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 →

Payer comparison · HCPCS J0223 · PRESTONSBURG, KY

J0223 — Inj Givosiran 0.5 Mg

What each payer pays HIGHLANDS ARH REGIONAL MEDICAL CENTER (CCN 180005) 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.

$40,320 All-payer median here
$143,243 Cash / self-pay here
11 payer/plan-name variants
← This hospital National rates for J0223 →
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
   
Humana Kentucky Medicaid $234,191 480.8% 1
Anthem Blue Cross CA $62,868 55.9% 1
Humana $40,320 0.0% 3
Anthem BCBS of Kentucky $40,320 0.0% 1
Veteran'S Affair Optum $40,320 0.0% 1
Aetna $36,076 -10.5% 4
Molina Healthcare $32,468 -19.5% 1
Anthem Medicaid Kentucky $31,832 -21.1% 1
Anthem (Elevance Health) $28,351 -29.7% 6
WellCare Health Plans $20,216 -49.9% 2
UnitedHealthcare $112 -99.7% 3

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.