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 J2326 · BATON ROUGE, LA

J2326 — Inj, Nusinersen, 0.1mg

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.

$165,188 All-payer median here
$285,496 Cash / self-pay here
49 payer/plan-name variants
← This hospital National rates for J2326 →
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 $542,442 228.4% 1
USA MCO - ALL PLANS $536,733 224.9% 1
UnitedHealthcare $531,023 221.5% 7
MultiPlan $519,603 214.6% 1
CHOICE CARE - ALL PLANS $513,893 211.1% 1
BRG EMP VERITY HEALTHNET - ALL PLANS $513,893 211.1% 1
MCCP - ALL PLANS $513,893 211.1% 1
New Directions Behavioral Health $513,893 211.1% 1
WORKERS COMP - ALL PLANS $513,893 211.1% 1
MHNET- ALL PLANS $485,343 193.8% 1
MultiPlan / PHCS Network $485,343 193.8% 1
MAGELLAN BEHAVIORAL HEALTH - ALL OTHER PLANS $485,343 193.8% 1
UNITED BEHAV MCR $468,214 183.4% 1
United Behavioral Health (Optum) $468,214 183.4% 1
GILSBAR 360 ALLIANCE - ALL PLANS $433,954 162.7% 1
PPO PLUS PLATINUM $428,244 159.2% 1
PPO PLUS LLC - ALL OTHER PLANS $428,244 159.2% 1
Cigna Healthcare $408,830 147.5% 2
WOMEN'S HOSPITAL FOUND - ALL PLANS $399,694 142.0% 1
First Health Network $387,647 134.7% 1
BEACON BEHAV HLTH - ALL PLANS $285,496 72.8% 1
LWHA (WEBTPA) - ALL PLANS $270,879 64.0% 1
WebTPA Employer Services LLC $209,668 26.9% 1
HEALTHY BLUE MCAID $165,188 0.0% 1
HUMANA HLTHY HORIZONS MCAID $165,188 0.0% 1
LHC MCAID $165,188 0.0% 1
MAGELLAN MCAID $165,188 0.0% 1
AmeriHealth Caritas $165,188 0.0% 1
Aetna $83,234 -49.6% 4
LSU FIRST CHOICE (WEBTPA) - ALL PLANS $15,000 -90.9% 1
VANTAGE HEALTH PLAN - ALL OTHER PLANS $3,662 -97.8% 1
HST - ALL PLANS $3,329 -98.0% 1
FORD, BACON & DAVIS LLC - ALL PLANS $3,316 -98.0% 1
Humana $2,432 -98.5% 2
PHN EMPLOYEE PLAN $1,856 -98.9% 1
PHN- ALL OTHER PLANS $1,344 -99.2% 1
WELLCARE - ALL PLANS $1,344 -99.2% 1
Healthy Blue Dual (Medicare Advantage) $1,280 -99.2% 1
VA / CHAMPVA $1,280 -99.2% 1
Vantage Health Plan $1,280 -99.2% 1
Allwell (Centene Medicare Advantage) $1,280 -99.2% 1
PACE - ALL PLANS $1,280 -99.2% 1
TRICARE $1,280 -99.2% 1
HEART OF HOSPICE OP ONLY - ALL PLANS $1,280 -99.2% 1
BCBS MCR ADV $1,280 -99.2% 1
PGBA TRIWEST VA CCN $1,216 -99.3% 1
BCBS PRECISION/SB - ALL OTHER PLANS $1,158 -99.3% 1
BCBS FMOLHS EMPLOYEE $1,158 -99.3% 1
BCBS of Texas $1,158 -99.3% 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.