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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Ranking

Lowest-paying payers

Ranked by median paid per rate, ascending. Figures cover shoppable procedures (DRGs) only.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Payer Median paid (shoppable) p25 p75 Hospitals Rate volume
       
HEALTH PLANS INCORPORATED $70 $4 $15,004 7 1,491
OHIO MEDICAID $927 $758 $1,255 4 340
ADVANTAGE BY BRIDGEWAY HEALTH SOLUTIONS $973 $973 $7,432 3 4,087
QUARTZ HEALTH PLAN $1,100 $1,100 $15,498 5 7,463
Meritain Health $1,200 $1,200 $1,200 9 6,131
Peoples Health $1,285 $1,158 $10,514 4 2,088
SummaCare $1,500 $1,500 $1,500 10 13,167
Ohio Health Choice $1,507 $1,507 $1,507 10 8,262
OCCUNET $1,550 $1,550 $1,550 60 52,416
FirstCarolinaCare $1,600 $1,600 $1,600 3 14,922
Baylor Scott & White Health $1,600 $1,600 $1,600 5 8,350
Preferred Community Choice $1,602 $1,602 $1,602 3 1,763
Highmark $1,650 $1,538 $1,650 4 3,316
Priority Health $1,683 $1,683 $17,696 12 32,071
MultiPlan / PHCS Network $1,700 $1,700 $1,700 75 324,816
FIRST CHOICE HEALTH PLAN $1,705 $1,705 $1,705 3 5,830
The Health Plan of West Virginia, Inc. $1,745 $1,745 $1,874 19 94,655
FRONTPATH HEALTH COALITION $1,839 $1,839 $1,939 5 2,104
COVENTRY HEALTH $1,880 $1,880 $1,880 34 53,838
Health America / HealthAssurance $1,941 $1,941 $5,153 6 13,847
Naphcare Inc $1,951 $1,951 $9,946 76 69,308
Independent Health Association, Inc. $1,955 $1,955 $2,033 5 12,435
Healthcare Highways $1,957 $1,957 $1,957 8 6,737
Mercy Care $1,986 $973 $3,830 7 8,107
HEALTHSMART BENEFIT SOLUTIONS $2,130 $2,041 $2,220 64 201,678
AMERICAN CORRECTIONAL HEALTHCARE $2,200 $1,000 $2,200 6 4,893
Troy Holdings, Inc. $2,319 $1,672 $2,708 4 4,823
Gateway Health Plan $2,350 $1,900 $20,846 10 8,252
QualCare IPA $2,400 $951 $2,400 6 14,968
Medical Mutual of Ohio $2,588 $2,588 $9,357 17 57,968
FLORIDA HEALTH CARE PLAN $2,666 $2,662 $17,407 3 4,866
First Health Network $2,944 $1,500 $11,213 29 36,630
Meridian Health Plan of Illinois $3,011 $1,500 $13,494 32 64,030
Magnolia Health Plan $4,128 $1,450 $11,053 10 23,183
BCBS of North Dakota $4,753 $3,421 $54,288 8 31,369
Magellan Health $6,308 $2,021 $15,452 16 13,746
AvMed $6,601 $1,920 $20,236 21 97,547
Magellan Complete Care $7,078 $3,894 $12,472 9 12,024
CARISK BEHAVIORAL HEALTH $7,078 $3,894 $12,472 4 9,352
Community Care Plan (South Florida Community Care Network) $7,130 $3,934 $12,656 6 5,459
PacificSource $7,420 $5,127 $29,988 3 5,173
Sunshine Health $7,440 $3,024 $15,555 22 58,135
UCare $7,535 $2,451 $13,433 9 13,091
Regence BCBS $7,538 $5,334 $20,103 4 10,903
SelectHealth $7,548 $3,496 $14,630 8 7,350
Blue Cross Blue Shield Association $7,820 $1,532 $26,566 93 351,959
Florida Complete Care $7,860 $2,108 $20,792 8 12,742
Home State Health (Centene Missouri Medicaid) $7,922 $3,315 $16,482 8 13,469
ABSOLUTE TOTAL CARE $7,930 $1,600 $16,971 8 12,556
