Payer comparison · HCPCS J9316 · SANDWICH, IL

J9316 — Pertuzu, Trastuzu, 10 Mg

What each payer pays VALLEY WEST COMMUNITY HOSPITAL (CCN 141340) 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.

$71,640 All-payer median here

$76,809 Cash / self-pay here

18 payer/plan-name variants

← This hospital National rates for J9316 →

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

UnitedHealthcare	$109,727	53.2%	6
CHOICECARE [177]	$109,727	53.2%	2
FIRST HEALTH PLAN [6034]	$109,727	53.2%	2
HEALTHLINK PPO	$109,727	53.2%	2
MultiPlan / PHCS Network	$96,559	34.8%	6
ALTERNATE BLUE CROSS [1402]	$78,751	9.9%	4
BLUE CROSS BLUE SHIELD [1401]	$72,661	1.4%	12
HEALTHCARE'S FINEST NETWORK (HFN)	$66,933	-6.6%	4
THE ALLIANCE [1703]	$59,637	-16.8%	2
ALTERNATE HUMANA MEDICARE ADV [2409]	$20,848	-70.9%	2
ALTERNATE BLUE CROSS MEDICARE ADV [2304]	$20,848	-70.9%	2
GLOBAL EXCEL MANAGEMENT	$20,848	-70.9%	2
HEALTH ALLIANCE MEDICAID [1310]	$7,571	-89.4%	2
Cigna Healthcare	$7,571	-89.4%	2
COUNTYCARE IL COOK CO [1607]	$7,571	-89.4%	2
FAMILY HEALTH NETWORK HMO [1610]	$7,571	-89.4%	2
BLUE CROSS MEDICAID [1612]	$7,571	-89.4%	2
Meridian Health Plan	$7,571	-89.4%	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.