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Hospital Prices Data World

SourceThe dataYears
What hospitals charge
Negotiated ratesThe price each of 4,992 hospitals filed for each insurer and plan, by billing code, with the program it belongs to: commercial, Medicare Advantage, Medicaid, marketplace.2026 files
Cash and list pricesThe self-pay price and the chargemaster price before any discount, by hospital and code.2026 files
Prices against MedicareEach negotiated rate as a multiple of what Medicare pays for the same service in the same setting.2026 files
Who the payer really isEvery insurer name a hospital typed, resolved to its parent: UnitedHealth, Elevance, the Blue licensee.current
Which rates to trustEach rate row classed as a real negotiated price or a ghost, placeholder or non-comparable entry, with the reason.2026 files
What insurers published
Insurer rate filesThe in-network rates the served payers published in their own files, by provider group and code, ghosts removed.2026 files
Coverage per care siteHow many rates we hold per care site and payer in a county, and the contract shape.current
Disputes, rate setting and state files
Surprise-billing arbitrationEvery federal IDR dispute line: the offers as a percent of the qualifying payment amount, who won, by specialty and state.2023 to 2025
Maryland all-payer ratesThe unit rates the commission approved per hospital and revenue center, and monthly revenue and volume.2013 to 2026
Massachusetts relative pricesEach hospital's price relative to its payer's network, and revenue-to-cost by payer class.2018 to 2023
New Jersey and ConnecticutHospital operating margins; whole-hospital cost-to-charge ratios.2021 to 2024
Employer plans
Form 5500Every filing since 2009: the carrier, the premium, the claims, persons covered, what the broker and the PBM were paid.2009 to 2025
What is not here
Twenty-five states are still on the older parse; the same hospital can read differently until the re-grab. A rate is what was filed, not what was paid.
Never public: paid claims, contract terms beyond the rate.

Built from 3 CMS release streams. Every table, its columns and its dates