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 →

Export CSV
Payer

Health Net

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.

$612 Overall median paid
463 hospitals
1,108,981 distinct codes
11,878,124 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
       
J1411 HCPCS — $3,710,000 $3,710,000 0% 25 67
J1414 HCPCS — $3,710,000 $3,710,000 0% 5 27
J1413 HCPCS — $3,321,782 $3,325,455 ↓ 0.1% 27 69
J3394 HCPCS — $3,252,508 $3,286,000 ↓ 1.0% 27 71
J3393 HCPCS — $2,968,000 $3,006,423 ↓ 1.3% 27 75
J3399 HCPCS — $2,602,417 $2,469,189 ↑ 5.4% 37 91
J3392 HCPCS — $2,471,920 $2,448,600 ↑ 1.0% 32 86
J9999 HCPCS — $1,879,752 $1,829 ↑ 102681.6% 24 64
Q2042 HCPCS — $591,726 $754,974 ↓ 21.6% 60 191
Q2054 HCPCS — $562,538 $674,188 ↓ 16.6% 58 175
Q2041 HCPCS — $548,900 $634,511 ↓ 13.5% 57 177
18 MS_DRG — $467,555 $370,174 ↑ 26.3% 134 482
1 MS_DRG — $313,528 $265,286 ↑ 18.2% 155 526
927 MS_DRG — $264,141 $206,368 ↑ 28.0% 146 502
3 MS_DRG — $235,545 $202,986 ↑ 16.0% 182 622
C1882 HCPCS — $36,065 $27,112 ↑ 33.0% 105 3,418
C1767 HCPCS — $32,832 $22,478 ↑ 46.1% 111 3,088
C1776 HCPCS — $5,269 $3,432 ↑ 53.5% 135 159,941
C1889 HCPCS — $2,392 $2,393 ↓ 0.0% 142 92,323
C1713 HCPCS — $795 $836 ↓ 5.0% 146 344,670

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
       
HI $4,000 $1,683 $4,000 1 5,297
ND $2,069 $275 $7,421 1 40,030
WA $1,014 $162 $6,914 6 75,669
OK $970 $605 $1,315 6 66,740
ID $921 $200 $3,132 4 49,734
TX $814 $126 $5,528 20 554,872
MA $765 $79 $1,304 2 13,995
CA $612 $74 $4,226 271 8,529,099
OR $612 $89 $3,395 40 995,238
NV $588 $88 $3,513 8 97,327
NC $581 $131 $2,737 3 12,274
AZ $524 $91 $3,455 32 713,575
MI $475 $141 $3,028 1 3,991
MT $393 $121 $2,151 2 6,127
GA $372 $35 $13,865 2 9,067
NJ $313 $42 $3,890 4 35,396
MN $291 $82 $1,228 9 127,728
WI $265 $65 $1,158 8 120,228
LA $265 $54 $2,982 2 28,378
AL $252 $46 $1,214 1 15,502
KS $247 $35 $1,552 3 8,689
IN $231 $55 $946 3 12,484
NY $212 $36 $1,113 1 17,678
ME $194 $51 $673 1 7,787
FL $188 $188 $188 1 2
NH $165 $61 $470 1 10,418
MO $141 $45 $602 1 20,589
CO $137 $30 $498 2 42,527
AR $124 $22 $753 1 42,980
NM $110 $31 $649 6 9,462
IA $101 $28 $458 2 15,135
PA $84 $11 $595 5 68,380
NE $83 $29 $227 2 1,714
VA $69 $14 $718 7 86,351
IL $49 $6 $165 1 27,988
SD $42 $18 $113 3 5,673

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
       
Kindred Hospital - Los Angeles CA Los Angeles $140,170 $129,906 $172,871 2 3
Kindred Hospital Baldwin Park CA Baldwin Park $106,923 $49,621 $170,562 4 4
Kindred Hospital - San Diego CA San Diego $98,011 $65,405 $130,616 2 2
Kentfield Hospital CA Kentfield $71,000 $71,000 $71,000 736 737
Kindred Hospital Paramount CA Paramount $69,676 $28,708 $111,142 4 4
ADVENTIST HEALTH ST HELENA CA Saint Helena $58,991 $28,865 $90,824 34 34
HOAG ORTHOPEDIC INSTITUTE CA Irvine $53,405 $53,384 $53,427 2 2
Vibra Hospital Of Sacramento CA Folsom $52,072 $45,849 $76,314 741 778
Kindred Hospital Santa Ana CA Santa Ana $48,050 $33,650 $68,649 5 5
Kindred Hospital Houston Medical Center TX Houston $47,065 $40,694 $95,704 4 4
Kindred Hospital -- La Mirada CA La Mirada $47,065 $40,694 $95,704 4 4
Kindred Hospital San Gabriel Valley CA West Covina $47,065 $40,694 $95,704 4 4
Vibra Hospital Of Northern California CA Redding $44,301 $39,006 $68,082 745 824
Kindred Hospital Westminster CA Westminster $43,193 $16,548 $57,696 5 10
Encompass Health Rehabilitation Hospital Of Tustin CA Tustin $34,179 $27,181 $42,829 380 380
KECK HOSPITAL OF USC CA Los Angeles $34,016 $19,035 $59,945 890 2,823
Encompass Health Rehabilitaton Hospital Of Bakers CA Bakersfield $33,344 $26,517 $41,783 380 380
San Joaquin Valley Rehabilitation Hosp CA Fresno $33,119 $26,499 $40,916 100 576
South Plains Rehabilitation Hospital, an affiliate of UMC and Encompass Health TX Lubbock $25,110 $19,969 $31,465 380 380
PALOMAR HEALTH DOWNTOWN CAMPUS CA Escondido $24,660 $14,061 $38,903 38 82

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