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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2,616 codes in this pack
305 hospitals filing
6,248,608 rate rows
$12,206 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
   
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc $10,747 265 8,118
291 MS_DRG Heart Failure And Shock With Mcc $9,572 275 8,043
57 MS_DRG Degenerative Nervous System Disorders Without Mcc $8,924 267 7,962
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc $14,442 272 7,943
948 MS_DRG Signs And Symptoms Without Mcc $5,562 272 7,913
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc $5,899 258 7,900
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc $34,733 266 7,836
56 MS_DRG Degenerative Nervous System Disorders With Mcc $14,194 262 7,829
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc $7,744 272 7,815
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc $9,802 271 7,814
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc $11,829 264 7,787
603 MS_DRG Cellulitis Without Mcc $6,621 269 7,734
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc $8,303 269 7,731
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc $9,697 269 7,708
189 MS_DRG Pulmonary Edema And Respiratory Failure $9,470 272 7,700
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc $6,107 268 7,695
194 MS_DRG Simple Pneumonia And Pleurisy With Cc $6,156 268 7,676
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc $5,898 258 7,672
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc $5,890 269 7,670
947 MS_DRG Signs And Symptoms With Mcc $8,698 260 7,666
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc $4,880 252 7,646
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc $5,850 267 7,638
177 MS_DRG Respiratory Infections And Inflammations With Mcc $11,701 268 7,625
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc $8,963 262 7,621
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $7,677 266 7,605
812 MS_DRG Red Blood Cell Disorders Without Mcc $6,771 263 7,603
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc $6,966 260 7,589
683 MS_DRG Renal Failure With Cc $6,692 265 7,588
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc $9,938 255 7,584
682 MS_DRG Renal Failure With Mcc $11,096 269 7,575
638 MS_DRG Diabetes With Cc $6,741 267 7,568
378 MS_DRG Gastrointestinal Hemorrhage With Cc $7,364 262 7,566
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc $14,700 265 7,561
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc $12,136 265 7,544
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc $5,473 253 7,543
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc $6,949 251 7,536
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc $5,574 262 7,532
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale $10,317 265 7,524
389 MS_DRG Gastrointestinal Obstruction With Cc $5,994 264 7,521
377 MS_DRG Gastrointestinal Hemorrhage With Mcc $13,124 259 7,498
202 MS_DRG Bronchitis And Asthma With Cc/mcc $7,228 262 7,497
637 MS_DRG Diabetes With Mcc $10,515 261 7,496
312 MS_DRG Syncope And Collapse $6,528 261 7,494
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc $14,330 260 7,488
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc $14,550 263 7,471
689 MS_DRG Kidney And Urinary Tract Infections With Mcc $8,710 266 7,465
92 MS_DRG Other Disorders Of Nervous System With Cc $7,741 262 7,463
811 MS_DRG Red Blood Cell Disorders With Mcc $10,250 262 7,463
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc $6,417 259 7,463
178 MS_DRG Respiratory Infections And Inflammations With Cc $7,418 267 7,457
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
   
1 APR_DRG — $202,979 2 5
9 APR_DRG — $132,334 2 9
631 APR_DRG — $233,616 2 10
7 APR_DRG — $138,620 3 11
588 APR_DRG — $381,876 2 14
609 APR_DRG — $243,339 2 14
4 APR_DRG — $159,438 4 31
34 APR_DRG — $187,752 4 35
