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 →

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J3406 — Study Mk-3475-045 Pembrolizumab Intravenous Solution

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $0

Usually $0–$735,534 (25th–75th percentile) across 5 hospitals · 31 payers.

“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3406 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What this costs at this hospital

The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$0 $0 typical $735,534

The middle 50% of negotiated facility rates for this procedure, measured across 5 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $0
Likely subtotal $0
Facility charge (no separate professional fee) $0

Not included in this estimate:

  • Rehab, physical therapy, and other post-acute care after discharge
  • Complications, revisions, or readmissions
  • Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)

The biggest swing: your remaining deductible and out-of-pocket max — enter your own plan terms to tighten this.

How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital Payer Plan Negotiated rate Gross Cash Observed Source
UNC HOSPITALS Outpatient Contigo — $0.11 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Medcost — $0.13 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Medcost Ultra $0.13 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Medcost Ppo $0.14 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient First Carolina Care — $0.15 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient United Healthcare Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Cigna Behavioral Health $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Cigna Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Cigna Choice $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Humana Medicare Advantage Gold Plus $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Humana Medicare Advantage State Health Plan $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Tricare Hmo $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Umr — $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Wellcare Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Optum Health Behavioral Health $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Aetna Choice Pos $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Aetna Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Aetna State Health Plan $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient First Health Network — $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Alliance Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Bcbs Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Bcbs Blue Value $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Bcbs Blue Home $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Bcbs Option Ppo $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Surest — $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Amerihealth Caritas North Carolina Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Healthy Blue North Carolina Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Liberty Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Partners Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Trillium Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Vaya Health Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Alignment Preferred Plus Hmo $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Alignment Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Nalc Health Benefit Plan Hmo/Ppo $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient First Medicare Direct Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Health Team Advantage Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Carolina Complete Health Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Wellcare Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient United Healthcare Exchange $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient United Healthcare Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient United Healthcare — $0.20 $0.20 $0.12 2026-07-15 MRF ↗
COLUMBUS REGIONAL HEALTHCARE SYSTEM OutpatientFacility Liberty Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
MAINEHEALTH BEHAVIORAL HEALTH AT SPRING HARBOR OutpatientFacility Anthem Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
MAINEHEALTH MID COAST HOSPITAL OutpatientFacility Anthem Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
COLUMBUS REGIONAL HEALTHCARE SYSTEM OutpatientFacility VA Communicare Care Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
COLUMBUS REGIONAL HEALTHCARE SYSTEM OutpatientFacility Troy Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
MAINEHEALTH PEN BAY HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
MAINEHEALTH MID COAST HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
MAINEHEALTH PEN BAY HOSPITAL OutpatientFacility Humana Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
MAINEHEALTH MID COAST HOSPITAL OutpatientFacility Humana Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
COLUMBUS REGIONAL HEALTHCARE SYSTEM OutpatientFacility Blue Cross Blue Shield of North Carolina Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
MAINEHEALTH BEHAVIORAL HEALTH AT SPRING HARBOR OutpatientFacility Aetna Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
MAINEHEALTH MID COAST HOSPITAL OutpatientFacility Aetna Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
MAINEHEALTH PEN BAY HOSPITAL OutpatientFacility Martins Point Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
MAINEHEALTH MID COAST HOSPITAL OutpatientFacility Martins Point Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
COLUMBUS REGIONAL HEALTHCARE SYSTEM OutpatientFacility Wellcare Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
COLUMBUS REGIONAL HEALTHCARE SYSTEM OutpatientFacility United Healthcare Medicare Advantage $735,534.00 — — 2026-10-30 MRF ↗
MAINEHEALTH PEN BAY HOSPITAL OutpatientFacility Anthem Medicare Advantage $742,889.34 — — 2026-10-30 MRF ↗
COLUMBUS REGIONAL HEALTHCARE SYSTEM OutpatientFacility Vaya Health Medicare Advantage $742,889.34 — — 2026-10-30 MRF ↗
MAINEHEALTH PEN BAY HOSPITAL OutpatientFacility Aetna Medicare Advantage $750,244.68 — — 2026-10-30 MRF ↗
COLUMBUS REGIONAL HEALTHCARE SYSTEM OutpatientFacility Humana Medicare Advantage $757,600.02 — — 2026-10-30 MRF ↗
MAINEHEALTH MID COAST HOSPITAL OutpatientFacility Wellcare Medicare Advantage $757,600.02 — — 2026-10-30 MRF ↗
MAINEHEALTH PEN BAY HOSPITAL OutpatientFacility Wellcare Medicare Advantage $757,600.02 — — 2026-10-30 MRF ↗
COLUMBUS REGIONAL HEALTHCARE SYSTEM OutpatientFacility Aetna Medicare Advantage $761,277.69 — — 2026-10-30 MRF ↗
COLUMBUS REGIONAL HEALTHCARE SYSTEM OutpatientFacility Devoted Health Medicare Advantage $764,955.36 — — 2026-10-30 MRF ↗
COLUMBUS REGIONAL HEALTHCARE SYSTEM OutpatientFacility Cigna Healthspring Medicare Advantage $772,310.70 — — 2026-10-30 MRF ↗
COLUMBUS REGIONAL HEALTHCARE SYSTEM OutpatientFacility Care N Care Health Plan FKA HTA Commercial $809,087.40 — — 2026-10-30 MRF ↗