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

Medicaid (Generic)

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.

$363 Overall median paid
575 hospitals
7,154,896 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
       
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,202,781 $3,325,455 ↓ 3.7% 4 12
J3399 HCPCS Inj Onase Abepar-xioi Treat $1,170,000 $2,455,111 ↓ 52.3% 7 58
Q2042 HCPCS Tisagenlecleucel Car-pos T $1,123,572 $621,313 ↑ 80.8% 9 45
5834 APR_DRG — $290,475 $390,362 ↓ 25.6% 99 173
5884 APR_DRG — $245,639 $286,698 ↓ 14.3% 98 172
5833 APR_DRG — $228,713 $268,208 ↓ 14.7% 102 176
24 APR_DRG — $223,960 $225,531 ↓ 0.7% 112 227
74 APR_DRG — $193,066 $149,836 ↑ 28.9% 95 160
1614 APR_DRG — $176,845 $202,242 ↓ 12.6% 104 182
5883 APR_DRG — $170,883 $173,134 ↓ 1.3% 96 170
6304 APR_DRG — $170,023 $187,567 ↓ 9.4% 96 170
5832 APR_DRG — $169,427 $201,678 ↓ 16.0% 96 170
6094 APR_DRG — $165,000 $198,578 ↓ 16.9% 98 172
5914 APR_DRG — $161,393 $171,497 ↓ 5.9% 98 172
8414 APR_DRG — $161,256 $173,018 ↓ 6.8% 102 177
6314 APR_DRG — $154,758 $181,762 ↓ 14.9% 96 170
5934 APR_DRG — $151,678 $168,439 ↓ 10.0% 98 172
23 APR_DRG — $124,777 $117,894 ↑ 5.8% 109 216
C1776 HCPCS — $2,666 $3,543 ↓ 24.8% 84 29,887
C1713 HCPCS — $580 $1,045 ↓ 44.6% 96 90,181

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
       
HI $14,325 $8,158 $25,850 1 2,597
VA $14,295 $8,836 $26,277 4 3,271
MS $2,882 $69 $2,882 9 82,196
WV $1,806 $90 $6,786 2 9,577
AZ $1,550 $78 $6,562 8 15,198
UT $1,266 $547 $2,660 12 1,612,716
CA $1,155 $41 $5,278 7 32,315
SC $908 $701 $954 16 156,614
MA $767 $123 $5,264 19 248,823
CT $662 $342 $1,069 1 14
NY $582 $86 $2,636 20 92,644
SD $522 $177 $1,783 2 17,529
RI $484 $60 $3,684 2 12,025
IL $396 $71 $2,686 21 251,192
DC $391 $83 $7,311 1 4,999
MD $388 $114 $1,130 1 26,865
IN $363 $72 $1,755 44 1,074,413
WA $352 $53 $4,012 6 42,410
NE $349 $69 $3,675 7 21,393
NV $319 $96 $994 3 75,601
PA $301 $31 $4,623 24 143,084
FL $295 $27 $2,461 22 132,978
ME $265 $68 $3,396 4 8,275
NJ $253 $26 $5,565 10 194,957
MN $223 $60 $968 15 88,699
WI $223 $41 $1,515 7 30,943
MI $219 $52 $851 37 594,824
OH $175 $31 $1,242 20 115,640
NM $169 $21 $2,618 7 26,020
IA $169 $55 $594 2 2,341
NH $153 $44 $440 3 97,444
ID $150 $90 $310 4 137
GA $149 $32 $776 13 191,458
WY $144 $26 $699 4 4,703
NC $141 $27 $1,823 2 5,894
TX $127 $20 $1,559 57 255,870
LA $109 $17 $1,043 43 848,255
MT $102 $40 $312 4 2,590
KS $101 $17 $847 9 37,047
OR $97 $21 $422 3 66,836
ND $91 $28 $298 3 7,899
MO $83 $16 $399 27 229,204
DE $55 $30 $185 1 1,346
OK $44 $12 $240 24 66,919
AL $43 $12 $287 13 60,519
AR $40 $14 $250 20 100,369
TN $32 $7 $145 2 7,583
PR $30 $20 $115 1 217
CO $17 $3 $139 7 50,451
AK $11 $11 $11 1 2

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
       
REEDSBURG AREA MEDICAL CENTER WI Reedsburg $39,178 $3,183 $61,463 1,986 1,986
Vibra Hospital Of Southeastern Massachusetts MA New Bedford $35,568 $31,440 $52,331 740 740
CHILDREN'S HOSP OF LOS ANGELES CA Los Angeles $26,686 $17,924 $32,038 40 40
Iberia Rehabilitation Hospital LA Lafayette $26,304 $20,796 $32,548 380 380
UNIVERSITY OF VIRGINIA MEDICAL CENTER VA Charlottesville $17,795 $10,254 $33,405 316 1,860
MERCY HOSPITAL MN Coon Rapids $16,666 $9,064 $29,664 1,322 1,322
TUFTS MEDICAL CENTER MA Boston $15,256 $9,795 $24,277 785 2,384
Lowell General Hospital - Saints Campus MA Lowell $14,664 $9,382 $23,208 783 2,367
PALI MOMI MEDICAL CENTER HI Aiea $14,325 $8,158 $25,850 1,428 2,597
MELROSEWAKEFIELD HEALTHCARE MA Melrose $14,112 $8,996 $22,679 769 2,335
NOVANT PRINCE WILLIAM MEDICAL CENTER VA Manassas $12,321 $7,889 $19,379 180 710
UVA HEALTH HAYMARKET MEDICAL CENTER VA Haymarket $11,853 $8,478 $17,809 89 260
Ohio State University Hospitals OH Columbus $11,322 $6,609 $20,134 1,324 1,324
MOBERLY REGIONAL MEDICAL CENTER MO Moberly $10,524 $4,973 $21,390 1,687 1,687
UVA HEALTH CULPEPER MEDICAL CENTER VA Culpeper $10,211 $7,615 $16,013 114 441
JASPER GENERAL HOSPITAL MS Bay Springs $9,437 $5,219 $16,936 1,347 1,347
BRYAN MEDICAL CENTER NE Lincoln $9,104 $2,877 $19,550 1,967 1,967
GRAND ISLAND REGIONAL MEDICAL CENTER NE Grand Island $9,104 $2,877 $19,550 1,967 1,967
ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO IL Chicago $8,402 $4,577 $15,281 1,349 1,349
WESTERN MISSOURI MEDICAL CENTER MO Warrensburg $8,370 $5,854 $12,805 78 78

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