Payer comparison · HCPCS J3245 · NEWTON, IA

J3245 — Inj., Tildrakizumab, 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.

$50,032 All-payer median here

$53,884 Cash / self-pay here

30 payer/plan-name variants

← This hospital National rates for J3245 →

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	$53,884	7.7%	2
CRIME VICTIM ASSISTANCE	$53,884	7.7%	2
AETNA DOMESTIC	$50,490	0.9%	2
ALLIED BENEFIT SYSTEMS	$50,490	0.9%	2
ASR HEALTH BENEFITS	$50,490	0.9%	2
1199 NATIONAL BENEFIT FUND	$50,490	0.9%	2
Aetna	$50,490	0.9%	4
Christian Brothers Services	$50,490	0.9%	2
First Health Network	$50,490	0.9%	2
LUCENT HEALTH	$50,490	0.9%	2
LUMINARE HEALTH (AZ, IL, IN, MD, MN, NC, PA)	$50,490	0.9%	2
Medical Mutual of Ohio	$50,490	0.9%	2
Meritain Health	$50,490	0.9%	2
TRUSTMARK SMALL BUSINESS BENEFITS	$50,490	0.9%	2
WebTPA Employer Services LLC	$50,490	0.9%	2
HEALTH ALLIANCE	$49,574	-0.9%	2
Cigna Healthcare	$49,574	-0.9%	4
Midlands Choice	$49,574	-0.9%	2
AUXIANT	$49,574	-0.9%	2
Medica	$49,574	-0.9%	2
MIDLANDS	$49,574	-0.9%	2
HealthPartners	$47,526	-5.0%	2
Health Choices	$40,683	-18.7%	2
MEDICAL ASSOCIATES	$40,683	-18.7%	2
UnitedHealthcare	$38,904	-22.2%	2
GEHA (Government Employees Health Association)	$38,904	-22.2%	2
NEWTON CORRECTIONAL FACILITY	$35,025	-30.0%	2
Anthem (Elevance Health)	$172	-99.7%	2
Molina Healthcare	$171	-99.7%	2
Centene	$170	-99.7%	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.