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

Prime Health Services

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.

$486 Overall median paid
320 hospitals
4,279,431 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
       
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $205,929 $186,516 ↑ 10.4% 138 202
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $184,365 $145,435 ↑ 26.8% 165 257
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures $121,265 $97,418 ↑ 24.5% 165 259
C1713 HCPCS — $918 $1,045 ↓ 12.1% 121 203,992
C1721 HCPCS — $25,273 $19,958 ↑ 26.6% 97 2,034
C1722 HCPCS — $23,340 $19,800 ↑ 17.9% 94 1,798
C1767 HCPCS — $22,221 $25,172 ↓ 11.7% 99 1,548
C1776 HCPCS — $2,619 $3,543 ↓ 26.1% 123 51,877
C1874 HCPCS — $4,455 $5,596 ↓ 20.4% 112 8,676
C1882 HCPCS — $29,803 $24,131 ↑ 23.5% 99 2,245
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,869,530 $3,685,267 ↑ 5.0% 11 13
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,236,210 $3,325,455 ↓ 2.7% 14 18
J3391 HCPCS Inj, Atidarsagene Autotemcel $4,730,250 $4,505,000 ↑ 5.0% 6 6
J3393 HCPCS Inj, Betibeglogene Autotemce $3,093,027 $2,968,000 ↑ 4.2% 8 9
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,410,868 $3,248,446 ↑ 5.0% 8 9
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,577,866 $2,455,111 ↑ 5.0% 17 18
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $525,883 $562,501 ↓ 6.5% 44 58
Q2042 HCPCS Tisagenlecleucel Car-pos T $606,464 $621,313 ↓ 2.4% 39 62
Q2054 HCPCS Lisocabtagene Mara Car Pos T $541,322 $579,571 ↓ 6.6% 34 44
Q2056 HCPCS Ciltacabtagene Car-pos T $565,869 $599,737 ↓ 5.6% 37 49

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 1 829
NE $2,556 $2,556 $2,556 1 829
NJ $2,408 $724 $3,485 6 21,560
WI $2,364 $2,364 $2,364 2 1,658
SD $2,092 $2,092 $2,092 1 1,011
VA $1,931 $1,931 $1,931 1 829
WV $1,902 $1,902 $1,902 3 4,145
AR $1,807 $1,807 $1,807 1 829
TN $1,608 $147 $1,608 6 16,402
MO $1,535 $320 $4,207 5 14,881
AZ $1,418 $1,418 $1,418 3 2,487
OK $1,219 $138 $9,909 7 43,778
NV $914 $245 $4,718 3 20,359
MA $817 $121 $3,940 3 16,372
FL $660 $102 $1,920 44 473,910
MS $649 $176 $2,246 14 442,114
TX $641 $119 $3,588 54 525,915
WA $604 $161 $4,200 1 2,338
ND $604 $148 $22,489 1 2,725
NC $603 $100 $2,298 5 30,703
OH $592 $112 $2,119 11 66,610
LA $527 $175 $2,338 6 132,383
PA $527 $74 $3,118 19 210,678
KS $525 $91 $2,400 5 35,375
GA $514 $143 $2,048 6 17,559
DE $496 $87 $2,755 4 36,647
AL $486 $138 $1,555 13 354,302
IN $448 $53 $2,471 9 406,033
CA $436 $59 $3,210 30 610,751
HI $433 $102 $4,000 1 2,251
CO $388 $100 $1,891 6 56,167
WY $341 $86 $1,672 5 70,018
NY $314 $65 $2,761 2 37,532
MI $313 $57 $1,433 15 392,711
IL $291 $113 $1,597 10 160,340
OR $229 $89 $665 1 1,537
ID $222 $50 $901 4 26,859
MT $80 $32 $157 2 1,514
KY $63 $11 $207 1 10,858
SC $34 $29 $52 7 16,944
MD $9 $2 $37 1 8,688

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
       
MERIT HEALTH WOMEN'S HOSPITAL MS Flowood $44,768 $24,666 $84,702 272 272
P A M Specialty Hospital Of Covington LA Covington $30,213 $227 $47,604 1,434 1,434
P A M Specialty Hospital Of Hammond LA Hammond $29,304 $286 $45,553 1,436 1,436
CHILDREN'S HOSP OF LOS ANGELES CA Los Angeles $26,749 $18,000 $32,038 38 38
MERIT HEALTH RIVER OAKS MS Flowood $23,042 $5,760 $80,771 408 816
CROSSGATES RIVER OAKS HOSPITAL MS Brandon $20,227 $10,571 $34,869 974 1,182
GARNET HEALTH MEDICAL CENTER NY Middletown $16,859 $10,561 $27,062 806 839
MERIT HEALTH CENTRAL MS Jackson $7,949 $3,996 $25,937 78 78
Orlando Health Dr. P. Phillips Hospital FL Orlando $7,924 $4,013 $11,835 2 2
BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO TX Frisco $5,878 $2,884 $8,871 871 871
Pam Specialty Hospital Of New Braunfels TX New Braunfels $2,958 $227 $45,087 1,336 6,768
Regency Hospital Of Minneapolis Llc MN Golden Valley $2,958 $2,958 $2,958 829 829
TREASURE VALLEY HOSPITAL ID Boise $2,948 $575 $5,361 5,563 5,706
Kessler Institute For Rehabilitation,inc NJ Marlton $2,886 $2,886 $2,886 100 200
Kessler Institute For Rehabilitation West Orange NJ West Orange $2,886 $2,886 $2,886 100 200
HARMON MEMORIAL HOSPITAL OK Hollis $2,800 $192 $10,554 10,187 21,136
NORTH CAROLINA SPECIALTY HOSPITAL NC Durham $2,638 $781 $4,314 825 2,608
Select Specialty Hospital Southeast Ohio OH Newark $2,592 $2,592 $2,592 829 829
SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF CA Sacramento $2,584 $209 $2,584 1,642 2,097
Select Specialty Hospital - Omaha (central Campus) NE Omaha $2,556 $2,556 $2,556 829 829

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