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 J0225 · HOBART, IN

J0225 — Inj, Vutrisiran, 1 Mg

What each payer pays ST MARY MEDICAL CENTER INC (CCN 150034) 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.

$125,318 All-payer median here
$372,089 Cash / self-pay here
50 payer/plan-name variants
← This hospital National rates for J0225 →
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 of Illinois $546,970 336.5% 3
NPPN [409] $545,730 335.5% 1
MULTIPLAN [476] $545,730 335.5% 1
HFN [470] $496,118 295.9% 1
FORD MOTOR COMPANY [469] $496,118 295.9% 1
FIRST HEALTH [375] $496,118 295.9% 1
BLUE CROSS [300] $483,901 286.1% 2
Humana $465,731 271.6% 2
CHOICECARE [395] $465,731 271.6% 1
PHCS [380] $446,506 256.3% 1
LOCAL 150 [471] $420,832 235.8% 1
ANTHEM X [801] $420,832 235.8% 1
ANTHEM CARPTENTERS [468] $420,832 235.8% 1
LUTHERAN PREFERRED NETWORK [486] $372,089 196.9% 1
Aetna $351,921 180.8% 3
COMMERCIAL [600] $335,485 167.7% 2
CIGNA [365] $238,983 90.7% 2
BX ILL HMO MCNP [315] $219,267 75.0% 2
GREAT WEST [455] $175,335 39.9% 1
IHN [467] $175,335 39.9% 1
MEDICAID PRESUMPTIVE [250] $125,318 0.0% 1
CareSource $125,318 0.0% 1
CARETAKER HIP [232] $125,318 0.0% 1
FRANCISCAN ACO [236] $125,318 0.0% 1
MDwise $125,318 0.0% 1
MDWISE HOOSIER HEALTHWISE (DOS ON OR AFTER 1/1/2019) $125,318 0.0% 1
Medicaid (Generic) $125,318 0.0% 1
MEDICAID ADVANTAGED HEALTH [201] $125,318 0.0% 1
MEDICAID ANTHEM MAGELLAN HLT [212] $125,318 0.0% 1
MEDICAID CENPATICO BHS [211] $125,318 0.0% 1
MEDICAID HIP [230] $125,318 0.0% 1
MEDICAID MANAGED HEALTH [210] $125,318 0.0% 1
MEDICAID MD WISE HIP STC BHS [231] $125,318 0.0% 1
MEDICAID MDWISE [220] $125,318 0.0% 1
MEDICAID MDWISE CARE SELECT [221] $125,318 0.0% 1
MEDICAID MDWISE ST MARG BHS [224] $125,318 0.0% 1
MEDICAID PATHWAYS [270] $125,318 0.0% 1
UMR (UnitedHealthcare TPA) $125,239 -0.1% 1
UnitedHealthcare $125,239 -0.1% 3
MITTAL [385] $125,239 -0.1% 1
MEDICARE MANAGED CARE PLANS [152] $5,060 -96.0% 2
LOCAL 697 [387] $5,010 -96.0% 1
Anthem Essentials [855] $5,010 -96.0% 1
AMBETTER MHS [852] $5,010 -96.0% 1
TRICARE $5,010 -96.0% 3
MARKETPLACE OUT OF NETWORK [853] $5,010 -96.0% 1
VA / CHAMPVA $5,010 -96.0% 2
Medicare (Generic) $5,010 -96.0% 2
MEDICARE PSYCH [111] $5,010 -96.0% 1
MOE HST [495] $5,010 -96.0% 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.