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

Centene

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.

$578 Overall median paid
1,706 hospitals
31,809,584 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
       
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,986,334 $3,248,446 ↑ 22.7% 110 156
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,798,638 $3,685,267 ↑ 3.1% 94 144
J3393 HCPCS Inj, Betibeglogene Autotemce $3,761,050 $2,968,000 ↑ 26.7% 122 169
J1414 HCPCS Inj, Beqvez, Per Tx Dose $3,678,028 $3,508,750 ↑ 4.8% 44 64
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,648,109 $3,325,455 ↑ 9.7% 145 260
J3392 HCPCS Inj, Exagamglogene Autotem $3,311,440 $2,332,000 ↑ 42.0% 154 211
J3399 HCPCS Inj Onase Abepar-xioi Treat $3,238,622 $2,455,111 ↑ 31.9% 203 308
Q2057 HCPCS Afamitresgene Autoleucel $1,094,280 $813,967 ↑ 34.4% 156 225
Q2042 HCPCS Tisagenlecleucel Car-pos T $897,376 $621,313 ↑ 44.4% 303 568
Q2056 HCPCS Ciltacabtagene Car-pos T $803,534 $599,737 ↑ 34.0% 288 470
Q2054 HCPCS Lisocabtagene Mara Car Pos T $798,410 $579,571 ↑ 37.8% 291 501
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $798,288 $562,501 ↑ 41.9% 301 517
Q2055 HCPCS Idecabtagene Vicleucel Car $791,391 $574,037 ↑ 37.9% 292 498
Q2053 HCPCS Brexucabtagene Car Pos T $694,813 $513,770 ↑ 35.2% 296 497
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $417,832 $168,055 ↑ 148.6% 616 1,094
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $283,750 $186,516 ↑ 52.1% 661 1,190
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $234,052 $131,925 ↑ 77.4% 641 1,131
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $215,554 $145,435 ↑ 48.2% 711 1,325
C1776 HCPCS — $2,090 $3,543 ↓ 41.0% 449 251,302
C1713 HCPCS — $513 $1,045 ↓ 50.9% 531 959,145

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
       
RI $20,728 $13,044 $30,983 1 989
HI $2,977 $113 $12,444 1 2,681
WV $2,853 $143 $12,535 1 10,238
AK $1,605 $648 $6,335 2 25
ND $1,563 $260 $7,701 1 27,276
NY $1,206 $325 $3,330 98 7,685,673
DE $912 $146 $5,304 5 38,996
SC $851 $159 $3,790 47 760,309
FL $840 $89 $6,464 77 1,049,398
TX $820 $125 $2,858 125 1,050,398
NM $801 $133 $5,284 14 56,866
AZ $791 $111 $4,958 43 295,796
CA $666 $106 $2,664 33 989,637
TN $639 $90 $2,068 84 1,400,447
WI $578 $95 $3,839 24 249,350
WA $578 $119 $2,413 60 3,485,387
NV $558 $76 $2,626 27 312,431
AL $547 $83 $4,774 42 346,704
IL $544 $122 $2,305 63 1,116,027
IN $504 $71 $2,703 54 270,501
OH $462 $91 $3,124 22 236,629
NJ $448 $60 $5,220 12 203,086
MN $431 $103 $2,508 15 72,909
MO $426 $66 $2,849 56 430,161
PA $381 $50 $3,418 123 1,452,171
WY $381 $107 $993 2 12,787
MS $373 $61 $2,882 45 343,066
NH $350 $72 $1,330 17 385,149
UT $308 $54 $1,310 6 41,059
OR $301 $61 $1,462 15 87,330
MI $289 $65 $1,591 22 177,314
VT $286 $65 $988 1 114,764
KY $284 $48 $2,843 9 70,456
NE $277 $57 $1,759 60 1,597,636
LA $270 $32 $2,457 42 143,692
CO $269 $68 $995 3 15,885
AR $253 $33 $2,000 69 782,583
OK $253 $32 $2,857 33 82,061
IA $247 $54 $1,259 78 1,316,955
GA $240 $41 $1,677 128 2,635,058
MT $221 $66 $964 5 28,058
NC $211 $51 $823 58 1,532,858
VA $196 $9 $1,162 8 78,925
KS $196 $37 $991 61 657,541
MA $191 $52 $817 7 105,145
ID $154 $42 $845 5 11,552
SD $113 $49 $290 1 3,810
CT $48 $5 $577 1 41,815

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
       
NY EYE AND EAR INFIRMARY OF MOUNT SINAI NY New York $326,705 $316,569 $341,385 816 888
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS AZ Tucson $192,746 $129,053 $206,202 12 18
BANNER - UNIVERSITY MEDICAL CENTER PHOENIX AZ Phoenix $120,724 $110,193 $238,722 7 7
Emory Long Term Acute Care GA Decatur $105,280 $80,928 $125,520 6 12
Kindred Hospital Philadelphia - Havertown PA Lawncrest $65,900 $65,900 $65,900 1 1
Kindred - Chicago - Lakeshore IL Chicago $64,182 $64,182 $64,182 1 1
SHRINERS HOSPITALS FOR CHILDREN SC Greenville $56,512 $32,479 $107,668 1,193 1,194
Regional One Health Extended Care Hospital TN Memphis $51,363 $45,603 $68,518 28 84
Central Indiana Amg Specialty Hospital Llc IN Muncie $47,479 $39,954 $61,804 114 262
Henry J Carter Specialty Hospital NY New York $47,271 $17,100 $69,903 2,017 2,762
Okc-amg Specialty Hospital OK Oklahoma City $46,869 $39,873 $67,078 61 61
Kindred Hospital Northland MO Kansas City $38,221 $28,406 $41,571 12 12
Baycare Alliant Hospital FL Dunedin $35,666 $27,528 $47,195 760 1,520
Kindred Hospital - Las Vegas (sahara Campus) NV Las Vegas $35,374 $35,374 $35,374 1 1
Ballard Rehabilitation Hospital CA San Bernardino $34,956 $27,893 $43,205 98 513
Kpc Promise Hospital Of Wichita Falls Llc TX Wichita Falls $34,775 $26,841 $46,017 287 574
San Joaquin Valley Rehabilitation Hosp CA Fresno $33,275 $26,272 $41,284 96 376
Encompass Health Braintree Hospital Of Braintree MA Braintree $31,922 $25,386 $40,001 380 760
Solara Specialty Hospitals Harlingen-brownville TX Harlingen $31,335 $26,071 $37,487 31 80
Vibra Rehabilitation Hospital Of Rancho Mirage CA Rancho Mirage $29,978 $163 $43,255 255 479

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