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 →

Service line

Inpatient surgery

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

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3,149 codes in this pack
3,594 hospitals filing
87,437,654 rate rows
$14,498 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 — $19,136 3,234 117,536
872 MS_DRG — $11,029 3,200 112,845
291 MS_DRG — $13,359 3,215 112,177
948 MS_DRG — $8,463 3,155 111,964
193 MS_DRG — $13,455 3,195 111,628
392 MS_DRG — $8,659 3,169 111,242
189 MS_DRG — $12,892 3,232 110,667
194 MS_DRG — $9,038 3,190 110,572
918 MS_DRG — $8,721 2,967 110,390
603 MS_DRG — $9,525 3,204 110,176
690 MS_DRG — $8,869 3,180 109,877
917 MS_DRG — $15,188 2,927 109,790
640 MS_DRG — $13,243 3,141 109,515
57 MS_DRG — $13,109 3,055 109,334
683 MS_DRG — $9,596 3,163 109,112
641 MS_DRG — $8,588 3,179 109,010
190 MS_DRG — $11,661 3,128 108,420
638 MS_DRG — $9,750 3,143 108,411
812 MS_DRG — $9,785 3,062 108,298
309 MS_DRG — $8,373 3,071 108,146
177 MS_DRG — $16,167 3,206 108,066
280 MS_DRG — $16,417 3,002 107,635
947 MS_DRG — $12,594 3,015 107,076
807 MS_DRG — $7,284 2,861 106,973
308 MS_DRG — $12,590 3,038 106,258
682 MS_DRG — $15,088 3,146 106,228
897 MS_DRG — $8,661 2,995 106,171
378 MS_DRG — $10,606 3,007 105,869
310 MS_DRG — $6,645 2,992 105,866
65 MS_DRG — $11,101 3,039 105,820
439 MS_DRG — $9,456 3,065 105,597
390 MS_DRG — $6,522 3,024 105,241
689 MS_DRG — $12,008 3,144 105,215
552 MS_DRG — $10,356 3,102 105,186
312 MS_DRG — $9,409 3,030 105,107
389 MS_DRG — $8,854 3,023 104,905
305 MS_DRG — $8,505 2,978 104,744
391 MS_DRG — $13,072 3,067 104,705
698 MS_DRG — $16,480 3,020 104,547
202 MS_DRG — $10,254 3,023 104,510
191 MS_DRG — $9,352 3,059 104,491
175 MS_DRG — $14,505 2,992 104,331
639 MS_DRG — $7,159 2,997 104,318
281 MS_DRG — $10,300 2,949 104,294
637 MS_DRG — $14,602 3,043 103,992
806 MS_DRG — $7,911 2,848 103,984
178 MS_DRG — $10,806 3,091 103,805
788 MS_DRG — $10,065 2,846 103,750
101 MS_DRG — $9,703 2,951 103,704
440 MS_DRG — $7,284 3,023 103,676
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
   
18 MS_DRG — $370,165 2,224 64,987
588 MS_DRG — $313,714 29 343
5834 APR_DRG — $311,018 1,093 12,953
588 APR_DRG — $280,935 30 1,097
1 MS_DRG — $261,939 2,289 72,687
5884 APR_DRG — $254,667 1,097 12,954
5833 APR_DRG — $250,089 1,094 12,935
24 APR_DRG — $243,231 1,061 13,674
34 APR_DRG — $241,408 122 2,237
927 APR_DRG — $240,967 2 8
1614 APR_DRG — $209,486 1,112 13,231
927 MS_DRG — $205,166 2,242 68,064
591 MS_DRG — $204,175 35 427
3 MS_DRG — $199,832 2,620 85,698
5883 APR_DRG — $180,995 1,095 12,973
74 APR_DRG — $175,480 922 9,782
5832 APR_DRG — $169,230 1,081 12,605
5914 APR_DRG — $168,361 1,098 13,005
6094 APR_DRG — $168,174 1,095 12,963
8414 APR_DRG — $165,646 1,086 12,942
94 APR_DRG — $165,599 1,002 10,355
6304 APR_DRG — $160,171 1,096 12,967
161 APR_DRG — $157,885 37 854
5934 APR_DRG — $156,285 1,101 12,972
5831 APR_DRG — $154,685 1,093 13,103
5882 APR_DRG — $147,847 1,093 12,936
6314 APR_DRG — $147,677 1,092 12,869
2 APR_DRG — $137,947 23 612
14 APR_DRG — $137,901 1,008 12,089
9 APR_DRG — $136,452 31 1,040
609 MS_DRG — $136,360 82 323
4 MS_DRG — $132,706 2,703 88,360
834 APR_DRG — $130,800 3 41
33 APR_DRG — $129,813 121 2,241
1613 APR_DRG — $127,938 1,113 13,234
44 APR_DRG — $127,600 1,183 15,267
4 APR_DRG — $126,291 55 1,514
6024 APR_DRG — $123,690 1,100 13,020
7 MS_DRG — $122,690 2,130 62,629
3 APR_DRG — $121,518 11 139
5881 APR_DRG — $120,928 1,085 12,921
114 APR_DRG — $119,243 840 8,721
904 APR_DRG — $117,387 128 2,350
23 APR_DRG — $116,111 1,059 13,937
14 MS_DRG — $114,305 2,186 64,968
5933 APR_DRG — $112,711 1,098 13,000
216 APR_DRG — $109,745 2 8
6034 APR_DRG — $109,499 1,097 12,978
5913 APR_DRG — $108,751 1,095 12,911
2 MS_DRG — $108,240 2,157 64,762
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
     
