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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Hospitals

Payers

Negotiated range

$2,244.56 – $9,844.8

Negotiated median

$5,100.1

CPT 33534 CABG 2 arterial grafts · Showing 200 of 429 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
BOARD OF TRUSTEES OF THE UNIVERSITY	IL	—	—	outpatient	gross	$13,665
SWEDISHAMERICAN HOSPITAL	IL	—	—	inpatient	gross	$13,352
CARLE EUREKA HOSPITAL	IL	—	—	inpatient	gross	$11,720
HEARTLAND REGIONAL MEDICAL CENTER	IL	—	—	both	gross	$9,863
RED BUD REGIONAL HOSPITAL	IL	—	—	both	gross	$9,863
UNION COUNTY HOSPITAL DISTRICT	IL	—	—	both	gross	$9,863
METHODIST MEDICAL CTR OF ILLINOIS	IL	—	—	both	gross	$6,708
PROCTOR HOSPITAL	IL	—	—	both	gross	$6,708
PEKIN MEMORIAL HOSPITAL	IL	—	—	both	gross	$6,708
TRINITY ROCK ISLAND	IL	—	—	both	gross	$6,708
CARLE EUREKA HOSPITAL	IL	—	—	outpatient	cash	$11,720
PROCTOR HOSPITAL	IL	—	—	both	cash	$5,366.4
PEKIN MEMORIAL HOSPITAL	IL	—	—	both	cash	$5,366.4
METHODIST MEDICAL CTR OF ILLINOIS	IL	—	—	both	cash	$5,366.4
TRINITY ROCK ISLAND	IL	—	—	both	cash	$5,366.4
BOARD OF TRUSTEES OF THE UNIVERSITY	IL	—	—	inpatient	cash	$4,099.5
HEARTLAND REGIONAL MEDICAL CENTER	IL	—	—	both	cash	$3,452.05
RED BUD REGIONAL HOSPITAL	IL	—	—	both	cash	$3,452.05
UNION COUNTY HOSPITAL DISTRICT	IL	—	—	both	cash	$3,452.05
ANDERSON HOSPITAL	IL	[De-identified Min]	—	outpatient	min	$21,895
ADVOCATE SHERMAN HOSPITAL	IL	[De-identified Min]	—	outpatient	min	$3,371
PRESENCE SAINTS MARY & ELIZABETH MED	IL	[De-identified Min]	—	outpatient	min	$3,301.89
CONDELL MEDICAL CENTER	IL	[De-identified Min]	—	outpatient	min	$3,277
ADVOCATE LUTHERAN GENERAL HOSPITAL	IL	[De-identified Min]	—	outpatient	min	$3,181
GOOD SHEPHERD HOSPITAL	IL	[De-identified Min]	—	outpatient	min	$3,181
ADVOCATE SOUTHLAND HOSPITAL	IL	[De-identified Min]	—	outpatient	min	$3,181
ADVOCATE NORTHSIDE HEALTH SYSTEM	IL	[De-identified Min]	—	outpatient	min	$3,181
ADVOCATE CHRIST HOSPITAL	IL	[De-identified Min]	—	outpatient	min	$3,181
ADVOCATE GOOD SAMARITAN HOSPITAL	IL	[De-identified Min]	—	outpatient	min	$3,181
SOUTH SUBURBAN HOSPITAL	IL	[De-identified Min]	—	outpatient	min	$3,181
RED BUD REGIONAL HOSPITAL	IL	[De-identified Min]	—	both	min	$2,672.1
CARLE FOUNDATION HOSPITAL	IL	[De-identified Min]	—	inpatient	min	$2,427.08
CARLE BROMENN MEDICAL CENTER	IL	[De-identified Min]	—	inpatient	min	$2,427.08
CARLE EUREKA HOSPITAL	IL	Blue Cross Blue Shield	Blue Choice/Options/PPO	outpatient	negotiated	$9,844.8
TRINITY ROCK ISLAND	IL	Blue Cross Blue Shield	POS	outpatient	negotiated	$9,526.87
TRINITY ROCK ISLAND	IL	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$9,526.87
