Payer comparison · HCPCS J0897 · HAMPTON, IA

J0897 — Denosumab 60 Mg/ml Subcutaneous Syringe

What each payer pays FRANKLIN GENERAL HOSPITAL (CCN 161308) 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.

$2,643 All-payer median here

$4,743 Cash / self-pay here

19 payer/plan-name variants

← This hospital National rates for J0897 →

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

AETNA/COVENTRY PPO - ALL OTHER PLANS	$5,006	89.4%	2
MultiPlan	$5,006	89.4%	2
Aetna	$4,901	85.4%	2
SPLASHLIGHT LLC-ALL PLANS	$4,479	69.5%	2
PREFERRED HEALTH CHOICES-ALL PLANS	$4,479	69.5%	2
Midlands Choice	$3,689	39.6%	2
CENTIVO - ALL PLANS	$3,162	19.6%	2
MEDICAL ASS HOSP EMPLOYER GROUP	$3,162	19.6%	2
Oscar Health	$3,162	19.6%	2
Medical Associates Health Plans/Health Choices [MAHC1]	$3,060	15.8%	4
Centene	$2,673	1.1%	4
UnitedHealthcare	$2,560	-3.1%	6
Allwell (Centene Medicare Advantage)	$2,213	-16.3%	2
AMERICAN HEALTH PLAN OF IOWA, INC.	$2,213	-16.3%	2
Molina Healthcare	$2,210	-16.4%	4
Amerigroup	$2,168	-18.0%	4
Wellmark BCBS	$2,129	-19.5%	2
TRICARE	$2,108	-20.2%	2
MOUNT CARMEL HEALTH PLAN, INC.	$2,108	-20.2%	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.