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 · NEWTON, IA

J0225 — Inj, Vutrisiran, 1 Mg

What each payer pays MERCYONE NEWTON MEDICAL CENTER (CCN 160032) 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.

$124,596 All-payer median here
$272,036 Cash / self-pay here
102 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
   
IOWA DEPT OF PUBLIC HEALTH $272,036 118.3% 3
CRIME VICTIM ASSISTANCE $272,036 118.3% 3
First Choice Health $258,435 107.4% 1
Medical Mutual of Ohio $254,898 104.6% 3
Christian Brothers Services $254,898 104.6% 2
WebTPA Employer Services LLC $254,898 104.6% 3
Aetna $254,898 104.6% 10
1199 NATIONAL BENEFIT FUND $254,898 104.6% 3
First Health Network $254,898 104.6% 3
LUMINARE HEALTH (AZ, IL, IN, MD, MN, NC, PA) $254,898 104.6% 3
Meritain Health $254,898 104.6% 3
ALLIED BENEFIT SYSTEMS $254,898 104.6% 3
ASR HEALTH BENEFITS $254,898 104.6% 3
TRUSTMARK SMALL BUSINESS BENEFITS $254,898 104.6% 3
LUCENT HEALTH $254,898 104.6% 3
AETNA DOMESTIC $254,898 104.6% 3
Midlands Choice $250,274 100.9% 3
AUXIANT $250,274 100.9% 3
Cigna Healthcare $250,274 100.9% 6
MIDLANDS $250,274 100.9% 3
Medica $250,274 100.9% 3
HEALTH ALLIANCE $250,274 100.9% 2
HealthPartners $239,936 92.6% 3
Health Choices $205,388 64.8% 3
MEDICAL ASSOCIATES $205,388 64.8% 3
GEHA (Government Employees Health Association) $196,410 57.6% 3
NEWTON CORRECTIONAL FACILITY $176,824 41.9% 2
UnitedHealthcare $151,796 21.8% 6
BCBS of Vermont $124,596 0.0% 3
BCBS of Wyoming $124,596 0.0% 3
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS $124,596 0.0% 3
Blue Care Network HMO $124,596 0.0% 4
BLUE CROSS - FEDERAL $124,596 0.0% 3
BLUE CROSS - FL $124,596 0.0% 3
BLUE CROSS - GA (ANTHEM) $124,596 0.0% 3
BLUE CROSS - HI $124,596 0.0% 3
BLUE CROSS - ID $124,596 0.0% 3
BLUE CROSS - IN (ANTHEM) $124,596 0.0% 3
BLUE CROSS - MA $124,596 0.0% 3
BLUE CROSS - MS $124,596 0.0% 3
BLUE CROSS - MT $124,596 0.0% 3
BLUE CROSS - NM $124,596 0.0% 3
Blue Cross & Blue Shield of Rhode Island $124,596 0.0% 3
BLUE CROSS DOMESTIC $124,596 0.0% 1
Blue Cross of Idaho $124,596 0.0% 3
BLUE DISTINCTION TRANSPLANT $124,596 0.0% 3
BLUE SHIELD - PA (HIGHMARK) $124,596 0.0% 3
Blue Shield of California $124,596 0.0% 3
Capital BCBS $124,596 0.0% 3
CareFirst BCBS $124,596 0.0% 9
Excellus BCBS $124,596 0.0% 3
Highmark $124,596 0.0% 3
Highmark BCBS $124,596 0.0% 9
Horizon BCBS of NJ $124,596 0.0% 3
Independence BCBS $124,596 0.0% 3
Kaiser Permanente $124,596 0.0% 1
BCBS of Illinois $124,596 0.0% 6
Anthem BCBS of Colorado $124,596 0.0% 3
Anthem BCBS of Connecticut $124,596 0.0% 3
Anthem BCBS of Kentucky $124,596 0.0% 3
Anthem BCBS of Maine $124,596 0.0% 3
Anthem BCBS of Missouri $124,596 0.0% 3
Anthem BCBS of Nevada $124,596 0.0% 3
Anthem BCBS of New Hampshire $124,596 0.0% 3
Anthem BCBS of New York $124,596 0.0% 3
Anthem BCBS of Ohio $124,596 0.0% 3
Anthem BCBS of Virginia $124,596 0.0% 3
Anthem BCBS of Wisconsin $124,596 0.0% 3
Anthem Blue Cross CA $124,596 0.0% 3
Arkansas BCBS $124,596 0.0% 3
BCBS GENERIC $124,596 0.0% 3
BCBS of Alabama $124,596 0.0% 3
BCBS of Arizona $124,596 0.0% 3
BCBS of Kansas $124,596 0.0% 3
BCBS of Louisiana $124,596 0.0% 3
BCBS of Michigan $124,596 0.0% 3
BCBS of Minnesota $124,596 0.0% 3
BCBS of Nebraska $124,596 0.0% 3
BCBS of North Carolina $124,596 0.0% 3
BCBS of North Dakota $124,596 0.0% 3
BCBS of Oklahoma $124,596 0.0% 3
BCBS of South Carolina $124,596 0.0% 3
BCBS of Tennessee $124,596 0.0% 3
BCBS of Texas $124,596 0.0% 3
PRE-EMPLOYMENT $124,596 0.0% 1
Premera BCBS $124,596 0.0% 6
Regence BCBS $124,596 0.0% 9
WC DOMESTIC $124,596 0.0% 1
Wellmark BCBS $124,596 0.0% 9
CLAIMDOC $10,069 -91.9% 3
NOVA $10,069 -91.9% 3
Centene $8,416 -93.2% 6
CENTIVO $7,229 -94.2% 2
Oscar Health $7,119 -94.3% 3
AMISH HOSPITAL AID $6,663 -94.7% 3
WELLPOINT MEDICARE ADVANTAGE $5,110 -95.9% 3
HEALTH PARTNERS MEDICARE ADVANTAGE $5,060 -95.9% 3
Anthem (Elevance Health) $5,000 -96.0% 3
Molina Healthcare $4,980 -96.0% 3
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE $4,958 -96.0% 3
MEDIGOLD MEDICARE ADVANTAGE $4,909 -96.1% 3
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS $4,909 -96.1% 3

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.