Payer comparison · HCPCS J1961 · WINFIELD, IL

J1961 — Inj, Lenacapavir, 1 Mg

What each payer pays NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL (CCN 140242) 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.

$109,889 All-payer median here

$122,099 Cash / self-pay here

24 payer/plan-name variants

← This hospital National rates for J1961 →

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

HEALTH ALLIANCE MEDICAID [1310]	$174,426	58.7%	1
UnitedHealthcare	$174,426	58.7%	1
ALTERNATE BLUE CROSS MEDICARE ADV [2304]	$174,426	58.7%	1
ALTERNATE HUMANA MEDICARE ADV [2409]	$174,426	58.7%	1
BCBS MEDICARE ADVANTAGE [1304]	$174,426	58.7%	1
United Behavioral Health (Optum)	$174,426	58.7%	1
BLUE CROSS MEDICAID [1612]	$174,426	58.7%	1
COUNTYCARE IL COOK CO [1607]	$174,426	58.7%	1
JOURNEYCARE INC HOSPICE [1275]	$174,426	58.7%	1
GLOBAL EXCEL MANAGEMENT	$174,426	58.7%	1
MultiPlan / PHCS Network	$151,751	38.1%	3
ComPsych Corporation	$139,541	27.0%	1
Cigna Healthcare	$139,541	27.0%	1
FIRST HEALTH PLAN [6034]	$134,134	22.1%	1
CHOICECARE [177]	$133,611	21.6%	1
HEALTHCARE'S FINEST NETWORK (HFN)	$123,145	12.1%	2
HEALTHLINK PPO	$109,889	0.0%	1
DREYER MED IPA ADVOCATE [1409]	$104,656	-4.8%	1
Humana	$104,656	-4.8%	3
Magellan Health	$104,656	-4.8%	1
BLUE CROSS BLUE SHIELD [1401]	$91,452	-16.8%	12
Carelon Behavioral Health	$87,213	-20.6%	1
ALTERNATE BLUE CROSS [1402]	$71,567	-34.9%	5
Aetna	$53,549	-51.3%	4

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.