5 APR_DRG — $153,542 4 35
33 APR_DRG — $104,474 4 35
602 APR_DRG — $121,245 7 68
114 APR_DRG — $135,803 52 414
74 APR_DRG — $149,836 65 511
14 APR_DRG — $136,566 70 553
94 APR_DRG — $152,792 76 567
8414 APR_DRG — $173,018 81 589
6094 APR_DRG — $198,578 81 614
6304 APR_DRG — $187,567 82 615
6314 APR_DRG — $181,762 82 615
5881 APR_DRG — $130,862 81 618
23 APR_DRG — $117,894 74 618
5834 APR_DRG — $390,362 81 620
5884 APR_DRG — $286,698 81 620
5833 APR_DRG — $268,208 81 620
5832 APR_DRG — $201,678 81 620
5831 APR_DRG — $173,909 81 620
5883 APR_DRG — $173,134 81 620
5914 APR_DRG — $171,497 81 620
5934 APR_DRG — $168,439 81 620
5882 APR_DRG — $152,383 81 620
6024 APR_DRG — $124,731 81 620
5913 APR_DRG — $120,079 81 620
6034 APR_DRG — $115,963 81 620
5933 APR_DRG — $114,205 81 620
6074 APR_DRG — $100,752 81 620
24 APR_DRG — $225,531 74 624
1614 APR_DRG — $202,242 83 625
1613 APR_DRG — $155,539 83 625
1612 APR_DRG — $109,992 83 625
1604 APR_DRG — $106,926 83 625
1611 APR_DRG — $108,954 84 626
44 APR_DRG — $135,630 84 672
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies $168,055 200 5,700
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $131,925 210 5,948
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc $186,516 214 6,256
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 6,910
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
     
LOS ANGELES GENERAL MEDICAL CENTER CA Los Angeles $57,036 $56,715 $66,386 11,823
Lac Harbor-ucla Medical Center CA Torrance $56,902 $56,575 $66,301 11,742
SUTTER SOLANO MEDICAL CENTER CA Vallejo $47,490 $43,474 $49,998 2,151
CHI HEALTH - MERCY CORNING IA Corning $40,827 $40,626 $41,027 3,060
HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS NY Kingston $40,314 $15,361 $45,833 22,584
Shepherd Center GA Atlanta $37,955 $37,955 $39,614 2,855
EXETER HOSPITAL INC NH Exeter $36,579 $36,461 $37,139 904
ASPIRUS MERRILL HOSPITAL WI Merrill $34,141 $33,933 $34,187 3,304
ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. WI Stevens Point $33,205 $12,578 $33,960 25,997
SENTARA CAREPLEX HOSPITAL VA Hampton $33,130 $14,522 $36,637 10,921
Beth Israel Deaconess Med Ctr - Transplant Center MA Boston $32,576 $28,496 $36,938 7,380
KOHALA HOSPITAL HI Kapaau $32,472 $31,156 $32,875 803
KAHUKU MEDICAL CENTER HI Kahuku $32,472 $31,156 $32,875 803
SAMUEL MAHELONA MEMORIAL HOSPITAL HI Kapaa $32,472 $29,995 $32,981 1,606
SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER VA Williamsburg $31,837 $13,249 $38,096 10,496
LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON MA Burlington $30,849 $27,842 $33,972 7,050
SENTARA LEIGH HOSPITAL VA Norfolk $30,842 $14,206 $36,099 12,572
OVERLAKE HOSPITAL MEDICAL CENTER WA Bellevue $29,958 $15,768 $35,536 22,636
OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP MI Escanaba $28,149 $27,834 $28,634 1,041
ASPIRUS DIVINE SAVIOR HOSPITAL WI Portage $27,701 $12,627 $34,068 25,886
LAWRENCE & MEMORIAL HOSPITAL CT New London $27,491 $12,438 $29,097 10,352
WILLAMETTE VALLEY MEDICAL CENTER OR Mcminnville $25,376 $22,910 $32,607 3,572
CHI HEALTH ST. FRANCIS NE Grand Island $25,371 $17,837 $33,020 15,262
ATHUR M BLANK HOSPITAL GA Atlanta $25,294 $20,896 $29,770 2,203
ASPIRUS WAUSAU HOSPITAL WI Wausau $24,216 $12,627 $33,365 24,489
Adventhealth Port Charlotte FL Port Charlotte $24,070 $13,300 $30,567 23,541
CHI ST ALEXIUS HEALTH ND Bismarck $23,985 $16,704 $26,836 13,767
HAMILTON MEDICAL CENTER GA Dalton $23,578 $18,265 $28,377 475
ALASKA REGIONAL HOSPITAL AK Anchorage $22,473 $14,856 $45,621 7,854
OGDEN REGIONAL MEDICAL CENTER UT Ogden $21,794 $13,239 $29,426 33,152
ThedaCare Fond du Lac — — $21,755 $20,214 $21,755 14,134
UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS IL Chicago $21,376 $20,284 $23,970 19,297
ALTA BATES SUMMIT MEDICAL CENTER CA Oakland $21,261 $18,871 $25,085 7,164
MEMORIAL HOSPITAL OF SOUTH BEND IN South Bend $21,260 $18,679 $24,759 33,029
