Payer comparison · HCPCS J0875 · EUREKA, KS

J0875 — Dalbavancin 500 Mg Intravenous Solution

What each payer pays GREENWOOD COUNTY HOSPITAL (CCN 171339) 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.

$3,055 All-payer median here

$3,074 Cash / self-pay here

13 payer/plan-name variants

← This hospital National rates for J0875 →

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

SUNFLOWER MEDICAID-ALL PLANS	$3,843	25.8%	1
Amerigroup	$3,843	25.8%	1
PRINCIPAL HEALTH CARE INC - ALL PLANS	$3,651	19.5%	1
PREFERRED HS (COVENTRY) - ALL PLANS	$3,459	13.2%	1
First Health Network	$3,266	6.9%	2
BeechStreet Corporation	$3,266	6.9%	1
INTEGRATED HEALTH PLAN - ALL PLANS	$2,882	-5.7%	1
UnitedHealthcare	$2,421	-20.8%	2
PROVIDRS CARE/WPPA - ALL PLANS	$2,306	-24.5%	1
Humana	$1,614	-47.2%	1
TRICARE	$1,614	-47.2%	1
PGBA TRIWEST VA CCN	$1,372	-55.1%	1
BCBS of Kansas	$19	-99.4%	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.