SWEDISHAMERICAN HOSPITAL	IL	mercy care	All Plans	both	negotiated	$9,346.65
HEARTLAND REGIONAL MEDICAL CENTER	IL	First Health	Commercial	both	negotiated	$8,876.7
SWEDISHAMERICAN HOSPITAL	IL	Workers Comp	Aetna/HPS	both	negotiated	$8,849.02
CARLE EUREKA HOSPITAL	IL	Multiplan	PPO	outpatient	negotiated	$8,790
PRESENCE SAINTS MARY & ELIZABETH MED	IL	Humana	1127_HUMANA 20221001	outpatient	negotiated	$8,403.36
PRESENCE SAINTS MARY & ELIZABETH MED	IL	UnitedHealthcare	1130_UNITED HEALTH CARE NONOPTIONS 20221001	outpatient	negotiated	$8,403.36
PRESENCE SAINTS MARY & ELIZABETH MED	IL	Humana	1134_HUMANA PREFERRED 20221001	outpatient	negotiated	$8,403.36
PRESENCE SAINTS MARY & ELIZABETH MED	IL	Humana	1133_HUMANA PPO 20221001	outpatient	negotiated	$8,403.36
HEARTLAND REGIONAL MEDICAL CENTER	IL	healthcare's finest network (hfn)	Commercial	both	negotiated	$8,383.55
HEARTLAND REGIONAL MEDICAL CENTER	IL	national provider network	Commercial	both	negotiated	$8,383.55
HEARTLAND REGIONAL MEDICAL CENTER	IL	Humana	Commercial	both	negotiated	$7,890.4
CARLE EUREKA HOSPITAL	IL	Blue Cross Blue Shield	HMO	outpatient	negotiated	$7,852.4
CARLE EUREKA HOSPITAL	IL	Aetna	PPO	outpatient	negotiated	$7,746.92
SWEDISHAMERICAN HOSPITAL	IL	beloit healt system	PPO	both	negotiated	$7,744.36
PRESENCE SAINTS MARY & ELIZABETH MED	IL	alliance	1066_ALLIANCE 20220101	outpatient	negotiated	$7,711.58
RED BUD REGIONAL HOSPITAL	IL	Humana	Commercial	both	negotiated	$7,693.14
HEARTLAND REGIONAL MEDICAL CENTER	IL	Aetna	Commercial	both	negotiated	$7,633.96
CARLE EUREKA HOSPITAL	IL	healthlink	PPO	inpatient	negotiated	$7,618
RED BUD REGIONAL HOSPITAL	IL	prime health services	Commercial/PPO	both	negotiated	$7,397.25
UNION COUNTY HOSPITAL DISTRICT	IL	prime health services	Commercial/PPO	both	negotiated	$7,397.25
HEARTLAND REGIONAL MEDICAL CENTER	IL	prime health services	PPO	both	negotiated	$7,397.25
CARLE EUREKA HOSPITAL	IL	UnitedHealthcare	PPO	outpatient	negotiated	$7,231.24
CARLE EUREKA HOSPITAL	IL	Aetna	Commercial	outpatient	negotiated	$7,196.08
UNION COUNTY HOSPITAL DISTRICT	IL	Cigna	Commercial	both	negotiated	$7,101.36
CARLE EUREKA HOSPITAL	IL	community partners health plan (cphp)	PPO	outpatient	negotiated	$7,032
UNION COUNTY HOSPITAL DISTRICT	IL	Aetna	Commercial	both	negotiated	$6,894.24
PROCTOR HOSPITAL	IL	UnitedHealthcare	HMO	both	negotiated	$6,707.71
PEKIN MEMORIAL HOSPITAL	IL	UnitedHealthcare	HMO	both	negotiated	$6,707.71
PEKIN MEMORIAL HOSPITAL	IL	UnitedHealthcare	PPO	both	negotiated	$6,707.71
TRINITY ROCK ISLAND	IL	UnitedHealthcare	PPO	both	negotiated	$6,707.71
TRINITY ROCK ISLAND	IL	UnitedHealthcare	HMO	both	negotiated	$6,707.71
PROCTOR HOSPITAL	IL	UnitedHealthcare	PPO	both	negotiated	$6,707.71