WESTCHESTER MEDICAL CENTER NY Valhalla $56,616 $18,388 $71,539 31,239
Wellstar Windy Hill Hospital GA Marietta $65,157 $55,098 $65,702 2,422
WELLSTAR SYLVAN GROVE MEDICAL CENTER GA Jackson $49,880 $45,206 $60,837 5,654
WALLOWA MEMORIAL HOSPITAL OR Enterprise $114,456 $112,096 $114,456 410
TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN TX Dallas $50,825 $50,825 $58,993 966
SUTTER SOLANO MEDICAL CENTER CA Vallejo $47,490 $43,474 $49,998 2,151
SUTTER CENTER FOR PSYCHIATRY CA Sacramento $57,987 $55,969 $59,768 1,242
STAMFORD HOSPITAL CT Stamford $46,533 $19,159 $54,053 15,400
ST VINCENT HOSPITAL MA Worcester $46,469 $40,478 $56,206 8,025
Sonoma Specialty Hospital CA Sebastopol $103,154 $78,818 $118,496 763
SHARP MESA VISTA HOSPITAL CA San Diego $62,682 $42,613 $84,902 18,417
Sharp Memorial Hospital-transplant CA San Diego $78,449 $63,160 $86,640 3,840
SHARP MEMORIAL HOSPITAL CA San Diego $78,659 $65,840 $82,167 15,863
SHARP CHULA VISTA MEDICAL CENTER CA Chula Vista $72,530 $52,079 $86,469 12,592
PROVIDENCE ST JOSEPH MEDICAL CENTER MT Polson $52,831 $52,610 $53,240 917
PROVIDENCE ALASKA MEDICAL CENTER AK Anchorage $47,410 $28,278 $66,604 5,679
POMONA VALLEY HOSPITAL MEDICAL CENTER CA Pomona $49,071 $38,196 $50,497 2,663
Okc-amg Specialty Hospital OK Oklahoma City $47,610 $45,081 $56,177 1,831
NY EYE AND EAR INFIRMARY OF MOUNT SINAI NY New York $52,996 $35,415 $329,229 19,849
NOVATO COMMUNITY HOSPITAL CA Novato $48,344 $45,292 $51,460 2,097
Nexus Specialty Hospital The Woodlands TX Shenandoah $137,716 $135,620 $219,094 654
MidHudson Regional Hospital NY Poughkeepsie $46,447 $17,188 $62,064 21,266
METROWEST MEDICAL CENTER MA Framingham $45,756 $39,639 $55,845 8,109
MARSHALL MEDICAL CENTER CA Placerville $45,114 $37,567 $46,387 4,472
Madonna Rehabilitation Specialty Hospital Omaha NE Omaha $71,603 $68,089 $76,643 1,438
Madonna Rehabilitation Specialty Hospital Lincoln NE Lincoln $77,963 $73,240 $83,532 1,158
LOS ANGELES GENERAL MEDICAL CENTER CA Los Angeles $57,036 $56,715 $66,386 11,823
Las Vegas-amg Specialty Hospital NV Las Vegas $51,178 $47,353 $55,995 1,582
Lafayette - A M G Specialty Hospital LA Lafayette $45,543 $41,082 $51,049 1,387
LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR CA Downey $76,356 $75,700 $88,211 11,096
LAC/OLIVE VIEW-UCLA MEDICAL CENTER CA Sylmar $57,387 $57,047 $65,134 11,258
Lac Harbor-ucla Medical Center CA Torrance $56,902 $56,575 $66,301 11,742
Kindred Hospital - Chicago IL Northlake $48,218 $43,571 $57,942 138
James Cancer Hospital & Solove Research Institute OH Columbus $58,422 $42,638 $64,007 19,715
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL CO Grand Junction $51,293 $22,629 $51,393 22,847
Infirmary Ltac Hospital AL Mobile $58,951 $35,141 $58,951 748
HOSPITAL FOR SPECIAL SURGERY NY New York $46,339 $5,474 $54,534 11,147
GROSSMONT HOSPITAL CA La Mesa $73,989 $53,881 $85,769 11,692
Good Shepherd Specialty Hospital PA Bethlehem $50,428 $48,159 $50,428 1,067
Good Shepherd Penn Partners PA Philadelphia $51,433 $51,433 $51,947 728
FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL IN Carmel $55,805 $45,505 $66,265 3,894
Central Valley Specialty Hospital CA Modesto $100,965 $99,912 $103,659 908
Central Indiana Amg Specialty Hospital Llc IN Muncie $47,421 $47,421 $51,482 2,376
BAPTIST MEMORIAL HOSPITAL TN Memphis $50,464 $33,793 $51,663 53,263
ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO IL Chicago $86,508 $75,694 $96,608 28,381
ADVENTIST HEALTH ST HELENA CA Saint Helena $52,314 $18,090 $78,892 12,047
ADVENTIST HEALTH SONORA CA Sonora $59,290 $20,893 $70,802 15,368
ADVENTIST HEALTH HOWARD MEMORIAL CA Willits $44,865 $39,915 $48,826 3,894
ADVENTIST HEALTH CLEARLAKE CA Clearlake $46,853 $41,792 $48,630 9,604
ADVENTIST HEALTH AND RIDEOUT CA Marysville $61,941 $22,023 $70,610 10,599
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
       
