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 J3245 · WASHINGTON, IA

J3245 — Inj., Tildrakizumab, 1 Mg

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.

$19,991 All-payer median here
$35,698 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for J3245 →
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 $48,202 141.1% 1
AETNA/FIRST HEALTH PPO - ALL OTHER PLANS $41,886 109.5% 1
Midlands Choice $40,458 102.4% 1
HEALTH ALLIANCE MEDICAL PLAN OF ILLINOIS $32,367 61.9% 2
HealthPartners $30,182 51.0% 2
IA TOTAL CARE WELLCARE MCR ADV $20,101 0.5% 1
Amerigroup $20,101 0.5% 1
Molina Healthcare $20,046 0.3% 2
WELLPOINT MCAID AMERIGRP $19,991 0.0% 1
Centene $19,991 0.0% 1
Humana $19,905 -0.4% 1
Wellmark BCBS $19,710 -1.4% 1
MED ASSOC MCR ADV $19,515 -2.4% 1
Aetna $17,611 -11.9% 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.