Price Transparency 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

MVP Health Care

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.

$526 Overall median paid
173 hospitals
447,239 distinct codes
5,669,998 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 — $4,505,000 $4,505,000 0% 5 9
J1411 HCPCS — $3,685,267 $3,710,000 ↓ 0.7% 6 10
J1413 HCPCS — $3,322,473 $3,325,455 ↓ 0.1% 7 15
J3394 HCPCS — $3,286,000 $3,286,000 0% 7 15
J3393 HCPCS — $2,948,213 $3,006,423 ↓ 1.9% 7 15
J3399 HCPCS — $2,626,500 $2,469,189 ↑ 6.4% 10 20
J3392 HCPCS — $2,390,300 $2,448,600 ↓ 2.4% 7 16
Q2057 HCPCS — $1,134,120 $824,563 ↑ 37.5% 15 32
Q2056 HCPCS — $848,803 $675,122 ↑ 25.7% 16 33
Q2054 HCPCS — $828,907 $674,188 ↑ 22.9% 25 51
Q2055 HCPCS — $824,167 $625,184 ↑ 31.8% 25 51
Q2041 HCPCS — $785,585 $634,511 ↑ 23.8% 25 51
Q2042 HCPCS — $769,244 $754,974 ↑ 1.9% 22 42
Q2053 HCPCS — $720,720 $620,080 ↑ 16.2% 25 58
24 APR_DRG — $403,383 $234,738 ↑ 71.8% 21 60
C1882 HCPCS — $21,074 $27,112 ↓ 22.3% 39 1,196
C1767 HCPCS — $15,726 $22,478 ↓ 30.0% 44 1,558
C1874 HCPCS — $3,202 $4,694 ↓ 31.8% 46 7,769
C1776 HCPCS — $2,172 $3,432 ↓ 36.7% 63 53,440
C1713 HCPCS — $691 $836 ↓ 17.3% 67 235,893

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 $1,476 $440 $7,290 1 2,212
NC $864 $261 $5,867 4 4,912
OH $726 $149 $2,673 1 34,429
NJ $722 $37 $4,595 8 147,508
NH $702 $137 $2,329 4 327,860
NY $526 $94 $2,978 90 3,797,931
UT $500 $149 $3,033 1 2,250
PR $395 $255 $536 1 2
MA $383 $105 $1,606 3 67,688
VT $314 $78 $1,056 13 371,071
MI $305 $46 $1,338 9 507,922
PA $303 $80 $1,194 4 136,841
SC $297 $60 $2,021 11 91,772
MN $286 $81 $1,197 9 63,623
OR $281 $59 $1,052 1 14,756
WI $280 $69 $1,223 7 57,295
CT $274 $34 $1,640 6 41,926

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
       
Winifred Masterson Burke Rehabilitation Hospital NY White Plains $30,898 $31 $43,921 449 587
ST JOSEPH'S HOSPITAL HEALTH CENTER NY Syracuse $29,433 $19,044 $47,102 764 1,532
CHENANGO MEMORIAL HOSPITAL NY Norwich $13,556 $439 $34,179 4,076 10,840
UNITED HEALTH SERVICES HOSPITALS, INC NY Binghamton $13,457 $477 $33,680 4,139 5,672
DELAWARE VALLEY HOSPITAL, INC NY Walton $12,123 $177 $37,211 3,306 4,653
GOOD SAMARITAN HOSPITAL OF SUFFERN NY Suffern $12,010 $2,348 $29,471 1,615 4,043
VASSAR BROTHERS MEDICAL CENTER NY Poughkeepsie $11,644 $252 $37,058 3,717 9,710
ERIE COUNTY MEDICAL CENTER NY Buffalo $9,742 $3,630 $34,017 26 32
NORTHERN DUTCHESS HOSPITAL NY Rhinebeck $9,524 $186 $28,680 3,673 4,308
BON SECOURS COMMUNITY HOSPITAL NY Port Jervis $7,337 $799 $30,451 749 1,647
MONTEFIORE ST LUKE'S CORNWALL NY Newburgh $6,666 $1,647 $15,055 10,105 17,041
WHITE PLAINS HOSPITAL CENTER NY White Plains $6,648 $993 $20,621 2,294 12,415
ST ANTHONY COMMUNITY HOSPITAL NY Warwick $4,997 $743 $27,399 765 1,666
NYACK HOSPITAL NY Nyack $4,200 $2,245 $5,370 12,282 61,270
MONTEFIORE MOUNT VERNON HOSPITAL NY Mount Vernon $4,103 $678 $6,666 9,162 19,656
ST JOHN'S RIVERSIDE HOSPITAL NY Yonkers $3,783 $3,478 $3,783 9,195 29,003
NORTH SHORE UNIVERSITY HOSPITAL NY Manhasset $3,541 $1,007 $7,659 57,720 57,720
LONG ISLAND JEWISH MEDICAL CENTER NY New Hyde Park $3,525 $997 $7,613 57,907 57,907
STATEN ISLAND UNIVERSITY HOSPITAL NY Staten Island $3,525 $993 $7,613 57,981 57,981
Zucker Hillside Hospital NY Glen Oaks $3,525 $997 $7,613 57,907 57,907

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