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
| Code | Type | Description | National median | Hospitals |
|---|---|---|---|---|
| 0024 | APR_DRG | — | $372,987 | 151 |
| 18 | MS_DRG | — | $370,174 | 1,795 |
| 588 | MS_DRG | — | $313,714 | 27 |
| 5834 | APR_DRG | — | $309,665 | 908 |
| 161 | MS_DRG | — | $289,356 | 57 |
Cheapest procedures
National median, ascending — excludes $0 sentinels
| Code | Type | Description | National median | Hospitals |
|---|---|---|---|---|
| 979 | MS_DRG | — | $51 | 2 |
| 878 | MS_DRG | — | $51 | 2 |
| 873 | MS_DRG | — | $51 | 2 |
| 586 | MS_DRG | — | $51 | 2 |
| 852 | MS_DRG | — | $51 | 2 |
Highest-paid hospitals
Overall median across every code they file
| Hospital | State | City | Overall median | Rate volume |
|---|---|---|---|---|
| Nexus Specialty Hospital The Woodlands | TX | SHENANDOAH | $137,716 | 654 |
| Sonoma Specialty Hospital | CA | SEBASTOPOL | $103,154 | 763 |
| Central Valley Specialty Hospital | CA | MODESTO | $100,965 | 908 |
| Madonna Rehabilitation Specialty Hospital Lincoln | NE | LINCOLN | $77,963 | 1,158 |
| Sharp Memorial Hospital-transplant | CA | SAN DIEGO | $75,505 | 6,771 |
Lowest-paid hospitals
Same metric, ascending — excludes $0
| Hospital | State | City | Overall median | Rate volume |
|---|---|---|---|---|
| CENTRO CARDIOVASCULAR DE PUERTO RICO Y EL CARIBE | PR | SAN JUAN | $200 | 12,725 |
| MESA SPRINGS | TX | FORT WORTH | $484 | 522 |
| ROCK SPRINGS | TX | GEORGETOWN | $489 | 477 |
| CARROLLTON SPRINGS | TX | CARROLLTON | $513 | 508 |
| WOODLAND SPRINGS | TX | CONROE | $513 | 413 |
Top payers by spend
Estimated total $ (rate volume × median), descending. Figures cover shoppable procedures (DRGs) only.
| Payer | Est. total $ | Median paid | Hospitals | Rate volume |
|---|---|---|---|---|
| UnitedHealthcare | $99,715,988,294 | $15,355 | 2,294 | 6,494,146 |
| Aetna | $71,663,115,433 | $15,533 | 2,110 | 4,613,484 |
| Cigna Healthcare | $62,550,766,814 | $19,607 | 1,800 | 3,190,197 |
| Blue Cross Blue Shield Association | $49,738,927,518 | $18,759 | 715 | 2,651,439 |
| Humana | $33,753,034,082 | $13,420 | 1,770 | 2,515,058 |
Lowest-paying payers
Median paid per rate, ascending. Figures cover shoppable procedures (DRGs) only.
| Payer | Median paid | Hospitals | Rate volume |
|---|---|---|---|
| TRIPLE-S SALUD | $210 | 7 | 2,194 |
| VALUE OPTIONS | $325 | 8 | 5,359 |
| Carelon Behavioral Health | $350 | 29 | 16,493 |
| ComPsych Corporation | $749 | 8 | 5,353 |
| AmeriHealth Caritas Louisiana | $1,174 | 7 | 4,749 |
Largest price spreads
Same code, max-vs-min hospital ratio (50× means one hospital charges 50 times another)
| Code | Type | Description | Cheapest | Most expensive | Spread |
|---|---|---|---|---|---|
| 5651 | APR_DRG | — | $529 | $100,808 | 190.7× |
| 380 | APR_DRG | — | $329 | $43,668 | 132.8× |
| 626 | APR_DRG | — | $289 | $38,132 | 131.8× |
| 5654 | APR_DRG | — | $1,459 | $180,284 | 123.5× |
| 383 | APR_DRG | — | $379 | $45,496 | 120.1× |