Price Transparencybeta 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 · CDM 5005600 · CARLINVILLE, IL

5005600 — Vyepti (eptinezumab)100mg/1ml Vial

What each payer pays CARLINVILLE AREA HOSPITAL (CCN 141347) 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.

$20,590 All-payer median here
$20,018 Cash / self-pay here
20 payer/plan-name variants
← This hospital National rates for 5005600 →
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
   
HARMONY HEALTH PLAN $28,597 38.9% 4
Blue Cross Blue Shield $27,147 31.8% 4
Velocity Commercial $26,309 27.8% 2
Integrated Health Plan Commercial $22,878 11.1% 2
CORVEL $22,878 11.1% 4
HEALTH ALLIANCE MEDICAL PLAN OF ILLINOIS $22,878 11.1% 2
Blue Cross Blue Shield Auto $22,020 6.9% 2
Blue Cross Blue Shield Medical Rental $22,020 6.9% 2
HEALTHLINK PPO $21,448 4.2% 4
Great-West Healthcare $21,162 2.8% 2
Blue Cross Blue Shield Workers Comp $21,019 2.1% 4
Health Choices $20,018 -2.8% 2
Medical Associates Health Plans/Health Choices [MAHC1] $20,018 -2.8% 2
Preferred Health Choices Commercial $20,018 -2.8% 2
Aetna $19,532 -5.1% 6
Cigna Healthcare $18,731 -9.0% 2
UnitedHealthcare $18,016 -12.5% 4
Humana $17,934 -12.9% 4
Health Net $14,685 -28.7% 4
Meridian Health Plan of Illinois $10,295 -50.0% 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.