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

Priority Health

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.

$317 Overall median paid
214 hospitals
5,700,287 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 Inj, Atidarsagene Autotemcel $3,176,025 $4,505,000 ↓ 29.5% 10 17
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $2,600,293 $3,705,478 ↓ 29.8% 16 28
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,388,614 $2,467,386 ↓ 3.2% 20 37
J1413 HCPCS Inj Delandistrogene Mox Rokl $2,346,141 $3,324,572 ↓ 29.4% 17 29
J3394 HCPCS Inj, Lovotibeglogene Autotem $2,293,018 $3,286,000 ↓ 30.2% 15 27
J3393 HCPCS Inj, Betibeglogene Autotemce $2,072,678 $2,994,107 ↓ 30.8% 15 27
J3392 HCPCS Inj, Exagamglogene Autotem $1,644,060 $2,401,965 ↓ 31.6% 16 28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $390,179 $359,454 ↑ 8.5% 69 198
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $278,143 $249,036 ↑ 11.7% 81 223
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $219,347 $198,418 ↑ 10.5% 75 210
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $193,839 $190,559 ↑ 1.7% 99 292
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures $128,693 $126,695 ↑ 1.6% 102 285
C1882 HCPCS — $19,340 $27,360 ↓ 29.3% 67 2,637
C1820 HCPCS — $16,995 $22,986 ↓ 26.1% 56 2,165
C1721 HCPCS — $16,027 $22,344 ↓ 28.3% 72 1,782
C1722 HCPCS — $14,580 $20,901 ↓ 30.2% 72 2,119
C1767 HCPCS — $14,052 $23,896 ↓ 41.2% 62 3,160
C1874 HCPCS — $3,256 $4,820 ↓ 32.4% 76 14,874
C1776 HCPCS — $2,156 $3,394 ↓ 36.5% 96 102,889
C1713 HCPCS — $654 $863 ↓ 24.3% 102 429,905

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 $4,589 $21 $11,657 2 1,771
ME $3,019 $1,584 $4,454 1 2
MS $1,484 $146 $6,339 1 4,363
TN $1,484 $144 $6,542 3 17,559
AR $1,120 $404 $1,380 1 14,495
MT $1,062 $264 $4,294 1 1,880
IN $1,023 $235 $3,105 8 80,024
ID $901 $206 $3,027 1 34,869
CO $900 $900 $900 1 7
KY $817 $425 $6,094 2 64
NC $800 $800 $800 1 1
ND $688 $110 $2,853 1 9,791
MA $688 $110 $2,854 2 19,582
OH $665 $154 $2,483 6 78,835
IL $566 $96 $4,934 4 18,867
TX $553 $140 $2,380 5 14,312
FL $532 $139 $1,774 3 46,983
NY $414 $106 $1,436 1 34,468
MO $399 $67 $2,769 11 55,590
WI $324 $77 $1,544 8 114,340
MI $317 $57 $1,678 138 5,056,543
MN $294 $82 $1,236 9 81,404
IA $193 $70 $665 3 14,536
UT $16 $16 $16 1 1
CA — — — 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
       
Vibra Hospital of Southeastern Michigan - DMC Campus MI Detroit $37,881 $32,690 $44,325 39 39
Vibra Hospital Of Southeastern Mi-taylor Campus MI Taylor $32,725 $29,066 $48,379 743 746
BEAUMONT HOSPITAL ROYAL OAK MI Royal Oak $15,692 $9,615 $26,613 896 4,434
ADVENTHEALTH NEW SMYRNA BEACH FL New Smyrna Beach $12,305 $7,953 $20,477 772 772
COREWELL HEALTH WATERVLIET HOSPITAL MI Watervliet $10,742 $6,161 $17,581 829 923
PROGRESS WEST HOSPITAL MO Ofallon $6,771 $263 $6,771 279 370
COMMUNITY HOSPITAL EAST IN Indianapolis $5,634 $4,014 $10,021 1,596 1,596
MEMORIAL HEALTHCARE MI Owosso $5,228 $38 $12,382 2,185 3,032
AVOYELLES HOSPITAL LA Marksville $4,597 $21 $11,657 1,769 1,769
COREWELL HEALTH ZEELAND HOSPITAL MI Zeeland $3,321 $428 $8,190 8,124 33,843
SPECTRUM HEALTH UNITED HOSPITAL MI Greenville $3,321 $432 $8,544 8,145 34,241
COREWELL HEALTH BIG RAPIDS HOSPITAL MI Big Rapids $3,321 $432 $8,316 8,125 34,007
LAKELAND HOSPITAL, ST JOSEPH MI St Joseph $3,185 $268 $9,019 10,944 13,139
COREWELL HEALTH GERBER HOSPITAL MI Fremont $3,184 $402 $7,802 8,130 33,225
COREWELL HEALTH PENNOCK HOSPITAL MI Hastings $3,129 $406 $7,687 8,136 33,674
ST MARY'S REGIONAL MEDICAL CENTER ME Lewiston $3,019 $1,584 $4,454 2 2
ALTON MEMORIAL HOSPITAL IL Alton $2,769 $63 $9,841 3,451 4,017
Goshen Surgery Center — — $2,669 $832 $5,751 1,953 7,508
Select Specialty Hospital-saginaw MI Saginaw $2,024 $2,024 $2,024 829 1,658
Select Specialty Hospital-flint MI Flint $2,024 $2,024 $2,024 829 6,632

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