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
1,460 hospitals
13,064,483 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 $3,685,267 ↓ 0.3% 46 79
J1414 HCPCS Inj, Beqvez, Per Tx Dose $3,628,200 $3,508,750 ↑ 3.4% 32 46
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,321,782 $3,325,455 ↓ 0.1% 46 79
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,250,477 $3,248,446 ↑ 0.1% 43 62
J3393 HCPCS Inj, Betibeglogene Autotemce $2,968,000 $2,968,000 0% 42 61
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,388,614 $2,455,111 ↓ 2.7% 49 89
J3392 HCPCS Inj, Exagamglogene Autotem $2,332,000 $2,332,000 0% 40 56
Q2042 HCPCS Tisagenlecleucel Car-pos T $565,624 $621,313 ↓ 9.0% 74 120
Q2056 HCPCS Ciltacabtagene Car-pos T $551,318 $599,737 ↓ 8.1% 65 103
Q2055 HCPCS Idecabtagene Vicleucel Car $528,312 $574,037 ↓ 8.0% 75 114
Q2054 HCPCS Lisocabtagene Mara Car Pos T $516,726 $579,571 ↓ 10.8% 75 114
Q2053 HCPCS Brexucabtagene Car Pos T $488,052 $513,770 ↓ 5.0% 77 118
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $309,630 $168,055 ↑ 84.2% 239 487
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $240,550 $186,516 ↑ 29.0% 275 556
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $181,602 $131,925 ↑ 37.7% 243 495
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $180,654 $145,435 ↑ 24.2% 346 678
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures $125,254 $97,418 ↑ 28.6% 364 713
C1776 HCPCS — $3,265 $3,543 ↓ 7.8% 176 37,012
C1713 HCPCS — $1,037 $1,045 ↓ 0.7% 218 125,676

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 1,096,369
HI $1,866 $1,866 $3,878 4 3,225
VT $1,517 $227 $3,269 1 7,581
WV $1,508 $215 $6,411 10 41,529
NJ $1,181 $157 $5,916 22 319,861
MD $846 $207 $2,809 9 1,142,401
NM $659 $105 $3,568 13 102,181
TX $572 $83 $4,027 134 1,628,178
OR $560 $158 $1,383 14 128,108
FL $542 $46 $4,787 83 238,755
VA $524 $102 $4,330 21 48,934
PA $510 $97 $3,043 80 414,698
TN $484 $70 $3,118 59 332,632
NY $474 $76 $2,311 42 468,487
OH $467 $79 $3,081 34 133,742
IN $459 $98 $2,331 60 1,421,809
GA $436 $79 $3,398 37 295,509
NH $424 $93 $1,682 3 40,814
UT $383 $96 $2,366 10 59,045
NC $360 $82 $2,020 35 119,805
WY $352 $83 $1,583 7 38,402
AZ $342 $80 $5,856 27 41,620
AK $310 $104 $1,089 4 21,006
NV $308 $72 $1,796 10 41,150
MA $304 $56 $1,234 27 89,183
DC $300 $85 $1,378 5 28,445
LA $291 $59 $1,773 73 714,897
MN $285 $76 $1,315 8 82,324
MT $264 $61 $1,178 15 94,994
AL $262 $62 $1,196 30 278,561
ME $243 $63 $1,587 6 22,863
KY $237 $37 $1,982 28 75,711
CA $230 $30 $1,932 95 780,321
WI $228 $76 $607 19 167,542
MI $225 $46 $1,150 37 239,797
PR $224 $41 $1,156 18 12,786
WA $216 $53 $916 18 97,282
MS $201 $17 $1,365 53 460,443
KS $199 $45 $1,062 32 160,684
IL $186 $36 $1,544 28 166,214
CO $180 $35 $1,185 15 134,795
ID $137 $31 $791 8 50,498
OK $132 $28 $1,000 39 176,073
NE $122 $33 $533 13 47,198
MO $120 $23 $770 39 177,426
SD $119 $34 $649 8 268,882
AR $94 $17 $1,268 37 204,633
IA $87 $25 $317 28 144,445
RI $86 $9 $955 6 43,345
ND $77 $12 $418 8 29,716
CT $20 $2 $251 5 127,833

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 $44,510 $35,627 $59,412 166 405
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.