South Florida Community Care Network $7,963 $3,992 $15,279 3 8,016
ALIGN SENIOR CARE (FL) $8,037 $2,090 $21,526 15 37,745
HEALTHY BLUE SOUTH CAROLINA $8,546 $4,632 $16,202 5 5,311
Medica $8,607 $3,121 $21,533 27 84,082
Amerigroup $8,697 $1,350 $19,871 31 36,618
Advanced Medical Pricing Solutions (AMPS) $8,708 <$1 $16,104 3 2,279
PrimeWest Rural MN Health Care Access Initiative $8,865 $5,266 $16,765 6 10,548
SELECT HEALTH OF SOUTH CAROLINA (MEDICAID MANAGED CARE) $9,071 $3,270 $20,403 3 2,098
UnitedHealthcare Community Plan $9,076 $4,292 $18,309 5 1,491
MCLAREN HEALTH PLAN (MHP) COMMERCIAL $9,187 $5,422 $15,207 7 18,862
AmeriHealth Caritas $9,310 $4,389 $18,875 43 67,546
PRUITT HEALTH PREMIER NC & SC $9,532 $1,921 $20,092 5 5,513
PACE (Program of All-Inclusive Care for the Elderly) $9,720 $3,958 $19,576 3 2,193
Anthem (Elevance Health) $9,732 $2,050 $22,947 87 209,919
Anthem BCBS of Indiana $9,854 $6,030 $14,963 3 1,111
Simply Healthcare Plans $9,859 $5,425 $17,409 22 31,481
Tufts Health Plan $9,912 $7,501 $19,978 10 9,294
Coordinated Care (Centene WA Medicaid) $9,923 $9,741 $18,668 3 2,997
Banner Health $10,060 $5,636 $17,440 4 2,971
United Behavioral Health (Optum) $10,087 $6,220 $18,346 28 37,705
Aetna $10,284 $1,901 $23,903 247 725,785
CareSource $10,324 $4,671 $22,140 56 111,501
GOLDEN RULE INSURANCE $10,387 $2,800 $21,958 3 1,975
UHA Health Insurance $10,400 $10,400 $10,400 4 300
UnitedHealthcare $10,411 $2,431 $23,876 267 629,147
FREEDOM HEALTH PLAN $10,424 $5,900 $17,892 9 9,684
Paramount Health Care $10,633 $6,064 $19,586 12 10,784
GLOBAL HEALTH $10,667 $6,025 $19,127 6 6,680
HealthSCOPE Benefits EHC Repricing $10,667 $6,025 $19,127 6 122
ProCare Advantage $10,667 $6,025 $19,127 5 1,706
ConnectiCare $10,715 <$1 $22,192 4 2,113
Medicaid (Generic) $10,808 $5,890 $20,987 15 20,495
Allwell (Centene Medicare Advantage) $10,950 $6,946 $17,506 10 5,360
Orchid Medical / CareWorks Sedgwick $11,000 $7,800 $12,600 3 2,115
WellCare Health Plans $11,205 $5,546 $20,254 94 97,621
AMERIHEALTH NEW JERSEY (NON-HMO) $11,222 $2,907 $20,679 13 26,431
Humana $11,388 $5,480 $21,508 203 291,380
Cigna Healthcare $11,394 $1,781 $25,828 209 326,417
Clear Spring Health $11,448 $2,708 $21,151 23 18,900
Molina Healthcare $11,507 $5,605 $22,318 124 226,934
Arkansas BCBS $11,592 $7,651 $18,532 4 4,163
Anthem BCBS of Virginia $11,698 $7,324 $21,491 3 1,272
VIRGINIA PREMIER HEALTH PLANS (MEDICARE ADVANTAGE) $11,723 $7,772 $16,970 4 1,566
Premera BCBS $12,200 $7,804 $18,832 3 933
UMWA Health and Retirement Funds $12,277 $8,014 $19,395 6 4,552
Wellmark BCBS $12,321 $7,976 $22,769 9 4,932
Medi-Cal $12,386 $6,672 $22,263 15 20,103
Provider Partners Health Plan (PPHP) $12,395 $5,145 $20,155 15 10,188
Oscar Health $12,458 $3,957 $23,471 36 26,451
COMMUNITY HEALTH GROUP OF SAN DIEGO $12,489 $5,991 $21,433 4 5,813
Centene $12,570 $6,038 $24,248 68 93,119