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

Medicare (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.

$408 Overall median paid
1,057 hospitals
10,527,523 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% 16 21
J1414 HCPCS Inj, Beqvez, Per Tx Dose $4,390,266 $3,508,750 ↑ 25.1% 10 17
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,685,267 $3,685,267 0% 30 44
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,322,473 $3,325,455 ↓ 0.1% 30 44
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,252,508 $3,248,446 ↑ 0.1% 30 43
J3393 HCPCS Inj, Betibeglogene Autotemce $2,946,977 $2,968,000 ↓ 0.7% 30 44
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,455,111 $2,455,111 0% 32 57
J3392 HCPCS Inj, Exagamglogene Autotem $2,332,000 $2,332,000 0% 28 42
Q2056 HCPCS Ciltacabtagene Car-pos T $587,650 $599,737 ↓ 2.0% 57 124
Q2054 HCPCS Lisocabtagene Mara Car Pos T $562,538 $579,571 ↓ 2.9% 54 93
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $304,229 $168,055 ↑ 81.0% 254 551
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $210,313 $186,516 ↑ 12.8% 271 599
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $162,490 $131,925 ↑ 23.2% 251 544
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $158,949 $145,435 ↑ 9.3% 329 723
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures $107,495 $97,418 ↑ 10.3% 341 755
215 MS_DRG Other Heart Assist System Implant $77,067 $73,023 ↑ 5.5% 315 723
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc $74,443 $69,822 ↑ 6.6% 301 690
C1776 HCPCS — $3,277 $3,543 ↓ 7.5% 109 76,208
C1889 HCPCS — $2,430 $1,642 ↑ 48.0% 105 46,712
C1713 HCPCS — $869 $1,045 ↓ 16.9% 129 178,051

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
       
CT $29,855 $23,057 $37,697 3 398
DE $29,489 $23,146 $36,921 2 386
VA $15,402 $150 $27,780 7 5,202
WV $2,786 $168 $14,384 7 12,638
ND $1,953 $158 $13,513 6 17,086
SD $1,500 $257 $3,475 4 77,491
AZ $1,057 $120 $9,303 18 21,419
ID $811 $112 $3,247 9 304,196
SC $782 $100 $5,534 30 145,632
CA $725 $65 $4,459 62 533,748
MT $702 $146 $3,561 8 123,956
PA $653 $109 $4,490 42 358,774
OR $607 $160 $1,680 10 387,663
TN $600 $88 $5,714 30 116,052
NY $578 $95 $3,725 24 423,484
RI $557 $86 $5,454 3 19,765
NV $555 $103 $2,969 6 52,429
TX $525 $81 $3,916 103 1,827,274
HI $509 $72 $33,262 1 776
UT $440 $131 $1,256 6 50,333
IN $408 $79 $2,090 45 981,210
WA $392 $70 $3,292 14 85,263
FL $375 $68 $2,543 62 472,711
DC $360 $76 $5,309 2 4,480
NC $342 $70 $1,944 5 21,470
WY $333 $55 $2,482 4 19,251
GA $322 $72 $2,575 35 233,532
MA $300 $55 $3,640 32 137,580
NH $299 $76 $1,172 3 43,605
MD $276 $53 $1,302 4 112,603
IL $268 $58 $1,319 40 753,038
AR $267 $29 $2,625 28 247,494
NJ $267 $34 $3,987 9 76,875
VT $256 $83 $966 3 12,818
WI $238 $62 $871 19 236,915
CO $237 $49 $972 36 283,046
MI $224 $54 $932 47 694,053
OH $207 $35 $1,683 25 140,448
MN $198 $33 $2,238 28 210,385
LA $195 $35 $3,192 60 368,379
MS $182 $30 $1,738 19 122,012
IA $173 $49 $769 6 6,200
KS $145 $37 $743 22 129,602
ME $125 $36 $536 6 21,998
NE $119 $28 $623 9 23,026
KY $115 $27 $595 10 30,442
MO $113 $22 $856 29 133,731
AL $106 $23 $882 24 339,190
PR $75 $20 $415 25 16,468
OK $63 $14 $293 21 67,500
NM $40 $7 $145 4 23,496

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
       
Vibra Hospital Of Sacramento CA Folsom $52,072 $45,849 $76,314 740 1,543
Good Shepherd Specialty Hospital PA Bethlehem $50,428 $50,428 $50,428 76 76
Barlow Respiratory Hospital CA Los Angeles $48,673 $43,449 $60,708 111 111
Vibra Hospital Of Northern California CA Redding $44,301 $39,006 $65,500 741 808
Spaulding Hospital For Continuing Med Care-camb MA Cambridge $42,954 $37,619 $53,390 90 90
Bridgepoint -national Harbor DC Washington $41,352 $33,116 $52,298 1 153
Kindred - Chicago - Lakeshore IL Chicago $38,966 $29,883 $47,060 22 22
Vibra Hospital Of Western Mass - Central Campus MA Rochdale $38,334 $33,752 $56,180 740 759
Vibra Hospital of Southeastern Michigan - DMC Campus MI Detroit $37,881 $32,690 $44,325 39 39
Kindred Hospital - Sycamore IL Sycamore $37,279 $29,588 $43,567 17 17
Vibra Specialty Hospital TX Richardson $36,820 $28,419 $48,723 723 1,446
Kindred Hospital Santa Ana CA Santa Ana $36,604 $29,332 $46,261 63 63
Kindred Hospital -- La Mirada CA La Mirada $36,604 $29,332 $46,261 63 63
Kindred Hospital San Gabriel Valley CA West Covina $36,604 $29,332 $46,261 63 63
Kindred Hospital-bay Area-tampa FL Tampa $36,546 $24,789 $46,151 65 65
Kindred Hospital Bay Area - St. Petersburg FL St. Petersburg $36,546 $24,789 $46,151 65 65
HOAG ORTHOPEDIC INSTITUTE CA Irvine $36,001 $34,140 $48,039 9 9
Vibra Hospital Of Southeastern Massachusetts MA New Bedford $35,708 $31,440 $52,331 740 1,568
Kindred Hospital - St Louis MO Saint Louis $35,645 $13,397 $48,330 25 50
Bridgepoint Continuing Care Hospital LA Marrero $35,375 $28,330 $44,740 1 153

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