Doctor’s fee or facility fee? This is the hospital's own payment for the stay (the facility fee). Surgeons, anesthesiologists and other doctors bill separately, on top of it.
Who is counted: Medica lists clinicians individually: 99% of the 60,993 provider IDs (NPIs) it names are individual doctors, nurse practitioners and therapists; the rest are practices, clinics and hospitals. “Providers” counts those IDs.
Not on this map: Care outside Medica's own network: for many plans Medica rents UnitedHealthcare's national networks (Choice Plus and Options PPO), and for some MultiPlan (PHCS), Midlands Choice and Healthcare Highways. Those prices are set by those networks, so they are not included here. Mental health care: Medica rents Optum's behavioral health network; its prices are not included here.
State
Providers
Organisations
Zip codes
Lowest
25th pct
Median
75th pct
Highest
vs Medicare
“x Medicare” compares each price with what original Medicare actually paid hospitals in the same state for the same kind of stay in 2024, the newest year it has published: the average per stay, the patient’s share included, at hospitals with more than ten such stays. Medicare’s payment varies by hospital (wages, teaching, low-income patients), so this is a state average, not any one hospital’s rate. Insurers write their contracts as a share of Medicare, so 1.3x means the insurer pays 30% more than Medicare would; Medicare Advantage plans generally pay close to 1.0x.
This is a statewide summary. Prices vary far more between towns and between practices than these medians suggest; zip-code and provider-level detail is not published here; this specific data can be requested here.