Payer comparison · HCPCS J0897 · METROPOLIS, IL

J0897 — Denosumab 60 Mg/ml Subcutaneous Syringe

What each payer pays MASSAC MEMORIAL HOSPITAL (CCN 141323) 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.

$4,092 All-payer median here

$4,677 Cash / self-pay here

19 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

BCBS PPO/BLUE OPTIONS/TRAD-ALL OTHER PLANS	$6,047	47.8%	2
BCBS BLUE CHOICE	$5,858	43.2%	2
MultiPlan	$5,669	38.6%	2
UnitedHealthcare	$5,291	29.3%	2
Cigna Healthcare	$5,191	26.9%	2
HEALTHLINK PPO	$4,881	19.3%	4
Aetna	$4,840	18.3%	7
PRIME HEALTH SERVICES-ALL PLANS	$4,095	0.1%	2
HEALTH ALLIANCE-ALL OTHER PLANS	$4,095	0.1%	2
HEALTH ALLIANCE MEDICAL PLAN OF ILLINOIS	$3,694	-9.7%	4
BCBS of Louisiana	$3,339	-18.4%	2
Humana	$3,339	-18.4%	2
BCBS MMAI	$3,172	-22.5%	2
BCBS EMPLOYEE HEALTH PLAN	$3,150	-23.0%	2
ANTHEM BCBS MY MCAID	$2,075	-49.3%	1
BCBS MEDICAID	$2,075	-49.3%	1
Meridian Health Plan	$2,075	-49.3%	1
Molina Healthcare	$2,075	-49.3%	1
MOLINA KY MCAID	$2,075	-49.3%	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.