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.

$397 Overall median paid
742 hospitals
10,156,281 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
       
C1713 HCPCS — $706 $867 ↓ 18.5% 181 318,568
C1776 HCPCS — $2,296 $3,386 ↓ 32.2% 168 100,000
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $171,006 $190,169 ↓ 10.1% 254 500
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $225,475 $247,881 ↓ 9.0% 213 400
5834 APR_DRG — $288,310 $309,607 ↓ 6.9% 140 297
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $336,678 $360,840 ↓ 6.7% 197 355
Q2053 HCPCS Brexucabtagene Car Pos T $575,294 $589,050 ↓ 2.3% 158 291
Q2056 HCPCS Ciltacabtagene Car-pos T $617,032 $646,415 ↓ 4.5% 146 252
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $626,226 $606,840 ↑ 3.2% 159 288
Q2054 HCPCS Lisocabtagene Mara Car Pos T $648,249 $637,620 ↑ 1.7% 160 294
Q2055 HCPCS Idecabtagene Vicleucel Car $656,157 $621,967 ↑ 5.5% 160 292
Q2042 HCPCS Tisagenlecleucel Car-pos T $686,713 $739,658 ↓ 7.2% 152 266
Q2057 HCPCS Afamitresgene Autoleucel $839,976 $813,967 ↑ 3.2% 70 121
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,703,730 $2,468,984 ↑ 9.5% 109 162
J3392 HCPCS Inj, Exagamglogene Autotem $2,915,000 $2,401,960 ↑ 21.4% 83 115
J3393 HCPCS Inj, Betibeglogene Autotemce $3,057,040 $2,988,866 ↑ 2.3% 64 95
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,319,998 $3,286,000 ↑ 1.0% 55 78
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,425,218 $3,324,572 ↑ 3.0% 74 111
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,722,119 $3,691,450 ↑ 0.8% 65 93
J3391 HCPCS Inj, Atidarsagene Autotemcel $4,505,000 $4,505,000 0% 23 33

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
       
NY $9,731 $5,245 $16,775 1 1,147
IL $8,000 $4,464 $15,983 1 1,822
FL $3,670 $344 $9,465 64 398,788
MO $2,312 $1,545 $3,400 1 10
CA $1,913 $247 $6,101 2 14,097
OK $1,081 $156 $6,690 1 12,458
MS $923 $73 $2,882 9 79,123
MT $821 $182 $4,419 1 6,956
TX $659 $100 $5,821 5 32,706
MI $600 $120 $2,318 11 150,413
NC $530 $87 $3,340 30 589,637
KY $528 $85 $3,901 48 434,550
OH $441 $71 $3,160 187 2,534,838
WV $428 $95 $2,268 33 480,465
IN $397 $84 $1,821 133 2,830,857
VA $381 $67 $1,995 2 19,296
PA $302 $94 $4,869 3 21,920
IA $300 $104 $1,126 2 3,375
NV $286 $48 $1,069 10 65,710
GA $235 $39 $1,648 131 2,153,001
CO $228 $228 $800 1 13
SC $215 $22 $1,110 8 24,983
AZ $169 $169 $169 1 1
AL $110 $18 $670 5 6,719
AR $100 $30 $507 44 222,710
KS $81 $17 $256 2 3,391
NE $70 $20 $477 1 21,920
TN $47 $15 $319 5 45,375

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 $73,106 $61,711 $101,865 744 744
Grace Hospital OH Bedford $50,216 $50,216 $50,216 1 1
Central Indiana Amg Specialty Hospital Llc IN Muncie $45,408 $39,218 $59,412 104 310
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.