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 →

Rankings

Who pays the most, who pays the least, which procedures cost a fortune, where the same surgery costs 50× more at one hospital than another. Pick a leaderboard, then sort and filter to your heart's content.

Most expensive procedures

National median negotiated rate, descending

Most expensive procedures: National median negotiated rate, descending
CodeTypeDescription National median Hospitals
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $186,516 214
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $168,055 200
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures $145,435 241
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $131,925 210
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures $97,418 245

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Cheapest procedures

National median, ascending — excludes $0 sentinels

Cheapest procedures: National median, ascending — excludes $0 sentinels
CodeTypeDescription National median Hospitals
795 MS_DRG Normal Newborn $2,086 247
209 MS_DRG Complex Aortic Arch Procedures $2,110 137
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device $2,222 140
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures $2,222 139
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc $2,222 143

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Highest-paid hospitals

Overall median across every code they file

Highest-paid hospitals: Overall median across every code they file
HospitalStateCity Overall median Rate volume
LOS ANGELES GENERAL MEDICAL CENTER CA LOS ANGELES $57,036 11,823
Lac Harbor-ucla Medical Center CA TORRANCE $56,902 11,742
SUTTER SOLANO MEDICAL CENTER CA VALLEJO $47,490 2,151
CHI HEALTH - MERCY CORNING IA CORNING $40,827 3,060
HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS NY KINGSTON $40,314 22,584

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Lowest-paid hospitals

Same metric, ascending — excludes $0

Lowest-paid hospitals: Same metric, ascending — excludes $0
HospitalStateCity Overall median Rate volume
Copper Springs AZ AVONDALE $741 491
HIGHLAND SPRINGS OH BEACHWOOD $819 567
BECKETT SPRINGS OH WEST CHESTER $824 560
DENVER SPRINGS CO ENGLEWOOD $1,199 114
DUBLIN SPRINGS OH DUBLIN $1,202 152

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Top payers by spend

Estimated total $ (rate volume × median), descending. Figures cover shoppable procedures (DRGs) only.

Top payers by spend: Estimated total $ (rate volume × median), descending. Figures cover shoppable procedures (DRGs) only.
Payer Est. total $ Median paid Hospitals Rate volume
Aetna $7,463,972,940 $10,284 247 725,785
Prime Health Services $6,746,690,341 $20,184 70 334,259
UnitedHealthcare $6,550,087,166 $10,411 267 629,147
Cigna Healthcare $3,719,312,808 $11,394 209 326,417
Humana $3,318,102,862 $11,388 203 291,380

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Lowest-paying payers

Median paid per rate, ascending. Figures cover shoppable procedures (DRGs) only.

Lowest-paying payers: Median paid per rate, ascending. Figures cover shoppable procedures (DRGs) only.
Payer Median paid Hospitals Rate volume
HEALTH PLANS INCORPORATED $70 7 1,491
OHIO MEDICAID $927 4 340
ADVANTAGE BY BRIDGEWAY HEALTH SOLUTIONS $973 3 4,087
QUARTZ HEALTH PLAN $1,100 5 7,463
Meritain Health $1,200 9 6,131

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Largest price spreads

Same code, max-vs-min hospital ratio (50× means one hospital charges 50 times another)

Largest price spreads: Same code, max-vs-min hospital ratio (50× means one hospital charges 50 times another)
CodeTypeDescription Cheapest Most expensive Spread
652 MS_DRG Kidney Transplant $1,418 $431,920 304.5×
5894 APR_DRG — $358 $134,368 375.3×
7583 APR_DRG — $451 $155,078 343.5×
7523 APR_DRG — $520 $168,569 323.9×
8622 APR_DRG — $441 $129,699 294.2×

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