BCBS of Arizona $26,167 $12,956 $58,039 36 122,437
Anthem BCBS of New York $24,361 $9,802 $51,339 43 144,116
Prime Health Services $24,007 $12,306 $45,920 95 110,560
EmblemHealth $23,532 $10,572 $52,011 112 433,245
Horizon BCBS of NJ $22,557 $9,074 $48,217 77 322,766
Healthfirst $22,423 $10,110 $53,664 48 344,818
Naphcare Inc $22,121 $13,887 $36,599 105 117,119
Regence BCBS $20,261 $10,557 $39,801 76 153,815
Cigna Healthcare $19,607 $10,758 $39,412 1,834 3,263,126
Highmark BCBS $19,588 $9,917 $40,409 120 335,402
Blue Shield of California $19,326 $10,738 $38,747 208 366,464
AFFINITY HEALTH PLAN $19,074 $9,168 $64,569 36 260,914
Sentara Health Plans $18,939 $9,753 $32,313 63 162,139
BCBS of Florida (Florida Blue) $18,892 $10,216 $38,996 80 356,032
Oscar Health $18,851 $11,653 $33,214 401 383,625
Blue Cross Blue Shield Association $18,757 $8,619 $44,221 717 2,653,465
MVP Health Care $18,539 $8,786 $41,699 79 233,789
First Health Network $17,980 $7,327 $41,175 341 148,690
Kaiser Permanente $17,968 $10,187 $34,848 301 587,348
MultiPlan $17,709 $7,256 $38,550 696 614,051
Health Net $17,514 $9,432 $35,516 250 534,216
Medical Mutual of Ohio $17,415 $9,350 $34,053 112 167,809
HEALTHSMART BENEFIT SOLUTIONS $17,220 $5,231 $36,116 158 190,058
Anthem (Elevance Health) $17,133 $8,548 $34,429 687 1,803,091
Geisinger Health Plan $16,419 $8,614 $32,577 93 168,240
Centene $16,311 $8,783 $31,444 802 1,084,856
HealthPartners $16,177 $8,275 $32,240 167 288,343
Aetna $15,457 $7,821 $31,655 2,138 4,710,712
UnitedHealthcare $15,298 $7,448 $32,177 2,304 6,591,483
Superior HealthPlan $14,994 $7,174 $29,260 207 832,154
BCBS of Texas $14,984 $7,827 $29,299 117 259,910
FIDELIS CARE (CENTERCARE) $14,060 $7,492 $29,695 71 248,095
UPMC Health Plan $13,953 $9,023 $25,391 160 315,363
Devoted Health $13,851 $9,064 $22,470 508 530,020
BCBS of Tennessee $13,659 $5,730 $29,719 68 204,955
WellCare Health Plans $13,570 $8,247 $23,802 919 940,324
Humana $13,414 $7,541 $23,940 1,791 2,558,913
PHCS (Private Healthcare Systems) $13,288 $6,245 $33,871 338 233,097
TRICARE $13,199 $7,787 $22,826 336 332,267
Medicare (Generic) $13,187 $8,073 $21,622 320 418,168
Molina Healthcare $13,118 $6,815 $25,625 1,023 1,984,134
VA / CHAMPVA $12,813 $7,896 $22,443 268 208,472
United Behavioral Health (Optum) $12,578 $7,124 $23,008 190 236,423
CareSource $11,872 $6,289 $22,863 330 485,687
Amerigroup $11,660 $6,230 $21,868 420 584,364
Medica $11,453 $4,984 $23,764 219 387,689
AmeriHealth Caritas $11,138 $6,070 $21,102 227 274,961
AvMed $10,440 $2,755 $29,339 99 420,831
Simply Healthcare Plans $10,426 $5,651 $19,075 125 300,084
Sunshine Health $8,881 $3,270 $19,071 116 307,443