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

Healthcare Highways

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.

$448 Overall median paid
161 hospitals
604,973 distinct codes
5,857,169 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 — $4,079,544 $3,710,000 ↑ 10.0% 7 9
J1411 HCPCS — $3,932,600 $3,710,000 ↑ 6.0% 9 15
J1413 HCPCS — $3,622,772 $3,325,455 ↑ 8.9% 9 12
J3394 HCPCS — $3,497,104 $3,286,000 ↑ 6.4% 9 12
J3399 HCPCS — $3,407,696 $2,469,189 ↑ 38.0% 26 45
J3392 HCPCS — $3,319,672 $2,448,600 ↑ 35.6% 25 41
J3393 HCPCS — $3,236,934 $3,006,423 ↑ 7.7% 9 12
Q2056 HCPCS — $1,117,963 $675,122 ↑ 65.6% 31 53
Q2042 HCPCS — $1,103,340 $754,974 ↑ 46.1% 27 47
Q2055 HCPCS — $1,023,097 $625,184 ↑ 63.6% 31 53
Q2054 HCPCS — $1,000,547 $674,188 ↑ 48.4% 31 53
Q2053 HCPCS — $918,283 $620,080 ↑ 48.1% 31 53
18 MS_DRG — $525,405 $370,174 ↑ 41.9% 65 96
1 MS_DRG — $341,580 $265,286 ↑ 28.8% 68 105
3 MS_DRG — $258,247 $202,986 ↑ 27.2% 71 104
C1882 HCPCS — $60,986 $27,112 ↑ 124.9% 30 686
C1721 HCPCS — $43,095 $22,210 ↑ 94.0% 34 705
C1874 HCPCS — $8,989 $4,694 ↑ 91.5% 46 4,731
C1776 HCPCS — $6,454 $3,432 ↑ 88.0% 52 45,409
C1713 HCPCS — $2,209 $836 ↑ 164.2% 57 95,806

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
       
LA $1,282 $127 $3,522 5 116,516
TX $1,269 $174 $4,988 88 1,983,488
ID $988 $166 $4,564 1 42,644
OK $448 $448 $448 63 3,690,454
NJ $399 $75 $8,114 2 3,877
KS $218 $100 $578 1 12,180
AR $138 $33 $457 1 8,010

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
       
SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE OK Shawnee $16,480 $10,814 $26,175 824 1,605
INTEGRIS COMMUNITY HOSPITAL - COUNCIL CROSSING OK Oklahoma City $15,060 $9,173 $24,448 893 3,522
SAINT FRANCIS HOSPITAL, INC OK Tulsa $13,948 $4,926 $30,665 240 240
NORMAN REGIONAL OK Norman $8,507 $3,832 $14,976 120 166
LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, INC OK Tulsa $7,736 $3,754 $69,524 8 8
SAINT FRANCIS HOSPITAL SOUTH, LLC OK Tulsa $7,003 $1,802 $16,541 82 82
SAINT FRANCIS HOSPITAL MUSKOGEE OK Muskogee $5,792 $1,120 $17,229 46 46
INTEGRIS HEALTH ENID HOSPITAL OK Enid $5,610 $4,093 $6,841 9,288 27,828
Integris Baptist Medical Center OK Oklahoma City $5,610 $4,093 $6,841 9,362 28,081
INTEGRIS CANADIAN VALLEY HOSPITAL OK Yukon $5,610 $4,093 $6,841 9,306 27,894
INTEGRIS HEALTH EDMOND HOSPITAL OK Edmond $5,610 $4,093 $6,841 9,317 27,905
METHODIST HOSPITAL STONE OAK TX San Antonio $5,498 $2,924 $11,113 7,314 7,315
METHODIST HOSPITAL TX San Antonio $5,498 $2,924 $11,113 7,317 21,945
HILL COUNTRY MEMORIAL HOSPITAL TX Fredericksburg $5,498 $2,924 $11,113 7,312 7,313
METHODIST HOSPITAL ATASCOSA TX Jourdanton $5,498 $2,924 $11,113 7,313 7,314
SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST OK Midwest City $4,923 $1,324 $13,259 51 102
INTEGRIS HEALTH PONCA CITY OK Ponca City $4,504 $2,990 $4,504 9,266 9,268
ALLIANCEHEALTH WOODWARD OK Woodward $4,504 $2,990 $4,504 9,262 9,264
INTEGRIS MIAMI HOSPITAL OK Miami $4,053 $2,691 $4,504 9,265 37,060
INTEGRIS GROVE HOSPITAL OK Grove $4,053 $2,691 $4,504 9,268 18,535

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