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

Meritain Health

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.

$544 Overall median paid
345 hospitals
3,822,271 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 $3,110,231 $3,324,572 ↓ 6.4% 3 19
Q2058 HCPCS Obecbtge Autol Up To 400 Mil $2,155,518 $319,951 ↑ 573.7% 3 12
Q2054 HCPCS Lisocabtagene Mara Car Pos T $1,892,458 $640,950 ↑ 195.3% 18 34
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $1,861,869 $608,101 ↑ 206.2% 19 37
Q2055 HCPCS Idecabtagene Vicleucel Car $1,845,797 $622,245 ↑ 196.6% 19 34
Q2056 HCPCS Ciltacabtagene Car-pos T $1,776,993 $646,415 ↑ 174.9% 19 34
Q2053 HCPCS Brexucabtagene Car Pos T $1,708,143 $591,650 ↑ 188.7% 20 52
Q2042 HCPCS Tisagenlecleucel Car-pos T $1,658,440 $738,272 ↑ 124.6% 20 49
J3399 HCPCS Inj Onase Abepar-xioi Treat $1,084,084 $2,466,282 ↓ 56.0% 4 45
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $845,994 $359,358 ↑ 135.4% 22 37
C1882 HCPCS — $24,003 $27,370 ↓ 12.3% 86 1,900
C1820 HCPCS — $22,394 $22,969 ↓ 2.5% 91 1,705
C1721 HCPCS — $20,139 $22,368 ↓ 10.0% 85 1,457
C1767 HCPCS — $19,929 $23,881 ↓ 16.5% 89 2,301
C1722 HCPCS — $19,111 $20,902 ↓ 8.6% 84 1,629
C1821 HCPCS — $3,849 $3,532 ↑ 9.0% 75 12,272
C1874 HCPCS — $3,431 $4,814 ↓ 28.7% 112 14,787
C1776 HCPCS — $2,861 $3,390 ↓ 15.6% 121 93,846
C1781 HCPCS — $1,370 $1,410 ↓ 2.9% 134 22,114
C1713 HCPCS — $851 $862 ↓ 1.3% 135 429,931

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
       
KY $4,148 $703 $12,663 4 289
OR $1,849 $548 $4,067 10 267,422
PA $1,076 $162 $5,832 16 27,411
ID $1,074 $232 $3,386 4 50,233
UT $1,025 $442 $2,370 3 165,361
WV $1,009 $1,009 $1,009 1 2
NY $819 $146 $4,299 16 269,683
AL $660 $164 $2,943 7 72,642
IA $652 $161 $2,367 19 505,077
WA $627 $143 $2,585 7 49,758
NM $619 $179 $2,159 3 21,285
IN $607 $129 $2,553 15 156,329
AK $593 $165 $1,905 2 27,594
NJ $593 $51 $5,492 9 164,610
CO $580 $103 $3,495 10 133,048
FL $544 $138 $1,841 4 114,806
ME $520 $181 $1,552 1 6,000
VA $511 $128 $1,508 6 75,991
AZ $464 $88 $3,814 7 13,456
NC $408 $126 $1,181 5 257
MA $384 $85 $1,381 7 141,812
OH $384 $66 $1,885 27 137,685
WI $378 $90 $1,854 10 186,002
MI $367 $66 $1,499 6 217,710
WY $362 $94 $1,952 3 37,296
SD $349 $82 $2,555 6 67,813
KS $338 $40 $1,473 11 119,604
SC $325 $97 $1,650 13 185,340
CA $324 $69 $2,670 3 16,471
MO $315 $96 $2,566 6 16,116
GA $305 $64 $1,553 4 53,288
MN $292 $83 $1,210 11 115,270
TX $282 $70 $1,031 30 48,492
IL $260 $46 $1,286 10 66,498
MD $249 $44 $1,425 2 85,423
MS $244 $226 $244 3 10
NE $228 $93 $591 1 4,314
AR $225 $83 $844 2 149
MT $224 $47 $951 3 54,496
CT $190 $36 $780 1 13,013
NV $160 $50 $557 2 4,861
OK $156 $15 $777 9 27,947
NH $148 $54 $453 1 19,679
TN $117 $31 $349 6 139
LA $86 $18 $406 19 81,589

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
       
Kindred Hospital New Jersey - Rahway NJ Rahway $64,078 $64,078 $64,078 1 1
ST ELIZABETH YOUNGSTOWN HOSPITAL OH Youngstown $32,347 $20,401 $51,721 520 520
MERCY ST VINCENT MEDICAL CENTER OH Toledo $31,566 $19,869 $49,357 526 526
THE JEWISH HOSPITAL-MERCY HEALTH OH Cincinnati $31,105 $20,002 $46,752 509 509
MH ST JOSEPH WARREN HOSPITAL OH Warren $30,814 $19,430 $43,038 398 398
THE UNIVERSITY OF CHICAGO MEDICAL CENTER IL Chicago $30,337 $19,258 $50,335 784 785
MERCY HEALTH - WEST HOSPITAL OH Cincinnati $29,882 $18,594 $43,075 417 417
ANDERSON HOSPITAL IL Maryville $29,714 $17,953 $45,039 468 468
SPRINGFIELD REGIONAL MEDICAL CENTER OH Springfield $29,114 $18,332 $46,094 477 477
MERCY HEALTH - CLERMONT HOSPITAL OH Batavia $28,973 $18,087 $38,552 286 286
HMHP ST ELIZABETH BOARDMAN HEALTH CENTER OH Boardman $28,225 $19,403 $39,802 417 417
Mercy Health - Perrysburg Hospital OH Perrysburg $27,833 $17,440 $40,277 288 288
MERCY HEALTH KINGS MILLS HOSPITAL LLC OH Mason $25,641 $16,769 $35,248 215 215
Mercy St Anne Hospital OH Toledo $22,712 $14,035 $32,816 318 318
MERCY REGIONAL MEDICAL CENTER OH Lorain $22,179 $14,136 $33,857 401 401
Mercy Health - St Charles Hospital OH Oregon $20,172 $12,499 $28,248 345 345
INGALLS MEMORIAL HOSPITAL IL Harvey $17,071 $11,018 $28,364 774 775
MERCY HEALTH - URBANA HOSPITAL OH Urbana $17,055 $14,303 $24,136 65 65
ALLEN HOSPITAL IA Waterloo $16,399 $13,058 $24,703 87 87
SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER AZ Show Low $8,252 $2,834 $26,097 80 80

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