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 J0897 · COLUMBUS, KS

J0897 — Denosumab 60 Mg/ml Subcutaneous Syringe

What each payer pays MERCY HOSPITAL COLUMBUS (CCN 171308) 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.

$4,327 All-payer median here
$3,868 Cash / self-pay here
78 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
   
POINT C / MID-AMERICAN BENEFITS $5,654 30.6% 8
YUZU HEALTH CONTRACTED [320521] $5,654 30.6% 4
IMAGINE360 ADMINISTRATORS (GPA) $5,654 30.6% 2
EDISON HEALTH SOLUTIONS CONTRACTED [320502] $5,654 30.6% 2
AITHER HEALTH CONTRACTED [320449] $5,654 30.6% 4
EBMS CONTRACTED [320493] $5,654 30.6% 2
90 DEGREE BENEFITS CONTRACTED [320436] $5,654 30.6% 2
PPO PLUS CONTRACTED [320310] $5,654 30.6% 2
AUXIANT CONTRACTED [320462] $5,654 30.6% 4
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $5,654 30.6% 4
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $5,654 30.6% 2
BENEFIT MANAGEMENT CONTRACTED [320052] $5,654 30.6% 2
PHCS (Private Healthcare Systems) $5,654 30.6% 2
MERCY BENEFIT ADMIN CONTRACTED [320251] $5,648 30.5% 18
HEALTHLINK PPO $5,505 27.2% 4
PREFERRED HEALTH PLAN CONTRACTED [320522] $5,356 23.8% 2
Aetna $5,356 23.8% 4
AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] $5,356 23.8% 2
First Health Network $5,356 23.8% 2
USA MANAGED CARE ORG CONTRACTED [320429] $5,356 23.8% 2
FEDERAL MEDICAL CENTER CONTRACTED [320127] $5,356 23.8% 2
Medica $5,332 23.2% 2
UMR (UnitedHealthcare TPA) $5,296 22.4% 4
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] $4,939 14.1% 2
WORKERS COMP [20426] $4,910 13.5% 4
KANCARE CONTRACTED [320213] $4,889 13.0% 4
KANCARE [20213] $4,889 13.0% 4
HealthSCOPE Benefits EHC Repricing $4,588 6.0% 2
Devoted Health $4,493 3.8% 2
TRICARE $4,334 0.2% 2
UnitedHealthcare $4,325 -0.1% 6
Home State Health (Centene Missouri Medicaid) $4,321 -0.2% 2
Humana $4,321 -0.2% 6
HALO HCR INC HOSPICE [20432] $4,321 -0.2% 2
INDIAN HEALTH SERVICES $4,321 -0.2% 4
GLOBAL HEALTH $4,321 -0.2% 2
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $4,321 -0.2% 2
KINDFUL HOSPICE [20434] $4,321 -0.2% 2
KINDFUL HOSPICE CONTRACTED [320434] $4,321 -0.2% 2
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $4,321 -0.2% 2
HALO HCR INC HOSPICE CONTRACTED [320432] $4,321 -0.2% 2
PACE OF THE OZARKS CONTRACTED [320518] $4,321 -0.2% 2
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $4,321 -0.2% 2
CENTURION OF MISSOURI [20459] $4,321 -0.2% 2
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] $4,321 -0.2% 2
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] $4,321 -0.2% 2
QUAL CHOICE CONTRACTED [320325] $4,321 -0.2% 2
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $4,321 -0.2% 2
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $4,321 -0.2% 2
SUNFLOWER HEALTH PLAN MEDICARE CONTRACTED [320370] $4,321 -0.2% 2
AMBETTER CONTRACTED [320452] $4,321 -0.2% 2
AMBETTER [20452] $4,321 -0.2% 2
VA COMMUNITY CARE NETWORK $4,321 -0.2% 2
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] $4,321 -0.2% 4
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] $4,321 -0.2% 2
ELARA CARING ASPIRE HOSPICE [20433] $4,321 -0.2% 2
Medica Holding Company $4,321 -0.2% 2
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] $4,321 -0.2% 2
Medicare (Generic) $4,321 -0.2% 2
CROSS TIMBERS HOSPICE [20098] $4,321 -0.2% 2
MERCY HOSPICE OKC [20252] $4,321 -0.2% 2
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $4,321 -0.2% 2
NOVASYS CONTRACTED [320285] $4,321 -0.2% 2
Cigna Healthcare $4,321 -0.2% 2
BCBS MEDICAID CONTRACTED [320046] $3,040 -29.7% 4
BLUE CROSS AND BLUE SHIELD [20053] $2,784 -35.7% 6
ADMINISTRATIVE PAYOR CONTRACTED [320005] $2,678 -38.1% 2
MC ANTHEM [20455] $2,645 -38.9% 2
MC GENERIC ANTHEM [20456] $2,645 -38.9% 2
HEALTH SYSTEMS INC CONTRACTED [320174] $2,559 -40.9% 2
INSURANCE SYSTEM INC CONTRACTED [320465] $2,559 -40.9% 2
Oklahoma Complete Care (Centene OK Medicaid) $1,660 -61.6% 2
Medicaid (Generic) $1,660 -61.6% 6
UNITED HEALTHCARE MEDICAID CONTRACTED [320397] $1,190 -72.5% 2
MO MEDICAID BH CARVE OUT [320315] $1,190 -72.5% 2
HOME STATE MEDICAID CONTRACTED [320189] $1,190 -72.5% 2
CENTIVO CONTRACTED [320505] $61 -98.6% 2
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $30 -99.3% 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.