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 J2507 · MOUNT VERNON, IL

J2507 — Pegloticase 8 Mg/ml Intravenous Solution

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.

$121,742 All-payer median here
$48,697 Cash / self-pay here
34 payer/plan-name variants
← This hospital National rates for J2507 →
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 $194,788 60.0% 1
Three Rivers Provider Network $192,574 58.2% 1
MultiPlan $189,033 55.3% 1
HEALTHCARE'S FINEST NETWORK (HFN) $188,147 54.5% 1
National Provider Network $188,147 54.5% 1
MedicalControl Network Solutions $188,147 54.5% 1
Guardian Resources, Inc. $185,934 52.7% 1
Prime Health Services $166,012 36.4% 1
Coventry HealthCare $154,059 26.5% 2
HEALTHLINK PPO $149,411 22.7% 4
Aetna $148,304 21.8% 4
MultiPlan / PHCS Network $147,751 21.4% 2
Great West Healthcare of Illinois $143,877 18.2% 2
Encore Combined $137,237 12.7% 2
Wexford Health Sources $127,276 4.5% 2
Encore Prime/Elite/Elite + $123,513 1.5% 2
Humana $121,742 0.0% 5
Aetna Better Health of Illinois $121,742 0.0% 3
Meridian Health Plan $121,742 0.0% 5
Molina Healthcare $121,742 0.0% 3
BCBS of Illinois $121,742 0.0% 7
UnitedHealthcare $121,742 0.0% 4
WellCare Health Plans $121,742 0.0% 5
Deaconess OneCare $119,529 -1.8% 2
Cigna Healthcare $86,105 -29.3% 1
Alliance Coal $63,891 -47.5% 2
NonContracted $63,800 -47.6% 2
Care Improvement Plus $62,738 -48.5% 2
UMWA Health and Retirement Funds $62,702 -48.5% 2
VA COMMUNITY CARE NETWORK $62,702 -48.5% 2
MY TRU ADVANTAGE $62,702 -48.5% 2
Self-Pay $48,697 -60.0% 1
Alter-Net Medical Services, Inc. $43,953 -63.9% 2
Hope Trust $43,953 -63.9% 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.