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 J1413 · ROCKPORT, ME

J1413 — Inj Delandistrogene Mox Rokl

What each payer pays MAINEHEALTH PEN BAY HOSPITAL (CCN 200063) 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.

$3,341,195 All-payer median here
5 payer/plan-name variants
← This hospital National rates for J1413 →
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 $3,424,309 2.5% 2
Aetna $3,391,063 1.5% 2
Humana $3,324,572 -0.5% 2
UnitedHealthcare $3,324,572 -0.5% 2
Anthem (Elevance Health) $1,678,909 -49.8% 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.