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.

$402 Overall median paid
1,074 hospitals
10,834,358 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
       
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc $74,334 $90,525 ↓ 17.9% 310 721
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $307,282 $360,195 ↓ 14.7% 264 573
Q2056 HCPCS Ciltacabtagene Car-pos T $587,650 $646,415 ↓ 9.1% 57 124
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures $82,223 $97,029 ↓ 15.3% 288 650
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $158,959 $190,274 ↓ 16.5% 337 760
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $162,490 $197,664 ↓ 17.8% 263 569
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $208,936 $247,805 ↓ 15.7% 283 639
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,322,473 $3,324,572 ↓ 0.1% 30 44
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,455,111 $2,467,989 ↓ 0.5% 33 57
J3391 HCPCS Inj, Atidarsagene Autotemcel $4,505,000 $4,505,000 0% 17 22
J1414 HCPCS Inj, Beqvez, Per Tx Dose $4,390,266 $3,710,000 ↑ 18.3% 10 17
J3393 HCPCS Inj, Betibeglogene Autotemce $2,946,977 $2,983,626 ↓ 1.2% 30 44
J3392 HCPCS Inj, Exagamglogene Autotem $2,332,000 $2,401,960 ↓ 2.9% 29 43
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,685,267 $3,691,450 ↓ 0.2% 31 45
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,252,508 $3,286,000 ↓ 1.0% 30 43
215 MS_DRG Other Heart Assist System Implant $76,949 $93,531 ↓ 17.7% 327 765
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures $108,577 $126,240 ↓ 14.0% 351 799
C1776 HCPCS — $3,332 $3,388 ↓ 1.7% 117 79,444
C1713 HCPCS — $915 $867 ↑ 5.5% 139 188,881
C1889 HCPCS — $2,425 $2,359 ↑ 2.8% 115 46,896

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 $29,512 $22,516 $37,460 4 409
DE $29,489 $23,146 $36,921 2 386
VA $15,402 $150 $27,780 7 5,202
ND $1,953 $158 $13,513 6 17,086
WV $1,898 $142 $12,288 8 14,354
SD $1,455 $236 $3,918 4 61,509
AZ $887 $111 $8,056 19 26,586
ID $811 $112 $3,247 9 304,196
CA $725 $65 $4,522 61 540,755
SC $707 $96 $5,481 30 151,121
PA $663 $109 $4,824 41 354,043
OR $612 $157 $1,844 11 417,041
TN $598 $88 $5,714 30 116,320
TX $519 $80 $3,855 104 1,845,254
MT $513 $111 $2,517 8 170,298
WA $510 $93 $3,529 15 76,537
HI $509 $72 $33,262 1 776
RI $493 $73 $5,125 3 28,004
NY $444 $69 $3,407 31 529,706
UT $440 $131 $1,256 6 50,333
IN $402 $78 $2,046 45 997,614
NV $395 $83 $2,249 7 60,977
FL $390 $70 $2,739 60 488,497
AR $362 $36 $2,937 27 198,535
DC $360 $76 $5,309 2 4,480
WY $357 $66 $3,015 4 29,169
NC $342 $70 $1,944 5 21,470
MA $329 $60 $3,880 32 136,816
WI $324 $79 $1,234 19 283,042
IL $309 $62 $1,573 42 761,828
NH $298 $76 $1,171 3 43,639
MD $276 $53 $1,302 4 112,603
NJ $273 $35 $4,088 9 80,357
IA $263 $59 $2,008 7 28,441
VT $256 $84 $978 3 12,865
CO $247 $51 $1,025 38 301,530
GA $242 $51 $1,767 36 266,439
MI $220 $53 $938 46 636,908
LA $213 $35 $3,376 63 381,315
OH $209 $35 $1,722 25 138,954
MN $192 $32 $2,094 28 214,507
MS $182 $30 $1,737 20 121,992
KS $178 $43 $921 24 128,137
ME $124 $37 $501 6 26,088
AL $106 $23 $873 24 339,034
MO $105 $20 $704 28 139,873
KY $97 $21 $452 10 22,150
NE $83 $17 $405 9 28,246
PR $75 $18 $390 24 29,480
OK $63 $14 $293 21 67,500
NM $38 $6 $139 3 21,956

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
Vibra Hospital Of Northern California CA Redding $44,301 $39,006 $65,500 741 808
Barlow Respiratory Hospital CA Los Angeles $43,745 $36,927 $60,954 744 744
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
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 25
Bridgepoint Continuing Care Hospital LA Marrero $35,375 $28,330 $44,740 1 153
Vibra Hospital Of Denver CO Thornton $35,186 $30,981 $51,567 740 1,517

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