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 J9269 · LAWRENCEVILLE, GA

J9269 — Inj. Tagraxofusp-erzs 10 Mcg

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.

$81,712 All-payer median here
$141,272 Cash / self-pay here
56 payer/plan-name variants
← This hospital National rates for J9269 →
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
   
Dekalb_Department of Health $188,362 130.5% 1
Johnson Ferry Imaging $188,362 130.5% 1
Institutional Veterans Evaluation Services $188,362 130.5% 1
West Paces Imaging Agreement $188,362 130.5% 1
Marietta Dermatology Clinical Research Inc $188,362 130.5% 1
TRICARE $188,362 130.5% 1
FIFA $188,362 130.5% 1
Rabun County BOC $188,362 130.5% 1
Institutional Marietta Surgery Center $188,362 130.5% 1
CareIQ $188,362 130.5% 1
BeechStreet Corporation $160,108 95.9% 1
MultiPlan $160,108 95.9% 2
PHCS (Private Healthcare Systems) $141,272 72.9% 1
NovaNet_PPO $131,854 61.4% 1
Kaiser Permanente $122,436 49.8% 30
Cigna Healthcare $118,668 45.2% 5
Quick Trip $103,599 26.8% 1
Health One Alliance_PPO $103,599 26.8% 1
Northside Health Network $97,948 19.9% 2
Oscar Health $94,181 15.3% 1
Aetna $89,472 9.5% 14
Med Care Solutions $84,763 3.7% 1
MedLien Healthcare Services $75,345 -7.8% 1
Georgia Reproductive Specialists $75,345 -7.8% 1
Centene $36,514 -55.3% 3
Amerigroup $31,080 -62.0% 2
Blue Cross Blue Shield Association $15,408 -81.1% 18
UnitedHealthcare $959 -98.8% 6
Georgia Workers Compensation $888 -98.9% 1
Fieldale Farms WC $888 -98.9% 1
Employers Choice Network $843 -99.0% 1
CORVEL $843 -99.0% 1
Streamline Imaging $799 -99.0% 1
Authentic 4D $799 -99.0% 1
Direct Pay Provider Network LLC $799 -99.0% 1
Genex/Priority Care Solutions $710 -99.1% 1
Spreemo $710 -99.1% 1
Institutional 115 Percent_Georgia Medicaid $459 -99.4% 1
Institutional 120 Percent of Medicare $428 -99.5% 1
CareSource $411 -99.5% 3
Institutional Gwinnett County Govt $399 -99.5% 1
Georgia Medicaid (DCH) $399 -99.5% 1
Institutional 110 Percent of Medicare $393 -99.5% 1
PRUITT HEALTH PREMIER NC & SC $375 -99.5% 1
Devoted Health $375 -99.5% 1
WellCare Health Plans $368 -99.5% 1
Humana $366 -99.6% 2
Clover Health $357 -99.6% 1
CBWW $357 -99.6% 1
VA COMMUNITY CARE NETWORK $357 -99.6% 1
Institutional 100 Percent of Medicare $357 -99.6% 1
Medicare (Generic) $357 -99.6% 1
Fairly Group $357 -99.6% 1
EON HEALTH $357 -99.6% 1
BCCP $357 -99.6% 1
VA / CHAMPVA $357 -99.6% 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.