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

Clear Spring Health

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.

$318 Overall median paid
148 hospitals
210,810 distinct codes
879,258 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 — $4,865,400 $4,505,000 ↑ 8.0% 5 5
J1411 HCPCS — $3,980,088 $3,710,000 ↑ 7.3% 8 9
J1413 HCPCS — $3,581,780 $3,325,455 ↑ 7.7% 8 9
J3394 HCPCS — $3,508,321 $3,286,000 ↑ 6.8% 8 9
J3393 HCPCS — $3,181,399 $3,006,423 ↑ 5.8% 8 9
J3399 HCPCS — $2,651,197 $2,469,189 ↑ 7.4% 8 9
J3392 HCPCS — $2,518,560 $2,448,600 ↑ 2.9% 8 9
18 MS_DRG — $333,394 $370,174 ↓ 9.9% 75 96
1 MS_DRG — $220,944 $265,286 ↓ 16.7% 92 120
927 MS_DRG — $177,635 $206,368 ↓ 13.9% 66 85
3 MS_DRG — $168,133 $202,986 ↓ 17.2% 96 126
4 MS_DRG — $110,356 $133,176 ↓ 17.1% 96 126
7 MS_DRG — $104,333 $122,708 ↓ 15.0% 75 95
14 MS_DRG — $100,421 $117,303 ↓ 14.4% 77 98
426 MS_DRG — $87,045 $98,905 ↓ 12.0% 82 105
212 MS_DRG — $86,437 $102,358 ↓ 15.6% 93 124
5 MS_DRG — $82,593 $100,136 ↓ 17.5% 92 122
215 MS_DRG — $80,305 $99,019 ↓ 18.9% 96 127
216 MS_DRG — $77,602 $93,672 ↓ 17.2% 97 129
231 MS_DRG — $67,349 $79,312 ↓ 15.1% 97 128

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
       
MO $1,694 $178 $4,943 1 8,286
AZ $1,276 $93 $7,738 1 3,057
GA $1,228 $184 $10,953 31 96,228
CO $519 $105 $2,291 15 64,621
WV $482 $127 $1,424 2 79,379
TX $481 $120 $5,123 1 2,058
VA $339 $40 $3,327 17 153,436
FL $318 $40 $2,973 45 329,727
WI $209 $29 $1,643 2 6,527
IL $207 $30 $3,679 33 135,939

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
       
WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL GA Augusta $18,986 $13,746 $28,752 796 805
WELLSTAR COBB MEDICAL CENTER GA Austell $17,998 $13,330 $25,846 812 840
WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER GA Marietta $17,706 $12,350 $26,672 823 884
WELLSTAR DOUGLAS MEDICAL CENTER GA Douglasville $16,763 $12,035 $24,749 795 816
PIEDMONT ROCKDALE HOSPITAL GA Conyers $16,055 $11,476 $24,492 623 1,246
WELLSTAR SPALDING MEDICAL CENTER GA Griffin $15,846 $11,132 $23,887 793 812
WELLSTAR WEST GEORGIA MEDICAL CENTER GA Lagrange $15,826 $11,292 $23,862 785 789
PIEDMONT COLUMBUS REGIONAL MIDTOWN GA Columbus $15,763 $11,161 $23,921 616 1,234
JAVON BEA HOSPITAL IL Rockford $15,477 $9,938 $24,571 824 865
PIEDMONT HENRY HOSPITAL GA Stockbridge $15,393 $10,758 $23,534 631 1,266
PIEDMONT EASTSIDE MEDICAL CENTER GA Snellville $15,301 $10,537 $24,466 636 1,274
Endeavor Health Glenbrook Hospital IL Glenview $15,256 $9,799 $24,902 794 1,601
NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL IL Evanston $15,223 $9,786 $24,649 794 804
Skokie Hospital IL Skokie $15,223 $9,786 $24,649 794 804
Endeavor Health Highland Park Hospital IL Highland Park $15,223 $9,786 $24,649 794 804
PIEDMONT CARTERSVILLE MEDICAL CENTER GA Cartersville $15,213 $10,580 $23,675 640 1,282
PIEDMONT WALTON HOSPITAL GA Monroe $15,121 $10,511 $23,273 636 636
PIEDMONT NEWTON HOSPITAL GA Covington $15,054 $10,566 $23,176 673 1,926
PIEDMONT NEWNAN HOSPITAL, INC GA Newnan $14,810 $10,269 $22,651 650 650
PIEDMONT ATHENS REGIONAL MEDICAL CENTER GA Athens $14,748 $10,359 $22,961 653 655

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