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

EMPLOYER DIRECT HEALTHCARE

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.

$536 Overall median paid
111 hospitals
56,965 distinct codes
600,071 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
       
J1414 HCPCS — $4,180,339 $3,710,000 ↑ 12.7% 3 5
J1411 HCPCS — $4,180,339 $3,710,000 ↑ 12.7% 3 5
J1413 HCPCS — $3,742,904 $3,325,455 ↑ 12.6% 3 5
J3394 HCPCS — $3,597,796 $3,286,000 ↑ 9.5% 3 5
J3393 HCPCS — $3,344,271 $3,006,423 ↑ 11.2% 3 5
J3399 HCPCS — $2,708,160 $2,469,189 ↑ 9.7% 3 5
J3392 HCPCS — $2,627,642 $2,448,600 ↑ 7.3% 3 5
18 MS_DRG — $458,573 $370,174 ↑ 23.9% 45 97
1 MS_DRG — $315,308 $265,286 ↑ 18.9% 46 97
927 MS_DRG — $242,978 $206,368 ↑ 17.7% 46 94
3 MS_DRG — $239,675 $202,986 ↑ 18.1% 46 97
4 MS_DRG — $157,617 $133,176 ↑ 18.4% 46 96
7 MS_DRG — $146,185 $122,708 ↑ 19.1% 46 96
14 MS_DRG — $138,558 $117,303 ↑ 18.1% 46 97
2 MS_DRG — $125,569 $108,660 ↑ 15.6% 47 98
212 MS_DRG — $124,420 $102,358 ↑ 21.6% 46 96
5 MS_DRG — $118,253 $100,136 ↑ 18.1% 46 98
215 MS_DRG — $114,913 $99,019 ↑ 16.1% 46 98
216 MS_DRG — $111,337 $93,672 ↑ 18.9% 46 96
456 MS_DRG — $95,028 $81,118 ↑ 17.1% 46 97

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
       
NE $29,471 $25,593 $38,608 1 32
VA $19,500 $14,000 $19,500 2 30
SC $18,400 $16,400 $18,400 1 36
GA $1,236 $130 $14,887 3 5,976
NJ $779 $93 $10,006 3 28,461
KS $721 $113 $8,814 2 15,374
CA $673 $52 $11,043 16 98,578
RI $585 $82 $5,840 1 4,138
TX $583 $74 $4,315 28 131,238
AL $537 $72 $6,147 1 12,312
OH $536 $51 $8,210 3 11,756
MO $525 $59 $4,996 2 8,751
IN $523 $55 $8,463 1 5,918
PA $513 $64 $5,140 3 27,903
MI $498 $58 $7,519 2 24,087
NV $376 $49 $4,166 1 10,494
MN $286 $80 $1,197 9 63,585
WI $280 $69 $1,223 7 57,295
FL $226 $35 $770 24 94,063
OK $100 $100 $100 1 44

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
       
NEBRASKA ORTHOPAEDIC HOSPITAL NE Omaha $29,471 $25,593 $38,608 16 32
ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL FL Sebastian $22,544 $14,864 $53,598 30 30
ORLANDO HEALTH MELBOURNE HOSPITAL FL Melbourne $22,544 $14,864 $53,598 30 30
VALLEY REGIONAL MEDICAL CENTER TX Brownsville $19,600 $15,000 $19,600 15 15
CORPUS CHRISTI MEDICAL CENTER,THE TX Corpus Christi $19,600 $15,000 $19,600 15 60
HCA HOUSTON HEALTHCARE NORTH CYPRESS TX Cypress $19,600 $15,000 $19,600 15 15
MEDICAL CITY NORTH HILLS TX North Richland Hills $19,600 $16,000 $19,600 15 15
HCA HOUSTON HEALTHCARE MEDICAL CENTER TX Houston $19,600 $15,000 $19,600 15 15
HCA HOUSTON HEALTHCARE SOUTHEAST TX Pasadena $19,600 $15,000 $19,600 15 15
MEDICAL CITY FORT WORTH TX Fort Worth $19,600 $16,000 $19,600 15 15
MEDICAL CITY LAS COLINAS TX Irving $19,600 $16,000 $19,600 15 15
Trinity Regional Hospital Sachse TX Sachse $19,600 $16,000 $19,600 15 15
HCA HOUSTON HEALTHCARE CLEAR LAKE TX Webster $19,600 $15,000 $19,600 15 15
MEDICAL CITY ARLINGTON TX Arlington $19,600 $16,000 $19,600 15 15
HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST TX Pasadena $19,600 $15,000 $19,600 15 15
HCA FLORIDA SOUTH TAMPA HOSPITAL FL Tampa $19,500 $15,400 $19,500 15 15
HCA FLORIDA WOODMONT HOSPITAL FL Tamarac $19,500 $14,000 $19,500 15 15
RESTON HOSPITAL CENTER VA Reston $19,500 $14,000 $19,500 15 15
UNIVERSITY HOSPITAL AND MEDICAL CENTER FL Tamarac $19,500 $14,000 $19,500 15 15
HENRICO DOCTORS' HOSPITAL VA Richmond $19,500 $14,000 $19,500 15 15

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