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 J9274 · MACON, GA

J9274 — Inj, Tebentafusp-tebn, 1 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.

$120,326 All-payer median here
$94,745 Cash / self-pay here
19 payer/plan-name variants
← This hospital National rates for J9274 →
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 $176,226 46.5% 1
Three Rivers Provider Network $161,066 33.9% 1
Novanet $151,592 26.0% 1
MultiPlan $137,380 14.2% 2
IBG $127,148 5.7% 2
Kaiser Permanente $123,168 2.4% 1
Cigna Healthcare $122,505 1.8% 2
Humana $120,326 0.0% 6
UnitedHealthcare $98,156 -18.4% 4
Centene $76,743 -36.2% 2
Aetna $60,281 -49.9% 8
CareSource $60,274 -49.9% 2
EON HEALTH $60,274 -49.9% 2
Clover Health $60,274 -49.9% 2
Georgia Health Advantage $60,272 -49.9% 2
Pruitt Health $60,272 -49.9% 2
SecureHealth $60,268 -49.9% 2
Anthem (Elevance Health) $41,595 -65.4% 4
ALLIANT HEALTH PLANS OF GEORGIA $32,344 -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.