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

PHCS (Private Healthcare Systems)

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.

$660 Overall median paid
790 hospitals
2,136,338 distinct codes
18,256,111 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
       
J3399 HCPCS — $3,385,200 $2,469,189 ↑ 37.1% 55 103
J3392 HCPCS — $3,320,651 $2,448,600 ↑ 35.6% 39 59
Q2055 HCPCS — $1,857,966 $625,184 ↑ 197.2% 112 184
Q2054 HCPCS — $1,625,774 $674,188 ↑ 141.1% 122 185
Q2056 HCPCS — $1,612,226 $675,122 ↑ 138.8% 93 134
Q2041 HCPCS — $1,606,143 $634,511 ↑ 153.1% 90 121
Q2042 HCPCS — $1,564,748 $754,974 ↑ 107.3% 117 213
Q2053 HCPCS — $1,441,600 $620,080 ↑ 132.5% 104 158
C1882 HCPCS — $45,792 $27,112 ↑ 68.9% 277 9,239
C1767 HCPCS — $41,004 $22,478 ↑ 82.4% 305 8,341
C1721 HCPCS — $39,129 $22,210 ↑ 76.2% 277 7,619
C1722 HCPCS — $36,043 $20,768 ↑ 73.6% 287 7,920
C1820 HCPCS — $31,941 $22,013 ↑ 45.1% 293 6,111
C1874 HCPCS — $7,629 $4,694 ↑ 62.5% 317 46,927
C1776 HCPCS — $5,994 $3,432 ↑ 74.7% 333 428,801
C1762 HCPCS — $5,089 $2,935 ↑ 73.4% 308 31,736
C1889 HCPCS — $4,990 $2,393 ↑ 108.6% 321 146,881
C1768 HCPCS — $3,374 $2,048 ↑ 64.8% 313 54,440
C1781 HCPCS — $2,583 $1,362 ↑ 89.7% 326 100,770
C1713 HCPCS — $1,338 $836 ↑ 60.0% 334 1,163,859

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
       
IN $1,085 $231 $3,067 19 985,605
ID $933 $215 $3,122 2 40,108
WI $888 $101 $4,707 3 78,511
TX $855 $112 $4,834 142 4,443,323
FL $853 $131 $4,046 63 1,367,441
MD $834 $204 $2,799 8 1,145,154
DC $788 $243 $2,864 4 363,878
NH $762 $101 $2,664 4 206,933
AL $727 $149 $3,412 5 106,899
NV $664 $112 $4,373 6 51,984
IL $660 $156 $2,732 39 408,588
GA $628 $130 $3,181 51 1,114,483
KY $623 $79 $3,128 14 154,348
WA $618 $181 $2,701 6 62,139
KS $560 $78 $2,975 9 81,404
TN $550 $123 $2,224 22 557,557
NJ $534 $78 $4,261 15 344,614
WV $530 $137 $2,531 1 6,129
MA $516 $127 $1,462 6 92,888
OK $497 $97 $2,516 30 356,435
IA $495 $117 $1,800 5 219,313
DE $493 $111 $2,489 2 8,115
MS $486 $97 $2,268 9 87,389
VA $484 $130 $1,924 10 97,778
NE $436 $113 $1,989 10 451,259
SC $410 $75 $2,940 6 78,670
CA $404 $57 $2,456 33 364,373
CO $399 $83 $2,052 16 243,007
LA $386 $70 $2,748 20 211,443
MI $378 $53 $1,499 23 845,231
MO $371 $66 $2,215 40 439,256
NY $354 $59 $2,107 20 521,886
NC $315 $90 $1,298 33 757,222
PA $314 $34 $1,577 22 315,619
WY $312 $78 $1,282 1 9,723
OH $293 $57 $1,450 38 914,928
OR $278 $60 $1,172 4 60,590
UT $276 $110 $781 2 8,006
AR $271 $40 $2,546 11 234,818
NM $221 $39 $2,295 7 26,952
MT $211 $36 $1,350 1 21,008
AZ $184 $34 $864 4 21,894
RI $144 $27 $604 5 46,610
MN $100 $23 $556 14 287,250
CT $70 $9 $646 5 15,350

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
       
Nexus Specialty Hospital The Woodlands TX Shenandoah $51,927 $29,550 $85,026 30 30
SUMMA HEALTH SYSTEM OH Akron $43,727 $27,855 $70,165 792 1,592
NORTHSIDE HOSPITAL GA Atlanta $37,500 $490 $37,500 13,388 17,579
UCHICAGO MEDICINE ADVENTHEALTH HINSDALE IL Hinsdale $24,057 $15,501 $38,919 771 1,542
UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE IL La Grange $24,057 $15,519 $38,907 771 771
OVERLAKE HOSPITAL MEDICAL CENTER WA Bellevue $23,935 $15,156 $39,620 802 1,628
LEWISGALE MEDICAL CENTER VA Salem $23,083 $14,616 $33,751 761 761
ST MARY MEDICAL CENTER IL Galesburg $22,147 $12,793 $32,176 3 3
LEWISGALE HOSPITAL ALLEGHANY VA Low Moor $19,690 $14,096 $31,392 770 1,522
ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL FL Sebastian $17,181 $7,976 $27,488 26 26
ORLANDO HEALTH MELBOURNE HOSPITAL FL Melbourne $15,821 $5,312 $26,550 29 29
EMORY UNIVERSITY HOSPITAL GA Atlanta $14,316 $3,126 $35,618 137 147
Ascension Saint Thomas Hospital Midtown TN Nashville $13,288 $13,288 $13,288 772 772
OSF SAINT ANTHONY'S HEALTH CENTER IL Alton $12,067 $7,636 $20,385 817 1,662
FIRSTHEALTH MOORE REGIONAL HOSPITAL NC Pinehurst $11,780 $6,675 $16,884 2 2
METHODIST HOSPITAL TX San Antonio $11,641 $11,641 $11,641 2,798 5,713
METHODIST HOSPITAL STONE OAK TX San Antonio $11,641 $11,641 $11,641 2,795 2,863
HOUSTON METHODIST BAYTOWN HOSPITAL TX Baytown $10,171 $2,886 $14,684 19 19
ST DAVID'S SOUTH AUSTIN MEDICAL CENTER TX Austin $10,160 $1,931 $13,915 233 309
COMMUNITY HOSPITAL EAST IN Indianapolis $9,270 $5,143 $17,963 2,333 31,035

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