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 J0223 · BATON ROUGE, LA

J0223 — Inj Givosiran 0.5 Mg

What each payer pays OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER (CCN 190064) 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.

$53,864 All-payer median here
$93,094 Cash / self-pay here
49 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
   
Three Rivers Provider Network $176,878 228.4% 1
USA MCO - ALL PLANS $175,016 224.9% 1
MultiPlan $169,431 214.6% 1
MCCP - ALL PLANS $167,569 211.1% 1
WORKERS COMP - ALL PLANS $167,569 211.1% 1
New Directions Behavioral Health $167,569 211.1% 1
BRG EMP VERITY HEALTHNET - ALL PLANS $167,569 211.1% 1
CHOICE CARE - ALL PLANS $167,569 211.1% 1
MAGELLAN BEHAVIORAL HEALTH - ALL OTHER PLANS $158,259 193.8% 1
MultiPlan / PHCS Network $158,259 193.8% 1
MHNET- ALL PLANS $158,259 193.8% 1
United Behavioral Health (Optum) $152,674 183.4% 1
UNITED BEHAV MCR $152,674 183.4% 1
GILSBAR 360 ALLIANCE - ALL PLANS $141,502 162.7% 1
PPO PLUS PLATINUM $139,641 159.2% 1
PPO PLUS LLC - ALL OTHER PLANS $139,641 159.2% 1
Cigna Healthcare $133,310 147.5% 2
WOMEN'S HOSPITAL FOUND - ALL PLANS $130,331 142.0% 1
First Health Network $126,403 134.7% 1
UnitedHealthcare $111,284 106.6% 7
BEACON BEHAV HLTH - ALL PLANS $93,094 72.8% 1
LWHA (WEBTPA) - ALL PLANS $88,327 64.0% 1
WebTPA Employer Services LLC $68,368 26.9% 1
HEALTHY BLUE MCAID $53,864 0.0% 1
HUMANA HLTHY HORIZONS MCAID $53,864 0.0% 1
LHC MCAID $53,864 0.0% 1
MAGELLAN MCAID $53,864 0.0% 1
AmeriHealth Caritas $53,864 0.0% 1
Aetna $26,991 -49.9% 4
LSU FIRST CHOICE (WEBTPA) - ALL PLANS $15,000 -72.2% 1
VANTAGE HEALTH PLAN - ALL OTHER PLANS $336 -99.4% 1
HST - ALL PLANS $305 -99.4% 1
FORD, BACON & DAVIS LLC - ALL PLANS $304 -99.4% 1
Humana $223 -99.6% 2
PHN EMPLOYEE PLAN $170 -99.7% 1
PHN- ALL OTHER PLANS $123 -99.8% 1
WELLCARE - ALL PLANS $123 -99.8% 1
Healthy Blue Dual (Medicare Advantage) $117 -99.8% 1
VA / CHAMPVA $117 -99.8% 1
Vantage Health Plan $117 -99.8% 1
Allwell (Centene Medicare Advantage) $117 -99.8% 1
PACE - ALL PLANS $117 -99.8% 1
TRICARE $117 -99.8% 1
HEART OF HOSPICE OP ONLY - ALL PLANS $117 -99.8% 1
BCBS MCR ADV $117 -99.8% 1
BCBS PRECISION/SB - ALL OTHER PLANS $117 -99.8% 1
BCBS FMOLHS EMPLOYEE $117 -99.8% 1
BCBS of Texas $117 -99.8% 1
PGBA TRIWEST VA CCN $111 -99.8% 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.