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 J7311 · OCALA, FL

J7311 — Inj., Retisert, 0.01 Mg

What each payer pays ADVENTHEALTH OCALA (CCN 100062) 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.

$129,112 All-payer median here
$165,529 Cash / self-pay here
25 payer/plan-name variants
← This hospital National rates for J7311 →
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
   
Zelis $372,440 188.5% 1
MultiPlan $360,025 178.8% 1
National_Healthcare_Solutions $268,984 108.3% 1
GMMI Inc $268,984 108.3% 1
PHCS (Private Healthcare Systems) $268,984 108.3% 1
Plotkin $258,639 100.3% 1
Aetna $227,188 76.0% 9
AvMed $211,670 63.9% 2
BCBS of Florida (Florida Blue) $176,205 36.5% 7
UnitedHealthcare $164,701 27.6% 7
UPMC Health Plan $134,650 4.3% 2
HEALTH FIRST HEALTH PLANS NATIONAL $129,112 0.0% 1
Cigna Healthcare $125,556 -2.8% 2
Advanced Medical Pricing Solutions (AMPS) $118,353 -8.3% 1
Molina Healthcare $11,784 -90.9% 1
Florida Complete Care $11,463 -91.1% 1
Simply Healthcare Plans $11,034 -91.5% 4
Humana $11,034 -91.5% 5
Sunshine Health $702 -99.5% 3
Oscar Health $613 -99.5% 1
Devoted Health $338 -99.7% 1
WellCare Health Plans $335 -99.7% 1
FREEDOM HEALTH PLAN $332 -99.7% 1
Optimum $332 -99.7% 1
HealthFirst_Plans $316 -99.8% 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.