Price Transparencybeta 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 J9271 · LEON, IA

J9271 — Pembrolizumab 25 Mg/ml Intravenous Solution

What each payer pays DECATUR COUNTY HOSPITAL (CCN 161340) 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.

$12,098 All-payer median here
$12,098 Cash / self-pay here
34 payer/plan-name variants
← This hospital National rates for J9271 →
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
   
Amerigroup $15,878 31.3% 2
Centene $15,425 27.5% 2
Priority Health $15,122 25.0% 2
Midlands Choice $14,820 22.5% 2
MAIL HANDLERS BENEFIT-ALL PLANS $14,820 22.5% 2
LEWERMARK-ALL PLANS $14,366 18.7% 2
HealthPartners $13,912 15.0% 2
UHSS-ALL PLANS $13,761 13.8% 2
MEDI SHARE-ALL PLANS $13,761 13.8% 2
FARM BUREAU FINANCIAL-ALL OTHER PLANS $13,610 12.5% 2
FARM BUREAU PROPERTY AND CA $13,610 12.5% 2
MEDICAL MUTUAL-ALL PLANS $13,307 10.0% 2
Cigna Healthcare $13,005 7.5% 2
CIGNA HEALTH AND LIFE $13,005 7.5% 2
GOLDEN RULE INSURANCE $12,854 6.3% 2
NTCA THE RURAL BROADBAND-ALL PLANS $12,854 6.3% 2
UMR (UnitedHealthcare TPA) $12,854 6.3% 2
UnitedHealthcare $12,854 6.3% 6
Medica $12,098 0.0% 2
CHRISTIAN HEALTHCARE -ALL PLANS $12,098 0.0% 2
Aetna $11,946 -1.2% 6
RURAL CARRIER BENEFIT PLAN-ALL PLANS $11,644 -3.7% 2
ALLIED BENEFIT SYSTEM-ALL PLANS $11,342 -6.2% 2
AMERICAN FAMILY PPO POLICIES $11,342 -6.2% 2
ALL SAVERS-ALL PLANS $11,342 -6.2% 2
Humana $11,039 -8.8% 2
Meritain Health $11,039 -8.8% 2
MISC COMMERCIAL-ALL PLANS $11,039 -8.8% 2
BENEFIT ADMIN SYSTEM-ALL PLANS $9,829 -18.7% 2
TRICARE $8,166 -32.5% 2
Wellmark BCBS $8,015 -33.8% 4
EVERYSTEP HOSPICE-ALL PLANS $7,864 -35.0% 2
VA / CHAMPVA $6,805 -43.8% 2
BLUE CROSS-ALL PLANS $4,839 -60.0% 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.