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 J9271 · CRAIG, CO

J9271 — Pembrolizumab 25 Mg/ml Intravenous 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.

$19,273 All-payer median here
$22,675 Cash / self-pay here
19 payer/plan-name variants
← This hospital National rates for J9271 →
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 $21,541 11.8% 1
MultiPlan $21,201 10.0% 2
HealthPartners $19,298 0.1% 1
Gwh-Cigna $19,298 0.1% 1
Cigna Healthcare $19,298 0.1% 1
Great-West Healthcare $19,298 0.1% 1
GEHA (Government Employees Health Association) $19,298 0.1% 1
ALLEGIANCE BENEFIT PLAN MANAGEMENT $19,298 0.1% 1
UnitedHealthcare $19,273 0.0% 3
UMR (UnitedHealthcare TPA) $19,273 0.0% 1
Aetna $14,115 -26.8% 2
Anthem BCBS of Colorado $13,124 -31.9% 1
Anthem (Elevance Health) $8,390 -56.5% 1
Humana $8,390 -56.5% 1
Kaiser Permanente $8,390 -56.5% 1
Rmhp Dualcare $8,390 -56.5% 1
Cvs Caremark-Part D $8,390 -56.5% 1
DENVER HEALTH MEDICAL PLAN INC $8,390 -56.5% 1
Care Advantage $8,390 -56.5% 1

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.