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
1,721 hospitals
32,588,696 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
       
Q2057 HCPCS Afamitresgene Autoleucel $1,094,280 $813,967 ↑ 34.4% 160 227
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $798,288 $607,251 ↑ 31.5% 305 523
Q2053 HCPCS Brexucabtagene Car Pos T $694,813 $589,091 ↑ 17.9% 300 504
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $418,666 $360,195 ↑ 16.2% 627 1,118
Q2056 HCPCS Ciltacabtagene Car-pos T $803,534 $646,415 ↑ 24.3% 292 477
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $215,473 $190,274 ↑ 13.2% 720 1,350
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $233,813 $197,664 ↑ 18.3% 651 1,156
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $283,613 $247,805 ↑ 14.5% 674 1,223
Q2055 HCPCS Idecabtagene Vicleucel Car $791,391 $621,967 ↑ 27.2% 295 504
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,648,109 $3,324,572 ↑ 9.7% 148 264
J3399 HCPCS Inj Onase Abepar-xioi Treat $3,238,622 $2,467,989 ↑ 31.2% 208 316
J1414 HCPCS Inj, Beqvez, Per Tx Dose $3,694,014 $3,710,000 ↓ 0.4% 44 64
J3393 HCPCS Inj, Betibeglogene Autotemce $3,746,358 $2,983,626 ↑ 25.6% 125 174
J3392 HCPCS Inj, Exagamglogene Autotem $3,311,440 $2,401,960 ↑ 37.9% 156 215
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,801,452 $3,691,450 ↑ 3.0% 96 145
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,986,334 $3,286,000 ↑ 21.3% 113 160
Q2054 HCPCS Lisocabtagene Mara Car Pos T $798,410 $637,620 ↑ 25.2% 294 507
Q2042 HCPCS Tisagenlecleucel Car-pos T $897,376 $739,658 ↑ 21.3% 306 573
C1776 HCPCS — $2,108 $3,388 ↓ 37.8% 457 253,921
C1713 HCPCS — $517 $867 ↓ 40.4% 543 967,106

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
WV $3,075 $150 $12,789 2 10,505
HI $2,977 $113 $12,444 1 2,681
AK $1,605 $648 $6,335 2 25
ND $1,563 $260 $7,701 1 27,276
NY $1,206 $337 $3,351 104 8,179,857
DE $912 $146 $5,304 5 38,996
FL $891 $95 $6,590 78 1,092,545
SC $844 $156 $3,715 48 769,629
TX $820 $124 $2,876 126 1,063,519
NM $820 $136 $4,923 14 58,892
AZ $764 $108 $4,958 43 305,441
CA $693 $113 $2,665 35 1,017,550
TN $621 $85 $2,088 86 1,407,458
WA $578 $119 $2,415 59 3,484,786
WI $573 $95 $3,791 24 250,443
NV $564 $77 $2,626 27 310,209
IL $548 $122 $2,351 63 1,143,642
AL $538 $82 $4,782 44 344,563
IN $504 $71 $2,703 52 270,516
MO $466 $71 $2,978 56 448,193
OH $462 $91 $3,124 23 236,632
NJ $448 $60 $5,220 12 203,086
MN $431 $103 $2,508 15 72,909
PA $382 $50 $3,460 122 1,447,247
WY $381 $107 $993 2 12,791
MS $381 $61 $2,882 46 369,862
NH $349 $72 $1,337 17 391,284
OR $311 $63 $1,510 15 88,455
UT $308 $54 $1,310 6 41,059
MI $289 $65 $1,591 22 177,314
VT $286 $65 $988 1 114,764
NE $273 $55 $1,725 60 1,636,325
LA $269 $32 $2,438 42 143,796
CO $269 $68 $1,000 3 15,949
AR $256 $33 $2,000 68 774,616
KY $256 $46 $2,496 10 75,557
IA $254 $55 $1,311 79 1,348,275
OK $249 $31 $2,740 32 81,740
MT $245 $70 $1,047 5 29,656
GA $239 $41 $1,670 128 2,632,848
ID $227 $50 $1,122 6 17,461
NC $210 $51 $821 58 1,535,535
VA $208 $13 $1,162 8 85,710
KS $196 $37 $998 61 677,340
MA $191 $52 $817 7 105,145
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 South Florida - Hollywood FL Hollywood $86,280 $39,481 $101,814 5 5
Henry J Carter Specialty Hospital NY New York $69,660 $53,934 $125,224 7 14
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
Okc-amg Specialty Hospital OK Oklahoma City $46,869 $39,873 $67,078 61 61
Kindred Hospital - Chattanooga TN Chattanooga $44,259 $28,337 $84,461 9 9
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

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