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

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.

$453 Overall median paid
3,583 hospitals
6,249,297 distinct codes
74,033,589 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 — $4,505,000 $4,505,000 0% 213 300
J1411 HCPCS — $3,710,000 $3,710,000 0% 379 645
J1414 HCPCS — $3,710,000 $3,710,000 0% 182 358
J1413 HCPCS — $3,325,455 $3,325,455 0% 389 763
J3394 HCPCS — $3,285,033 $3,286,000 ↓ 0.0% 374 646
J3393 HCPCS — $2,969,369 $3,006,423 ↓ 1.2% 371 641
J3399 HCPCS — $2,455,111 $2,469,189 ↓ 0.6% 395 781
J3392 HCPCS — $2,355,320 $2,448,600 ↓ 3.8% 357 658
Q2042 HCPCS — $578,325 $754,974 ↓ 23.4% 608 1,344
Q2056 HCPCS — $569,980 $675,122 ↓ 15.6% 538 1,064
Q2054 HCPCS — $562,201 $674,188 ↓ 16.6% 567 1,182
Q2055 HCPCS — $557,318 $625,184 ↓ 10.9% 560 1,161
Q2041 HCPCS — $532,192 $634,511 ↓ 16.1% 580 1,169
Q2053 HCPCS — $491,609 $620,080 ↓ 20.7% 549 1,088
18 MS_DRG — $321,985 $370,174 ↓ 13.0% 1,167 2,514
1 MS_DRG — $221,262 $265,286 ↓ 16.6% 1,194 2,635
3 MS_DRG — $166,324 $202,986 ↓ 18.1% 1,352 3,103
C1882 HCPCS — $34,317 $27,112 ↑ 26.6% 442 13,980
C1776 HCPCS — $3,494 $3,432 ↑ 1.8% 704 513,460
C1713 HCPCS — $785 $836 ↓ 6.2% 776 1,823,003

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 $502 $7,912 28 687,950
HI $1,249 $144 $4,882 13 85,412
SC $906 $205 $2,860 68 3,670,639
TX $796 $110 $4,160 403 11,360,610
CA $793 $103 $4,293 163 1,831,827
MD $739 $174 $2,708 15 2,561,420
CT $697 $90 $5,803 6 28,794
AZ $679 $119 $3,428 84 1,155,514
DE $642 $176 $2,550 4 140,243
IL $582 $113 $2,079 142 3,552,582
TN $535 $74 $3,052 97 3,262,949
WV $524 $106 $2,332 48 1,184,921
NJ $468 $84 $3,846 48 567,380
NM $458 $82 $3,491 30 287,946
FL $453 $56 $3,439 212 7,342,450
OK $448 $448 $448 94 2,393,297
ND $439 $84 $3,245 15 89,012
VA $438 $49 $4,156 86 1,030,814
ID $436 $86 $2,418 26 274,506
NY $423 $69 $2,758 83 1,104,734
SD $404 $96 $2,902 11 70,748
WA $389 $66 $2,858 56 508,934
NE $384 $84 $2,269 37 416,115
AL $357 $73 $2,257 68 1,171,762
MI $356 $66 $1,580 111 2,112,861
GA $348 $70 $2,805 106 1,637,961
MO $345 $58 $2,074 87 1,392,760
CO $335 $66 $2,125 84 1,224,692
WI $330 $81 $1,447 92 1,370,602
NC $323 $66 $1,700 94 2,445,467
WY $317 $59 $2,416 9 33,905
VT $316 $82 $1,541 8 62,707
UT $315 $79 $1,335 43 878,362
MA $314 $71 $2,105 31 169,398
PA $313 $50 $2,497 131 1,418,989
IN $307 $60 $1,578 109 3,592,900
KS $269 $43 $1,601 76 739,751
KY $264 $37 $2,088 92 2,403,900
LA $262 $49 $1,595 133 2,066,175
MT $257 $51 $2,078 32 204,465
OR $242 $44 $1,012 27 629,818
ME $235 $58 $1,463 19 152,585
OH $229 $38 $1,502 166 3,749,153
DC $210 $47 $865 4 47,056
IA $206 $42 $1,017 59 617,095
MN $174 $42 $755 41 305,217
NH $159 $35 $1,203 17 74,415
PR $155 $26 $1,268 32 54,334
AR $152 $24 $1,411 73 798,049
RI $119 $20 $822 3 21,687
MS $96 $5 $657 67 1,048,726

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
Texas Health Specialty Hospital Fort Worth TX Fort Worth $84,269 $53,274 $139,821 785 785
ADVENTIST HEALTH ST HELENA CA Saint Helena $81,421 $41,247 $152,739 371 371
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
Kindred Hospital-bay Area-tampa FL Tampa $53,107 $29,193 $76,338 16 32
Vibra Hospital Of Sacramento CA Folsom $52,072 $45,849 $76,314 740 773
Good Shepherd Specialty Hospital PA Bethlehem $49,167 $47,402 $50,932 76 152
Cornerstone Specialty Hospitals Huntington, Llc WV Huntington $46,992 $34,897 $59,048 4 4
Rml Health Providers Limited Partnership IL Hinsdale $45,740 $34,652 $84,044 16 37
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 8
Vibra Hospital Of Northern California CA Redding $44,301 $39,006 $65,500 741 808
Lafayette - A M G Specialty Hospital LA Lafayette $43,281 $36,518 $53,133 53 53
Central Indiana Amg Specialty Hospital Llc IN Muncie $42,679 $35,492 $54,153 106 106
Zachary - A M G Specialty Hospital LA Zachary $42,082 $35,495 $53,324 42 42
Hospital For Extended Recovery VA Norfolk $41,550 $34,850 $49,658 66 132
Regional One Health Extended Care Hospital TN Memphis $41,091 $36,482 $54,814 28 56

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