Payer comparison · HCPCS J0897 · CUT OFF, LA

J0897 — Denosumab 60 Mg/ml Subcutaneous Syringe

What each payer pays LADY OF THE SEA GENERAL HOSPITAL (CCN 191325) 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.

$3,894 All-payer median here

$9,272 Cash / self-pay here

12 payer/plan-name variants

← This hospital National rates for J0897 →

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

Aetna	$6,490	66.7%	3
Ambetter by Louisiana Healthcare Connections (LHCC)	$6,490	66.7%	1
Amerihealth Caritas of LA	$6,490	66.7%	1
Blue Cross Blue Shield Association	$6,490	66.7%	1
HEALTHY BLUE SOUTH CAROLINA	$6,490	66.7%	1
Humana	$6,490	66.7%	3
PPO Plus	$5,563	42.9%	1
WellCare Health Plans	$3,894	0.0%	1
Peoples Health	$3,894	0.0%	1
Cigna Healthcare	$1,962	-49.6%	2
UnitedHealthcare	$30	-99.2%	1
BCBS of Louisiana	$24	-99.4%	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.