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 J2326 · NEWTON, IA

J2326 — Inj, Nusinersen, 0.1mg

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.

$146,299 All-payer median here
$455,356 Cash / self-pay here
102 payer/plan-name variants
← This hospital National rates for J2326 →
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 $455,356 211.2% 3
CRIME VICTIM ASSISTANCE $455,356 211.2% 3
First Choice Health $432,588 195.7% 1
Medical Mutual of Ohio $426,668 191.6% 3
Christian Brothers Services $426,668 191.6% 2
WebTPA Employer Services LLC $426,668 191.6% 3
Aetna $426,668 191.6% 10
1199 NATIONAL BENEFIT FUND $426,668 191.6% 3
First Health Network $426,668 191.6% 3
LUMINARE HEALTH (AZ, IL, IN, MD, MN, NC, PA) $426,668 191.6% 3
Meritain Health $426,668 191.6% 3
ALLIED BENEFIT SYSTEMS $426,668 191.6% 3
ASR HEALTH BENEFITS $426,668 191.6% 3
TRUSTMARK SMALL BUSINESS BENEFITS $426,668 191.6% 3
LUCENT HEALTH $426,668 191.6% 3
AETNA DOMESTIC $426,668 191.6% 3
Midlands Choice $418,927 186.3% 3
AUXIANT $418,927 186.3% 3
Cigna Healthcare $418,927 186.3% 6
MIDLANDS $418,927 186.3% 3
Medica $418,927 186.3% 3
HEALTH ALLIANCE $418,927 186.3% 2
HealthPartners $401,624 174.5% 3
Health Choices $343,793 135.0% 3
MEDICAL ASSOCIATES $343,793 135.0% 3
GEHA (Government Employees Health Association) $328,767 124.7% 3
NEWTON CORRECTIONAL FACILITY $295,981 102.3% 2
UnitedHealthcare $254,088 73.7% 6
BCBS of Vermont $146,299 0.0% 3
BCBS of Wyoming $146,299 0.0% 3
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS $146,299 0.0% 3
Blue Care Network HMO $146,299 0.0% 4
BLUE CROSS - FEDERAL $146,299 0.0% 3
BLUE CROSS - FL $146,299 0.0% 3
BLUE CROSS - GA (ANTHEM) $146,299 0.0% 3
BLUE CROSS - HI $146,299 0.0% 3
BLUE CROSS - ID $146,299 0.0% 3
BLUE CROSS - IN (ANTHEM) $146,299 0.0% 3
BLUE CROSS - MA $146,299 0.0% 3
BLUE CROSS - MS $146,299 0.0% 3
BLUE CROSS - MT $146,299 0.0% 3
BLUE CROSS - NM $146,299 0.0% 3
Blue Cross & Blue Shield of Rhode Island $146,299 0.0% 3
BLUE CROSS DOMESTIC $146,299 0.0% 1
Blue Cross of Idaho $146,299 0.0% 3
BLUE DISTINCTION TRANSPLANT $146,299 0.0% 3
BLUE SHIELD - PA (HIGHMARK) $146,299 0.0% 3
Blue Shield of California $146,299 0.0% 3
Capital BCBS $146,299 0.0% 3
CareFirst BCBS $146,299 0.0% 9
Excellus BCBS $146,299 0.0% 3
Highmark $146,299 0.0% 3
Highmark BCBS $146,299 0.0% 9
Horizon BCBS of NJ $146,299 0.0% 3
Independence BCBS $146,299 0.0% 3
Kaiser Permanente $146,299 0.0% 1
BCBS of Illinois $146,299 0.0% 6
Anthem BCBS of Colorado $146,299 0.0% 3
Anthem BCBS of Connecticut $146,299 0.0% 3
Anthem BCBS of Kentucky $146,299 0.0% 3
Anthem BCBS of Maine $146,299 0.0% 3
Anthem BCBS of Missouri $146,299 0.0% 3
Anthem BCBS of Nevada $146,299 0.0% 3
Anthem BCBS of New Hampshire $146,299 0.0% 3
Anthem BCBS of New York $146,299 0.0% 3
Anthem BCBS of Ohio $146,299 0.0% 3
Anthem BCBS of Virginia $146,299 0.0% 3
Anthem BCBS of Wisconsin $146,299 0.0% 3
Anthem Blue Cross CA $146,299 0.0% 3
Arkansas BCBS $146,299 0.0% 3
BCBS GENERIC $146,299 0.0% 3
BCBS of Alabama $146,299 0.0% 3
BCBS of Arizona $146,299 0.0% 3
BCBS of Kansas $146,299 0.0% 3
BCBS of Louisiana $146,299 0.0% 3
BCBS of Michigan $146,299 0.0% 3
BCBS of Minnesota $146,299 0.0% 3
BCBS of Nebraska $146,299 0.0% 3
BCBS of North Carolina $146,299 0.0% 3
BCBS of North Dakota $146,299 0.0% 3
BCBS of Oklahoma $146,299 0.0% 3
BCBS of South Carolina $146,299 0.0% 3
BCBS of Tennessee $146,299 0.0% 3
BCBS of Texas $146,299 0.0% 3
PRE-EMPLOYMENT $146,299 0.0% 1
Premera BCBS $146,299 0.0% 6
Regence BCBS $146,299 0.0% 9
WC DOMESTIC $146,299 0.0% 1
Wellmark BCBS $146,299 0.0% 9
CLAIMDOC $2,585 -98.2% 3
NOVA $2,585 -98.2% 3
Centene $2,161 -98.5% 6
CENTIVO $1,856 -98.7% 2
Oscar Health $1,828 -98.8% 3
AMISH HOSPITAL AID $1,711 -98.8% 3
WELLPOINT MEDICARE ADVANTAGE $1,312 -99.1% 3
HEALTH PARTNERS MEDICARE ADVANTAGE $1,299 -99.1% 3
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE $1,273 -99.1% 3
MEDIGOLD MEDICARE ADVANTAGE $1,260 -99.1% 3
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS $1,260 -99.1% 3
Anthem (Elevance Health) $1,203 -99.2% 3
Molina Healthcare $1,199 -99.2% 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.