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 J9316 · CEDAR RAPIDS, IA

J9316 — Pertuzu, Trastuzu, 10 Mg

What each payer pays MERCY MEDICAL CENTER - CEDAR RAPIDS (CCN 160079) 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.

$42,941 All-payer median here
$55,146 Cash / self-pay here
16 payer/plan-name variants
← This hospital National rates for J9316 →
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
   
Molina Healthcare $78,160 82.0% 2
HUMANA/CHOICECARE COMM-ALL OTHER PLANS $61,302 42.8% 2
IOWA TOTAL CARE-ALL PLANS $57,141 33.1% 2
HEALTH SMART INTERPLAN-ALL PLANS $53,639 24.9% 2
HEALTH ALLIANCE MEDICAL PLAN OF ILLINOIS $42,941 0.0% 3
Midlands Choice $41,379 -3.6% 2
AETNA HMO/PPO - ALL PLANS $39,846 -7.2% 2
HealthPartners $38,314 -10.8% 2
UnitedHealthcare $35,862 -16.5% 2
ADVANTRA MCR ADV-ALL PLANS $65 -99.8% 1
MOLINA MCR ADV-ALL OTHER PLANS $64 -99.9% 1
UHC SECURE HORIZONS $64 -99.9% 1
HUMANA/CHOICECARE MCR ADV $63 -99.9% 1
GENERIC MCR ADV-ALL PLANS $62 -99.9% 1
Amerigroup $62 -99.9% 1
VA COMMUNITY CARE NETWORK $62 -99.9% 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.