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 · MACON, GA

J9269 — Inj. Tagraxofusp-erzs 10 Mcg

What each payer pays ATRIUM HEALTH NAVICENT THE MEDICAL CENTER (CCN 110107) 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.

$198,310 All-payer median here
$156,150 Cash / self-pay here
19 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
   
BeechStreet Corporation $290,438 46.5% 1
Three Rivers Provider Network $265,454 33.9% 1
Novanet $249,839 26.0% 1
MultiPlan $226,417 14.2% 2
IBG $209,553 5.7% 2
Kaiser Permanente $202,994 2.4% 1
Cigna Healthcare $201,901 1.8% 2
Humana $198,310 0.0% 6
UnitedHealthcare $161,771 -18.4% 4
Centene $126,481 -36.2% 2
EON HEALTH $99,337 -49.9% 2
Clover Health $99,337 -49.9% 2
CareSource $99,337 -49.9% 2
Georgia Health Advantage $99,333 -49.9% 2
Aetna $99,333 -49.9% 8
Pruitt Health $99,333 -49.9% 2
SecureHealth $99,318 -49.9% 2
Anthem (Elevance Health) $68,543 -65.4% 4
ALLIANT HEALTH PLANS OF GEORGIA $53,305 -73.1% 2

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.