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 · WATERLOO, IA

J2326 — Inj, Nusinersen, 0.1mg

What each payer pays MERCYONE WATERLOO MEDICAL CENTER (CCN 160067) 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
86 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% 1
AUXIANT $323,302 121.0% 1
Midlands Choice $323,302 121.0% 1
Medica $323,302 121.0% 1
Cigna Healthcare $323,302 121.0% 2
MIDLANDS $323,302 121.0% 1
UnitedHealthcare $303,138 107.2% 4
HealthPartners $298,713 104.2% 1
GEHA (Government Employees Health Association) $182,795 24.9% 1
Anthem BCBS of Ohio $146,299 0.0% 1
Anthem BCBS of Virginia $146,299 0.0% 1
Anthem BCBS of Wisconsin $146,299 0.0% 1
Anthem Blue Cross CA $146,299 0.0% 1
Arkansas BCBS $146,299 0.0% 1
BCBS GENERIC $146,299 0.0% 1
BCBS of Alabama $146,299 0.0% 1
BCBS of Arizona $146,299 0.0% 1
BCBS of Illinois $146,299 0.0% 2
BCBS of Kansas $146,299 0.0% 1
BCBS of Louisiana $146,299 0.0% 1
BCBS of Michigan $146,299 0.0% 1
BCBS of Minnesota $146,299 0.0% 1
BCBS of Nebraska $146,299 0.0% 1
BCBS of North Carolina $146,299 0.0% 1
BCBS of North Dakota $146,299 0.0% 1
BCBS of Oklahoma $146,299 0.0% 1
BCBS of South Carolina $146,299 0.0% 1
BCBS of Tennessee $146,299 0.0% 1
BCBS of Texas $146,299 0.0% 1
BCBS of Vermont $146,299 0.0% 1
BCBS of Wyoming $146,299 0.0% 1
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS $146,299 0.0% 1
Blue Care Network HMO $146,299 0.0% 2
BLUE CROSS - FEDERAL $146,299 0.0% 1
BLUE CROSS - FL $146,299 0.0% 1
BLUE CROSS - GA (ANTHEM) $146,299 0.0% 1
BLUE CROSS - HI $146,299 0.0% 1
BLUE CROSS - ID $146,299 0.0% 1
BLUE CROSS - IN (ANTHEM) $146,299 0.0% 1
BLUE CROSS - MA $146,299 0.0% 1
BLUE CROSS - MS $146,299 0.0% 1
BLUE CROSS - MT $146,299 0.0% 1
BLUE CROSS - NM $146,299 0.0% 1
Blue Cross & Blue Shield of Rhode Island $146,299 0.0% 1
BLUE CROSS DOMESTIC $146,299 0.0% 1
Blue Cross of Idaho $146,299 0.0% 1
BLUE DISTINCTION TRANSPLANT $146,299 0.0% 1
BLUE SHIELD - PA (HIGHMARK) $146,299 0.0% 1
Blue Shield of California $146,299 0.0% 1
Capital BCBS $146,299 0.0% 1
CareFirst BCBS $146,299 0.0% 3
Excellus BCBS $146,299 0.0% 1
Highmark BCBS $146,299 0.0% 3
Anthem BCBS of Colorado $146,299 0.0% 1
Anthem BCBS of Connecticut $146,299 0.0% 1
Anthem BCBS of Kentucky $146,299 0.0% 1
Anthem BCBS of Maine $146,299 0.0% 1
Anthem BCBS of Missouri $146,299 0.0% 1
Anthem BCBS of Nevada $146,299 0.0% 1
Anthem BCBS of New Hampshire $146,299 0.0% 1
Anthem BCBS of New York $146,299 0.0% 1
Highmark $146,299 0.0% 1
Horizon BCBS of NJ $146,299 0.0% 1
Independence BCBS $146,299 0.0% 1
Kaiser Permanente $146,299 0.0% 1
PRE-EMPLOYMENT $146,299 0.0% 1
Premera BCBS $146,299 0.0% 2
Regence BCBS $146,299 0.0% 3
WC DOMESTIC $146,299 0.0% 1
Wellmark BCBS $146,299 0.0% 3
MEDICAL ASSOCIATES $107,009 -26.9% 1
Health Choices $107,009 -26.9% 1
NOVA $2,585 -98.2% 1
CLAIMDOC $2,585 -98.2% 1
CENTIVO $2,135 -98.5% 1
Oscar Health $1,974 -98.7% 1
AMISH HOSPITAL AID $1,711 -98.8% 1
Centene $1,674 -98.9% 2
WELLPOINT MEDICARE ADVANTAGE $1,312 -99.1% 1
HEALTH PARTNERS MEDICARE ADVANTAGE $1,299 -99.1% 1
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE $1,273 -99.1% 1
Aetna $1,260 -99.1% 1
MEDIGOLD MEDICARE ADVANTAGE $1,260 -99.1% 1
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS $1,260 -99.1% 1
Anthem (Elevance Health) $1,203 -99.2% 1
Molina Healthcare $1,199 -99.2% 1

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.