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 J2326 · LAWRENCEVILLE, GA

J2326 — Inj, Nusinersen, 0.1mg

What each payer pays NORTHSIDE HOSPITAL GWINNETT (CCN 110087) 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.

$367,357 All-payer median here
$612,261 Cash / self-pay here
57 payer/plan-name variants
← This hospital National rates for J2326 →
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
   
Rabun County BOC $816,348 122.2% 1
Johnson Ferry Imaging $816,348 122.2% 1
Institutional Veterans Evaluation Services $816,348 122.2% 1
West Paces Imaging Agreement $816,348 122.2% 1
TRICARE $816,348 122.2% 1
Marietta Dermatology Clinical Research Inc $816,348 122.2% 1
FIFA $816,348 122.2% 1
Dekalb_Department of Health $816,348 122.2% 1
Institutional Marietta Surgery Center $816,348 122.2% 1
CareIQ $816,348 122.2% 1
VA / CHAMPVA $816,348 122.2% 1
BeechStreet Corporation $693,896 88.9% 1
MultiPlan $693,896 88.9% 2
PHCS (Private Healthcare Systems) $612,261 66.7% 1
NovaNet_PPO $571,444 55.6% 1
Kaiser Permanente $530,627 44.4% 30
Cigna Healthcare $514,300 40.0% 5
Quick Trip $448,992 22.2% 1
Health One Alliance_PPO $448,992 22.2% 1
Northside Health Network $424,501 15.6% 2
Aetna $408,174 11.1% 11
Oscar Health $408,174 11.1% 1
Med Care Solutions $367,357 0.0% 1
MedLien Healthcare Services $326,539 -11.1% 1
Georgia Reproductive Specialists $326,539 -11.1% 1
Centene $158,248 -56.9% 3
Amerigroup $134,698 -63.3% 2
Blue Cross Blue Shield Association $77,693 -78.9% 18
Fieldale Farms WC $16,332 -95.6% 1
Georgia Workers Compensation $16,332 -95.6% 1
CORVEL $15,516 -95.8% 1
Employers Choice Network $15,516 -95.8% 1
Direct Pay Provider Network LLC $14,699 -96.0% 1
Streamline Imaging $14,699 -96.0% 1
Authentic 4D $14,699 -96.0% 1
Genex/Priority Care Solutions $13,066 -96.4% 1
Spreemo $13,066 -96.4% 1
Institutional 115 Percent_Georgia Medicaid $7,843 -97.9% 1
Institutional 120 Percent of Medicare $7,717 -97.9% 1
Institutional 110 Percent of Medicare $7,074 -98.1% 1
CareSource $7,025 -98.1% 3
US Department of Labor (OWCP) $6,896 -98.1% 1
Institutional Gwinnett County Govt $6,820 -98.1% 1
Georgia Medicaid (DCH) $6,820 -98.1% 1
Devoted Health $6,752 -98.2% 1
PRUITT HEALTH PREMIER NC & SC $6,752 -98.2% 1
WellCare Health Plans $6,624 -98.2% 1
Humana $6,592 -98.2% 2
CBWW $6,431 -98.2% 1
Institutional 100 Percent of Medicare $6,431 -98.2% 1
VA COMMUNITY CARE NETWORK $6,431 -98.2% 1
Medicare (Generic) $6,431 -98.2% 1
EON HEALTH $6,431 -98.2% 1
BCCP $6,431 -98.2% 1
Clover Health $6,431 -98.2% 1
Fairly Group $6,431 -98.2% 1
UnitedHealthcare $6,149 -98.3% 6

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.