METHODIST MEDICAL CTR OF ILLINOIS	IL	UnitedHealthcare	PPO	both	negotiated	$6,707.71
METHODIST MEDICAL CTR OF ILLINOIS	IL	UnitedHealthcare	HMO	both	negotiated	$6,707.71
SWEDISHAMERICAN HOSPITAL	IL	wps	WPS Statewide/Healthy U	both	negotiated	$6,676.18
GOOD SHEPHERD HOSPITAL	IL	UnitedHealthcare	HMO	outpatient	negotiated	$6,291
ADVOCATE GOOD SAMARITAN HOSPITAL	IL	UnitedHealthcare	HMO	outpatient	negotiated	$6,291
ADVOCATE CHRIST HOSPITAL	IL	UnitedHealthcare	HMO	outpatient	negotiated	$6,291
ADVOCATE LUTHERAN GENERAL HOSPITAL	IL	UnitedHealthcare	HMO	outpatient	negotiated	$6,291
ADVOCATE NORTHSIDE HEALTH SYSTEM	IL	UnitedHealthcare	HMO	outpatient	negotiated	$6,291
ADVOCATE SOUTHLAND HOSPITAL	IL	UnitedHealthcare	HMO	outpatient	negotiated	$6,291
SOUTH SUBURBAN HOSPITAL	IL	UnitedHealthcare	HMO	outpatient	negotiated	$6,291
HEARTLAND REGIONAL MEDICAL CENTER	IL	UnitedHealthcare	Commercial	both	negotiated	$6,115.06
PEKIN MEMORIAL HOSPITAL	IL	Aetna	PPO	both	negotiated	$6,011.19
PROCTOR HOSPITAL	IL	Aetna	PPO	both	negotiated	$6,011.19
METHODIST MEDICAL CTR OF ILLINOIS	IL	Aetna	PPO	both	negotiated	$6,011.19
TRINITY ROCK ISLAND	IL	Aetna	PPO	both	negotiated	$6,011.19
RED BUD REGIONAL HOSPITAL	IL	Multiplan	Commercial	both	negotiated	$5,917.8
UNION COUNTY HOSPITAL DISTRICT	IL	phcs	Commercial	both	negotiated	$5,909.76
UNION COUNTY HOSPITAL DISTRICT	IL	Multiplan	Commercial	both	negotiated	$5,909.76
HEARTLAND REGIONAL MEDICAL CENTER	IL	Multiplan	Commercial	both	negotiated	$5,909.76
SWEDISHAMERICAN HOSPITAL	IL	hfn	CHC/HFN 20	both	negotiated	$5,888.1
SWEDISHAMERICAN HOSPITAL	IL	ecoh	ECOH 3	both	negotiated	$5,888.1
CARLE EUREKA HOSPITAL	IL	Molina	Medicare-Medicaid (D-SNP)	outpatient	negotiated	$5,625.6
CARLE EUREKA HOSPITAL	IL	meridian	Medicare-Medicaid (D-SNP)	outpatient	negotiated	$5,625.6
HEARTLAND REGIONAL MEDICAL CENTER	IL	Cigna	Commercial	both	negotiated	$5,473.97
SOUTH SUBURBAN HOSPITAL	IL	UnitedHealthcare	Commercial	outpatient	negotiated	$5,437
GOOD SHEPHERD HOSPITAL	IL	UnitedHealthcare	Commercial	outpatient	negotiated	$5,437
HEARTLAND REGIONAL MEDICAL CENTER	IL	hope trust	Commercial	outpatient	negotiated	$5,427.5
SWEDISHAMERICAN HOSPITAL	IL	ecoh	ECOH 2	both	negotiated	$5,401.29
CARLE EUREKA HOSPITAL	IL	Humana	Medicare Advantage	outpatient	negotiated	$5,274
CARLE EUREKA HOSPITAL	IL	Aetna	Medicare Advantage	outpatient	negotiated	$5,274
CARLE EUREKA HOSPITAL	IL	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$5,274
CARLE EUREKA HOSPITAL	IL	UnitedHealthcare	VA CCN/Optum	outpatient	negotiated	$5,274
RED BUD REGIONAL HOSPITAL	IL	Cigna	Commercial	both	negotiated	$5,178.08
SWEDISHAMERICAN HOSPITAL	IL	hfn	HFN Platinum	both	negotiated	$5,123.11
