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

SCAN Group

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.

$699 Overall median paid
126 hospitals
110,936 distinct codes
847,583 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 — $3,710,000 $3,710,000 0% 9 9
J1414 HCPCS — $3,710,000 $3,710,000 0% 7 7
J1413 HCPCS — $3,321,782 $3,325,455 ↓ 0.1% 6 6
J3394 HCPCS — $3,193,000 $3,286,000 ↓ 2.8% 6 6
J3393 HCPCS — $2,968,000 $3,006,423 ↓ 1.3% 6 6
J3399 HCPCS — $2,403,459 $2,469,189 ↓ 2.7% 6 6
J3392 HCPCS — $2,332,000 $2,448,600 ↓ 4.8% 8 8
18 MS_DRG — $411,661 $370,174 ↑ 11.2% 68 110
1 MS_DRG — $280,462 $265,286 ↑ 5.7% 70 105
927 MS_DRG — $219,368 $206,368 ↑ 6.3% 68 100
3 MS_DRG — $211,215 $202,986 ↑ 4.1% 78 130
4 MS_DRG — $138,174 $133,176 ↑ 3.8% 77 128
7 MS_DRG — $130,055 $122,708 ↑ 6.0% 67 98
14 MS_DRG — $123,767 $117,303 ↑ 5.5% 70 105
2 MS_DRG — $112,508 $108,660 ↑ 3.5% 67 101
212 MS_DRG — $108,111 $102,358 ↑ 5.6% 69 107
426 MS_DRG — $106,789 $98,905 ↑ 8.0% 72 121
215 MS_DRG — $100,496 $99,019 ↑ 1.5% 75 123
216 MS_DRG — $96,925 $93,672 ↑ 3.5% 74 120
C1776 HCPCS — $2,693 $3,432 ↓ 21.5% 23 4,875

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
       
NM $26,615 $21,166 $33,351 1 380
AZ $1,244 $38 $13,771 13 28,999
TX $1,172 $79 $4,311 24 188,987
NV $778 $137 $3,479 3 26,763
CA $699 $76 $4,893 84 598,389
KS $409 $53 $2,059 1 4,065

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
       
HOAG ORTHOPEDIC INSTITUTE CA Irvine $53,362 $31,241 $67,516 15 15
ClearSky Rehabilitation Hospital of Avondale AZ Avondale $28,409 $22,592 $35,599 380 380
UCI HEALTH - PLACENTIA LINDA CA Placentia $27,996 $18,147 $46,842 901 1,797
UCI HEALTH-LAKEWOOD CA Lakewood $27,996 $18,147 $46,842 901 3,594
UCI HEALTH - FOUNTAIN VALLEY CA Fountain Valley $27,996 $18,147 $46,842 901 1,797
UCI HEALTH - LOS ALAMITOS CA Los Alamitos $27,996 $18,147 $46,842 901 3,594
UCI HEALTH-ORANGE CA Orange $27,882 $18,096 $46,995 902 1,835
ClearSky Rehabilitation Hospital of Baytown TX Baytown $26,817 $21,327 $33,605 380 380
Clearsky Rehabilitation Hospital Of Rio Rancho Llc NM Rio Rancho $26,615 $21,166 $33,351 380 380
Pam Specialty Hospital Of San Antonio TX San Antonio $21,082 $290 $33,939 1,421 1,421
PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL CA Santa Rosa $18,607 $12,272 $30,443 773 1,546
MEMORIALCARE LONG BEACH MEDICAL CENTER CA Long Beach $18,000 $11,923 $29,522 770 1,540
PROVIDENCE ST JOSEPH HOSPITAL CA Eureka $17,886 $11,728 $29,448 772 1,544
PETALUMA VALLEY HOSPITAL CA Petaluma $17,760 $11,815 $28,925 772 1,544
PROVIDENCE HOLY CROSS MEDICAL CENTER CA Mission Hills $17,396 $11,248 $27,877 801 836
PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO CA San Pedro $16,497 $10,747 $26,710 781 803
PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE CA Torrance $16,380 $10,617 $26,243 803 1,756
PROVIDENCE SAINT JOSEPH MEDICAL CTR CA Burbank $16,376 $10,531 $26,902 796 809
PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER CA Tarzana $16,353 $10,554 $26,900 782 802
HONORHEALTH TEMPE MEDICAL CENTER AZ Phoenix $16,154 $11,394 $25,047 773 1,546

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