BATON ROUGE GENERAL MEDICAL CENTER LA Baton Rouge $21,075 $20,007 $21,172 7,232
THEDACARE REGIONAL MED CTR - NEENAH WI Neenah $21,066 $19,111 $21,405 15,153
PENINSULA MEDICAL CENTER CA Burlingame $21,005 $18,322 $23,885 7,681
DOYLESTOWN HOSPITAL PA Doylestown $20,896 $11,989 $25,222 11,333
KING'S DAUGHTERS' MEDICAL CENTER KY Ashland $20,497 $14,057 $22,584 5,357
SENTARA MARTHA JEFFERSON HOSPITAL VA Charlottesville $20,191 $12,316 $29,111 10,086
SAINT MICHAEL'S MEDICAL CENTER NJ Newark $20,169 $17,717 $23,504 32,979
HOLY REDEEMER HOSPITAL AND MEDICAL CENTER PA Meadowbrook $20,097 $16,817 $21,725 13,076
DALLAS REGIONAL MEDICAL CENTER TX Mesquite $19,820 $14,190 $22,110 38,818
ST MARY'S GENERAL HOSPITAL NJ Passaic $19,668 $16,988 $22,315 28,166
LEGACY EMANUEL MEDICAL CENTER OR Portland $19,557 $18,506 $32,560 26,265
SHELBY BAPTIST MEDICAL CENTER AL Alabaster $19,552 $13,962 $26,901 35,047
ESSENTIA HEALTH ADA MN Ada $19,503 $17,297 $26,495 10,519
ESSENTIA HEALTH MOOSE LAKE MN Moose Lake $19,474 $18,773 $24,300 9,187
SUTTER AUBURN FAITH HOSPITAL CA Auburn $19,419 $16,447 $21,076 6,996
SUTTER ROSEVILLE MEDICAL CENTER CA Roseville $19,345 $17,476 $23,016 8,436
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
       
Anthem BCBS of Wisconsin $35,120 $8,432 $65,638 4 22,458
Galaxy Health Network $32,164 $19,079 $56,365 63 53,840
BLUE CARE NETWORK OF MICHIGAN $26,592 $16,738 $45,271 6 18,900
MultiPlan $23,981 $13,169 $37,664 76 64,242
Geisinger Health Plan $20,732 $9,977 $41,449 10 17,827
CURATIVE $20,286 $13,407 $32,095 14 32,021
Prime Health Services $20,184 $12,887 $35,405 70 334,259
EMPLOYER DIRECT HEALTHCARE $19,985 $13,399 $31,574 28 20,244
Sanford Health $19,216 $11,763 $30,984 16 23,383
Provider Network of America (PNOA) $17,885 $11,872 $30,011 65 52,916
Independence BCBS $17,504 $9,945 $30,929 8 28,777
Health Net $17,150 $9,015 $33,658 24 97,068
Sentara Health Plans $16,853 $8,876 $28,241 19 55,125
BCBS of Minnesota $16,460 $8,607 $35,908 8 32,598
Gold Kidney Health Plan $16,409 $11,016 $26,132 17 42,185
Blue Shield of California $16,296 $9,554 $30,936 22 39,392
Kaiser Permanente $16,142 $8,873 $31,141 15 21,456
Zing Health Consolidator, Inc $15,446 $10,321 $25,956 21 58,029
TRICARE $15,203 $9,065 $27,007 117 101,684
CarePlus (Encounters) $15,076 $9,841 $24,603 16 29,192
Superior HealthPlan $14,880 $7,647 $28,746 11 22,572
Highmark BCBS $14,714 $4,983 $30,073 19 63,784
HAP (Health Alliance Plan) $14,543 $9,637 $23,659 7 24,910
HealthPartners $14,517 $6,928 $25,282 33 50,283
Anthem Blue Cross CA $13,990 $7,966 $24,505 12 26,984
Medicare (Generic) $13,706 $8,607 $22,742 59 61,884
Centers for Medicare & Medicaid Services $13,291 $8,673 $21,524 3 35,480
Buckeye Health Plan $12,923 $7,485 $23,482 20 47,395
UPMC Health Plan $12,848 $4,644 $26,313 28 63,355
Security Health Plan of Wisconsin $12,808 $6,397 $28,456 14 41,017
Devoted Health $12,699 $7,616 $20,670 49 39,074
Centene $12,570 $6,038 $24,248 68 93,119
Oscar Health $12,458 $3,957 $23,471 36 26,451
Molina Healthcare $11,507 $5,605 $22,318 124 226,934
Cigna Healthcare $11,394 $1,781 $25,828 209 326,417
Humana $11,388 $5,480 $21,508 203 291,380
WellCare Health Plans $11,205 $5,546 $20,254 94 97,621
UnitedHealthcare $10,411 $2,431 $23,876 267 629,147
CareSource $10,324 $4,671 $22,140 56 111,501
Aetna $10,284 $1,901 $23,903 247 725,785
United Behavioral Health (Optum) $10,087 $6,220 $18,346 28 37,705
Anthem (Elevance Health) $9,732 $2,050 $22,947 87 209,919
AmeriHealth Caritas $9,310 $4,389 $18,875 43 67,546
Amerigroup $8,697 $1,350 $19,871 31 36,618
Medica $8,607 $3,121 $21,533 27 84,082
Blue Cross Blue Shield Association $7,820 $1,532 $26,566 93 351,959
Sunshine Health $7,440 $3,024 $15,555 22 58,135
AvMed $6,601 $1,920 $20,236 21 97,547
HEALTHSMART BENEFIT SOLUTIONS $2,130 $2,041 $2,220 64 201,678
MultiPlan / PHCS Network $1,700 $1,700 $1,700 75 324,816