SWEDISHAMERICAN HOSPITAL	IL	ecoh	ECOH 1	both	negotiated	$5,123.11
PROCTOR HOSPITAL	IL	Blue Cross Blue Shield	PPO	both	negotiated	$5,100.1
METHODIST MEDICAL CTR OF ILLINOIS	IL	Blue Cross Blue Shield	PPO	both	negotiated	$5,100.1
PEKIN MEMORIAL HOSPITAL	IL	Blue Cross Blue Shield	PPO	both	negotiated	$5,100.1
PEKIN MEMORIAL HOSPITAL	IL	Cigna	Commercial	both	negotiated	$5,047.32
TRINITY ROCK ISLAND	IL	Cigna	Commercial	both	negotiated	$5,047.32
METHODIST MEDICAL CTR OF ILLINOIS	IL	Cigna	Commercial	both	negotiated	$5,047.32
PROCTOR HOSPITAL	IL	Cigna	Commercial	both	negotiated	$5,047.32
PROCTOR HOSPITAL	IL	Aetna	HMO	both	negotiated	$5,039.09
PEKIN MEMORIAL HOSPITAL	IL	Aetna	HMO	both	negotiated	$5,039.09
SWEDISHAMERICAN HOSPITAL	IL	quartz aso	Quartz	both	negotiated	$4,963.87
TRINITY ROCK ISLAND	IL	Aetna	HMO	both	negotiated	$4,940.28
METHODIST MEDICAL CTR OF ILLINOIS	IL	Aetna	HMO	both	negotiated	$4,940.28
CONDELL MEDICAL CENTER	IL	UnitedHealthcare	HMO	outpatient	negotiated	$4,636
SWEDISHAMERICAN HOSPITAL	IL	the alliance	Alliance	both	negotiated	$4,569.35
SWEDISHAMERICAN HOSPITAL	IL	quartz fully insured	Quartz	both	negotiated	$4,395.78
HEARTLAND REGIONAL MEDICAL CENTER	IL	deaconess onecare	Commercial	both	negotiated	$4,382.24
UNION COUNTY HOSPITAL DISTRICT	IL	deaconess onecare	Commercial	both	negotiated	$4,382.24
METHODIST MEDICAL CTR OF ILLINOIS	IL	Blue Cross Blue Shield	Commercial	both	negotiated	$4,335.1
PROCTOR HOSPITAL	IL	Blue Cross Blue Shield	Commercial	both	negotiated	$4,335.1
PROCTOR HOSPITAL	IL	Blue Cross Blue Shield	HMO	both	negotiated	$4,335.1
TRINITY ROCK ISLAND	IL	Blue Cross Blue Shield	HMO	both	negotiated	$4,335.1
PEKIN MEMORIAL HOSPITAL	IL	Blue Cross Blue Shield	HMO	both	negotiated	$4,335.1
PEKIN MEMORIAL HOSPITAL	IL	Blue Cross Blue Shield	Commercial	both	negotiated	$4,335.1
METHODIST MEDICAL CTR OF ILLINOIS	IL	Blue Cross Blue Shield	HMO	both	negotiated	$4,335.1
ADVOCATE SHERMAN HOSPITAL	IL	UnitedHealthcare	HMO	outpatient	negotiated	$4,256
METHODIST MEDICAL CTR OF ILLINOIS	IL	health partners open network	Commercial	both	negotiated	$4,246.72
TRINITY ROCK ISLAND	IL	health partners open network	Commercial	both	negotiated	$4,246.72
PROCTOR HOSPITAL	IL	health partners open network	Commercial	both	negotiated	$4,246.72
PEKIN MEMORIAL HOSPITAL	IL	health partners open network	Commercial	both	negotiated	$4,246.72
SWEDISHAMERICAN HOSPITAL	IL	alliance premier network	Premier	both	negotiated	$4,246.07
SWEDISHAMERICAN HOSPITAL	IL	Cigna	PPO/OAP/EPO	both	negotiated	$4,085.03
TRINITY ROCK ISLAND	IL	Blue Cross Blue Shield	PPO	both	negotiated	$3,867.62
SWEDISHAMERICAN HOSPITAL	IL	Aetna	Aetna commerical plans	both	negotiated	$3,825.41
