Price Transparencybeta 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

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.

$637 Overall median paid
500 hospitals
13,945,144 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 Inj, Hemgenix, Per Tx Dose $3,710,000 $3,685,267 ↑ 0.7% 30 73
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,321,782 $3,325,455 ↓ 0.1% 31 72
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,252,508 $3,248,446 ↑ 0.1% 30 72
J3393 HCPCS Inj, Betibeglogene Autotemce $2,968,000 $2,968,000 0% 30 76
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,602,417 $2,455,111 ↑ 6.0% 43 97
J3392 HCPCS Inj, Exagamglogene Autotem $2,471,920 $2,332,000 ↑ 6.0% 37 87
Q2042 HCPCS Tisagenlecleucel Car-pos T $623,302 $621,313 ↑ 0.3% 63 189
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $498,402 $168,055 ↑ 196.6% 171 566
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $327,253 $186,516 ↑ 75.5% 184 601
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $264,141 $131,925 ↑ 100.2% 178 592
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $236,677 $145,435 ↑ 62.7% 216 697
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures $156,530 $97,418 ↑ 60.7% 215 689
C1882 HCPCS — $36,006 $24,131 ↑ 49.2% 144 5,173
C1767 HCPCS — $33,548 $25,172 ↑ 33.3% 141 4,636
C1721 HCPCS — $30,688 $19,958 ↑ 53.8% 138 4,143
C1722 HCPCS — $29,388 $19,800 ↑ 48.4% 143 4,005
C1874 HCPCS — $5,376 $5,596 ↓ 3.9% 167 20,826
C1776 HCPCS — $4,741 $3,543 ↑ 33.8% 187 220,820
C1889 HCPCS — $2,402 $1,642 ↑ 46.3% 187 127,632
C1713 HCPCS — $793 $1,045 ↓ 24.2% 204 513,885

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
       
SD $42 $18 $113 3 5,673
IL $46 $6 $154 1 46,176
VA $70 $14 $722 7 86,246
NY $119 $5 $9,296 1 2,162
AR $124 $22 $753 1 42,960
IA $134 $35 $571 2 12,449
CO $138 $30 $500 3 42,468
NM $155 $38 $766 6 13,440
NH $165 $61 $470 1 10,418
MT $169 $43 $933 4 13,895
MO $171 $42 $1,528 5 24,259
ME $194 $51 $674 1 15,564
MI $237 $78 $1,553 1 4,329
AL $252 $46 $1,214 1 15,502
WI $266 $64 $1,171 9 125,272
NE $272 $136 $438 1 53
LA $288 $55 $3,014 3 27,526
IN $288 $63 $1,543 4 13,582
MN $291 $82 $1,228 9 127,728
GA $372 $35 $13,865 2 9,067
PA $380 $85 $2,218 4 15,914
NC $461 $100 $2,471 3 12,967
FL $479 $120 $1,703 3 51,782
RI $507 $507 $507 1 1
NJ $536 $71 $4,002 5 44,442
OR $567 $88 $2,969 45 1,072,501
NV $577 $86 $3,513 8 97,091
CA $637 $78 $4,078 285 10,017,794
AZ $652 $108 $4,019 31 558,684
MA $765 $79 $1,304 3 27,978
TX $849 $141 $5,321 24 1,123,906
ID $943 $199 $3,158 4 48,967
OK $970 $605 $1,315 6 65,366
WA $1,157 $147 $6,573 7 76,897
ND $1,810 $270 $6,691 1 38,390
KS $1,849 $175 $6,300 4 50,110
HI $4,000 $221 $5,849 1 3,585

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
       
PENNSYLVANIA HOSPITAL PA Philadelphia $213,312 $213,312 $213,312 3 3
Kindred Hospital - Los Angeles CA Los Angeles $140,170 $129,906 $172,871 2 3
Sonoma Specialty Hospital CA Sebastopol $136,027 $100,882 $204,343 64 220
Central Valley Specialty Hospital CA Modesto $118,179 $86,200 $167,461 65 129
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
Kindred Hospital Paramount CA Paramount $69,676 $28,708 $111,142 4 4
Kentfield Hospital CA Kentfield $55,986 $48,870 $79,523 736 742
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 -- La Mirada CA La Mirada $48,050 $33,650 $68,649 5 5
Kindred Hospital Santa Ana CA Santa Ana $48,050 $33,650 $68,649 5 5
Kindred Hospital San Gabriel Valley CA West Covina $48,050 $33,650 $68,649 5 5
Vibra Hospital Of Northern California CA Redding $44,301 $39,006 $65,500 741 808
Kindred Hospital Westminster CA Westminster $43,193 $16,548 $57,696 5 5
Encompass Health Rehabilitation Hospital Of Modest CA Modesto $35,150 $27,953 $44,046 380 380
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
San Joaquin Valley Rehabilitation Hosp CA Fresno $33,119 $26,499 $40,916 100 576
Encompass Health Rehabilitation Hospital Of Murrie CA Murrieta $32,022 $25,466 $40,126 380 380

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