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

Humana

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.

$396 Overall median paid
3,953 hospitals
81,255,984 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
       
J3391 HCPCS Inj, Atidarsagene Autotemcel $4,505,000 $4,505,000 0% 267 372
J1414 HCPCS Inj, Beqvez, Per Tx Dose $3,710,000 $3,710,000 0% 187 340
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,691,450 $3,705,478 ↓ 0.4% 442 799
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,322,473 $3,324,572 ↓ 0.1% 451 895
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,261,355 $3,286,000 ↓ 0.8% 436 727
J3393 HCPCS Inj, Betibeglogene Autotemce $2,968,000 $2,994,107 ↓ 0.9% 434 722
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,455,111 $2,467,989 ↓ 0.5% 478 939
J3392 HCPCS Inj, Exagamglogene Autotem $2,332,000 $2,401,965 ↓ 2.9% 417 706
Q2042 HCPCS Tisagenlecleucel Car-pos T $577,862 $739,658 ↓ 21.9% 693 1,591
Q2056 HCPCS Ciltacabtagene Car-pos T $565,869 $646,415 ↓ 12.5% 619 1,260
Q2054 HCPCS Lisocabtagene Mara Car Pos T $562,201 $640,950 ↓ 12.3% 649 1,390
Q2055 HCPCS Idecabtagene Vicleucel Car $557,318 $623,527 ↓ 10.6% 641 1,365
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $532,192 $608,239 ↓ 12.5% 676 1,397
Q2053 HCPCS Brexucabtagene Car Pos T $489,450 $592,235 ↓ 17.4% 635 1,285
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $318,360 $359,244 ↓ 11.4% 1,552 3,345
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $216,320 $248,541 ↓ 13.0% 1,526 3,405
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $163,703 $190,359 ↓ 14.0% 1,812 4,097
C1882 HCPCS — $35,888 $27,303 ↑ 31.4% 687 19,976
C1776 HCPCS — $3,876 $3,394 ↑ 14.2% 1,048 749,980
C1713 HCPCS — $906 $864 ↑ 4.9% 1,204 2,467,125

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
       
NV $2,516 $499 $7,994 32 808,768
UT $995 $423 $2,610 47 3,268,762
SC $927 $160 $3,284 70 1,794,315
ID $825 $165 $2,991 27 489,434
TX $764 $107 $3,958 430 13,114,139
AZ $750 $125 $3,531 90 1,146,485
CA $746 $93 $4,215 180 2,305,011
MD $721 $171 $2,664 17 2,617,275
DE $650 $177 $2,519 5 141,072
SD $590 $115 $3,798 13 112,400
AK $524 $41 $19,820 1 15,450
TN $488 $68 $2,816 109 3,357,201
NM $476 $87 $3,424 33 259,928
NJ $473 $78 $3,982 52 568,877
WV $461 $89 $2,331 53 756,305
OK $448 $136 $546 104 1,138,042
GA $426 $77 $3,514 122 1,683,305
PA $419 $77 $3,234 145 1,315,329
AL $410 $82 $2,453 77 1,277,959
NE $399 $85 $2,462 40 594,263
NY $399 $63 $2,892 101 1,122,442
FL $396 $56 $2,942 228 8,968,593
CT $385 $61 $3,422 7 41,807
VA $382 $39 $3,579 92 1,234,140
IN $362 $72 $1,821 134 5,590,884
NC $362 $77 $1,934 111 2,813,749
WI $360 $90 $1,469 100 2,069,744
IL $360 $71 $1,836 155 3,063,201
ND $351 $71 $1,995 17 115,458
HI $346 $56 $2,728 15 122,240
MA $337 $75 $1,901 31 163,144
MI $328 $58 $1,560 113 1,878,080
WA $327 $61 $2,362 59 601,439
VT $324 $84 $1,555 7 76,909
CO $323 $65 $1,986 88 1,178,404
WY $310 $64 $2,050 11 54,867
MO $303 $52 $1,941 96 1,362,884
DC $289 $73 $1,484 4 12,037
LA $277 $55 $1,671 149 2,047,425
RI $276 $54 $3,250 3 21,364
KY $276 $42 $2,032 101 2,857,427
OR $238 $44 $975 30 691,311
ME $234 $56 $1,549 21 168,541
OH $233 $37 $1,484 191 4,074,868
KS $222 $40 $1,240 88 829,770
MT $214 $52 $1,100 36 180,930
AR $201 $26 $1,689 83 861,398
IA $191 $42 $885 70 748,600
MN $186 $44 $780 44 377,194
NH $137 $26 $1,022 17 134,863
PR $121 $25 $828 33 43,166
MS $91 $5 $766 71 984,785

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 $328,960 $319,362 $346,163 785 785
Central Valley Specialty Hospital CA Modesto $106,383 $74,122 $154,052 65 65
Texas Health Specialty Hospital Fort Worth TX Fort Worth $84,269 $53,274 $139,821 785 785
Adventhealth Connerton FL Land O' Lakes $83,689 $55,228 $142,058 4 4
JPS HEALTH NETWORK TX Fort Worth $66,963 $61,451 $77,261 773 773
Houston Methodist Continuing Care Hospital TX Katy $56,882 $41,097 $137,397 8 8
Covenant Specialty Hospital TX Lubbock $56,180 $44,123 $68,237 2 2
HOAG ORTHOPEDIC INSTITUTE CA Irvine $53,362 $53,362 $53,362 1 1
Cornerstone Specialty Hospitals Huntington, Llc WV Huntington $52,863 $29,661 $75,792 4 4
Vibra Hospital Of Sacramento CA Folsom $52,072 $45,849 $76,314 740 773
Infirmary Ltac Hospital AL Mobile $51,667 $28,090 $51,667 72 72
Okc-amg Specialty Hospital OK Oklahoma City $51,205 $39,577 $65,065 56 56
Las Vegas-amg Specialty Hospital NV Las Vegas $51,178 $42,301 $72,759 57 57
Good Shepherd Specialty Hospital PA Bethlehem $49,167 $47,402 $50,932 76 152
Kindred Hospital South Florida - Hollywood FL Hollywood $45,984 $21,523 $70,586 18 18
Rml Health Providers Limited Partnership IL Hinsdale $45,740 $34,652 $91,456 16 32
Kindred Hospital-bay Area-tampa FL Tampa $45,595 $32,808 $64,220 17 17
Kindred Hospital Bay Area - St. Petersburg FL St. Petersburg $45,595 $32,808 $64,220 17 17
Kindred Hospital Greensboro NC Greensboro $45,294 $39,575 $56,911 4 4
Lafayette - A M G Specialty Hospital LA Lafayette $44,869 $38,103 $56,772 53 106

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