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
1,069 hospitals
10,635,975 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 $210,920 $186,516 ↑ 13.1% 272 606
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 $158,959 $145,435 ↑ 9.3% 330 730
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures $108,002 $97,418 ↑ 10.9% 343 764
215 MS_DRG Other Heart Assist System Implant $77,164 $73,023 ↑ 5.7% 316 730
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc $74,443 $69,822 ↑ 6.6% 301 691
C1776 HCPCS — $3,340 $3,543 ↓ 5.7% 114 78,250
C1889 HCPCS — $2,429 $1,642 ↑ 47.9% 107 46,812
C1713 HCPCS — $912 $1,045 ↓ 12.7% 134 185,066

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
ND $1,953 $158 $13,513 6 17,086
WV $1,898 $142 $12,288 8 14,354
SD $976 $215 $3,475 4 69,153
AZ $849 $118 $8,056 19 23,529
ID $811 $112 $3,247 9 304,196
SC $782 $100 $5,534 30 145,632
CA $725 $65 $4,459 62 533,746
MT $702 $146 $3,561 8 123,956
PA $658 $110 $4,490 42 354,817
TN $600 $88 $5,714 30 116,039
OR $595 $153 $1,763 11 407,913
NY $585 $97 $3,725 25 427,800
RI $557 $86 $5,454 3 19,765
NV $555 $103 $2,969 6 52,429
TX $525 $81 $3,916 103 1,827,256
HI $509 $72 $33,262 1 776
UT $440 $131 $1,256 6 50,333
IN $408 $79 $2,089 45 981,240
WA $392 $70 $3,292 15 85,264
FL $375 $68 $2,543 62 472,703
DC $360 $76 $5,309 2 4,480
NC $342 $70 $1,944 5 21,470
WY $333 $55 $2,482 4 19,251
MA $300 $55 $3,640 32 137,578
NH $299 $76 $1,172 3 43,605
IL $290 $62 $1,474 42 785,527
MD $276 $53 $1,302 4 112,603
AR $267 $29 $2,625 28 247,491
NJ $267 $34 $3,987 9 76,875
VT $256 $83 $966 3 12,818
WI $238 $62 $871 19 236,914
GA $237 $49 $1,655 36 268,728
CO $235 $49 $961 38 288,497
MI $224 $53 $932 47 684,604
OH $207 $35 $1,683 25 140,447
MN $199 $33 $2,238 28 210,370
LA $195 $35 $3,192 60 368,379
MS $182 $30 $1,737 20 121,749
IA $173 $49 $769 6 6,200
KS $155 $39 $800 23 146,505
ME $124 $37 $501 6 26,088
NE $119 $28 $623 9 23,026
KY $115 $27 $595 10 30,442
MO $107 $21 $745 29 141,711
AL $106 $23 $882 24 339,182
PR $75 $20 $415 25 16,466
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.