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 J0897 · COTTONWOOD, ID

J0897 — Denosumab 60 Mg/ml Subcutaneous Syringe

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.

$6,151 All-payer median here
$5,626 Cash / self-pay here
17 payer/plan-name variants
← This hospital National rates for J0897 →
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 $7,352 19.5% 1
MultiPlan $7,277 18.3% 1
GEHA (Government Employees Health Association) $7,277 18.3% 1
CORIZON CORRECTIONAL - ALL PLANS $7,202 17.1% 1
BLUE CROSS MCAID $7,202 17.1% 1
IDAHO PHYS NETWORK - ALL PLANS $7,127 15.9% 1
Aetna $6,564 6.7% 2
NIMIIPUU MCR ADV - ALLPLANS $6,213 1.0% 1
BLUE CROSS MCR ADV $6,213 1.0% 1
VA / CHAMPVA $6,151 0.0% 1
PacificSource $6,151 0.0% 1
PGBA TRIWEST VA CCN $6,151 0.0% 1
UnitedHealthcare $6,151 0.0% 1
Regence BCBS $5,731 -6.8% 2
BLUE CROSS - ALL OTHER PLANS $34 -99.5% 1
BLUE CROSS QHP/QEP/CCO $30 -99.5% 1
BLUE CROSS CPN $25 -99.6% 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.