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
1,472 hospitals
13,218,975 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% 74 122
Q2055 HCPCS Idecabtagene Vicleucel Car $528,312 $574,037 ↓ 8.0% 74 113
Q2054 HCPCS Lisocabtagene Mara Car Pos T $516,726 $579,571 ↓ 10.8% 74 113
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $490,044 $562,501 ↓ 12.9% 77 114
Q2053 HCPCS Brexucabtagene Car Pos T $488,052 $513,770 ↓ 5.0% 76 117
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $309,384 $168,055 ↑ 84.1% 241 488
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $233,101 $186,516 ↑ 25.0% 278 568
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $174,745 $145,435 ↑ 20.2% 349 692
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $173,996 $131,925 ↑ 31.9% 246 507
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures $122,565 $97,418 ↑ 25.8% 368 731
C1776 HCPCS — $3,231 $3,543 ↓ 8.8% 181 37,457
C1713 HCPCS — $1,018 $1,045 ↓ 2.6% 224 127,763

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 $3,878 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 22 319,859
MD $846 $207 $2,809 9 1,142,401
NM $659 $105 $3,568 13 102,181
TX $585 $84 $4,113 134 1,610,829
FL $571 $48 $4,715 83 241,183
VA $524 $102 $4,334 21 48,926
PA $511 $97 $3,028 80 406,801
OR $494 $135 $1,232 15 141,015
OH $485 $80 $3,080 35 134,570
TN $484 $70 $3,118 59 332,632
NY $478 $79 $2,367 43 477,142
IN $459 $98 $2,333 60 1,421,952
NH $424 $93 $1,682 3 40,814
UT $383 $96 $2,366 10 59,045
NC $360 $82 $2,020 35 119,801
WY $352 $83 $1,583 7 38,402
AZ $352 $80 $5,713 27 42,686
GA $333 $49 $2,998 38 349,737
LA $317 $63 $1,824 74 736,317
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 $237 $37 $1,982 28 75,711
CA $230 $30 $1,944 95 788,078
WI $228 $76 $607 19 167,542
PR $224 $41 $1,160 18 12,779
WA $216 $53 $916 18 97,251
MI $202 $39 $968 40 257,632
MS $201 $17 $1,365 53 460,433
KS $199 $45 $1,062 32 160,684
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 $533 13 47,197
SD $119 $34 $649 8 268,882
OK $116 $23 $894 39 194,628
MO $116 $23 $709 39 185,404
AR $94 $17 $1,268 37 204,633
IA $87 $25 $317 28 144,444
RI $86 $9 $955 6 43,345
ND $77 $12 $418 8 29,716
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
       
HOAG ORTHOPEDIC INSTITUTE CA Irvine $44,284 $33,992 $54,575 2 2
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
Bridgepoint -national Harbor DC Washington $41,352 $33,116 $52,298 1 153
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
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
Lafayette - A M G Specialty Hospital LA Lafayette $44,869 $38,103 $56,772 53 106
Zachary - A M G Specialty Hospital LA Zachary $43,654 $37,582 $55,563 42 83
Bridgepoint Continuing Care Hospital LA Marrero $35,375 $28,330 $44,740 1 153
Encompass Health Braintree Hospital Of Braintree MA Braintree $31,922 $25,386 $40,001 380 1,520
North Mississippi Specialty Hospital MS Batesville $36,087 $29,063 $52,789 40 40
Las Vegas-amg Specialty Hospital NV Las Vegas $53,685 $41,736 $68,189 58 58
Encompass Health Rehab Hospital Of Desert Canyon NV Las Vegas $37,135 $29,532 $46,534 380 380
Encompass Health Rehabilitation Hospital Of Lv NV Las Vegas $33,268 $26,456 $41,688 380 380
Okc-amg Specialty Hospital OK Oklahoma City $46,936 $40,358 $64,968 56 112
Kpc Promise Hospital Of Wichita Falls Llc TX Wichita Falls $31,297 $24,157 $41,415 287 287
Western Peaks Specialty Hospital UT Bountiful $31,579 $24,374 $41,788 658 658

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