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

Naphcare Inc

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.

$696 Overall median paid
159 hospitals
2,141,245 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 $4,974,694 $3,324,572 ↑ 49.6% 11 13
J3394 HCPCS Inj, Lovotibeglogene Autotem $4,872,669 $3,286,000 ↑ 48.3% 10 11
J3399 HCPCS Inj Onase Abepar-xioi Treat $4,543,595 $2,467,989 ↑ 84.1% 31 43
J3393 HCPCS Inj, Betibeglogene Autotemce $4,409,953 $2,994,107 ↑ 47.3% 11 12
J3392 HCPCS Inj, Exagamglogene Autotem $4,408,506 $2,401,965 ↑ 83.5% 28 40
Q2057 HCPCS Afamitresgene Autoleucel $1,232,992 $813,967 ↑ 51.5% 19 29
Q2042 HCPCS Tisagenlecleucel Car-pos T $1,062,219 $739,658 ↑ 43.6% 48 72
Q2056 HCPCS Ciltacabtagene Car-pos T $1,035,354 $646,415 ↑ 60.2% 46 69
Q2055 HCPCS Idecabtagene Vicleucel Car $992,150 $623,527 ↑ 59.1% 47 71
Q2054 HCPCS Lisocabtagene Mara Car Pos T $969,940 $640,950 ↑ 51.3% 47 71
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $919,294 $608,239 ↑ 51.1% 46 69
Q2053 HCPCS Brexucabtagene Car Pos T $905,214 $592,235 ↑ 52.8% 46 69
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $573,969 $359,244 ↑ 59.8% 102 184
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $402,592 $248,541 ↑ 62.0% 105 188
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $312,021 $198,115 ↑ 57.5% 105 190
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $304,977 $190,359 ↑ 60.2% 110 196
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures $200,840 $126,461 ↑ 58.8% 113 200
7 MS_DRG Lung Transplant $188,461 $117,977 ↑ 59.7% 103 186
C1776 HCPCS — $6,213 $3,394 ↑ 83.0% 42 15,265
C1713 HCPCS — $1,739 $864 ↑ 101.2% 45 50,783

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
       
LA $43 $11 $203 2 11,795
MT $101 $49 $162 2 1,050
IA $101 $20 $827 2 48,521
WY $122 $44 $434 1 3,613
IL $225 $38 $1,200 9 97,173
MI $249 $62 $1,581 4 36,358
SC $297 $44 $2,789 2 24,361
NY $299 $50 $1,930 3 16,064
WI $336 $66 $1,980 5 70,189
PA $359 $147 $1,178 12 147,655
AZ $386 $51 $4,044 7 68,583
GA $396 $100 $2,076 4 88,512
OH $399 $33 $10,167 1 7,152
FL $425 $57 $3,145 12 163,302
IN $478 $85 $3,840 4 40,967
NE $478 $96 $3,256 1 24,919
NJ $483 $125 $4,671 7 74,262
AL $529 $109 $3,487 3 44,453
NV $612 $131 $3,898 3 47,889
TN $653 $124 $6,993 3 23,673
CA $696 $82 $5,682 20 265,367
KS $793 $125 $10,066 2 18,218
WV $830 $208 $3,079 3 128,547
VA $1,347 $196 $6,132 3 84,647
TX $1,371 $159 $6,116 35 576,346
NM $1,571 $136 $12,571 1 2,905
CO $1,652 $212 $6,615 4 18,510
DE $2,406 $2,406 $2,406 1 1
MO $5,657 $213 $23,529 3 6,213
KY — — — 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
       
ST JOSEPH MEDICAL CENTER TX Houston $32,654 $26,018 $43,472 763 763
ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL PA Bensalem $28,183 $20,244 $37,671 36 36
WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL GA Augusta $28,028 $191 $49,251 1,412 1,414
MOBERLY REGIONAL MEDICAL CENTER MO Moberly $20,656 $10,196 $38,734 1,139 1,139
KERALTY HOSPITAL FL Miami $7,601 $66 $14,582 1,849 5,338
Tampa General Hospital FL Tampa $7,257 $2,419 $14,514 135 135
COMMUNITY HOSPITAL OF SAN BERNARDINO CA San Bernardino $4,611 $388 $12,608 6,070 6,921
CJW MEDICAL CENTER VA Richmond $3,929 $463 $15,972 19,461 26,516
CHRISTUS SPOHN HOSPITAL ALICE TX Alice $3,853 $1,150 $7,410 3,576 3,576
ST BERNARDINE MEDICAL CENTER CA San Bernardino $3,777 $190 $12,596 6,109 7,808
CHRISTUS SPOHN HOSPITAL BEEVILLE TX Beeville $3,759 $261 $6,577 5,761 6,127
CHRISTUS SPOHN HOSPITAL KLEBERG TX Kingsville $3,703 $325 $6,568 8,634 8,634
Utmb Galveston Transplant TX Galveston $3,109 $201 $10,934 4,977 5,304
CHRISTUS MOTHER FRANCES HOSPITAL TX Tyler $2,800 $281 $6,011 13,022 38,967
ST DAVID'S SOUTH AUSTIN MEDICAL CENTER TX Austin $2,687 $622 $9,534 11,585 18,836
CHRISTUS Santa Rosa Hospital - New Braunfels TX New Braunfels $2,582 $242 $6,093 12,665 12,665
GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI IL Silvis $2,426 $300 $8,633 5,916 6,075
BAYHEALTH HOSPITAL, SUSSEX CAMPUS DE Milford $2,406 $2,406 $2,406 1 1
Christus St Michael Rehab Hospital TX Texarkana $2,315 $183 $5,632 14,637 14,637
GENESIS MEDICAL CENTER-DAVENPORT IA Davenport $2,228 $281 $7,928 6,123 12,455

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