Payer comparison · HCPCS J0717 · COTTONWOOD, ID

J0717 — Certolizumab Pegol Inj 1mg

What each payer pays ST MARY'S HOSPITAL (CCN 131321) 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.

$15,874 All-payer median here

$13,499 Cash / self-pay here

17 payer/plan-name variants

← This hospital National rates for J0717 →

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

FIRST CHOICE- ALL PLANS	$17,638	11.1%	1
BLUE CROSS - ALL OTHER PLANS	$17,638	11.1%	1
GEHA (Government Employees Health Association)	$17,458	10.0%	1
MultiPlan	$17,458	10.0%	1
CORIZON CORRECTIONAL - ALL PLANS	$17,278	8.8%	1
BLUE CROSS MCAID	$17,278	8.8%	1
IDAHO PHYS NETWORK - ALL PLANS	$17,098	7.7%	1
Regence BCBS	$16,378	3.2%	2
BLUE CROSS QHP/QEP/CCO	$15,874	0.0%	1
Aetna	$15,749	-0.8%	2
NIMIIPUU MCR ADV - ALLPLANS	$14,906	-6.1%	1
BLUE CROSS MCR ADV	$14,906	-6.1%	1
PGBA TRIWEST VA CCN	$14,759	-7.0%	1
PacificSource	$14,759	-7.0%	1
VA / CHAMPVA	$14,759	-7.0%	1
UnitedHealthcare	$14,759	-7.0%	1
BLUE CROSS CPN	$12,876	-18.9%	1

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.