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 J3394 · COLORADO SPRINGS, CO

J3394 — Inj, Lovotibeglogene Autotem

What each payer pays CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS (CCN 063303) 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.

$3,100,000 All-payer median here
$3,358,333 Cash / self-pay here
39 payer/plan-name variants
← This hospital National rates for J3394 →
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 $4,753,333 53.3% 1
First Choice of the Midwest $4,650,000 50.0% 1
COFINITY $4,650,000 50.0% 1
USA Managed Care Organization $4,650,000 50.0% 1
MultiPlan $4,443,333 43.3% 1
ComPsych Corporation $4,391,667 41.7% 1
National Preferred Provider Network $4,391,667 41.7% 1
Midlands Choice $4,391,667 41.7% 1
First Choice Health $4,391,667 41.7% 1
Aetna $3,952,500 27.5% 2
Friday Health $3,616,667 16.7% 1
SelectHealth $3,616,667 16.7% 1
UC HEALTH PLAN ADMINISTRATORS $3,616,667 16.7% 1
Centivo $3,565,000 15.0% 1
Cigna Healthcare $3,413,875 10.1% 2
Department of Corrections $3,397,083 9.6% 2
Humana $3,384,167 9.2% 2
DENVER HEALTH MEDICAL PLAN INC $3,293,750 6.3% 6
Anthem (Elevance Health) $3,203,333 3.3% 6
Kaiser Permanente $3,100,000 0.0% 3
Evernorth Health Services $3,061,250 -1.2% 2
Healthy Blue of Nebraska $2,996,667 -3.3% 1
UnitedHealthcare $2,983,750 -3.7% 4
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $2,970,833 -4.2% 2
Carelon Behavioral Health $2,970,833 -4.2% 2
Rocky Mountain Health Plan $2,841,667 -8.3% 3
Molina Healthcare of New Mexico $2,764,167 -10.8% 1
MotivHealth/Denver Public Schools $2,764,167 -10.8% 1
Molina Healthcare $2,764,167 -10.8% 1
Aetna Better Health of Kansas $2,764,167 -10.8% 1
VALUE OPTIONS $2,764,167 -10.8% 1
United Behavioral Health (Optum) $2,764,167 -10.8% 1
Colorado Medicaid $2,764,167 -10.8% 1
CCHA Behavioral Health $2,764,167 -10.8% 1
Presbyterian Healthcare Services $2,712,500 -12.5% 4
Colorado Access $2,647,917 -14.6% 2
Colorado Access Behavioral Health $2,647,917 -14.6% 2
Rocky Mountain Health Plan Behavioral Health $2,066,667 -33.3% 1
Integrated Health Plan $775,000 -75.0% 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.