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 →

Payer comparison · HCPCS J9203 · OZARK, AR

J9203 — Gemtuzumab Ozogamicin 0.1 Mg

What each payer pays MERCY HOSPITAL OZARK (CCN 041303) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$10,648 All-payer median here
$22,856 Cash / self-pay here
81 payer/plan-name variants
← This hospital National rates for J9203 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
MC ANTHEM [20455] $31,788 198.5% 2
USAble Mutual Insurance Company $31,788 198.5% 2
Insurance Systems, Inc. $31,646 197.2% 2
HealthSCOPE Benefits EHC Repricing $31,646 197.2% 2
FEDERAL MEDICAL CENTER CONTRACTED [320127] $31,646 197.2% 2
TRI STATE HEALTHCARE COALITION CONTRACTED [320379] $31,646 197.2% 2
PREFERRED HEALTH PLAN CONTRACTED [320522] $31,646 197.2% 2
POINT C / MID-AMERICAN BENEFITS $31,646 197.2% 2
Personify Health $31,646 197.2% 2
HEALTHLINK PPO $30,767 188.9% 4
IMAGINE360 ADMINISTRATORS (GPA) $29,888 180.7% 2
AITHER HEALTH $29,888 180.7% 4
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $29,888 180.7% 2
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $29,888 180.7% 2
90 Degree Benefits $29,888 180.7% 2
EDISON HEALTH SOLUTIONS $29,888 180.7% 2
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $29,888 180.7% 2
MUNICIPAL HEALTH PLAN CONTRACTED [320271] $29,888 180.7% 2
MultiPlan $29,888 180.7% 4
MERCY BENEFIT ADMINISTRATION $29,888 180.7% 18
WORKERS COMP [20426] $22,856 114.6% 2
Aetna $22,852 114.6% 6
AUXIANT $21,100 98.2% 6
BLUE CROSS AND BLUE SHIELD [20053] $21,069 97.9% 4
Cigna Healthcare $20,375 91.4% 4
ARKANSAS TOTAL CARE CONTRACTED [320039] $19,731 85.3% 2
NOVASYS HEALTH $15,911 49.4% 4
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $14,241 33.7% 2
Home State Health (Centene Missouri Medicaid) $14,241 33.7% 2
AMBETTER CONTRACTED [320452] $14,241 33.7% 2
QUAL CHOICE CONTRACTED [320324] $14,065 32.1% 2
MERCY INTERFACILITY [20513] $11,551 8.5% 2
Empower Healthcare Solutions $11,039 3.7% 4
HEALTHSPRING $10,865 2.0% 2
Devoted Health $10,763 1.1% 2
WellCare Health Plans $10,658 0.1% 2
UMR (UnitedHealthcare TPA) $10,648 0.0% 2
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $10,549 -0.9% 2
UnitedHealthcare $10,499 -1.4% 8
United Behavioral Health (Optum) $10,499 -1.4% 4
TRICARE $10,374 -2.6% 4
Humana $10,350 -2.8% 6
Medicare (Generic) $10,348 -2.8% 4
MENTAL HEALTH NETWORK MEDICARE [20250] $10,348 -2.8% 2
HALO HCR INC HOSPICE CONTRACTED [320432] $10,348 -2.8% 2
MERCY HOSPICE OKC [20252] $10,348 -2.8% 2
HALO HCR INC HOSPICE [20432] $10,348 -2.8% 2
GLOBAL HEALTH $10,348 -2.8% 2
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $10,348 -2.8% 2
PACE OF THE OZARKS $10,348 -2.8% 2
ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] $10,348 -2.8% 2
ELARA CARING ASPIRE HOSPICE [20433] $10,348 -2.8% 2
Prominence Health Plan $10,348 -2.8% 2
Provider Partners Health Plan (PPHP) $10,348 -2.8% 2
QUALCHOICE ADVANTAGE $10,348 -2.8% 2
CROSS TIMBERS HOSPICE [20098] $10,348 -2.8% 2
CommunityCare (Oklahoma) $10,348 -2.8% 2
SPINA BIFIDA - VA HAC $10,348 -2.8% 2
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $10,348 -2.8% 2
UNICARE $10,348 -2.8% 2
American Health Advantage of Missouri $10,348 -2.8% 2
HORIZONS MEDICARE [20190] $10,348 -2.8% 2
Independent Health Association, Inc. $10,348 -2.8% 2
INDIAN HEALTH SERVICES $10,348 -2.8% 4
JORDAN VALLEY SENIOR CARE PACE [20515] $10,348 -2.8% 2
KINDFUL HOSPICE [20434] $10,348 -2.8% 2
KINDFUL HOSPICE CONTRACTED [320434] $10,348 -2.8% 2
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $10,348 -2.8% 2
HEALTH FIRST HEALTH PLANS MEDICARE [20170] $10,348 -2.8% 2
Medica Holding Company $10,348 -2.8% 2
Medical Associates Health Plans/Health Choices [MAHC1] $10,348 -2.8% 2
VA COMMUNITY CARE NETWORK $10,348 -2.8% 2
Valir PACE, LLC. $10,348 -2.8% 2
WELLFIRST HEALTH MCR [20443] $10,348 -2.8% 2
WINDSOR MEDICARE [20424] $10,348 -2.8% 2
UPMC Health Plan $10,348 -2.8% 2
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $10,348 -2.8% 2
Medicaid (Generic) $9,591 -9.9% 4
CareSource $8,866 -16.7% 4
SUMMIT COMMUNITY CARE CONTRACTED [320368] $8,692 -18.4% 2
SUMMIT COMMUNITY CARE [20368] $8,692 -18.4% 2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.