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

Molina Healthcare

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.

$506 Overall median paid
1,984 hospitals
38,734,533 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 $4,512,397 $4,505,000 ↑ 0.2% 117 186
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,722,119 $3,685,267 ↑ 1.0% 235 393
J1414 HCPCS Inj, Beqvez, Per Tx Dose $3,713,005 $3,508,750 ↑ 5.8% 98 146
J3389 HCPCS Topi Adm Prad Zami Per Treat $3,502,611 $3,335,820 ↑ 5.0% 64 115
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,391,063 $3,325,455 ↑ 2.0% 243 407
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,345,899 $3,248,446 ↑ 3.0% 231 369
J3387 HCPCS Inj Elivaldogene Autotemecel $3,275,400 $3,180,000 ↑ 3.0% 66 117
J3393 HCPCS Inj, Betibeglogene Autotemce $3,063,570 $2,968,000 ↑ 3.2% 238 391
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,577,866 $2,455,111 ↑ 5.0% 283 557
J3392 HCPCS Inj, Exagamglogene Autotem $2,518,560 $2,332,000 ↑ 8.0% 232 484
Q2042 HCPCS Tisagenlecleucel Car-pos T $621,313 $621,313 0% 358 765
Q2056 HCPCS Ciltacabtagene Car-pos T $604,231 $599,737 ↑ 0.7% 325 684
Q2054 HCPCS Lisocabtagene Mara Car Pos T $590,665 $579,571 ↑ 1.9% 359 764
Q2055 HCPCS Idecabtagene Vicleucel Car $585,986 $574,037 ↑ 2.1% 351 742
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $559,892 $562,501 ↓ 0.5% 345 691
Q2053 HCPCS Brexucabtagene Car Pos T $528,606 $513,770 ↑ 2.9% 345 741
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $347,008 $168,055 ↑ 106.5% 751 1,575
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $232,426 $186,516 ↑ 24.6% 779 1,736
C1776 HCPCS — $1,990 $3,543 ↓ 43.8% 517 314,294
C1713 HCPCS — $535 $1,045 ↓ 48.8% 596 929,859

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
       
DC $15,626 $4,757 $36,385 1 3,622
NJ $8,552 $5,092 $12,012 2 2
MA $3,894 $368 $16,602 15 15,896
SD $2,987 $219 $15,717 2 2,814
AZ $1,969 $154 $8,860 24 62,134
LA $1,201 $106 $4,339 21 53,660
MT $1,062 $263 $4,294 3 7,553
SC $822 $115 $2,204 61 1,506,514
NY $751 $108 $4,096 53 869,395
UT $732 $208 $2,140 47 4,839,036
FL $677 $76 $2,702 160 4,335,568
NC $626 $87 $1,759 5 76,143
IN $592 $107 $3,254 16 238,374
MN $588 $588 $588 1 2
CA $508 $60 $2,975 137 2,766,036
TX $506 $67 $2,833 316 8,200,521
OR $482 $90 $3,928 20 224,782
NV $472 $75 $1,854 25 317,054
OH $467 $76 $3,248 179 2,285,894
WI $464 $83 $2,364 79 1,294,993
WA $446 $77 $3,410 85 1,381,401
AR $436 $79 $3,028 2 39,304
ID $390 $61 $1,929 27 500,938
AL $383 $117 $1,296 9 155,161
PA $354 $60 $3,252 20 158,797
VA $346 $42 $3,149 45 464,641
NM $317 $45 $3,247 33 277,425
KS $302 $63 $963 2 11,490
IL $301 $56 $2,306 146 1,784,541
NE $295 $63 $1,664 47 609,057
CT $273 $25 $7,156 7 47,752
IA $253 $52 $1,265 70 977,992
WV $228 $42 $2,012 17 138,334
MI $223 $43 $1,267 101 1,791,337
OK $222 $22 $1,555 9 15,998
WY $202 $78 $604 2 2,893
CO $195 $50 $792 6 40,089
KY $163 $25 $1,173 60 879,990
GA $135 $22 $1,054 6 34,830
MS $81 $4 $960 78 1,439,799
TN $80 $3 $697 24 635,272
MO $40 $8 $236 21 247,499
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
       
Kindred Hospital Clear Lake TX Webster $93,161 $82,406 $103,915 2 2
Kindred Hospital Lima OH Lima $79,113 $64,466 $92,151 4 4
Kindred Hospital San Antonio TX San Antonio $78,642 $45,142 $94,017 2 3
Spaulding Hospital For Continuing Med Care-camb MA Cambridge $77,348 $61,638 $93,059 2 2
Kindred Hospital Houston Medical Center TX Houston $71,880 $71,880 $71,880 1 1
Kindred Hospital Albuquerque NM Albuquerque $59,430 $59,430 $59,430 1 1
SHRINERS HOSPITALS FOR CHILDREN SC Greenville $56,512 $32,479 $107,668 1,193 1,194
Las Vegas-amg Specialty Hospital NV Las Vegas $51,178 $42,301 $72,759 57 57
Kindred Hospital Dallas Central TX Dallas $50,371 $35,487 $76,545 8 9
LOS ALAMOS MEDICAL CENTER NM Los Alamos $47,552 $47,552 $47,552 158 158
Rml Health Providers Limited Partnership IL Hinsdale $46,678 $34,878 $92,474 16 16
Barlow Respiratory Hospital CA Los Angeles $46,598 $37,696 $58,871 130 130
Kindred Hospital Sugar Land TX Sugar Land $45,017 $35,510 $49,284 4 4
Houston Methodist Continuing Care Hospital TX Katy $43,755 $26,467 $69,564 5 7
Kindred Hospital - Chicago IL Northlake $43,700 $25,886 $91,200 18 20
Albuquerque - Amg Specialty Hospital, Llc NM Albuquerque $43,684 $35,095 $57,819 91 91
Central Indiana Amg Specialty Hospital Llc IN Muncie $42,419 $34,197 $57,604 97 131
Continuecare Hospital At Baptist Health Paducah KY Paducah $41,115 $32,903 $54,541 65 130
REEDSBURG AREA MEDICAL CENTER WI Reedsburg $39,178 $3,183 $61,463 1,986 1,986
Lifecare Hospitals Of North Texas TX Carrollton $38,094 $1,668 $51,011 110 110

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