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 J0565 · HARDINSBURG, KY

J0565 — Bezlotoxumab 25 Mg/ml Intravenous Solution

What each payer pays BRECKINRIDGE MEMORIAL HOSPITAL (CCN 181319) 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.

$4,104 All-payer median here
$5,700 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for J0565 →
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
   
BLUE CROSS MEDICAID $11,400 177.8% 1
BLUE CROSS MCARE SELECT $11,400 177.8% 1
Aetna $8,550 108.3% 3
Humana $8,550 108.3% 1
WellCare Health Plans $7,752 88.9% 2
Centene $4,514 10.0% 1
UnitedHealthcare $4,104 0.0% 3
CareSource $4,104 0.0% 1
UNIVERSITY HEALTH CARE MCR ADV $4,104 0.0% 1
BLUE CROSS MCR ADV $4,104 0.0% 1
UNIVERSITY HEALTH CARE - ALL OTHER PLANS $3,990 -2.8% 1
Molina Healthcare $3,947 -3.8% 1
TRICARE $3,694 -10.0% 1
BLUE CROSS TRAD $38 -99.1% 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.