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

PacificSource

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.

$514 Overall median paid
211 hospitals
3,899,010 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
       
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,973,410 $3,691,450 ↑ 7.6% 7 11
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,361,138 $3,324,572 ↑ 1.1% 8 19
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,350,567 $3,286,000 ↑ 2.0% 8 14
J3393 HCPCS Inj, Betibeglogene Autotemce $2,969,369 $2,983,626 ↓ 0.5% 7 13
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,071,185 $2,467,989 ↓ 16.1% 10 47
Q2057 HCPCS Afamitresgene Autoleucel $1,213,726 $813,967 ↑ 49.1% 15 42
Q2042 HCPCS Tisagenlecleucel Car-pos T $931,969 $739,658 ↑ 26.0% 25 67
Q2056 HCPCS Ciltacabtagene Car-pos T $891,244 $646,415 ↑ 37.9% 24 67
Q2055 HCPCS Idecabtagene Vicleucel Car $877,776 $621,967 ↑ 41.1% 24 62
Q2054 HCPCS Lisocabtagene Mara Car Pos T $856,892 $637,620 ↑ 34.4% 26 89
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $839,838 $607,251 ↑ 38.3% 26 84
Q2053 HCPCS Brexucabtagene Car Pos T $770,655 $589,091 ↑ 30.8% 24 62
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $616,219 $360,195 ↑ 71.1% 20 63
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $358,796 $247,805 ↑ 44.8% 33 99
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $244,734 $190,274 ↑ 28.6% 37 120
C1882 HCPCS — $25,207 $27,307 ↓ 7.7% 46 1,184
C1874 HCPCS — $5,094 $4,810 ↑ 5.9% 49 6,739
C1776 HCPCS — $3,188 $3,388 ↓ 5.9% 79 57,794
C1889 HCPCS — $2,574 $2,359 ↑ 9.1% 75 12,451
C1713 HCPCS — $1,054 $867 ↑ 21.5% 93 215,489

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
       
UT $35,088 $27,082 $46,431 1 658
ND $1,408 $262 $6,654 1 48,220
RI $975 $975 $975 1 1
CO $900 $900 $900 1 3
KY $705 $705 $705 2 2
NM $700 $700 $700 1 1
FL $686 $197 $1,960 1 58,281
ID $585 $97 $3,243 41 830,700
OR $514 $91 $1,918 52 1,750,423
WA $422 $56 $2,305 25 502,065
WY $410 $96 $1,485 6 83,498
OH $372 $103 $791 1 2,110
SD $324 $76 $2,374 6 33,876
MN $287 $81 $1,209 9 63,740
MT $275 $67 $1,290 55 428,684
WI $270 $67 $1,198 7 93,906
CA $93 $24 $260 1 2,842

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
       
Saint Alphonsus Regional Rehabilitation Hospital ID Boise $28,116 $22,359 $35,232 380 380
Rehabilitation Hospital Of The Northwest ID Post Falls $25,005 $19,881 $30,525 126 736
COTTONWOOD CREEK BEHAVIORAL HOSPITAL ID Meridian $4,587 $3,258 $5,591 2 12
TREASURE VALLEY HOSPITAL ID Boise $3,530 $1,354 $5,986 6,688 7,459
Advanced Care Hospital Of Montana MT Billings $16,890 $150 $30,980 165 284
LOGAN HEALTH MEDICAL CENTER MT Kalispell $2,488 $798 $9,029 56 56
PROVIDENCE MEDFORD MEDICAL CENTER OR Medford $15,957 $10,405 $25,382 806 817
PROVIDENCE ST VINCENT MEDICAL CENTER OR Portland $6,673 $1,278 $11,494 178 225
PROVIDENCE PORTLAND MEDICAL CENTER OR Portland $6,328 $1,579 $11,316 211 258
PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER OR Oregon City $5,812 $674 $9,133 81 96
PROVIDENCE MILWAUKIE HOSPITAL OR Milwaukie $5,601 $527 $11,113 39 47
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL OR Hood River $5,248 $828 $13,861 258 398
PEACE HARBOR MEDICAL CENTER OR Florence $5,223 $684 $5,223 1,012 3,522
PROVIDENCE NEWBERG MEDICAL CENTER OR Newberg $4,491 $701 $13,718 59 69
PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER OR Cottage Grove $4,374 $637 $4,374 947 3,257
MONUMENT HEALTH SPEARFISH HOSPITAL SD Spearfish $3,792 $31 $11,813 890 1,780
Western Peaks Specialty Hospital UT Bountiful $35,088 $27,082 $46,431 658 658
HARBORVIEW MEDICAL CENTER WA Seattle $20,816 $14,568 $32,604 773 775
University Of Washington Medical Center WA Seattle $17,666 $11,364 $28,931 787 796
PROV SACRED HRT MED CTR & CHILDS HOSP. WA Spokane $2,521 $304 $13,273 19 19

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