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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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.

$542 Overall median paid
417 hospitals
5,867,393 rate rows

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
       

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
       
MN $2,958 $2,958 $2,958 1 4,145
PA $2,106 $2,106 $2,106 10 29,255
GA $2,012 $270 $2,048 10 49,866
NM $1,968 $369 $2,082 1 5
FL $1,920 $1,882 $1,931 19 45,224
NC $1,912 $433 $5,903 9 45,924
OH $1,845 $267 $2,324 13 72,783
OK $1,826 $129 $1,898 9 16,372
VA $1,718 $1,506 $1,931 2 6,632
AR $1,688 $159 $1,807 3 15,985
WV $1,677 $304 $5,228 9 108,353
TN $1,608 $1,608 $1,608 5 16,580
AZ $1,418 $901 $1,418 4 5,480
TX $980 $206 $3,936 50 465,770
AL $839 $318 $1,994 2 142,596
MS $808 $229 $2,207 11 380,045
ME $755 $215 $3,140 1 10,398
CO $570 $162 $1,984 15 135,328
NE $562 $115 $2,740 13 393,628
AK $560 $132 $2,735 2 4,649
IN $559 $113 $2,633 13 70,476
LA $558 $138 $2,161 22 452,848
MI $545 $87 $2,024 13 147,741
WA $542 $85 $2,532 15 358,576
SD $481 $95 $2,163 6 20,786
MO $458 $85 $1,951 9 59,914
NJ $448 $94 $2,016 15 1,247,655
SC $441 $127 $2,110 14 105,356
IL $407 $92 $2,078 42 803,822
DC $369 $101 $1,426 4 16,100
WI $355 $76 $1,984 14 169,081
WY $319 $96 $1,159 2 13,238
RI $304 $222 $385 1 2
NV $300 $94 $1,600 2 2,175
CA $296 $48 $1,808 15 111,822
KS $268 $73 $1,808 9 47,219
KY $262 $53 $1,566 12 58,886
MA $254 $75 $1,080 10 185,039
NH $224 $99 $601 1 209
OR $198 $70 $695 2 6,436
NY $158 $58 $580 1 18,179
DE $151 $50 $631 2 3,760
ID $95 $18 $337 2 13,583
ND $53 $7 $252 2 5,472

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
       
MEDICAL CITY HEART HOSPITAL TX Dallas $2,838 $675 $5,674 9,073 10,944

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