Price Transparencybeta 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 J1304 · Macon, GA

J1304 — Inj Tofersen Intrathec 1 Mg

What each payer pays Atrium Health Navicent Rehabilitation Hospital (CCN 113029) 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.

$97,623 All-payer median here
$76,869 Cash / self-pay here
19 payer/plan-name variants
← This hospital National rates for J1304 →
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 $142,976 46.5% 1
Three Rivers Provider Network $130,677 33.9% 1
Novanet $122,990 26.0% 1
MultiPlan $111,460 14.2% 2
IBG $103,158 5.7% 2
Kaiser Permanente $99,929 2.4% 1
Cigna Healthcare $99,391 1.8% 2
Aetna $97,623 0.0% 8
Humana $97,623 0.0% 6
UnitedHealthcare $79,636 -18.4% 4
Anthem (Elevance Health) $70,250 -28.0% 4
Centene $62,264 -36.2% 2
EON HEALTH $48,893 -49.9% 2
Clover Health $48,893 -49.9% 2
CareSource $48,893 -49.9% 2
Georgia Health Advantage $48,891 -49.9% 2
Pruitt Health $48,891 -49.9% 2
SecureHealth $48,887 -49.9% 2
ALLIANT HEALTH PLANS OF GEORGIA $26,231 -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.