Price Transparency 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 J1747 · MOUNT VERNON, IL

J1747 — Inj, Spesolimab-sbzo, 1 Mg

What each payer pays DEACONESS ILLINOIS CROSSROADS (CCN 140294) 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.

$110,497 All-payer median here
$44,199 Cash / self-pay here
34 payer/plan-name variants
← This hospital National rates for J1747 →
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
   
BeechStreet Corporation $176,795 60.0% 1
Three Rivers Provider Network $174,786 58.2% 1
MultiPlan $171,572 55.3% 1
HEALTHCARE'S FINEST NETWORK (HFN) $170,768 54.5% 1
National Provider Network $170,768 54.5% 1
MedicalControl Network Solutions $170,768 54.5% 1
Guardian Resources, Inc. $168,759 52.7% 1
Prime Health Services $150,678 36.4% 1
Coventry HealthCare $139,829 26.5% 2
HEALTHLINK PPO $135,610 22.7% 4
Aetna $134,606 21.8% 4
MultiPlan / PHCS Network $134,103 21.4% 2
Great West Healthcare of Illinois $130,587 18.2% 2
Encore Combined $124,560 12.7% 2
Wexford Health Sources $115,520 4.5% 2
Encore Prime/Elite/Elite + $112,104 1.5% 2
Humana $110,497 0.0% 5
Aetna Better Health of Illinois $110,497 0.0% 3
Meridian Health Plan $110,497 0.0% 5
Molina Healthcare $110,497 0.0% 3
BCBS of Illinois $110,497 0.0% 7
UnitedHealthcare $110,497 0.0% 4
WellCare Health Plans $110,497 0.0% 5
Deaconess OneCare $108,488 -1.8% 2
Cigna Healthcare $78,152 -29.3% 1
Alliance Coal $55,303 -50.0% 2
NonContracted $55,301 -50.0% 2
Care Improvement Plus $55,282 -50.0% 2
UMWA Health and Retirement Funds $55,281 -50.0% 2
VA COMMUNITY CARE NETWORK $55,281 -50.0% 2
MY TRU ADVANTAGE $55,281 -50.0% 2
Self-Pay $44,199 -60.0% 1
Alter-Net Medical Services, Inc. $35,252 -68.1% 2
Hope Trust $35,252 -68.1% 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.