Price Transparency 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 →

Service line

Inpatient surgery

MS-DRG and APR-DRG bundle pricing — total joint, CABG, spinal fusion.

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3,349 codes in this pack
2,864 hospitals filing
70,801,667 rate rows
$14,882 median negotiated rate
Top procedures by volume
Codes most widely filed within this service line. Click any code to drill into the state-by-state spread.
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description National median Hospitals Rate volume
   
871 MS_DRG — $19,635 2,583 93,022
872 MS_DRG — $11,105 2,558 90,999
291 MS_DRG — $13,522 2,586 90,874
193 MS_DRG — $13,648 2,564 90,373
392 MS_DRG — $8,731 2,547 90,309
948 MS_DRG — $8,516 2,535 89,961
189 MS_DRG — $13,021 2,601 89,775
603 MS_DRG — $9,571 2,568 89,463
194 MS_DRG — $9,125 2,561 89,416
57 MS_DRG — $13,201 2,474 88,917
690 MS_DRG — $8,979 2,552 88,797
918 MS_DRG — $8,831 2,380 88,537
917 MS_DRG — $15,271 2,353 88,479
640 MS_DRG — $13,400 2,521 88,348
190 MS_DRG — $11,700 2,524 88,254
641 MS_DRG — $8,665 2,547 88,023
683 MS_DRG — $9,664 2,538 87,969
309 MS_DRG — $8,437 2,467 87,822
638 MS_DRG — $9,826 2,525 87,639
280 MS_DRG — $16,529 2,419 87,554
177 MS_DRG — $16,235 2,569 87,379
812 MS_DRG — $9,870 2,455 86,714
65 MS_DRG — $11,174 2,462 86,377
308 MS_DRG — $12,751 2,450 86,269
897 MS_DRG — $8,726 2,419 85,961
947 MS_DRG — $12,688 2,421 85,930
310 MS_DRG — $6,751 2,414 85,744
807 MS_DRG — $7,387 2,276 85,683
378 MS_DRG — $10,714 2,426 85,513
439 MS_DRG — $9,521 2,469 85,506
682 MS_DRG — $15,223 2,524 85,421
390 MS_DRG — $6,565 2,442 85,167
281 MS_DRG — $10,382 2,382 84,946
389 MS_DRG — $8,897 2,444 84,787
552 MS_DRG — $10,424 2,498 84,688
202 MS_DRG — $10,382 2,440 84,682
689 MS_DRG — $12,152 2,521 84,634
391 MS_DRG — $13,246 2,460 84,558
305 MS_DRG — $8,578 2,406 84,538
56 MS_DRG — $22,354 2,371 84,482
639 MS_DRG — $7,257 2,416 84,390
175 MS_DRG — $14,625 2,405 84,372
191 MS_DRG — $9,408 2,468 84,349
312 MS_DRG — $9,479 2,425 84,199
637 MS_DRG — $14,789 2,448 84,187
440 MS_DRG — $7,345 2,445 83,952
64 MS_DRG — $20,254 2,426 83,944
698 MS_DRG — $16,677 2,430 83,859
101 MS_DRG — $9,814 2,375 83,795
394 MS_DRG — $10,260 2,431 83,701
Most expensive procedures
Same scope, ranked by national median rate (highest first).
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description National median Hospitals Rate volume
   
