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 J9359 · NEW ORLEANS, LA

J9359 — Inj Lon Tesirin-lpyl 0.075mg

What each payer pays Tulane University Hospital And Clinic (CCN 199801) 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.

$112,047 All-payer median here
$168,264 Cash / self-pay here
38 payer/plan-name variants
← This hospital National rates for J9359 →
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
   
WellCare Health Plans $112,047 0.0% 2
AETNA [1001] $112,047 0.0% 4
AETNA BETTER HEALTH [3501] $112,047 0.0% 4
AMBETTER [1120] $112,047 0.0% 4
AMERIHEALTH [3503] $112,047 0.0% 4
AUDUBON NATURE HEALTH PLAN [1126] $112,047 0.0% 2
BAYOU MEDICAL MANAGEMENT [1119] $112,047 0.0% 1
BLUE ADVANTAGE MEDICARE [9003] $112,047 0.0% 4
VETERAN'S ADMINISTRATION [8003] $112,047 0.0% 6
WC LWCC [5004] $112,047 0.0% 1
Aetna $112,047 0.0% 4
BLUE CROSS MEDICARE [9004] $112,047 0.0% 4
CIGNA [1002] $112,047 0.0% 14
COVENTRY [1004] $112,047 0.0% 1
DIAGNOSTIC MANAGEMENT AFFILIATES [1118] $112,047 0.0% 1
First Health Network $112,047 0.0% 2
Healthy Blue Louisiana (Anthem Medicaid) $112,047 0.0% 4
HEALTHY BLUE MEDICARE [9014] $112,047 0.0% 2
Humana $112,047 0.0% 22
LA HEALTHCARE CONNECTIONS [3504] $112,047 0.0% 8
LCMC HOSPICE [1108] $112,047 0.0% 1
LSUFIRST [1043] $112,047 0.0% 1
Medicaid (Generic) $112,047 0.0% 30
MEDICAID PSYCH MANAGED CARE [3400] $112,047 0.0% 10
MEDICARE [2000] $112,047 0.0% 8
MEDICARE ADVANTAGE [9000] $112,047 0.0% 2
Peoples Health $112,047 0.0% 4
PPO PLUS LLC [1069] $112,047 0.0% 2
TRICARE $112,047 0.0% 12
TULANE ATHLETIC DEPARTMENT [1128] $112,047 0.0% 1
TULANE UNIVERSITY [1127] $112,047 0.0% 2
UNITED HEALTHCARE MEDICARE [9009] $112,047 0.0% 8
UnitedHealthcare $112,047 0.0% 7
Vantage Health Plan $112,047 0.0% 3
VERITY HEALTHNET [1072] $112,047 0.0% 2
BLUE CROSS [6000] $27,752 -75.2% 14
UMR (UnitedHealthcare TPA) $26,866 -76.0% 5
UNITED HEALTH [1006] $26,665 -76.2% 24

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.