CONDELL MEDICAL CENTER	IL	UnitedHealthcare	Commercial	outpatient	negotiated	$3,775
UNION COUNTY HOSPITAL DISTRICT	IL	Blue Cross Blue Shield	Blue Choice	both	negotiated	$3,766.76
UNION COUNTY HOSPITAL DISTRICT	IL	Blue Cross Blue Shield	HMO/PPO	both	negotiated	$3,766.76
HEARTLAND REGIONAL MEDICAL CENTER	IL	Blue Cross Blue Shield	PPO	both	negotiated	$3,766.76
SWEDISHAMERICAN HOSPITAL	IL	Blue Cross Blue Shield	Broad PPO Plans	outpatient	negotiated	$3,766.76
ADVOCATE SOUTHLAND HOSPITAL	IL	UnitedHealthcare	Commercial	outpatient	negotiated	$3,686
ADVOCATE CHRIST HOSPITAL	IL	UnitedHealthcare	Commercial	outpatient	negotiated	$3,686
ADVOCATE NORTHSIDE HEALTH SYSTEM	IL	UnitedHealthcare	Commercial	outpatient	negotiated	$3,686
KIRBY HOSPITAL	IL	Aetna	Commercial/HMO/PPO	both	negotiated	$3,640.62
RED BUD REGIONAL HOSPITAL	IL	Self-Pay (Cash)	Commercial	both	negotiated	$3,452.05
UNION COUNTY HOSPITAL DISTRICT	IL	Self-Pay (Cash)	Self Pay	both	negotiated	$3,452.05
HEARTLAND REGIONAL MEDICAL CENTER	IL	Self-Pay (Cash)	Self Pay	both	negotiated	$3,452.05
UNION COUNTY HOSPITAL DISTRICT	IL	alter-net	Commercial	both	negotiated	$3,420.29
HEARTLAND REGIONAL MEDICAL CENTER	IL	alter-net medical services, inc.	Commercial	both	negotiated	$3,420.29
UNION COUNTY HOSPITAL DISTRICT	IL	noncontracted	NonContracted	both	negotiated	$3,420.29
HEARTLAND REGIONAL MEDICAL CENTER	IL	noncontracted	NonContracted	both	negotiated	$3,420.29
ADVOCATE SHERMAN HOSPITAL	IL	UnitedHealthcare	Commercial	outpatient	negotiated	$3,371
PRESENCE SAINTS MARY & ELIZABETH MED	IL	network health plan	1136_NETWORK HEALTH PLAN 20221001	both	negotiated	$3,301.89
TRINITY ROCK ISLAND	IL	bc illinois community	MMAI (Medicare-Medicaid)	both	negotiated	$3,248.8
ADVOCATE LUTHERAN GENERAL HOSPITAL	IL	UnitedHealthcare	Commercial	outpatient	negotiated	$3,181
ADVOCATE GOOD SAMARITAN HOSPITAL	IL	UnitedHealthcare	Commercial	outpatient	negotiated	$3,181
KIRBY HOSPITAL	IL	Humana	PPO	both	negotiated	$3,010.64
HEARTLAND REGIONAL MEDICAL CENTER	IL	alliance coal	Commercial	both	negotiated	$2,950
UNION COUNTY HOSPITAL DISTRICT	IL	alliance coal	Commercial	both	negotiated	$2,950
SWEDISHAMERICAN HOSPITAL	IL	Blue Cross Blue Shield	HMO Plans	both	negotiated	$2,903.4
RED BUD REGIONAL HOSPITAL	IL	claimdoc	Commercial	both	negotiated	$2,672.1
UNION COUNTY HOSPITAL DISTRICT	IL	UnitedHealthcare	Commercial	both	negotiated	$2,525.7
CARLE EUREKA HOSPITAL	IL	Aetna	Medicare-Medicaid (D-SNP)	outpatient	negotiated	$2,499.89
CARLE FOUNDATION HOSPITAL	IL	Aetna	Medicare-Medicaid (D-SNP)	inpatient	negotiated	$2,499.89
CARLE BROMENN MEDICAL CENTER	IL	Aetna	Medicare-Medicaid (D-SNP)	inpatient	negotiated	$2,499.89
