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

Outpatient surgery

CPT and HCPCS procedures — endoscopy, lap chole, hernia, cataracts.

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61,944 codes in this pack
4,726 hospitals filing
1,306,939,961 rate rows
$198 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
   
C1713 HCPCS — $859 2,533 124,593,957
C1776 HCPCS — $3,398 2,286 37,044,653
C1769 HCPCS — $190 2,450 12,910,093
C1889 HCPCS — $2,377 2,012 10,369,555
C1781 HCPCS — $1,404 2,501 9,116,614
C1887 HCPCS — $492 1,988 7,532,550
C1894 HCPCS — $180 2,205 7,508,812
J3490 HCPCS — $47 2,814 6,339,144
C1725 HCPCS — $684 1,990 5,679,587
A9270 HCPCS — $13 1,076 5,279,099
C1874 HCPCS — $4,784 1,989 5,108,444
C1768 HCPCS — $2,024 1,873 5,068,288
C1729 HCPCS — $164 2,276 4,942,373
C1751 HCPCS — $277 2,395 4,667,264
J8499 HCPCS — $66 1,319 4,521,966
C1876 HCPCS — $2,528 1,919 4,016,240
C1762 HCPCS — $2,933 2,019 3,181,061
C1757 HCPCS — $2,517 1,921 2,977,888
C1726 HCPCS — $586 2,259 2,383,817
C2617 HCPCS — $282 2,092 1,985,829
C1763 HCPCS — $2,304 1,933 1,850,866
C1821 HCPCS — $3,512 1,256 1,686,186
A4649 HCPCS — $226 1,221 1,603,510
C1750 HCPCS — $527 1,897 1,538,139
C1730 HCPCS — $657 1,578 1,488,710
C1789 HCPCS — $1,976 1,617 1,395,156
C1778 HCPCS — $4,468 1,994 1,391,390
A4648 HCPCS — $220 2,079 1,323,312
C1758 HCPCS — $47 2,046 1,308,396
J1650 HCPCS — $38 3,472 1,260,645
81479 CPT — $468 2,617 1,200,779
L8699 HCPCS — $1,894 1,624 1,173,312
J1644 HCPCS — $16 3,469 1,084,326
C2625 HCPCS — $353 1,897 1,057,103
83520 CPT — $103 3,862 1,005,447
Q9967 HCPCS — $64 3,376 953,774
C1788 HCPCS — $663 2,301 952,513
C1785 HCPCS — $6,733 1,786 916,103
C1882 HCPCS — $27,675 1,613 912,340
C1773 HCPCS — $1,087 1,780 900,533
C1892 HCPCS — $188 1,706 900,295
C2623 HCPCS — $2,982 1,603 887,438
C1767 HCPCS — $23,668 1,815 884,781
C1732 HCPCS — $3,488 1,399 874,292
J0696 HCPCS — $18 3,581 854,508
C1752 HCPCS — $284 1,783 840,724
C1898 HCPCS — $855 1,768 840,427
C2628 HCPCS — $1,260 1,602 833,605
C1786 HCPCS — $7,858 1,716 813,941
C1722 HCPCS — $21,054 1,634 806,740
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
   
J3391 HCPCS — $4,505,000 508 4,479
J1411 HCPCS — $3,710,000 963 12,609
J1414 HCPCS — $3,710,000 587 5,922
S3399 HCPCS — $3,669,056 13 71
C9172 HCPCS — $3,605,000 135 934
J3389 HCPCS — $3,335,820 159 1,440
J1413 HCPCS — $3,324,572 997 15,931
J3394 HCPCS — $3,286,000 929 11,539
J3387 HCPCS — $3,180,000 158 1,459
J3393 HCPCS — $2,997,086 1,024 12,174
C9309 HCPCS — $2,664,229 23 385
J3399 HCPCS — $2,460,273 1,132 21,348
J3392 HCPCS — $2,405,851 959 13,629
Q2057 HCPCS — $809,151 821 10,767
Q2042 HCPCS — $691,418 1,341 35,918
Q2056 HCPCS — $631,793 1,281 29,366
Q2054 HCPCS — $624,417 1,303 32,917
Q2055 HCPCS — $610,161 1,295 31,755
Q2041 HCPCS — $588,565 1,336 32,037
Q2053 HCPCS — $577,541 1,293 31,991
C9301 HCPCS — $459,112 203 1,431
Q2058 HCPCS — $302,242 696 9,291
J3403 HCPCS — $265,000 344 4,218
J3402 HCPCS — $209,736 472 5,122
J3404 HCPCS — $121,900 21 297
Q0480 HCPCS — $111,503 930 19,559
K1007 HCPCS — $97,404 611 13,476
E0767 HCPCS — $84,089 77 1,732
32328 CPT — $83,955 4 41
B0407 HCPCS — $83,710 104 1,736
13245 CPT — $79,668 2 11
14623 CPT — $79,362 2 11
J7330 HCPCS — $75,807 1,197 29,919
J9183 HCPCS — $75,281 24 411
B1904 HCPCS — $73,807 113 1,850
10392 CPT — $72,526 2 11
10900 CPT — $70,178 2 11
L8702 HCPCS — $70,178 815 16,175
C0407 HCPCS — $70,140 122 1,988
J9029 HCPCS — $69,291 1,367 38,422
D0407 HCPCS — $68,033 123 2,063
C4130 HCPCS — $67,186 5 252
B1806 HCPCS — $66,709 117 1,932
Q2043 HCPCS — $65,655 1,522 40,932
L6814 HCPCS — $63,774 4 63
A9543 HCPCS — $63,643 1,557 53,517
A0407 HCPCS — $62,354 119 1,997
14704 CPT — $61,919 4 17
0321T CPT — $61,016 25 245
B0406 HCPCS — $60,723 114 1,855
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
     
