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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CORVEL

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.

$542 Overall median paid
345 hospitals
5,147,783 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
       
Q2042 HCPCS — $554,382 $753,246 ↓ 26.4% 23 27
Q2056 HCPCS — $552,215 $674,867 ↓ 18.2% 23 27
Q2055 HCPCS — $551,653 $625,184 ↓ 11.8% 22 26
Q2054 HCPCS — $541,322 $673,137 ↓ 19.6% 22 26
Q2041 HCPCS — $512,754 $634,303 ↓ 19.2% 31 36
18 MS_DRG — $380,830 $370,174 ↑ 2.9% 85 100
1 MS_DRG — $263,868 $265,286 ↓ 0.5% 102 123
927 MS_DRG — $221,984 $206,474 ↑ 7.5% 94 109
3 MS_DRG — $200,544 $202,976 ↓ 1.2% 104 121
4 MS_DRG — $132,506 $133,161 ↓ 0.5% 100 117
7 MS_DRG — $123,195 $122,708 ↑ 0.4% 99 120
14 MS_DRG — $119,828 $117,357 ↑ 2.1% 100 119
2 MS_DRG — $112,127 $108,660 ↑ 3.2% 99 120
215 MS_DRG — $105,164 $99,019 ↑ 6.2% 106 126
C1882 HCPCS — $42,159 $27,114 ↑ 55.5% 58 433
C1767 HCPCS — $36,359 $22,481 ↑ 61.7% 61 360
C1722 HCPCS — $36,182 $20,770 ↑ 74.2% 55 359
C1874 HCPCS — $8,064 $4,694 ↑ 71.8% 71 2,190
C1776 HCPCS — $4,293 $3,432 ↑ 25.1% 71 10,067
C1713 HCPCS — $1,166 $836 ↑ 39.4% 79 38,534

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
       
NM $20,745 $12,338 $27,748 2 506
ME $5,889 $5,889 $5,889 1 1
NY $4,096 $615 $10,901 1 3,938
KS $2,550 $329 $5,158 2 18,316
GA $2,388 $252 $9,341 8 52,652
IL $1,830 $413 $6,311 14 319,466
FL $1,653 $209 $4,398 66 984,773
VA $1,390 $200 $9,341 12 56,505
NH $897 $125 $2,552 3 74,715
IA $870 $870 $2,208 1 15,558
MA $819 $84 $1,921 2 12,394
NV $720 $122 $1,738 4 31,878
MO $703 $140 $2,943 9 114,429
NJ $699 $102 $5,637 7 146,276
TX $544 $81 $3,314 66 529,501
PA $543 $82 $2,829 3 54,116
ID $543 $275 $1,755 2 10,574
KY $542 $50 $2,992 13 450,443
DE $513 $75 $2,850 1 25,868
AL $475 $109 $1,747 13 208,302
UT $423 $83 $1,644 18 145,222
IN $394 $82 $1,823 16 1,146,057
WA $328 $92 $1,236 1 8,118
NE $310 $110 $1,133 1 2,573
TN $224 $34 $1,964 11 71,050
CA $206 $36 $1,386 23 236,121
MN $201 $68 $512 4 58,979
AR $159 $13 $1,267 5 29,314
LA $152 $103 $1,142 1 5,685
MS $125 $28 $433 6 57,009
SC $106 $34 $1,041 3 19,869
MI $99 $56 $291 2 14,301
CO $80 $25 $315 3 27,325
OH $58 $18 $336 2 8,635
PR $38 $16 $151 8 700
WI $36 $2 $290 10 197,923
MD $10 $2 $40 1 8,691

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
       
ORLANDO HEALTH MELBOURNE HOSPITAL FL Melbourne $43,162 $37,792 $48,532 2 2
ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL FL Sebastian $43,162 $37,792 $48,532 2 2
BROOKWOOD BAPTIST MEDICAL CENTER AL Vestavia $38,776 $38,776 $38,776 1 1
PORTSMOUTH REGIONAL HOSPITAL NH Portsmouth $28,615 $20,354 $38,555 687 687
Clearsky Rehabilitation Hospital Of Rio Rancho Llc NM Rio Rancho $23,953 $19,049 $30,016 380 380
LEWISGALE MEDICAL CENTER VA Salem $23,083 $14,616 $33,751 761 761
RESTON HOSPITAL CENTER VA Reston $17,668 $13,243 $27,665 760 760
STONESPRINGS HOSPITAL CENTER VA Dulles $17,668 $13,243 $27,442 760 760
ORLANDO HEALTH ST CLOUD HOSPITAL FL Saint Cloud $14,217 $14,217 $14,217 1 1
SILVER CROSS HOSPITAL AND MEDICAL CENTERS IL New Lenox $7,726 $1,393 $20,800 1,062 1,062
LAFAYETTE REGIONAL HEALTH CENTER MO Lexington $7,542 $6,025 $9,119 655 655
Orlando Health Dr. P. Phillips Hospital FL Orlando $7,049 $2,079 $34,543 10 10
ST MARY'S REGIONAL MEDICAL CENTER ME Lewiston $5,889 $5,889 $5,889 1 1
SAINT JOSEPH MEDICAL CENTER IL Joliet $5,501 $356 $16,775 2,198 2,255
NORTHSIDE HOSPITAL GWINNETT GA Lawrenceville $5,364 $628 $11,961 7,223 7,913
NORTHSIDE HOSPITAL GA Atlanta $5,364 $628 $11,953 7,230 7,919
NORTHSIDE HOSPITAL FORSYTH GA Cumming $5,364 $628 $11,953 7,230 7,919
NORTHSIDE HOSPITAL DULUTH GA Duluth $5,364 $628 $11,961 7,223 7,913
NORTHSIDE HOSPITAL CHEROKEE GA Canton $5,364 $628 $11,953 7,230 7,919
DECATUR MEMORIAL HOSPITAL IL Decatur $4,616 $1,309 $8,996 50,425 90,776

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