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

Wellmark BCBS

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.

$249 Overall median paid
189 hospitals
3,131,380 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 $4,465,050 $4,505,000 ↓ 0.9% 14 21
J1411 HCPCS Inj, Hemgenix, Per Tx Dose $3,500,000 $3,685,267 ↓ 5.0% 17 57
J1414 HCPCS Inj, Beqvez, Per Tx Dose $3,500,000 $3,508,750 ↓ 0.2% 16 54
J1413 HCPCS Inj Delandistrogene Mox Rokl $3,200,000 $3,325,455 ↓ 3.8% 20 65
J3394 HCPCS Inj, Lovotibeglogene Autotem $3,100,000 $3,248,446 ↓ 4.6% 17 58
J3393 HCPCS Inj, Betibeglogene Autotemce $2,800,000 $2,968,000 ↓ 5.7% 16 57
J3399 HCPCS Inj Onase Abepar-xioi Treat $2,391,706 $2,455,111 ↓ 2.6% 19 62
J3392 HCPCS Inj, Exagamglogene Autotem $2,200,000 $2,332,000 ↓ 5.7% 16 57
Q2057 HCPCS Afamitresgene Autoleucel $727,000 $813,967 ↓ 10.7% 17 60
5834 APR_DRG — $592,774 $390,362 ↑ 51.9% 22 51
5833 APR_DRG — $516,230 $268,208 ↑ 92.5% 22 51
5894 APR_DRG — $488,877 $7,264 ↑ 6630.1% 23 55
5884 APR_DRG — $476,231 $286,698 ↑ 66.1% 22 51
1614 APR_DRG — $474,183 $202,242 ↑ 134.5% 23 55
5893 APR_DRG — $444,433 $77,096 ↑ 476.5% 22 51
C1767 HCPCS — $12,935 $25,172 ↓ 48.6% 46 1,694
C1821 HCPCS — $2,723 $5,591 ↓ 51.3% 22 9,271
C1776 HCPCS — $2,120 $3,543 ↓ 40.2% 72 70,640
C1874 HCPCS — $2,106 $5,596 ↓ 62.4% 43 10,131
C1713 HCPCS — $546 $1,045 ↓ 47.7% 92 269,928

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
       
KY $6,125 $146 $12,093 6 4,692
IN $1,894 $552 $5,446 1 10,291
NE $769 $172 $2,941 7 204,114
ID $677 $167 $2,261 1 67,680
MA $631 $133 $2,319 1 69,736
MI $425 $97 $1,194 2 140,915
NY $382 $90 $1,387 1 71,464
SD $253 $69 $1,670 51 296,675
IA $249 $54 $1,337 99 1,935,930
IL $198 $34 $1,437 7 260,570
AR $183 $40 $1,325 2 16,769
WI $120 $16 $1,092 3 10,391
MN $119 $46 $426 4 26,418
WY $112 $31 $256 1 7,972
MO $88 $29 $306 2 7,668
ND $19 $3 $56 1 95

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
       
Univ Of Iowa Health Network Rehab Hosp IA Coralville $25,737 $20,468 $32,251 380 380
Encompass Health Rehab Hospital Of Sioux Falls SD Sioux Falls $23,728 $18,870 $29,733 380 380
AVERA HEART HOSPITAL OF SOUTH DAKOTA SD Sioux Falls $19,530 $7,485 $41,361 1,854 7,520
CHI HEALTH MERCY COUNCIL BLUFFS IA Council Bluffs $10,946 $126 $26,386 1,835 7,740
BAPTIST HEALTH LOUISVILLE KY Louisville $10,939 $6,905 $17,247 662 662
BAPTIST HEALTH LAGRANGE KY La Grange $9,252 $6,474 $13,126 285 285
AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER SD Sioux Falls $6,277 $395 $25,055 2,813 6,346
BAPTIST HEALTH LEXINGTON KY Lexington $5,811 $130 $12,531 1,097 1,097
BAPTIST HEALTH PADUCAH KY Paducah $5,176 $113 $12,008 1,007 1,007
MIDWEST SURGICAL HOSPITAL LLC NE Omaha $4,480 $1,203 $9,298 1,720 2,655
SANFORD MEDICAL CENTER ABERDEEN SD Aberdeen $2,673 $522 $22,315 3,536 3,742
SIOUX FALLS SPECIALTY HOSPITAL SD Sioux Falls $2,486 $452 $5,116 3,952 13,618
Select Specialty Hospital - South Dakota SD Sioux Falls $2,092 $2,092 $2,092 337 337
TERRE HAUTE REGIONAL HOSPITAL IN Terre Haute $1,894 $552 $5,446 7,042 10,291
SANFORD USD MEDICAL CENTER SD Sioux Falls $1,844 $399 $11,705 5,120 5,885
GENESIS MEDICAL CENTER-DAVENPORT IA Davenport $1,270 $127 $4,866 8,107 14,088
MONUMENT HEALTH RAPID CITY HOSPITAL SD Rapid City $1,200 $108 $6,975 3,378 9,145
THE NEBRASKA METHODIST HOSPITAL NE Omaha $1,056 $163 $3,510 7,398 59,342
Methodist Women's Hospital NE Elkhorn $1,056 $163 $3,510 7,398 59,341
BROADLAWNS MEDICAL CENTER IA Des Moines $974 $399 $1,938 1,900 3,810

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