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 · CPT J2794 · SAGINAW, MI

J2794 — Risperidone Microspheres ER 25 Mg/2 Ml Intramuscular Susp,ext Release

What each payer pays HEALTHSOURCE SAGINAW (CCN 230275) 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.

$484 All-payer median here
$415 Cash / self-pay here
10 payer/plan-name variants
← This hospital National rates for J2794 →
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 $602 24.2% 4
Blue Cross Inpatient Reimbursement $602 24.2% 4
HAP (Health Alliance Plan) $602 24.2% 4
Optum Commercial $602 24.2% 4
TRICARE $602 24.2% 12
UnitedHealthcare $602 24.2% 4
Molina Healthcare $130 -73.1% 8
Priority Health $11 -97.8% 3
Humana $11 -97.8% 1
Meridian Health Plan $11 -97.8% 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.