OhioHealth Pickerington Methodist Hospital OH Pickerington $5,193 $3,267 $6,245 23,065
ST FRANCIS COMMUNITY HOSPITAL WA Federal Way $5,210 $3,293 $7,116 623,307
HIGHLINE MEDICAL CENTER WA Burien $5,224 $3,194 $6,622 718,068
ST ANTHONY HOSPITAL WA Gig Harbor $5,256 $3,341 $7,140 415,532
ST CLARE HOSPITAL WA Lakewood $5,256 $3,341 $7,140 415,590
ST JOSEPH MEDICAL CENTER WA Tacoma $5,282 $3,326 $7,140 415,552
MERCY HARVARD HOSPITAL IL Harvard $5,324 $5,082 $5,567 24,160
ARKANSAS SURGICAL HOSPITAL AR No Little Rock $5,328 $2,625 $14,113 154,510
BAYLOR SCOTT AND WHITE ORTHOPEDIC AND SPINE HOSPI TX Arlington $5,374 $3,986 $6,734 286,280
BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH TX Fort Worth $5,374 $4,033 $6,514 141,733
BAYLOR MEDICAL CENTER AT TROPHY CLUB TX Trophy Club $5,374 $3,986 $6,734 284,610
MERCY WALWORTH HOSPITAL & MEDICAL CENTER WI Lake Geneva $5,378 $5,133 $5,622 26,484
NORTH CENTRAL SURGICAL CENTER LLP TX Dallas $5,428 $3,986 $6,734 271,614
BAYLOR SURGICAL HOSPITAL AT LAS COLINAS TX Irving $5,448 $3,986 $6,734 272,116
BAYLOR SCOTT AND WHITE MEDICAL CENTER UPTOWN TX Dallas $5,452 $3,986 $6,734 273,488
NORTHSIDE HOSPITAL DULUTH GA Duluth $5,557 $2,511 $7,967 1,420,975
NORTHSIDE HOSPITAL GWINNETT GA Lawrenceville $5,557 $3,040 $8,978 1,423,694
NORTHSIDE HOSPITAL CHEROKEE GA Canton $5,588 $2,511 $7,810 1,357,876
DOMINICAN HOSPITAL CA Santa Cruz $5,598 $1,583 $9,625 373,498
PUTNAM HOSPITAL CENTER NY Carmel $5,607 $2,338 $8,139 165,446
SAME DAY SURGERY CENTER LLC SD Rapid City $5,611 $4,905 $11,797 9,133
USMD HOSPITAL AT ARLINGTON L P TX Arlington $5,733 $3,456 $9,098 108,435
MARY IMMACULATE HOSPITAL VA Newport News $5,776 $5,168 $5,899 4,430
NORTHSIDE HOSPITAL FORSYTH GA Cumming $5,785 $2,511 $7,733 1,346,205
MIDDLESEX HOSPITAL CT Middletown $5,880 $4,832 $7,007 2,772
RADY CHILDREN'S HOSPITAL - SAN DIEGO CA San Diego $6,038 $4,748 $7,176 61,359
NORTHSIDE HOSPITAL GA Atlanta $6,053 $2,928 $9,424 1,408,941
MERIT HEALTH RIVER OAKS MS Flowood $6,151 $3,366 $38,724 24,109
PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER CA Napa $6,200 $3,056 $7,765 168,090
NORTHERN DUTCHESS HOSPITAL NY Rhinebeck $6,311 $2,761 $8,119 70,531
ORTHOPAEDIC HOSPITAL OF WISCONSIN WI Glendale $6,586 $4,768 $12,662 72,311
Houston Methodist Continuing Care Hospital TX Katy $6,701 $6,159 $7,196 14,423
VALLEY HOSPITAL NJ Paramus $7,264 $6,153 $11,965 6,976
PROVIDENCE REDWOOD MEMORIAL HOSPITAL CA Fortuna $8,222 $6,288 $9,455 65,778
OMEGA HOSPITAL, LLC LA Metairie $8,412 $3,762 $14,049 50,298
PHYSICIANS' MEDICAL CENTER LLC IN New Albany $8,810 $3,497 $14,260 59,140
MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL TX Webster $9,247 $3,153 $9,964 525,831
Meadowbrook Rehabilitation Hospital KS Gardner $19,378 $14,186 $29,274 105
Whittier Rehabilitation Hospital - Bradford MA Bradford $19,753 $19,522 $19,753 595
Whittier Rehabilitation Hospital MA Westborough $20,369 $20,207 $20,449 467
Lafayette Physical Rehabilitation Hospital LA Lafayette $22,356 $20,962 $25,358 675
MAT-SU REGIONAL MEDICAL CENTER AK Palmer $22,531 $4,012 $31,655 9,815
Elkhorn Valley Rehabilitation Hospital Llc WY Casper $23,167 $23,167 $23,369 2,109
INTENSIVE SPECIALTY HOSPITAL LA Shreveport $23,645 $23,496 $23,818 6,166
ClearSky Rehabilitation Hospital of Lecanto FL Lecanto $24,455 $23,233 $24,455 1,900
Weatherford Rehabilitation Hospital Llc TX Weatherford $25,329 $24,062 $25,329 7,294
Rehabilitation Hospital Of Northern Arizona AZ Flagstaff $26,736 $26,619 $26,736 2,828
Covington - A M G Physical Rehabilitation Hospital LA Covington $28,393 $25,657 $30,688 600
ClearSky Rehabilitation Hospital of Avondale AZ Avondale $28,409 $27,698 $28,409 7,220
Sharp Memorial Hospital-transplant CA San Diego $31,686 $25,523 $36,455 5,997
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
       
