Payer comparison · HCPCS J0896 · CRAIG, CO

J0896 — Luspatercept-aamt 25 Mg Subcutaneous Solution

What each payer pays MEMORIAL HOSPITAL, THE (CCN 061314) 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.

$15,969 All-payer median here

$31,007 Cash / self-pay here

19 payer/plan-name variants

← This hospital National rates for J0896 →

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

First Health Network	$29,457	84.5%	2
MultiPlan	$28,759	80.1%	4
GEHA (Government Employees Health Association)	$26,390	65.3%	2
ALLEGIANCE BENEFIT PLAN MANAGEMENT	$26,390	65.3%	2
Gwh-Cigna	$26,390	65.3%	2
Great-West Healthcare	$26,390	65.3%	2
Cigna Healthcare	$26,390	65.3%	2
HealthPartners	$26,390	65.3%	2
UMR (UnitedHealthcare TPA)	$26,356	65.0%	2
Anthem BCBS of Colorado	$17,947	12.4%	2
Aetna	$15,387	-3.6%	4
UnitedHealthcare	$15,194	-4.9%	6
Cvs Caremark-Part D	$11,473	-28.2%	2
Humana	$11,473	-28.2%	2
Kaiser Permanente	$11,473	-28.2%	2
DENVER HEALTH MEDICAL PLAN INC	$11,473	-28.2%	2
Rmhp Dualcare	$11,473	-28.2%	2
Anthem (Elevance Health)	$11,473	-28.2%	2
Care Advantage	$11,473	-28.2%	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.