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

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.

$494 Overall median paid
1,587 hospitals
2,558,884 distinct codes
30,185,474 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 — $4,076,694 $3,286,000 ↑ 24.1% 97 145
J1411 HCPCS — $3,869,530 $3,710,000 ↑ 4.3% 75 116
J1414 HCPCS — $3,821,300 $3,710,000 ↑ 3.0% 40 58
J1413 HCPCS — $3,813,932 $3,325,455 ↑ 14.7% 126 227
J3393 HCPCS — $3,799,576 $3,006,423 ↑ 26.4% 109 159
J3399 HCPCS — $3,391,832 $2,469,189 ↑ 37.4% 186 287
J3392 HCPCS — $3,311,440 $2,448,600 ↑ 35.2% 143 200
Q2057 HCPCS — $1,094,280 $824,563 ↑ 32.7% 140 205
Q2042 HCPCS — $889,714 $754,974 ↑ 17.8% 266 505
Q2056 HCPCS — $802,399 $675,122 ↑ 18.9% 245 398
Q2054 HCPCS — $798,804 $674,188 ↑ 18.5% 251 421
Q2041 HCPCS — $798,288 $634,511 ↑ 25.8% 263 462
Q2055 HCPCS — $791,391 $625,184 ↑ 26.6% 253 426
Q2053 HCPCS — $709,703 $620,080 ↑ 14.5% 253 420
18 MS_DRG — $405,262 $370,174 ↑ 9.5% 466 824
1 MS_DRG — $283,027 $265,286 ↑ 6.7% 499 889
927 MS_DRG — $233,179 $206,368 ↑ 13.0% 484 839
3 MS_DRG — $215,794 $202,986 ↑ 6.3% 534 985
C1776 HCPCS — $2,094 $3,432 ↓ 39.0% 330 206,618
C1713 HCPCS — $508 $836 ↓ 39.2% 382 831,778

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
       
AK $4,381 $1,150 $16,006 2 36
WV $2,853 $143 $12,535 1 5,119
HI $2,750 $113 $12,370 1 2,693
ND $1,563 $260 $7,701 1 27,276
NY $1,119 $257 $3,327 91 5,842,838
FL $962 $112 $7,109 73 1,184,954
TN $852 $122 $2,500 76 1,359,304
NM $820 $136 $4,750 13 78,271
SC $815 $165 $3,163 47 1,133,050
TX $720 $98 $2,855 121 898,961
MT $670 $106 $2,114 5 14,325
WI $628 $98 $4,095 24 227,647
WA $628 $124 $2,594 58 3,496,221
MO $611 $84 $3,148 43 401,594
NV $600 $77 $2,626 24 310,001
IL $494 $140 $1,254 60 1,611,919
DE $490 $105 $3,166 5 70,700
AL $486 $81 $4,475 41 329,158
VA $459 $87 $1,978 6 56,163
WY $448 $118 $1,226 2 13,746
MN $431 $103 $2,507 15 72,923
OH $430 $86 $2,888 23 283,970
NJ $374 $66 $3,421 12 203,254
AZ $361 $57 $3,550 41 394,665
IN $352 $65 $1,674 51 234,153
UT $317 $51 $1,250 4 64,552
NH $303 $69 $1,110 16 615,222
NE $291 $59 $1,818 55 1,100,309
CA $282 $40 $1,931 32 624,963
CO $273 $67 $886 4 20,059
IA $268 $58 $1,364 69 1,125,363
MS $266 $41 $2,882 40 387,523
OR $264 $52 $1,256 14 71,409
PA $256 $37 $2,375 118 1,646,978
VT $252 $78 $799 1 152,552
KY $244 $43 $2,055 9 54,321
OK $238 $29 $2,714 31 82,913
AR $233 $32 $1,804 63 737,471
MI $220 $57 $916 20 190,922
GA $215 $37 $1,401 120 2,835,647
KS $202 $37 $1,095 51 554,457
ID $180 $47 $832 4 13,789
NC $177 $46 $743 54 1,411,001
MA $152 $46 $652 7 100,911
LA $150 $22 $1,294 36 111,667
RI $141 $27 $719 1 9,506
SD $113 $49 $290 1 3,810
CT $85 $11 $908 1 17,188

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
BANNER GATEWAY MEDICAL CENTER AZ Gilbert $111,239 $68,180 $235,831 14 30
Emory Long Term Acute Care GA Decatur $105,280 $86,107 $121,369 6 6
MUSC MEDICAL CENTER SC Charleston $81,230 $64,358 $98,102 2 2
Kindred Hospital Philadelphia - Havertown PA Lawncrest $65,900 $65,900 $65,900 1 1
Kindred - Chicago - Lakeshore IL Chicago $62,975 $62,975 $62,975 1 1
Kindred Hospital - Sycamore IL Sycamore $51,880 $29,072 $61,366 3 5
Regional One Health Extended Care Hospital TN Memphis $51,363 $45,603 $68,518 28 84
Central Indiana Amg Specialty Hospital Llc IN Muncie $47,421 $39,435 $60,170 106 106
Henry J Carter Specialty Hospital NY New York $47,271 $17,100 $69,903 2,017 2,762
Kindred Hospital Northland MO Kansas City $38,221 $28,406 $41,571 12 24
Ballard Rehabilitation Hospital CA San Bernardino $36,355 $29,071 $44,958 98 713
Baycare Alliant Hospital FL Dunedin $35,666 $27,528 $47,195 760 3,040
Kindred Hospital - Las Vegas (sahara Campus) NV Las Vegas $35,374 $35,374 $35,374 1 1
San Joaquin Valley Rehabilitation Hosp CA Fresno $33,275 $26,272 $41,284 96 376
Encompass Health Rehabilitation Hospital of Braintree at Framingham MA Framingham $31,922 $25,386 $40,001 380 380
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

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