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
1,480 hospitals
13,503,046 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
       
Q2041 HCPCS Axicabtagene Ciloleucel Car+ $497,818 $607,251 ↓ 18.0% 78 117
Q2053 HCPCS Brexucabtagene Car Pos T $488,052 $589,091 ↓ 17.2% 77 118
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $310,612 $360,195 ↓ 13.8% 243 497
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 $190,274 ↓ 7.4% 353 709
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $177,262 $197,664 ↓ 10.3% 249 518
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $238,352 $247,805 ↓ 3.8% 280 579
Q2055 HCPCS Idecabtagene Vicleucel Car $528,312 $621,967 ↓ 15.1% 75 114
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,321,782 $3,324,572 ↓ 0.1% 46 78
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,388,614 $2,467,989 ↓ 3.2% 49 88
J3391 HCPCS Inj, Atidarsagene Autotemcel $4,284,664 $4,505,000 ↓ 4.9% 14 17
J1414 HCPCS Inj, Beqvez, Per Tx Dose $3,669,100 $3,710,000 ↓ 1.1% 30 44
J3393 HCPCS Inj, Betibeglogene Autotemce $2,958,107 $2,983,626 ↓ 0.9% 42 62
J3392 HCPCS Inj, Exagamglogene Autotem $2,332,000 $2,401,960 ↓ 2.9% 40 57
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,672,900 $3,691,450 ↓ 0.5% 46 78
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,248,446 $3,286,000 ↓ 1.1% 43 63
Q2054 HCPCS Lisocabtagene Mara Car Pos T $516,726 $637,620 ↓ 19.0% 75 115
Q2042 HCPCS Tisagenlecleucel Car-pos T $565,624 $739,658 ↓ 23.5% 75 122
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures $123,323 $126,240 ↓ 2.3% 374 754
C1713 HCPCS — $1,002 $867 ↑ 15.5% 236 138,300
C1776 HCPCS — $3,137 $3,388 ↓ 7.4% 191 39,612

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 38 1,091,126
HI $1,866 $1,866 $3,523 4 3,259
VT $1,517 $227 $3,220 1 7,646
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
FL $685 $57 $5,103 80 273,360
NM $620 $100 $3,322 13 102,793
TX $582 $84 $4,051 135 1,639,905
NY $516 $85 $2,742 47 513,563
OR $507 $138 $1,291 15 144,682
PA $505 $97 $3,050 80 413,295
OH $485 $80 $3,080 36 134,586
IN $459 $98 $2,339 61 1,449,924
TN $449 $67 $3,078 59 325,590
MA $447 $78 $2,360 28 112,041
NH $423 $93 $1,681 3 40,826
WY $384 $92 $1,977 7 46,734
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 $347 $80 $1,995 35 120,701
GA $330 $49 $2,958 38 352,107
LA $323 $64 $1,833 76 780,198
AK $310 $104 $1,089 4 21,006
NV $308 $72 $1,796 10 41,150
DC $300 $85 $1,378 5 28,445
MN $285 $76 $1,312 8 82,574
MT $265 $61 $1,179 15 94,952
AL $262 $62 $1,195 30 278,559
CA $250 $33 $2,008 94 817,661
WA $245 $65 $1,040 17 86,491
ME $243 $63 $1,587 6 22,862
KY $231 $36 $1,982 28 76,392
WI $228 $76 $607 19 167,578
KS $214 $49 $1,175 33 163,821
MS $213 $18 $1,488 51 476,475
MI $201 $39 $965 40 257,137
IL $196 $39 $1,576 30 189,657
CO $194 $38 $1,179 17 142,442
ID $137 $31 $791 8 50,498
PR $130 $23 $800 19 19,403
NE $121 $32 $535 13 45,180
SD $117 $33 $642 9 272,172
MO $116 $23 $706 38 186,238
OK $114 $23 $877 40 196,670
AR $103 $17 $1,627 37 191,001
RI $102 $10 $1,183 6 47,464
IA $84 $24 $308 28 150,781
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
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
Weatherford Rehabilitation Hospital Llc TX Weatherford $30,987 $24,642 $38,829 380 760

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