Payer comparison · HCPCS J0896 · WASHINGTON, IA

J0896 — Inj Luspatercept-aamt 0.25mg

What each payer pays WASHINGTON COUNTY HOSPITAL AND CLINICS (CCN 161344) 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.

$11,568 All-payer median here

$16,350 Cash / self-pay here

14 payer/plan-name variants

← This hospital National rates for J0896 →

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

IA TOTAL CARE AMBETTER HLTH COMM- ALL OTHER PLANS	$22,076	90.8%	2
AETNA/FIRST HEALTH PPO - ALL OTHER PLANS	$19,184	65.8%	2
Midlands Choice	$18,530	60.2%	2
HEALTH ALLIANCE MEDICAL PLAN OF ILLINOIS	$11,881	2.7%	4
HealthPartners	$11,470	-0.9%	4
IA TOTAL CARE WELLCARE MCR ADV	$9,206	-20.4%	2
Amerigroup	$9,206	-20.4%	2
Molina Healthcare	$9,168	-20.7%	4
WELLPOINT MCAID AMERIGRP	$9,156	-20.9%	2
Centene	$9,156	-20.9%	2
Humana	$9,117	-21.2%	2
Wellmark BCBS	$9,027	-22.0%	2
MED ASSOC MCR ADV	$8,938	-22.7%	2
Aetna	$8,066	-30.3%	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.