Payer comparison · HCPCS J1304 · DEKALB, IL

J1304 — Inj Tofersen Intrathec 1 Mg

What each payer pays NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL (CCN 140286) 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.

$86,124 All-payer median here

$95,097 Cash / self-pay here

22 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

UNITED HEALTHCARE [158]	$135,853	57.7%	1
OPTUM/UNITED BEHAVIORAL HEALTH [157]	$135,853	57.7%	1
ALTERNATE HUMANA MEDICARE ADV [2409]	$135,853	57.7%	1
MULTIPLAN/PHCS [142]	$120,909	40.4%	2
COVENTRYONE PPO [17110]	$116,834	35.7%	1
COVENTRY [1218]	$116,834	35.7%	1
FIRST HEALTH PLAN [6034]	$116,834	35.7%	1
CHOICECARE [177]	$102,705	19.3%	1
HEALTHLINK PPO	$101,890	18.3%	1
ALTERNATE BLUE CROSS [1402]	$93,324	8.4%	2
HEALTH'S FINEST NETWORK [126]	$93,059	8.1%	2
BLUE CROSS BLUE SHIELD [1401]	$82,055	-4.7%	7
AETNA HEALTH PLAN [171]	$47,481	-44.9%	4
CENPATICO BEHAVIORAL HEALTH [1603]	$9,374	-89.1%	1
CIGNA HEALTHSPRING SPECIALCARE OF IL [1608]	$9,374	-89.1%	1
COUNTYCARE IL COOK CO [1607]	$9,374	-89.1%	1
FAMILY HEALTH NETWORK HMO [1610]	$9,374	-89.1%	1
HEALTH ALLIANCE MEDICAID [1310]	$9,374	-89.1%	1
MERIDIAN HEALTH PLAN HMO [1604]	$9,374	-89.1%	1
BLUE CROSS MEDICAID [1612]	$9,374	-89.1%	1
ALTERNATE BLUE CROSS MEDICARE ADV [2304]	$160	-99.8%	1
GLOBAL EXCEL [1712]	$160	-99.8%	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.