Negotiated rate.
What your insurer actually pays.
The dollar amount your insurance company has agreed to pay the hospital for a specific procedure. Confidential bilateral contract — different insurers pay different rates at the same hospital. The Hospital Price Transparency Rule made these public for the first time in 2021.
Use this in real life.
The price comparison tool surfaces every term in this glossary in context — plan tiers, deductible status, cash-pay vs. negotiated rate. Pick a procedure to see them all in action.
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