Healthcare Highways $3,041 $495 $5,841 129 4,834,686
CURATIVE $2,613 $476 $7,659 104 1,196,298
WISCONSIN PHYSICIANS SERVICE (WPS) COMMERCIAL $2,226 $299 $11,099 44 1,158,072
EVOLUTIONS HEALTHCARE SYSTEMS $2,073 $174 $3,738 88 677,257
FREEDOM HEALTH PLAN $1,922 $270 $2,264 96 837,450
QualCare IPA $1,838 $258 $5,460 34 1,584,132
Simply Healthcare Plans $1,780 $144 $2,258 132 1,765,162
QUARTZ HEALTH PLAN $1,407 $116 $7,830 72 1,060,004
Oscar Health $1,269 $138 $4,722 464 5,281,158
AFFINITY HEALTH PLAN $1,208 $138 $5,287 53 2,457,487
AvMed $1,105 $111 $8,364 139 3,897,199
Bright Health $1,028 $102 $3,105 136 1,206,658
Blue Cross Blue Shield Association $947 $93 $6,177 661 24,802,279
Blue Shield of California $936 $90 $5,620 223 4,349,129
PHCS (Private Healthcare Systems) $739 $143 $3,666 556 7,713,057
MODA HEALTH - ODS MEDICAL $709 $110 $4,084 79 2,025,847
CORVEL $685 $100 $3,700 277 2,101,580
BeechStreet Corporation $654 $144 $2,932 191 2,736,581
EmblemHealth $634 $79 $4,821 157 4,672,131
BCBS of Texas $632 $87 $3,059 180 5,606,990
MultiPlan / PHCS Network $630 $141 $2,943 204 2,197,875
Cigna Healthcare $610 $80 $3,659 2,445 55,947,678
Horizon BCBS of NJ $604 $69 $3,623 85 6,652,135
Kaiser Permanente $596 $96 $3,451 343 8,031,104
Baylor Scott & White Health $577 $84 $4,300 85 2,709,919
HEALTHSMART BENEFIT SOLUTIONS $576 $114 $2,907 310 5,317,347
Premera BCBS $557 $86 $3,705 81 2,788,050
Health Net $548 $71 $3,764 325 5,704,352
MultiPlan $530 $114 $2,527 1,304 13,339,024
Anthem (Elevance Health) $519 $61 $3,838 811 23,585,651
UnitedHealthcare $500 $64 $3,413 2,961 95,820,857
Centene $499 $75 $2,676 1,034 16,328,591
Medical Mutual of Ohio $498 $81 $3,089 154 4,633,978
Aetna $466 $69 $3,123 2,845 88,990,679
MVP Health Care $450 $68 $3,294 158 3,331,839
Superior HealthPlan $438 $56 $1,534 252 8,279,351
First Health Network $434 $105 $2,015 464 4,845,949
Healthfirst $424 $55 $2,931 94 3,508,755
Molina Healthcare $388 $59 $2,440 1,096 18,117,567
Humana $380 $60 $2,491 2,225 36,055,033
UPMC Health Plan $375 $51 $2,483 207 3,261,308
CareSource $359 $56 $2,029 361 4,508,018
BCBS of Florida (Florida Blue) $330 $60 $2,119 89 6,201,061
Amerigroup $322 $49 $1,856 486 7,266,825
WellCare Health Plans $318 $51 $1,940 976 11,060,919
Devoted Health $314 $51 $1,970 546 4,936,581
AMERIHEALTH NEW JERSEY (NON-HMO) $314 $48 $1,781 134 4,060,889
Highmark BCBS $312 $42 $2,547 152 6,253,544
HealthPartners $303 $56 $1,922 320 6,676,796
Medica $278 $56 $1,664 380 11,011,286