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 J9266 · DULUTH, GA

J9266 — Pegaspargase Injection

What each payer pays NORTHSIDE HOSPITAL DULUTH (CCN 110252) 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.

$97,259 All-payer median here
$112,222 Cash / self-pay here
57 payer/plan-name variants
← This hospital National rates for J9266 →
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
   
Fieldale Farms WC $212,734 118.7% 2
Georgia Workers Compensation $212,734 118.7% 2
CORVEL $202,097 107.8% 2
Employers Choice Network $202,097 107.8% 2
Streamline Imaging $191,460 96.9% 2
Direct Pay Provider Network LLC $191,460 96.9% 2
Authentic 4D $191,460 96.9% 2
Genex/Priority Care Solutions $170,187 75.0% 2
Spreemo $170,187 75.0% 2
Institutional Veterans Evaluation Services $149,629 53.8% 1
Dekalb_Department of Health $149,629 53.8% 1
TRICARE $149,629 53.8% 1
West Paces Imaging Agreement $149,629 53.8% 1
Marietta Dermatology Clinical Research Inc $149,629 53.8% 1
Johnson Ferry Imaging $149,629 53.8% 1
FIFA $149,629 53.8% 1
CareIQ $149,629 53.8% 1
Rabun County BOC $149,629 53.8% 1
Institutional Marietta Surgery Center $149,629 53.8% 1
BeechStreet Corporation $127,185 30.8% 1
MultiPlan $127,185 30.8% 2
PHCS (Private Healthcare Systems) $112,222 15.4% 1
UnitedHealthcare $110,143 13.2% 12
NovaNet_PPO $104,740 7.7% 1
Institutional 120 Percent of Medicare $102,327 5.2% 2
Kaiser Permanente $97,259 0.0% 31
Cigna Healthcare $94,266 -3.1% 5
Institutional 110 Percent of Medicare $93,799 -3.6% 2
Institutional 115 Percent_Georgia Medicaid $93,100 -4.3% 2
Georgia Medicaid (DCH) $90,715 -6.7% 2
Institutional Gwinnett County Govt $90,715 -6.7% 2
Aetna $89,777 -7.7% 19
Devoted Health $89,536 -7.9% 2
PRUITT HEALTH PREMIER NC & SC $89,536 -7.9% 2
Blue Cross Blue Shield Association $88,683 -8.8% 27
WellCare Health Plans $87,830 -9.7% 2
Humana $86,551 -11.0% 4
VA COMMUNITY CARE NETWORK $85,272 -12.3% 2
Institutional 100 Percent of Medicare $85,272 -12.3% 2
Fairly Group $85,272 -12.3% 2
EON HEALTH $85,272 -12.3% 2
CBWW $85,272 -12.3% 2
Medicare (Generic) $85,272 -12.3% 2
VA / CHAMPVA $85,272 -12.3% 2
Clover Health $85,272 -12.3% 2
BCCP $85,272 -12.3% 2
Quick Trip $82,296 -15.4% 1
Health One Alliance_PPO $82,296 -15.4% 1
Northside Health Network $77,807 -20.0% 2
Oscar Health $74,814 -23.1% 1
Med Care Solutions $67,333 -30.8% 1
MedLien Healthcare Services $59,852 -38.5% 1
Georgia Reproductive Specialists $59,852 -38.5% 1
CareSource $55,662 -42.8% 5
Centene $53,456 -45.0% 4
US Department of Labor (OWCP) $52,175 -46.4% 2
Amerigroup $22,312 -77.1% 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.