 6 35,565
VA $381 $67 $1,995 2 19,296
WV $406 $95 $2,157 32 474,220

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 $97,876 739 1,478
Grace Hospital OH Bedford $50,216 $50,216 $50,216 1 1
Central Indiana Amg Specialty Hospital Llc IN Muncie $47,479 $39,611 $60,514 103 206
NW Indiana-AMG Specialty Hospital IN Crown Point $44,368 $36,936 $56,378 104 104
Kindred Hospital Indianapolis IN Indianapolis $38,542 $33,094 $47,602 8 10
Kindred Hospital Indianapolis North IN Indianapolis $32,615 $17,583 $48,440 13 16
MARIA PARHAM MEDICAL CENTER NC Henderson $32,434 $23,509 $47,647 764 764
Rehabilitation Hospital Of Henry GA Mcdonough $31,185 $24,646 $39,842 380 760
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 IN Newburgh $27,934 $22,215 $35,004 380 760
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 5
Encompass Health Rehabilitation Hospital Of Lakevi KY Elizabethtown $25,430 $20,223 $31,866 380 380

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