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

Medical Mutual of Ohio

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.

$270 Overall median paid
300 hospitals
10,774,442 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
       
S3399 HCPCS — $3,990,310 — — 11 29
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,685,267 $3,685,267 0% 25 39
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,322,473 $3,325,455 ↓ 0.1% 27 67
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,286,000 $3,248,446 ↑ 1.2% 31 49
J3393 HCPCS Inj, Betibeglogene Autotemce $2,968,000 $2,968,000 0% 30 48
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,423,131 $2,455,111 ↓ 1.3% 32 93
J3392 HCPCS Inj, Exagamglogene Autotem $2,344,320 $2,332,000 ↑ 0.5% 38 60
Q2042 HCPCS Tisagenlecleucel Car-pos T $1,253,420 $621,313 ↑ 101.7% 52 321
Q2054 HCPCS Lisocabtagene Mara Car Pos T $1,229,513 $579,571 ↑ 112.1% 53 230
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $1,210,084 $562,501 ↑ 115.1% 53 230
Q2053 HCPCS Brexucabtagene Car Pos T $1,111,664 $513,770 ↑ 116.4% 53 230
Q2055 HCPCS Idecabtagene Vicleucel Car $1,035,704 $574,037 ↑ 80.4% 51 322
C1882 HCPCS — $24,425 $24,131 ↑ 1.2% 76 5,069
C1820 HCPCS — $23,556 $21,100 ↑ 11.6% 84 5,136
C1767 HCPCS — $22,157 $25,172 ↓ 12.0% 91 6,449
C1874 HCPCS — $4,012 $5,596 ↓ 28.3% 93 30,669
C1889 HCPCS — $3,758 $1,642 ↑ 128.8% 112 98,809
C1776 HCPCS — $2,673 $3,543 ↓ 24.6% 104 289,663
C1781 HCPCS — $1,306 $1,566 ↓ 16.6% 107 73,985
C1713 HCPCS — $837 $1,045 ↓ 20.0% 109 1,142,142

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
       
TN $7,958 $6,515 $17,551 1 1,798
OK $2,287 $463 $3,785 1 26
ID $1,350 $1,350 $1,350 1 1
IL $1,272 $351 $13,272 2 2,358
NM $992 $992 $992 1 1
WA $969 $186 $3,927 1 9,461
AZ $914 $914 $914 1 1
LA $880 $880 $880 1 1
CO $800 $800 $800 1 1
IA $680 $170 $2,409 13 493,973
NY $669 $168 $1,885 2 24,109
PA $574 $88 $5,397 13 96,122
FL $527 $145 $1,616 2 85,066
NC $447 $98 $2,014 3 7,640
GA $418 $115 $2,711 2 6,150
IN $417 $91 $1,980 21 1,361,925
TX $366 $110 $1,172 1 9,972
NE $362 $120 $2,175 1 61,877
SC $350 $115 $1,600 1 9,696
MN $292 $82 $1,243 9 64,413
MI $286 $42 $1,250 9 546,744
WI $275 $68 $1,217 7 151,603
OH $270 $47 $1,492 195 7,810,698
KY $212 $14 $1,623 7 17,485
MA $154 $40 $725 1 9,855
AL $143 $83 $202 1 2
WV $94 $77 $221 1 32
KS $77 $23 $198 1 3,432
ME — — — 0 0

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
       
Grace Hospital OH Bedford $54,106 $29,015 $79,874 4 4
Kindred Hospital Lima OH Lima $43,801 $35,859 $48,312 3 3
ALLEGHENY GENERAL HOSPITAL PA Pittsburgh $33,688 $21,460 $52,637 757 757
Encompass Health Rehabilitation Hospital Of Cincin OH Cincinnati $28,689 $22,816 $35,950 380 380
The Rehabilitation Institute Of Ohio OH Dayton $28,135 $22,375 $35,256 380 380
Encompass Health Rehabilitation Hospital Of Northe KY Edgewood $27,721 $22,045 $34,736 380 380
Mount Carmel Rehabilitation Hospital, An Affiliate OH Westerville $26,987 $21,462 $33,818 380 380
ClearSky Rehabilitation Hospital of Lancaster LLC OH Lancaster $26,081 $20,741 $32,682 380 380
Encompass Health Rehab Hospital Of Toledo OH Toledo $25,968 $20,652 $32,541 380 380
LIMA MEMORIAL HEALTH SYSTEM OH Lima $24,897 $14,590 $42,351 907 2,132
MERCY HEALTH-ST RITA'S MEDICAL CENTER OH Lima $21,517 $11,695 $37,966 534 1,000
Kindred Hospitals-dayton OH Dayton $21,289 $20,674 $55,229 3 3
MERCY ST VINCENT MEDICAL CENTER OH Toledo $20,757 $11,859 $36,251 573 1,070
SPRINGFIELD REGIONAL MEDICAL CENTER OH Springfield $20,262 $11,817 $36,502 485 915
OhioHealth Pickerington Methodist Hospital OH Pickerington $20,067 $12,906 $34,593 874 1,907
THE JEWISH HOSPITAL-MERCY HEALTH OH Cincinnati $18,784 $11,664 $32,246 532 1,027
Mercy Health - Perrysburg Hospital OH Perrysburg $18,450 $11,542 $32,855 309 576
ST ELIZABETH YOUNGSTOWN HOSPITAL OH Youngstown $18,274 $11,750 $31,343 557 1,053
ANDERSON HOSPITAL IL Maryville $17,134 $10,638 $30,887 488 923
Mercy St Anne Hospital OH Toledo $16,990 $11,427 $29,652 320 611

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