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

TRICARE

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.

$459 Overall median paid
1,474 hospitals
13,350,508 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 $4,505,000 $4,505,000 0% 11 14
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,672,900 $3,705,478 ↓ 0.9% 46 79
J1414 HCPCS Inj, Beqvez, Per Tx Dose $3,628,200 $3,710,000 ↓ 2.2% 32 46
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,321,782 $3,324,572 ↓ 0.1% 46 79
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,250,477 $3,286,000 ↓ 1.1% 43 62
J3393 HCPCS Inj, Betibeglogene Autotemce $2,968,000 $2,994,107 ↓ 0.9% 42 61
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,388,614 $2,467,989 ↓ 3.2% 49 89
J3392 HCPCS Inj, Exagamglogene Autotem $2,332,000 $2,401,965 ↓ 2.9% 40 56
Q2042 HCPCS Tisagenlecleucel Car-pos T $565,624 $739,658 ↓ 23.5% 75 123
Q2055 HCPCS Idecabtagene Vicleucel Car $528,312 $623,527 ↓ 15.3% 75 115
Q2054 HCPCS Lisocabtagene Mara Car Pos T $516,726 $640,950 ↓ 19.4% 75 116
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $490,044 $608,239 ↓ 19.4% 78 118
Q2053 HCPCS Brexucabtagene Car Pos T $488,052 $592,235 ↓ 17.6% 77 119
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $309,630 $359,244 ↓ 13.8% 241 495
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $238,352 $248,541 ↓ 4.1% 277 576
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $177,262 $198,115 ↓ 10.5% 247 515
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $176,230 $190,359 ↓ 7.4% 349 701
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures $122,711 $126,461 ↓ 3.0% 370 745
C1776 HCPCS — $3,168 $3,394 ↓ 6.7% 186 38,924
C1713 HCPCS — $997 $864 ↑ 15.4% 229 133,332

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
       
DE $2,348 $1,868 $28,903 6 1,751
SC $1,881 $319 $3,353 37 1,096,365
HI $1,866 $1,866 $3,523 4 3,259
VT $1,517 $227 $3,269 1 7,581
WV $1,413 $208 $5,849 10 45,176
NJ $1,205 $158 $5,916 23 325,294
MD $846 $207 $2,809 9 1,142,401
NM $659 $105 $3,568 13 102,181
FL $590 $51 $4,038 82 248,471
TX $585 $84 $4,106 135 1,612,436
PA $511 $97 $3,028 80 406,801
OR $507 $138 $1,291 15 144,683
NY $490 $81 $2,475 45 495,821
OH $485 $80 $3,080 36 134,585
TN $484 $70 $3,118 59 332,797
IN $459 $98 $2,327 60 1,423,037
NH $424 $93 $1,682 3 40,814
UT $383 $96 $2,365 10 59,046
VA $379 $80 $1,931 21 64,818
AZ $372 $80 $5,851 27 45,742
NC $364 $82 $2,069 35 120,199
WY $351 $83 $1,582 7 38,397
GA $328 $49 $2,941 38 353,241
LA $321 $64 $1,825 75 760,532
AK $310 $104 $1,089 4 21,006
NV $308 $72 $1,796 10 41,150
MA $304 $56 $1,234 27 89,182
DC $300 $85 $1,378 5 28,445
MN $285 $76 $1,315 8 82,323
MT $265 $61 $1,179 15 94,952
AL $262 $62 $1,195 30 278,559
ME $243 $63 $1,587 6 22,862
KY $242 $38 $2,044 28 76,023
CA $232 $31 $1,981 93 802,530
WI $228 $76 $607 19 167,578
WA $224 $54 $948 17 93,585
PR $224 $41 $1,160 18 12,779
MS $210 $18 $1,452 53 470,772
KS $206 $47 $1,122 33 168,464
MI $202 $39 $968 40 257,632
IL $187 $38 $1,523 30 184,754
CO $185 $37 $1,121 17 142,310
ID $137 $31 $791 8 50,498
NE $122 $33 $543 13 45,143
SD $119 $34 $649 8 268,882
OK $116 $23 $894 39 194,628
MO $116 $23 $708 38 185,309
RI $102 $10 $1,183 6 47,465
AR $94 $17 $1,268 37 204,633
IA $84 $24 $309 28 153,743
ND $81 $14 $399 8 32,042
CT $20 $2 $251 5 127,831

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
       
Kindred Hospital-bay Area-tampa FL Tampa $54,344 $46,603 $62,085 2 2
Kindred Hospital Bay Area - St. Petersburg FL St. Petersburg $54,344 $46,603 $62,085 2 2
Las Vegas-amg Specialty Hospital NV Las Vegas $53,685 $41,736 $68,189 58 58
Okc-amg Specialty Hospital OK Oklahoma City $46,936 $40,358 $64,968 56 112
Lafayette - A M G Specialty Hospital LA Lafayette $44,869 $38,103 $56,772 53 106
Central Indiana Amg Specialty Hospital Llc IN Muncie $44,368 $36,073 $58,826 169 550
NW Indiana-AMG Specialty Hospital IN Crown Point $44,368 $36,936 $56,378 104 104
HOAG ORTHOPEDIC INSTITUTE CA Irvine $44,284 $33,992 $54,575 2 2
Zachary - A M G Specialty Hospital LA Zachary $43,654 $37,582 $55,563 42 83
Bridgepoint -national Harbor DC Washington $41,352 $33,116 $52,298 1 153
Encompass Health Rehab Hospital Of Desert Canyon NV Las Vegas $37,135 $29,532 $46,534 380 380
North Mississippi Specialty Hospital MS Batesville $36,087 $29,063 $52,789 40 40
Bridgepoint Continuing Care Hospital LA Marrero $35,375 $28,330 $44,740 1 153
Encompass Health Rehabilitation Hospital Of Modest CA Modesto $35,150 $27,953 $44,046 380 380
Encompass Health Rehabilitation Hospital Of Tustin CA Tustin $34,179 $27,181 $42,829 380 380
Encompass Health Rehabilitation Hospital Of Murrie CA Murrieta $33,707 $26,806 $42,238 380 380
Encompass Health Rehabilitation Hospital Of Lv NV Las Vegas $33,268 $26,456 $41,688 380 380
Encompass Health Braintree Hospital Of Braintree MA Braintree $31,922 $25,386 $40,001 380 1,520
Western Peaks Specialty Hospital UT Bountiful $31,579 $24,374 $41,788 658 658
Kpc Promise Hospital Of Wichita Falls Llc TX Wichita Falls $31,297 $24,157 $41,415 287 287

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