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

Healthfirst

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.

$582 Overall median paid
92 hospitals
289,021 distinct codes
6,914,665 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 — $4,345,922 $3,710,000 ↑ 17.1% 6 20
J1414 HCPCS — $4,265,580 $3,710,000 ↑ 15.0% 2 12
J1413 HCPCS — $3,934,811 $3,325,455 ↑ 18.3% 6 20
J3394 HCPCS — $3,888,127 $3,286,000 ↑ 18.3% 5 17
J3393 HCPCS — $3,511,856 $3,006,423 ↑ 16.8% 5 17
J3399 HCPCS — $2,826,304 $2,469,189 ↑ 14.5% 6 20
J3392 HCPCS — $2,676,536 $2,448,600 ↑ 9.3% 7 27
Q2057 HCPCS — $755,208 $824,563 ↓ 8.4% 19 73
Q2042 HCPCS — $566,758 $754,974 ↓ 24.9% 18 75
Q2056 HCPCS — $542,311 $675,122 ↓ 19.7% 19 71
Q2054 HCPCS — $530,803 $674,188 ↓ 21.3% 19 71
Q2055 HCPCS — $530,435 $625,184 ↓ 15.2% 19 71
Q2041 HCPCS — $522,415 $634,511 ↓ 17.7% 21 76
Q2053 HCPCS — $479,926 $620,080 ↓ 22.6% 17 61
18 MS_DRG — $443,869 $370,174 ↑ 19.9% 33 106
24 APR_DRG — $336,542 $234,738 ↑ 43.4% 15 94
1 MS_DRG — $331,612 $265,286 ↑ 25.0% 34 106
927 MS_DRG — $274,997 $206,368 ↑ 33.3% 33 98
3 MS_DRG — $253,856 $202,986 ↑ 25.1% 39 120
5834 APR_DRG — $239,385 $309,665 ↓ 22.7% 15 99

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
       
FL $26,563 $13,113 $35,504 1 6
ID $4,467 $768 $12,500 1 5,387
NH $4,228 $4,228 $4,228 1 1
MT $1,062 $264 $4,294 1 1,880
NC $600 $600 $600 1 1
NY $582 $120 $2,056 51 6,708,917
TX $292 $52 $1,599 11 36,191
MN $286 $80 $1,197 9 63,585
WI $280 $69 $1,223 7 57,295
NJ $249 $65 $1,207 4 31,634
OK $201 $24 $1,017 5 9,768

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
       
NY EYE AND EAR INFIRMARY OF MOUNT SINAI NY New York $326,862 $316,840 $341,937 876 876
Henry J Carter Specialty Hospital NY New York $53,688 $47,271 $78,681 745 2,235
Winifred Masterson Burke Rehabilitation Hospital NY White Plains $32,329 $298 $43,432 465 2,554
Kindred Hospital Melbourne FL Melbourne $26,563 $13,113 $35,504 6 6
NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. NY Brooklyn $13,390 $7,786 $21,493 843 1,099
MOUNT SINAI WEST NY New York $11,027 $134 $23,071 2,996 6,158
MAIMONIDES MEDICAL CENTER NY Brooklyn $4,809 $383 $17,815 11,632 17,347
PORTNEUF MEDICAL CENTER ID Pocatello $4,467 $768 $12,500 1,880 5,387
SUNY/STONY BROOK UNIVERSITY HOSPITAL NY Stony Brook $4,255 $2,267 $18,741 10,088 110,270
ST JOSEPH HOSPITAL NH Nashua $4,228 $4,228 $4,228 1 1
ST JOHN'S RIVERSIDE HOSPITAL NY Yonkers $3,783 $3,783 $5,834 9,189 24,085
MOUNT SINAI HOSPITAL NY New York $2,400 $38 $19,875 3,009 4,648
SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN NY Brooklyn $2,006 $194 $16,977 2,562 23,568
NEW YORK-PRESBYTERIAN HOSPITAL NY New York $1,521 $287 $7,562 5,437 40,440
MONTEFIORE ST LUKE'S CORNWALL NY Newburgh $1,341 $263 $5,982 12,760 55,995
JAMAICA HOSPITAL MEDICAL CENTER NY Jamaica $1,206 $266 $1,206 12,946 100,628
NASSAU UNIVERSITY MEDICAL CENTER NY East Meadow $1,135 $250 $19,834 3,070 6,142
GLENDIVE MEDICAL CENTER MT Glendive $1,062 $264 $4,294 1,880 1,880
PHELPS HOSPITAL NY Sleepy Hollow $1,028 $364 $2,168 54,448 323,932
LONG ISLAND JEWISH MEDICAL CENTER NY New Hyde Park $1,028 $365 $2,171 54,448 323,932

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