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

Three Rivers Provider Network

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.

$446 Overall median paid
294 hospitals
5,112,765 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 Inj Onase Abepar-xioi Treat $3,502,805 $2,455,111 ↑ 42.7% 20 23
J3392 HCPCS Inj, Exagamglogene Autotem $3,327,158 $2,332,000 ↑ 42.7% 9 11
Q2042 HCPCS Tisagenlecleucel Car-pos T $1,320,472 $621,313 ↑ 112.5% 31 50
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $1,161,230 $562,501 ↑ 106.4% 38 51
Q2053 HCPCS Brexucabtagene Car Pos T $1,161,230 $513,770 ↑ 126.0% 34 47
Q2056 HCPCS Ciltacabtagene Car-pos T $1,053,639 $599,737 ↑ 75.7% 32 42
Q2054 HCPCS Lisocabtagene Mara Car Pos T $987,070 $579,571 ↑ 70.3% 33 42
Q2055 HCPCS Idecabtagene Vicleucel Car $795,148 $574,037 ↑ 38.5% 32 52
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $646,098 $168,055 ↑ 284.5% 20 51
C1882 HCPCS — $39,612 $24,131 ↑ 64.2% 89 1,849
C1767 HCPCS — $35,062 $25,172 ↑ 39.3% 100 1,755
C1820 HCPCS — $34,090 $21,100 ↑ 61.6% 95 1,346
C1721 HCPCS — $32,678 $19,958 ↑ 63.7% 89 1,545
C1722 HCPCS — $31,720 $19,800 ↑ 60.2% 92 1,744
C1874 HCPCS — $7,726 $5,596 ↑ 38.1% 104 10,905
C1776 HCPCS — $4,797 $3,543 ↑ 35.4% 121 65,819
C1876 HCPCS — $3,987 $2,732 ↑ 45.9% 103 8,629
C1889 HCPCS — $2,251 $1,642 ↑ 37.1% 122 20,718
C1781 HCPCS — $1,797 $1,566 ↑ 14.7% 122 19,445
C1713 HCPCS — $1,206 $1,045 ↑ 15.4% 125 267,175

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
       
AR $2,777 $151 $4,272 3 38,491
WV $1,796 $439 $6,756 3 127,136
NV $1,126 $210 $3,365 4 35,149
NJ $1,023 $229 $4,962 6 38,134
NY $1,016 $176 $4,090 7 272,508
NM $964 $222 $8,509 5 36,399
RI $900 $244 $3,493 1 3,102
AZ $781 $181 $2,677 3 24,373
TX $701 $151 $3,324 26 422,719
VA $689 $150 $2,678 2 76,918
KS $655 $82 $3,375 4 23,997
LA $646 $177 $2,551 16 144,370
AL $585 $119 $2,277 4 23,536
VT $518 $144 $1,587 1 14,507
NC $511 $135 $3,011 14 204,132
FL $506 $90 $1,839 9 283,182
DE $496 $72 $2,792 2 26,238
IN $446 $95 $2,118 23 1,366,863
PA $436 $73 $2,091 6 121,251
CA $360 $51 $2,639 42 441,175
NE $313 $111 $1,156 1 2,585
WY $292 $90 $1,078 5 33,055
ID $290 $63 $2,588 4 21,821
MI $284 $46 $1,419 17 495,063
MO $270 $65 $1,290 6 32,959
KY $258 $50 $1,138 1 12,996
GA $250 $78 $896 12 149,243
IL $244 $106 $1,283 8 77,209
CO $234 $54 $994 8 65,317
TN $207 $39 $950 2 14,851
OR $184 $67 $564 2 6,252
UT $176 $76 $486 1 2,770
MT $143 $50 $390 7 23,096
MD $130 $28 $764 2 5,844
OK $111 $26 $531 2 5,474
IA $102 $25 $500 1 5,407
WA $97 $31 $232 2 4,277
OH $77 $7 $975 15 129,543
MS $57 $11 $206 2 4,772
ND $53 $10 $285 3 24,181
WI $48 $2 $451 9 199,025
CT $30 $3 $410 3 72,845

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
       
Okc-amg Specialty Hospital OK Oklahoma City $78,917 $61,058 $100,617 55 55
Las Vegas-amg Specialty Hospital NV Las Vegas $76,792 $63,682 $110,353 56 56
Lafayette - A M G Specialty Hospital LA Lafayette $75,313 $59,190 $96,022 53 53
Zachary - A M G Specialty Hospital LA Zachary $74,634 $58,016 $87,926 41 41
Albuquerque - Amg Specialty Hospital, Llc NM Albuquerque $65,525 $52,540 $86,530 89 89
Central Indiana Amg Specialty Hospital Llc IN Muncie $65,319 $52,056 $86,469 192 569
North Mississippi Specialty Hospital MS Batesville $55,722 $44,834 $83,916 38 38
Houma - Amg Specialty Hospital LA Houma $54,087 $46,455 $72,294 82 82
Adventist HealthCare Rehabilitation MD Rockville $52,501 $39,281 $67,603 431 431
WESTERN ARIZONA REGIONAL MEDICAL CENTER AZ Bullhead City $49,642 $27,145 $86,577 530 1,060
Covington - A M G Physical Rehabilitation Hospital LA Covington $42,590 $37,747 $46,756 25 25
Lafayette Physical Rehabilitation Hospital LA Lafayette $33,533 $30,222 $45,454 25 25
PHYSICIANS' MEDICAL CENTER LLC IN New Albany $13,094 $8,614 $20,970 276 552
Unm Sandoval Regional Medical Center NM Rio Rancho $8,509 $8,509 $8,509 10,144 11,064
Arkansas Children's Hospital AR Little Rock $4,434 $154 $4,434 9,091 12,382
ARKANSAS CHILDREN'S NORTHWEST, INC AR Springdale $4,272 $751 $4,272 12,763 14,773
Kentfield Hospital CA Kentfield $4,131 $3,413 $4,958 16 16
KENTFIELD SAN FRANCISCO HOSPITAL CA San Francisco $4,131 $3,413 $4,958 16 16
MON HEALTH MEDICAL CENTER WV Morgantown $2,916 $823 $9,031 27,851 58,578
ORO VALLEY HOSPITAL AZ Oro Valley $2,192 $87 $42,227 1,172 1,495

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