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 J9600 · LAWRENCEVILLE, GA

J9600 — Porfimer Sodium Injection

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.

$78,477 All-payer median here
$85,487 Cash / self-pay here
48 payer/plan-name variants
← This hospital National rates for J9600 →
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
   
Institutional 120 Percent of Medicare $872,223 1011.4% 1
Institutional 110 Percent of Medicare $799,538 918.8% 1
US Department of Labor (OWCP) $766,455 876.7% 1
Devoted Health $763,195 872.5% 1
PRUITT HEALTH PREMIER NC & SC $763,195 872.5% 1
WellCare Health Plans $748,658 854.0% 1
Humana $745,024 849.3% 2
EON HEALTH $726,853 826.2% 1
Fairly Group $726,853 826.2% 1
VA COMMUNITY CARE NETWORK $726,853 826.2% 1
Medicare (Generic) $726,853 826.2% 1
Institutional 100 Percent of Medicare $726,853 826.2% 1
CBWW $726,853 826.2% 1
UnitedHealthcare $726,853 826.2% 1
Clover Health $726,853 826.2% 1
BCCP $726,853 826.2% 1
Rabun County BOC $113,983 45.2% 1
CareIQ $113,983 45.2% 1
Dekalb_Department of Health $113,983 45.2% 1
FIFA $113,983 45.2% 1
VA / CHAMPVA $113,983 45.2% 1
West Paces Imaging Agreement $113,983 45.2% 1
Institutional Marietta Surgery Center $113,983 45.2% 1
Institutional Veterans Evaluation Services $113,983 45.2% 1
Johnson Ferry Imaging $113,983 45.2% 1
Marietta Dermatology Clinical Research Inc $113,983 45.2% 1
TRICARE $113,983 45.2% 1
BeechStreet Corporation $96,886 23.5% 1
MultiPlan $96,886 23.5% 2
Blue Cross Blue Shield Association $96,715 23.2% 18
PHCS (Private Healthcare Systems) $85,487 8.9% 1
NovaNet_PPO $79,788 1.7% 1
Kaiser Permanente $74,089 -5.6% 30
Cigna Healthcare $71,809 -8.5% 5
Quick Trip $62,691 -20.1% 1
Health One Alliance_PPO $62,691 -20.1% 1
Aetna $59,271 -24.5% 11
Northside Health Network $59,271 -24.5% 2
Oscar Health $56,992 -27.4% 1
Amerigroup $52,134 -33.6% 2
Med Care Solutions $51,292 -34.6% 1
MedLien Healthcare Services $45,593 -41.9% 1
Georgia Reproductive Specialists $45,593 -41.9% 1
CareSource $42,402 -46.0% 3
Institutional 115 Percent_Georgia Medicaid $23,538 -70.0% 1
Centene $22,095 -71.8% 3
Institutional Gwinnett County Govt $20,468 -73.9% 1
Georgia Medicaid (DCH) $20,468 -73.9% 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.