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 J9316 · CAMBRIDGE, MA

J9316 — Pertuzu, Trastuzu, 10 Mg

What each payer pays CAMBRIDGE HEALTH ALLIANCE (CCN 220011) 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.

$50,848 All-payer median here
$76,276 Cash / self-pay here
50 payer/plan-name variants
← This hospital National rates for J9316 →
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
   
NEIGHBORHOOD HEALTH PLAN [50011] $63,562 25.0% 2
ALTUS DENTAL [99011] $63,562 25.0% 2
MASS HEALTH DENTAL [99001] $63,562 25.0% 2
Medical Mutual of Ohio $63,562 25.0% 2
MEDICARE ADVANTAGE ALT [60097] $63,562 25.0% 2
METLIFE DENTAL [99008] $63,562 25.0% 2
MODERN ASSISTANCE PROGRAM [30098] $63,562 25.0% 2
MVA [90002] $63,562 25.0% 2
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND $63,562 25.0% 2
OTHER BH PAYOR [50014] $63,562 25.0% 2
OTHER COMMERCIAL PAYOR [50015] $63,562 25.0% 2
OTHER DENTAL PAYOR [99014] $63,562 25.0% 2
OTHER DUAL ELIGIBLE PAYER [65004] $63,562 25.0% 2
OTHER GOV'T ALT [85006] $63,562 25.0% 2
OTHER VISION PAYOR [50013] $63,562 25.0% 2
TRICARE $63,562 25.0% 2
BCBS - MA DENTAL [99006] $63,562 25.0% 2
Beacon Health Strategies $63,562 25.0% 2
CBHC UNINSURED CRISIS [70096] $63,562 25.0% 2
CBHC UNINSURED CRISIS ALT PAYER [70097] $63,562 25.0% 2
Centene $63,562 25.0% 2
COMMONWEALTH CARE ALLIANCE DENTAL [99004] $63,562 25.0% 2
COVERAGE DISCOVERY [90004] $63,562 25.0% 2
DELTA DENTAL OF MA [99007] $63,562 25.0% 2
DOMINION NATIONAL DENTAL [99012] $63,562 25.0% 2
DPH TB PAYOR [85004] $63,562 25.0% 2
ESP DENTAL [99003] $63,562 25.0% 2
EYEMED ALT PAYOR [13001] $63,562 25.0% 2
First Health Network $63,562 25.0% 2
GEHA (Government Employees Health Association) $63,562 25.0% 2
Global Medical Management International Customer Care $63,562 25.0% 2
GUARDIAN DENTAL [99013] $63,562 25.0% 2
HEALTH SAFETY NET DENTAL [99002] $63,562 25.0% 2
Humana $63,562 25.0% 2
MA LABORERS HEALTH AND WELFARE FUND [50022] $63,562 25.0% 2
Magellan Health $63,562 25.0% 2
Aetna $58,604 15.3% 4
Cigna Healthcare $50,848 0.0% 8
Medicare (Generic) $46,322 -8.9% 4
MULTIPLAN [50010] $43,222 -15.0% 2
Anthem (Elevance Health) $41,315 -18.7% 2
MASS GENERAL BRIGHAM [50021] $40,425 -20.5% 2
OTHER TUFTS HEALTH PUBLIC PLAN [75002] $9,983 -80.4% 2
Tufts Health Plan $8,747 -82.8% 10
UMR (UnitedHealthcare TPA) $5,969 -88.3% 2
UnitedHealthcare $5,647 -88.9% 8
BCBS of Massachusetts $5,589 -89.0% 6
BCBS - OUT OF STATE [10002] $5,589 -89.0% 6
Harvard Pilgrim Health Care $5,486 -89.2% 2
HEALTH PLANS INC [20002] $5,486 -89.2% 2

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.