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

MultiPlan / PHCS Network

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.

$496 Overall median paid
275 hospitals
4,187,474 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
       
Q2054 HCPCS — $2,631,699 $673,137 ↑ 291.0% 11 14
Q2041 HCPCS — $2,589,161 $634,303 ↑ 308.2% 11 15
Q2055 HCPCS — $2,566,811 $625,184 ↑ 310.6% 13 17
Q2056 HCPCS — $2,471,131 $674,867 ↑ 266.2% 7 8
Q2053 HCPCS — $2,179,254 $619,808 ↑ 251.6% 12 24
J3399 HCPCS — $2,134,597 $2,468,984 ↓ 13.5% 5 9
Q2042 HCPCS — $1,222,785 $753,246 ↑ 62.3% 13 21
C1882 HCPCS — $42,128 $27,114 ↑ 55.4% 57 1,066
C1767 HCPCS — $39,841 $22,481 ↑ 77.2% 63 981
C1820 HCPCS — $35,591 $22,013 ↑ 61.7% 64 788
C1721 HCPCS — $34,819 $22,213 ↑ 56.7% 54 793
C1722 HCPCS — $31,241 $20,770 ↑ 50.4% 46 870
C1874 HCPCS — $8,880 $4,694 ↑ 89.2% 84 5,700
C1776 HCPCS — $5,996 $3,432 ↑ 74.7% 101 31,654
C1762 HCPCS — $4,871 $2,935 ↑ 66.0% 72 3,737
C1757 HCPCS — $4,738 $2,476 ↑ 91.3% 89 4,973
C1889 HCPCS — $3,292 $2,392 ↑ 37.6% 83 16,611
C1781 HCPCS — $2,040 $1,362 ↑ 49.8% 89 8,702
C1713 HCPCS — $1,476 $836 ↑ 76.5% 112 116,820
A4649 HCPCS — $1,210 $269 ↑ 349.3% 44 22,001

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 $7,540 $2,343 $16,969 1 46
IN $2,558 $706 $7,232 9 238,641
PA $2,091 $145 $2,106 3 7,677
NM $1,968 $369 $2,082 1 5
FL $1,920 $123 $1,931 7 15,244
GA $1,761 $252 $3,584 3 17,822
AR $1,688 $1,688 $1,688 1 200
TN $1,608 $1,608 $1,608 3 9,948
AK $1,375 $47 $6,764 2 97,294
WV $1,071 $233 $5,024 7 137,719
TX $964 $188 $3,972 44 347,304
AL $804 $309 $2,000 1 139,280
MS $701 $232 $1,959 7 645,202
WA $660 $71 $3,319 13 201,628
CO $570 $159 $2,018 15 140,485
LA $496 $144 $1,799 20 553,863
NJ $456 $101 $2,092 6 402,319
MO $420 $83 $1,847 5 42,262
CA $410 $49 $2,330 15 164,800
SC $392 $120 $1,964 12 93,788
IL $327 $75 $1,485 30 341,647
OH $296 $70 $1,489 5 27,411
WI $295 $76 $1,546 5 55,092
MI $257 $52 $1,441 9 138,545
NV $255 $95 $1,146 3 3,374
MA $224 $68 $924 12 188,783
NH $224 $99 $601 1 209
AZ $223 $87 $906 2 3,547
OR $214 $74 $791 2 6,665
KY $194 $43 $813 6 49,587
KS $171 $52 $878 5 29,869
ME $169 $84 $2,210 1 316
NY $158 $58 $580 1 18,183
OK $152 $28 $562 5 12,393
DE $151 $50 $630 2 3,761
NE $103 $22 $371 4 18,448
WY $85 $18 $492 1 3,026
ND $38 $5 $189 3 14,910
NC <$1 <$1 $5 3 16,181

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
       
Zachary - A M G Specialty Hospital LA Zachary $42,082 $35,495 $53,324 42 42
SIBLEY MEMORIAL HOSPITAL DC Washington $7,540 $2,343 $16,969 46 46
BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO TX Frisco $5,878 $2,884 $8,871 857 857
NORTHWEST HEALTH - PORTER IN Valparaiso $4,539 $1,683 $11,176 82,215 167,537
ORTHOINDY HOSPITAL IN Indianapolis $4,538 $4,313 $4,978 181 202
ANIMAS SURGICAL HOSPITAL, LLC CO Durango $3,440 $192 $9,730 2,401 3,501
MARINHEALTH MEDICAL CENTER CA Greenbrae $3,070 $2,330 $3,070 9,402 23,690
MON HEALTH MEDICAL CENTER WV Morgantown $2,856 $806 $8,844 27,851 58,578
Trinity Regional Hospital Sachse TX Sachse $2,838 $400 $5,674 6,679 7,130
MEDICAL CITY SPINE HOSPITAL TX Dallas $2,838 $675 $5,674 9,073 10,944
MEDICAL CITY HEART HOSPITAL TX Dallas $2,838 $675 $5,674 9,073 10,944
MEDICAL CITY DECATUR TX Decatur $2,838 $449 $5,674 8,495 9,489
MEDICAL CITY PLANO TX Plano $2,678 $579 $6,307 13,927 16,262
MEDICAL CITY DALLAS HOSPITAL TX Dallas $2,562 $701 $5,674 15,141 17,582
OPTIM MEDICAL CENTER - TATTNALL GA Reidsville $2,550 $1,330 $13,802 3,392 4,275
Select Specialty Hospital - Erie PA Erie $2,106 $2,106 $2,106 829 3,316
GOLDEN VALLEY MEMORIAL HOSPITAL MO Clinton $2,086 $175 $4,210 8,616 10,895
Select Specialty Hospital-flint MI Flint $2,024 $2,024 $2,024 829 3,316
Select Specialty Hospital-wyandotte, Llc MI Wyandotte $2,024 $2,024 $2,024 829 3,316
OPTIM MEDICAL CENTER - SCREVEN GA Sylvania $2,012 $259 $2,338 3,698 8,918

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