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 →

J9277 — Injection, Pembrolizumab, 1 Mg And Berahyaluronidase Alfa-pmph

What each payer pays MERCY HOSPITAL PITTSBURG, INC (CCN 170006) 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.

$26,998 All-payer median here
$21,940 Cash / self-pay here
31 payer/plan-name variants
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 $28,691 6.3% 4
MC GENERIC ANTHEM [20456] $28,691 6.3% 4
First Health Network $28,691 6.3% 4
MC ANTHEM [20455] $28,691 6.3% 4
BLUE CROSS AND BLUE SHIELD [20053] $28,691 6.3% 4
Cigna Healthcare $27,177 0.7% 8
HEALTHLINK PPO $27,003 0.0% 4
YUZU HEALTH CONTRACTED [320521] $27,003 0.0% 8
AITHER HEALTH $27,003 0.0% 8
AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] $27,003 0.0% 4
AUXIANT $27,003 0.0% 8
EDISON HEALTH SOLUTIONS $27,003 0.0% 4
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $27,003 0.0% 4
IMAGINE360 ADMINISTRATORS (GPA) $27,003 0.0% 4
MERCY BENEFIT ADMINISTRATION $27,003 0.0% 36
POINT C / MID-AMERICAN BENEFITS $27,003 0.0% 4
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $27,003 0.0% 4
WORKERS COMP [20426] $27,003 0.0% 4
UnitedHealthcare $22,750 -15.7% 4
UMR (UnitedHealthcare TPA) $22,750 -15.7% 4
PROVIDRS CARE NETWORK CONTRACTED [320484] $20,252 -25.0% 4
HEALTH CHOICE CONTRACTED [320166] $15,737 -41.7% 4
Medica $12,286 -54.5% 4
KANCARE [20213] $8,438 -68.7% 4
KANCARE CONTRACTED [320213] $8,438 -68.7% 4
BCBS MEDICAID [20046] $6,751 -75.0% 4
Home State Health (Centene Missouri Medicaid) $6,751 -75.0% 4
MO HealthNet (Missouri Medicaid) $6,751 -75.0% 4
BCBS MEDICAID CONTRACTED [320046] $6,751 -75.0% 4
UnitedHealthcare Community Plan $6,751 -75.0% 4
Medicaid (Generic) $6,751 -75.0% 4

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.