CARLE FOUNDATION HOSPITAL	IL	Humana	Medicare-Medicaid (D-SNP)	outpatient	negotiated	$2,427.08
CARLE BROMENN MEDICAL CENTER	IL	Humana	Medicare-Medicaid (D-SNP)	outpatient	negotiated	$2,427.08
CARLE EUREKA HOSPITAL	IL	Humana	Medicare-Medicaid (D-SNP)	outpatient	negotiated	$2,427.08
SWEDISHAMERICAN HOSPITAL	IL	Medicare Advantage	Provider Partners Health Plan	inpatient	negotiated	$2,423.75
CARLE EUREKA HOSPITAL	IL	Molina	Managed Medicaid	outpatient	negotiated	$2,344
UNION COUNTY HOSPITAL DISTRICT	IL	Aetna	Managed Medicaid	both	negotiated	$2,303.39
HEARTLAND REGIONAL MEDICAL CENTER	IL	Aetna	Managed Medicaid	both	negotiated	$2,303.39
CARLE FOUNDATION HOSPITAL	IL	Aetna	Medicare Advantage PPO	outpatient	negotiated	$2,247.54
SWEDISHAMERICAN HOSPITAL	IL	Medicare Advantage	HMO/POS/PPO	both	negotiated	$2,247.48
HEARTLAND REGIONAL MEDICAL CENTER	IL	Humana	MMAI	both	negotiated	$2,244.56
HEARTLAND REGIONAL MEDICAL CENTER	IL	Humana	Medicare Advantage	both	negotiated	$2,244.56
ANDERSON HOSPITAL	IL	[De-identified Max]	—	outpatient	max	$21,895
SWEDISHAMERICAN HOSPITAL	IL	[De-identified Max]	—	both	max	$13,352
CARLE EUREKA HOSPITAL	IL	[De-identified Max]	—	outpatient	max	$9,844.8
PRESENCE SAINTS MARY & ELIZABETH MED	IL	[De-identified Max]	—	both	max	$8,403.36
RED BUD REGIONAL HOSPITAL	IL	[De-identified Max]	—	both	max	$7,693.14
UNION COUNTY HOSPITAL DISTRICT	IL	[De-identified Max]	—	both	max	$7,397.25
TRINITY ROCK ISLAND	IL	[De-identified Max]	—	both	max	$6,707.71
PEKIN MEMORIAL HOSPITAL	IL	[De-identified Max]	—	both	max	$6,707.71
PROCTOR HOSPITAL	IL	[De-identified Max]	—	both	max	$6,707.71
METHODIST MEDICAL CTR OF ILLINOIS	IL	[De-identified Max]	—	both	max	$6,707.71
ADVOCATE SOUTHLAND HOSPITAL	IL	[De-identified Max]	—	outpatient	max	$6,291
ADVOCATE NORTHSIDE HEALTH SYSTEM	IL	[De-identified Max]	—	outpatient	max	$6,291
ADVOCATE CHRIST HOSPITAL	IL	[De-identified Max]	—	outpatient	max	$6,291
GOOD SHEPHERD HOSPITAL	IL	[De-identified Max]	—	outpatient	max	$6,291
ADVOCATE GOOD SAMARITAN HOSPITAL	IL	[De-identified Max]	—	outpatient	max	$6,291
ADVOCATE LUTHERAN GENERAL HOSPITAL	IL	[De-identified Max]	—	outpatient	max	$6,291
SOUTH SUBURBAN HOSPITAL	IL	[De-identified Max]	—	outpatient	max	$6,291
HEARTLAND REGIONAL MEDICAL CENTER	IL	[De-identified Max]	—	outpatient	max	$5,427.5
CONDELL MEDICAL CENTER	IL	[De-identified Max]	—	outpatient	max	$4,636
ADVOCATE SHERMAN HOSPITAL	IL	[De-identified Max]	—	outpatient	max	$4,256
KIRBY HOSPITAL	IL	[De-identified Max]	—	both	max	$3,640.62
CARLE BROMENN MEDICAL CENTER	IL	[De-identified Max]	—	inpatient	max	$2,499.89
CARLE FOUNDATION HOSPITAL	IL	[De-identified Max]	—	outpatient	max	$2,499.89

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).