Price Transparency 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 J1413 · LOS ANGELES, CA

J1413 — Inj Delandistrogene Mox Rokl

What each payer pays RONALD REAGAN UCLA MEDICAL CENTER (CCN 050262) 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.

$3,327,860 All-payer median here
17 payer/plan-name variants
← This hospital National rates for J1413 →
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
   
Prime Health - Medicare $4,988,182 49.9% 1
LA Care Covered CA $4,614,400 38.7% 1
SCAN Group $4,489,364 34.9% 1
HEALTHSMART BENEFIT SOLUTIONS $3,993,432 20.0% 1
Providence Health & Services $3,658,000 9.9% 1
Torrance Memorial Medicare $3,658,000 9.9% 1
Aetna $3,327,860 0.0% 1
Anthem (Elevance Health) $3,327,860 0.0% 1
Health Plan of Nevada (UHC Sierra) $3,327,860 0.0% 1
PGBA TRIWEST VA CCN $3,327,860 0.0% 1
Redlands Community Medicare $3,327,860 0.0% 1
UCLA Health Medicare Advantage Plan $3,327,860 0.0% 1
Monarch $3,325,455 -0.1% 1
Local Initiative Health Authority for LA County $3,325,455 -0.1% 1
Anthem Blue Cross CA $3,321,782 -0.2% 2
Delano Medical Center $3,296,000 -1.0% 1
Blue Shield of California $3,264,000 -1.9% 3

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.