0024 APR_DRG — $372,987 151 2,227
18 MS_DRG — $370,174 1,795 52,994
588 MS_DRG — $313,714 27 333
5834 APR_DRG — $309,665 908 10,580
161 MS_DRG — $289,356 57 417
588 APR_DRG — $281,646 26 1,104
0034 APR_DRG — $267,508 30 1,121
1 MS_DRG — $265,286 1,856 60,084
5884 APR_DRG — $246,434 910 10,594
5833 APR_DRG — $244,017 908 10,575
927 APR_DRG — $240,967 2 8
24 APR_DRG — $234,738 746 9,340
609 MS_DRG — $224,255 31 230
34 APR_DRG — $209,067 75 1,011
1614 APR_DRG — $207,730 924 10,901
927 MS_DRG — $206,368 1,798 54,556
591 MS_DRG — $204,175 32 405
3 MS_DRG — $202,986 2,114 69,775
0114 APR_DRG — $197,700 112 875
0044 APR_DRG — $195,681 166 2,373
0014 APR_DRG — $190,591 151 2,224
74 APR_DRG — $187,294 655 6,767
9 MS_DRG — $186,776 65 312
5883 APR_DRG — $182,736 909 10,587
161 APR_DRG — $181,791 20 614
0074 APR_DRG — $178,275 114 926
9 APR_DRG — $167,999 31 1,091
0023 APR_DRG — $167,082 151 2,227
0094 APR_DRG — $166,008 123 1,012
94 APR_DRG — $164,834 713 7,008
5914 APR_DRG — $164,279 911 10,638
6094 APR_DRG — $162,982 908 10,579
8414 APR_DRG — $160,267 912 10,577
5832 APR_DRG — $156,126 902 10,429
5934 APR_DRG — $151,838 910 10,608
6304 APR_DRG — $150,721 908 10,571
0054 APR_DRG — $149,310 166 2,399
5882 APR_DRG — $145,336 909 10,587
5831 APR_DRG — $145,122 914 10,892
0033 APR_DRG — $144,032 30 1,121
0022 APR_DRG — $140,623 151 2,227
2 APR_DRG — $136,483 20 534
0904 APR_DRG — $135,922 32 1,135
4 MS_DRG — $133,176 2,171 71,772
834 APR_DRG — $130,800 3 41
14 APR_DRG — $129,535 701 7,949
0113 APR_DRG — $128,705 112 875
0021 APR_DRG — $128,074 157 2,519
5881 APR_DRG — $124,573 915 10,859
4 APR_DRG — $123,597 45 1,370
Top hospitals filing this service line
The top 50 hospitals by overall median rate within this pack. Re-sorting the columns reorders these 50 — it does not surface the lowest across all hospitals.
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Hospital State City Overall median p25 p75 Rate volume
     
