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 J1411 · LAGUNA HILLS, CA

J1411 — Inj, Hemgenix, Per Tx Dose

What each payer pays MEMORIALCARE SADDLEBACK MEDICAL CENTER (CCN 050603) 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.

$3,611,561 All-payer median here
9 payer/plan-name variants
← This hospital National rates for J1411 →
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
   
Monarch Health Plan $4,606,583 27.6% 2
Clever Care Health Plan, Inc. $4,422,320 22.4% 2
Central Health $4,053,793 12.2% 2
EASY CHOICE HEALTH PLAN OF CALIFORNIA $3,869,530 7.1% 2
Blue Cross Blue Shield Association $3,860,974 6.9% 6
Aetna $3,685,267 2.0% 2
SelectHealth $3,685,267 2.0% 4
Blue Shield of California $3,570,000 -1.2% 12
Seoul Medical Group $3,316,740 -8.2% 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.