Payer comparison · HCPCS J0567 · LOUISVILLE, KY

J0567 — Inj., Cerliponase Alfa 1 Mg

What each payer pays Norton Children's Hospital (CCN 189801) 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.

$96,342 All-payer median here

$35,452 Cash / self-pay here

19 payer/plan-name variants

← This hospital National rates for J0567 →

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

Anthem Pathway Children's	$151,125	56.9%	2
Correct Care OB & GYN	$147,127	52.7%	1
Correct Care	$147,127	52.7%	1
MultiPlan	$144,468	50.0%	2
Anthem Pediatric	$142,944	48.4%	4
SIHO IN Exchange	$124,083	28.8%	1
Aetna Pediatric	$106,845	10.9%	4
Cigna Healthcare	$103,742	7.7%	8
SIHO Holding, Inc.	$96,342	0.0%	3
Anthem (Elevance Health)	$96,342	0.0%	6
Anthem BCBS of Kentucky	$93,151	-3.3%	2
UnitedHealthcare	$89,960	-6.6%	11
CareSource KY	$88,055	-8.6%	2
Aetna	$78,394	-18.6%	8
Anthem Adult	$75,319	-21.8%	1
Humana	$66,252	-31.2%	2
PASSPORT HEALTH PLAN	$62,706	-34.9%	4
Aetna Better Health of Kentucky	$61,820	-35.8%	4
WellCare Health Plans	$45,040	-53.2%	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.