Payer comparison · HCPCS J0567 · ATLANTA, GA

J0567 — Inj., Cerliponase Alfa 1 Mg

What each payer pays ATHUR M BLANK HOSPITAL (CCN 113300) 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.

$100,247 All-payer median here

$147,531 Cash / self-pay here

22 payer/plan-name variants

← This hospital National rates for J0567 →

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

NOVANET [41]	$147,531	47.2%	1
MultiPlan	$144,580	44.2%	1
BLUE CROSS COMM/INDEMNITY [121]	$144,020	43.7%	1
BEECH STREET [71]	$132,778	32.5%	1
PHCS [93]	$125,401	25.1%	1
SECURE HEALTH [340]	$125,401	25.1%	1
FIRST HEALTH [74]	$110,737	10.5%	1
VERACITY BENEFITS [809]	$110,648	10.4%	1
NORTHEAST GEORGIA HEATLH SYSTEM [808]	$110,648	10.4%	1
COVENTRY [9]	$103,537	3.3%	1
DIRECT EMPLOYER AGREEMENTS [72]	$103,272	3.0%	3
SIDECAR HEALTH [236]	$101,796	1.5%	1
Aetna	$99,288	-1.0%	1
OSCAR [228]	$98,846	-1.4%	1
AMBETTER PEACHSTATE [227]	$98,772	-1.5%	1
BLUE CROSS [2]	$97,887	-2.4%	1
Kaiser Permanente	$67,604	-32.6%	2
UnitedHealthcare	$66,321	-33.8%	2
CIGNA [3]	$66,136	-34.0%	2
PEACHSTATE [43]	$39,357	-60.7%	2
CareSource	$39,350	-60.7%	3
Amerigroup	$39,350	-60.7%	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.