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 · DAYTONA BEACH, FL

J1413 — Inj Delandistrogene Mox Rokl

What each payer pays HALIFAX HEALTH MEDICAL CENTER (CCN 100017) 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.

$3,335,032 All-payer median here
20 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
   
Clear Spring Health $3,635,185 9.0% 1
PRIME HEALTH SERVICES $3,501,784 5.0% 1
INDEPENDENT LIVING SYSTEMS $3,501,784 5.0% 1
LONGEVITY $3,501,784 5.0% 1
Devoted Health $3,468,434 4.0% 1
Molina Healthcare $3,401,733 2.0% 1
Medicare (Generic) $3,335,032 0.0% 1
WellCare Health Plans $3,335,032 0.0% 1
AMERICAS CHOICE PROVIDER NETWORK $3,335,032 0.0% 1
BLUE CROSS $3,335,032 0.0% 1
Cigna Healthcare $3,335,032 0.0% 1
DIVISION OF THE BLIND $3,335,032 0.0% 1
FREEDOM HEALTH PLAN $3,335,032 0.0% 1
Sunshine Health $3,335,032 0.0% 1
UnitedHealthcare $3,335,032 0.0% 2
Aetna $3,335,032 0.0% 2
Optimum Healthcare $3,335,032 0.0% 1
TRICARE $3,327,160 -0.2% 1
Humana $3,234,981 -3.0% 1
EMBS $2,834,777 -15.0% 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.