Payer

Harvard Pilgrim Health Care

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.

$397 Overall median paid

193 hospitals

3,390,947 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

C1713	HCPCS	—	$781	$1,045	↓ 25.3%	92	180,761
C1776	HCPCS	—	$2,933	$3,543	↓ 17.2%	78	46,945
C1874	HCPCS	—	$5,442	$5,596	↓ 2.7%	53	6,770
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	$443,044	$186,516	↑ 137.5%	36	86
Q2053	HCPCS	Brexucabtagene Car Pos T	$489,450	$513,770	↓ 4.7%	25	86
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	$533,230	$562,501	↓ 5.2%	28	90
Q2055	HCPCS	Idecabtagene Vicleucel Car	$558,082	$574,037	↓ 2.8%	25	86
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	$562,538	$579,571	↓ 2.9%	25	86
Q2056	HCPCS	Ciltacabtagene Car-pos T	$587,650	$599,737	↓ 2.0%	25	85
Q2042	HCPCS	Tisagenlecleucel Car-pos T	$591,726	$621,313	↓ 4.8%	24	91
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	$651,293	$168,055	↑ 287.5%	36	86
Q2057	HCPCS	Afamitresgene Autoleucel	$770,620	$813,967	↓ 5.3%	16	42
J3399	HCPCS	Inj Onase Abepar-xioi Treat	$2,146,250	$2,455,111	↓ 12.6%	28	85
J3392	HCPCS	Inj, Exagamglogene Autotem	$2,244,000	$2,332,000	↓ 3.8%	20	68
J3393	HCPCS	Inj, Betibeglogene Autotemce	$2,856,000	$2,968,000	↓ 3.8%	21	70
J3394	HCPCS	Inj, Lovotibeglogene Autotem	$3,162,000	$3,248,446	↓ 2.7%	21	64
J1413	HCPCS	Inj Delandistrogene Mox Rokl	$3,264,000	$3,325,455	↓ 1.8%	23	68
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	$3,570,000	$3,685,267	↓ 3.1%	21	55
J1414	HCPCS	Inj, Beqvez, Per Tx Dose	$3,570,000	$3,508,750	↑ 1.7%	18	49
J3391	HCPCS	Inj, Atidarsagene Autotemcel	$4,335,000	$4,505,000	↓ 3.8%	13	22

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

NJ	$2,135	$157	$7,984	6	122,107
CO	$700	$173	$800	1	10
FL	$595	$152	$2,158	2	44,194
NH	$573	$120	$2,137	23	1,199,449
NV	$406	$136	$1,225	1	4,232
MA	$397	$78	$2,589	63	860,546
OR	$386	$174	$2,467	1	783
ND	$383	$54	$2,460	1	7,233
ME	$356	$81	$1,943	33	432,867
RI	$340	$34	$5,688	12	101,815
NY	$300	$63	$1,415	8	176,951
MN	$278	$78	$1,184	9	63,925
WI	$270	$67	$1,187	7	57,360
VT	$266	$69	$947	12	145,152
AL	$238	$51	$861	2	8,184
MT	$166	$64	$833	2	5,219
KS	$101	$28	$171	1	11
OH	$68	$61	$93	1	8
CT	$41	$4	$396	8	160,901

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

EMMA PENDLETON BRADLEY HOSPITAL	RI	East Providence	$54,325	$43,008	$120,795	3	3
Encompass Health Braintree Hospital Of Braintree	MA	Braintree	$31,922	$25,386	$40,001	380	760
Encompass Health Rehabilitation Hospital of New England	MA	Woburn	$30,424	$24,195	$38,124	380	1,140
Healthsouth/maine Medical Center, Llc	ME	Portland	$28,018	$22,282	$35,109	380	380
Encompass Health Rehab Hospital Of Western Mass	MA	Ludlow	$27,814	$22,120	$34,854	380	380
HOSPITAL FOR SPECIAL SURGERY	NY	New York	$11,659	$4,854	$22,938	1,422	3,054
SOUTH SHORE HOSPITAL	MA	South Weymouth	$11,461	$4,675	$21,998	348	541
ST JOSEPH HOSPITAL	NH	Nashua	$7,611	$1,582	$13,587	154	263
KERALTY HOSPITAL	FL	Miami	$7,594	$66	$14,582	1,850	5,340
BAYSTATE MEDICAL CENTER	MA	Springfield	$7,225	$1,478	$18,702	188	188
MIDDLESEX HOSPITAL	CT	Middletown	$6,995	$3,878	$13,553	25	25
NORTHERN LIGHT C A DEAN HOSPITAL	ME	Greenville	$5,310	$110	$32,175	9,740	11,029
SPEARE MEMORIAL HOSPITAL	NH	Plymouth	$4,478	$1,937	$8,459	43	43
THE MIRIAM HOSPITAL	RI	Providence	$4,052	$298	$12,956	10,834	21,850
SOUTHERN NH MEDICAL CENTER	NH	Nashua	$3,927	$257	$10,030	7,751	31,094
LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON	MA	Burlington	$3,408	$315	$11,786	10,068	10,068
Beth Israel Deaconess Med Ctr - Transplant Center	MA	Boston	$3,361	$311	$11,627	10,120	10,120
THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON	MA	Boston	$3,279	$118	$14,970	2,265	2,302
BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM	MA	Needham	$3,161	$308	$10,457	9,902	19,804
NEWTON MEDICAL CENTER	NJ	Newton	$3,133	$185	$8,305	6,902	21,950

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