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 · BOSTON, MA

J1413 — Inj Delandistrogene Mox Rokl

What each payer pays BOSTON CHILDREN'S HOSPITAL (CCN 223302) 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.

$3,848,016 All-payer median here
13 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
   
Health New England $4,783,380 24.3% 1
Fallon Health $4,540,363 18.0% 2
Carelon Behavioral Health $4,440,019 15.4% 2
Aetna $4,257,386 10.6% 2
MGB/Allways $3,969,081 3.1% 4
CARELON BEHAVIORAL HEALTH (MEDICAL BENEFITS) $3,848,016 0.0% 1
Optum Commercial $3,848,016 0.0% 3
Centene $3,741,456 -2.8% 1
UnitedHealthcare $3,729,616 -3.1% 3
Tufts Health Plan $3,640,815 -5.4% 2
Blue Cross Blue Shield Association $3,615,063 -6.1% 4
Harvard Pilgrim Health Care $3,343,038 -13.1% 3
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) $2,900,812 -24.6% 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.