Greater Peoria Specialty Hospital IL Peoria $39,900 $34,618 $44,843 106
MOUNT SINAI HOSPITAL NY New York $39,952 $22,992 $50,276 34,444
GARNET HEALTH MEDICAL CENTER NY Middletown $40,194 $36,229 $53,067 32,306
NEW YORK-PRESBYTERIAN HOSPITAL NY New York $40,487 $23,026 $75,493 58,422
Sutter Medical Center, Sacramento CA Sacramento $41,005 $32,548 $45,614 5,522
SOUTH PENINSULA HOSPITAL AK Homer $41,206 $40,310 $42,550 4,215
CENTRAL PENINSULA GENERAL HOSPITAL AK Soldotna $42,186 $39,912 $45,468 5,124
Usc Kenneth Norris Jr Cancer Hospital CA Los Angeles $42,672 $40,270 $48,852 35,928
Bryn Mawr Rehab PA Malvern $42,798 $31,199 $48,479 358
NORTHERN LIGHT MAYO HOSPITAL ME Dover Foxcroft $44,038 $35,466 $49,741 2,890
NICKLAUS CHILDREN'S HOSPITAL FL Miami $44,309 $36,351 $60,285 9,144
Okc-amg Specialty Hospital OK Oklahoma City $44,464 $44,464 $52,100 546
FAIRBANKS MEMORIAL HOSPITAL AK Fairbanks $44,526 $13,602 $45,586 5,197
ADVENTIST HEALTH HOWARD MEMORIAL CA Willits $44,865 $39,915 $48,826 3,894
MARSHALL MEDICAL CENTER CA Placerville $44,904 $36,359 $46,152 7,401
HOSPITAL FOR SPECIAL SURGERY NY New York $46,339 $5,474 $54,534 11,147
ST VINCENT HOSPITAL MA Worcester $46,469 $40,478 $56,206 8,025
STAMFORD HOSPITAL CT Stamford $46,533 $19,159 $54,053 15,400
ADVENTIST HEALTH CLEARLAKE CA Clearlake $46,853 $41,792 $48,630 9,604
PROVIDENCE ALASKA MEDICAL CENTER AK Anchorage $47,410 $28,278 $66,604 5,679
SUTTER SOLANO MEDICAL CENTER CA Vallejo $47,490 $43,474 $49,998 2,151
Kindred Hospital - Chicago IL Northlake $48,218 $32,939 $62,221 276
NOVATO COMMUNITY HOSPITAL CA Novato $48,344 $45,292 $51,460 2,097
POMONA VALLEY HOSPITAL MEDICAL CENTER CA Pomona $49,071 $38,196 $50,497 2,663
WELLSTAR SYLVAN GROVE MEDICAL CENTER GA Jackson $49,880 $45,206 $60,837 5,654
James Cancer Hospital & Solove Research Institute OH Columbus $49,946 $40,110 $60,571 64,681
PARKLAND HEALTH & HOSPITAL SYSTEM TX Dallas $49,988 $41,793 $82,208 65,234
Las Vegas-amg Specialty Hospital NV Las Vegas $50,251 $50,251 $52,763 496
Good Shepherd Specialty Hospital PA Bethlehem $50,428 $48,159 $50,428 1,067
TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN TX Dallas $50,825 $50,825 $58,993 966
Good Shepherd Penn Partners PA Philadelphia $51,433 $51,433 $51,947 728
ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO IL Chicago $51,917 $43,387 $59,879 82,315
PROVIDENCE ST JOSEPH MEDICAL CENTER MT Polson $52,831 $52,446 $54,826 1,834
NY EYE AND EAR INFIRMARY OF MOUNT SINAI NY New York $52,996 $35,415 $329,229 19,849
FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL IN Carmel $55,610 $43,279 $58,429 1,062
ADVENTIST HEALTH ST HELENA CA Saint Helena $55,898 $18,580 $81,421 7,670
SUTTER CENTER FOR PSYCHIATRY CA Sacramento $57,987 $55,969 $59,768 1,242
ADVENTIST HEALTH AND RIDEOUT CA Marysville $61,941 $22,023 $70,610 10,599
JPS HEALTH NETWORK TX Fort Worth $64,307 $21,308 $69,087 16,268
Wellstar Windy Hill Hospital GA Marietta $65,157 $55,098 $65,702 2,422
Madonna Rehabilitation Specialty Hospital Omaha NE Omaha $71,603 $68,089 $76,643 1,438
ADVENTIST HEALTH SONORA CA Sonora $72,390 $70,196 $74,583 3,512
SHARP CORONADO HOSPITAL AND HLTHCR CTR CA Coronado $72,453 $56,292 $82,472 15,892
SHARP CHULA VISTA MEDICAL CENTER CA Chula Vista $73,020 $57,802 $84,630 16,310
GROSSMONT HOSPITAL CA La Mesa $73,655 $58,353 $84,145 15,163
Sharp Memorial Hospital-transplant CA San Diego $75,505 $63,228 $83,682 6,771
Madonna Rehabilitation Specialty Hospital Lincoln NE Lincoln $77,963 $73,240 $83,532 1,158
Central Valley Specialty Hospital CA Modesto $100,965 $99,912 $103,659 908
Sonoma Specialty Hospital CA Sebastopol $103,154 $78,818 $118,496 763
Nexus Specialty Hospital The Woodlands TX Shenandoah $137,716 $135,620 $219,094 654
Top payers in this service line
The top 50 insurers by estimated spend across this pack. Re-sorting the columns reorders these 50 — it does not surface the lowest across all payers.
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Payer Median paid p25 p75 Hospitals Rate volume
       
