Payer comparison · HCPCS J1246 · SCOTTSBURG, IN

J1246 — Dinutuximab 17.5 Mg/5ml IV Soln

What each payer pays NORTON SCOTT HOSPITAL (CCN 151334) 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.

$112,051 All-payer median here

$30,143 Cash / self-pay here

17 payer/plan-name variants

← This hospital National rates for J1246 →

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

Samaritan Health Plans (IHN-CCO)	$135,645	21.1%	1
PPOM	$132,631	18.4%	1
CarePlus (Encounters)	$128,110	14.3%	1
Encore Health Network	$128,110	14.3%	1
MultiPlan	$124,342	11.0%	2
Cigna Healthcare	$120,080	7.2%	2
Aetna	$103,501	-7.6%	2
Anthem BCBS of Indiana	$98,407	-12.2%	2
Managed Health Services Indiana	$98,226	-12.3%	6
UnitedHealthcare	$89,827	-19.8%	5
Anthem (Elevance Health)	$87,612	-21.8%	6
Molina Healthcare	$84,402	-24.7%	3
MDWISE HOOSIER HEALTHWISE	$84,402	-24.7%	1
CareSource	$84,402	-24.7%	2
CARESOURCE OF INDIANA	$83,154	-25.8%	2
CommuniCare Advantage	$74,654	-33.4%	2
MDWISE HEALTH INDIANA PLAN (DOS ON OR AFTER 1/1/2019)	$74,111	-33.9%	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.