Payer comparison · HCPCS J1747 · PLYMOUTH, IN

J1747 — Inj, Spesolimab-sbzo, 1 Mg

What each payer pays SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH (CCN 150076) 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.

$93,880 All-payer median here

$129,868 Cash / self-pay here

49 payer/plan-name variants

← This hospital National rates for J1747 →

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

Bankers Insurance Company	$156,467	66.7%	2
ALLIED NATIONAL	$140,820	50.0%	2
MultiPlan	$140,820	50.0%	2
FREEDOM LIFE INSURANCE COMPANY	$140,820	50.0%	2
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN	$140,820	50.0%	2
Planned Administrators, Inc.	$140,820	50.0%	2
INTERNATIONAL BENEFIT ADMINISTRATOR	$140,820	50.0%	2
LIFETIME BENEFIT SOLUTIONS	$140,820	50.0%	2
PHILADELPHIA AMERICAN LIFE INSURANCE	$140,820	50.0%	2
PHCS (Private Healthcare Systems)	$140,820	50.0%	2
MANHATTAN LIFE	$140,820	50.0%	2
Paramount Health Care	$140,820	50.0%	2
PAN-AMERICAN LIFE	$140,820	50.0%	2
TRINITY HEALTH SHARE	$140,820	50.0%	2
ASRM - RELIANCE STANDARD LIFE INSURANCE	$140,820	50.0%	2
AvMed	$140,820	50.0%	2
Christian Care Ministries (MediShare)	$140,820	50.0%	2
DEAN HEALTH	$140,820	50.0%	2
Fallon Health	$140,820	50.0%	2
Family Life Insurance Company	$140,820	50.0%	2
PARKVIEW SIGNATURE CARE	$129,868	38.3%	2
GOSHEN PREFERRED	$127,521	35.8%	4
SelectHealth	$114,221	21.7%	2
WESTERN & SOUTHERN FINANCIAL GROUP	$111,092	18.3%	2
Employee Benefit Services d/b/a Key Benefit Administrators	$111,092	18.3%	2
ENCORE HEALTH	$111,092	18.3%	2
ALLIED BENEFIT SYSTEMS	$101,704	8.3%	4
Select Health Network	$101,704	8.3%	2
AMERIBEN SOLUTIONS, INC.	$93,880	0.0%	2
LUMINARE HEALTH (AZ, IL, IN, MD, MN, NC, PA)	$91,533	-2.5%	4
NOTRE DAME ATHLETIC ASSOCIATION	$86,057	-8.3%	2
WC NOTRE DAME	$86,057	-8.3%	2
UnitedHealthcare	$26,161	-72.1%	4
PHP Freedom	$177	-99.8%	2
Lippert Encore Basic	$132	-99.9%	2
Lippert Encore Preferred	$111	-99.9%	2
Select	$107	-99.9%	20
CareSource	$95	-99.9%	4
St. Joes County Health Dept	$92	-99.9%	2
Anthem (Elevance Health)	$91	-99.9%	8
County	$64	-99.9%	2
Humana	$63	-99.9%	2
MediGold	$63	-99.9%	2
Aetna	$61	-99.9%	2
Anthem Healthy	$61	-99.9%	2
United Health Services	$61	-99.9%	2
VA COMMUNITY CARE NETWORK	$61	-99.9%	2
Meridian Health Plan of Illinois	$61	-99.9%	2
Plain Church	$16	-100.0%	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.