BeechStreet Corporation $30,047 $10,978 $78,045 92 79,382
BCBS of Arizona $26,167 $12,956 $58,039 36 122,437
Anthem BCBS of New York $25,479 $10,971 $50,164 38 95,159
Horizon BCBS of NJ $24,621 $9,318 $52,202 72 291,316
EmblemHealth $23,715 $10,635 $52,349 111 432,040
Healthfirst $22,423 $10,110 $53,664 48 344,818
Regence BCBS $20,685 $10,833 $40,712 74 150,640
Cigna Healthcare $19,607 $10,661 $39,261 1,800 3,190,197
Blue Shield of California $19,389 $10,715 $39,025 206 357,913
AFFINITY HEALTH PLAN $19,074 $9,168 $64,569 36 260,914
Highmark BCBS $19,048 $9,730 $39,235 116 328,755
Sentara Health Plans $18,939 $9,753 $32,313 63 162,139
Oscar Health $18,870 $11,671 $33,234 401 383,093
BCBS of Florida (Florida Blue) $18,836 $10,146 $38,954 66 345,675
MVP Health Care $18,789 $8,750 $42,863 72 211,380
Blue Cross Blue Shield Association $18,759 $8,619 $44,226 715 2,651,439
Kaiser Permanente $17,915 $10,158 $34,806 290 569,457
First Health Network $17,600 $7,016 $41,028 335 144,933
MultiPlan $17,518 $7,340 $37,915 661 599,530
Medical Mutual of Ohio $17,446 $9,354 $34,129 110 166,939
Health Net $17,346 $9,374 $34,891 245 517,805
HEALTHSMART BENEFIT SOLUTIONS $17,220 $5,231 $36,116 158 190,058
Anthem (Elevance Health) $17,121 $8,531 $34,431 683 1,791,848
Geisinger Health Plan $16,627 $8,584 $32,998 91 164,198
Centene $16,325 $8,783 $31,472 802 1,083,133
HealthPartners $16,024 $8,237 $31,911 166 275,536
Aetna $15,533 $7,790 $31,864 2,110 4,613,484
UnitedHealthcare $15,355 $7,447 $32,414 2,294 6,494,146
Bright Health $15,234 $9,321 $26,136 117 152,096
BCBS of Texas $15,178 $7,718 $29,544 112 239,113
Superior HealthPlan $15,128 $7,230 $29,465 204 823,866
AMERIHEALTH NEW JERSEY (NON-HMO) $14,000 $7,958 $27,734 138 173,779
UPMC Health Plan $13,950 $8,944 $25,461 155 283,265
Devoted Health $13,864 $9,076 $22,492 506 528,480
United Behavioral Health (Optum) $13,702 $8,372 $24,305 139 176,249
BCBS of Tennessee $13,659 $5,730 $29,720 68 204,952
WellCare Health Plans $13,592 $8,257 $23,879 882 917,347
Medicare (Generic) $13,592 $8,474 $22,235 287 375,650
Humana $13,420 $7,534 $23,948 1,770 2,515,058
TRICARE $13,182 $7,771 $22,829 329 329,917
Molina Healthcare $13,139 $6,824 $25,637 991 1,948,298
VA / CHAMPVA $12,813 $7,896 $22,443 268 208,472
Medica $12,523 $5,678 $24,976 207 332,271
PHCS (Private Healthcare Systems) $12,400 $4,817 $31,290 306 220,978
CareSource $11,880 $6,292 $22,874 330 483,986
Amerigroup $11,614 $6,200 $21,778 408 560,424
AmeriHealth Caritas $11,139 $6,073 $21,105 226 274,919
Simply Healthcare Plans $10,422 $5,640 $19,075 124 299,705
AvMed $10,341 $2,755 $29,394 96 417,252
Sunshine Health $8,870 $3,270 $19,050 115 305,803