Payer comparison · HCPCS J2794 · GRAND RAPIDS, MI

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

What each payer pays PINE REST CHRISTIAN MENTAL HEALTH SERVICES (CCN 234006) 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.

$559 All-payer median here

$447 Cash / self-pay here

97 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	$559	0.0%	1
AETNA BETTER HEALTH MEDICAID [3112]	$559	0.0%	3
AETNA MEDICARE [2100]	$559	0.0%	2
ALLEGAN COUNTY CMH [3500]	$559	0.0%	1
ALLIED BENEFIT SYSTEMS INC [1106]	$559	0.0%	1
ASR PHYSICIANS CARE HEALTH PLAN [1160]	$559	0.0%	1
BARRY COUNTY CMH [3502]	$559	0.0%	1
BAY ARENAC CARE LINK WAYNE CMH [3503]	$559	0.0%	1
BEHAVIORAL HEALTH SYSTEMS [1115]	$559	0.0%	1
BERRIEN COUNTY CMH (RIVERWOOD) [3504]	$559	0.0%	1
Blue Care Network HMO	$559	0.0%	1
BLUE CROSS BLUE SHIELD [1001]	$559	0.0%	1
BLUE CROSS BLUE SHIELD MEDICARE [2102]	$559	0.0%	1
BLUE CROSS COMPLETE [3111]	$559	0.0%	1
BRANCH COUNTY CMH (PINES) [3505]	$559	0.0%	1
CALHOUN COUNTY CMH [3506]	$559	0.0%	1
Carelon Behavioral Health	$559	0.0%	1
CASS COUNTY CMH [3507]	$559	0.0%	1
CENTRAL MICHIGAN CMH [3508]	$559	0.0%	1
CHAMPVA [1117]	$559	0.0%	1
CIGNA/EVERNORTH BEHAVIORAL HEALTH [1118]	$559	0.0%	1
CLINTON EATON INGHAM CMH [3509]	$559	0.0%	1
COFINITY [1120]	$559	0.0%	1
ComPsych Corporation	$559	0.0%	1
COPPER COUNTRY CMH [3510]	$559	0.0%	1
FCMR CARE RESOURCES MEDICARE [2003]	$559	0.0%	1
FCPC [1128]	$559	0.0%	1
First Health Network	$559	0.0%	1
GENESEE COUNTY CMH [3513]	$559	0.0%	1
GOGEBIC COUNTY CMH [3514]	$559	0.0%	1
GOLDEN RULE INSURANCE	$559	0.0%	1
GRAND VALLEY HEALTH PLAN	$559	0.0%	1
GRATIOT COUNTY CMH [3515]	$559	0.0%	1
GUIDING LIGHT [1214]	$559	0.0%	1
HAP (Health Alliance Plan)	$559	0.0%	1
HAP MEDICARE [2115]	$559	0.0%	1
HEALTHSCOPE BENEFITS [1140]	$559	0.0%	1
HIAWATHA CMH [3516]	$559	0.0%	1
HILLSDALE COUNTY CMH [3523]	$559	0.0%	1
HUMANA [1141]	$559	0.0%	1
HUMANA MEDICARE [2104]	$559	0.0%	2
HURON COUNTY CMH [3517]	$559	0.0%	1
IONIA COUNTY CMH [3518]	$559	0.0%	1
JACKSON COUNTY CMH [3519]	$559	0.0%	1
KALAMAZOO COUNTY CMH [3520]	$559	0.0%	1
KALAMAZOO PSYCH HOSPITAL [1143]	$559	0.0%	1
LAPEER COUNTY CMH [3521]	$559	0.0%	1
LENAWEE COUNTY CMH [3522]	$559	0.0%	1
LifeCircles	$559	0.0%	1
LINECO [1145]	$559	0.0%	1
LIVINGSTON CMH [3524]	$559	0.0%	1
MACOMB COUNTY CMH [3525]	$559	0.0%	1
MANISTEE BENZIE COUNTY CMH [3526]	$559	0.0%	1
MCLAREN HEALTH MEDICAID [3103]	$559	0.0%	1
MCLAREN HEALTH PLAN [1149]	$559	0.0%	1
MEDICARE [2000]	$559	0.0%	1
Meridian Health Plan	$559	0.0%	1
MERIDIAN MEDICARE [2105]	$559	0.0%	1
Meritain Health	$559	0.0%	1
MOLINA [1156]	$559	0.0%	1
Molina Healthcare	$559	0.0%	3
MONROE COUNTY CMH [3527]	$559	0.0%	1
MONTCALM COUNTY CMH [3528]	$559	0.0%	1
MUSKEGON COUNTY CMH [3529]	$559	0.0%	1
NETWORK 180 [3530]	$559	0.0%	1
NEWAYGO COUNTY CMH [3531]	$559	0.0%	1
NORTH COUNTRY CMH [3532]	$559	0.0%	1
NORTH POINTE CMH [3533]	$559	0.0%	1
NORTHEAST MICHIGAN CMH [3534]	$559	0.0%	1
NORTHERN LAKES CMH [3536]	$559	0.0%	2
OAKLAND COUNTY CMH [3537]	$559	0.0%	1
OTTAWA COUNTY CMH [3538]	$559	0.0%	1
PATHWAYS CMH [3539]	$559	0.0%	1
PHYSICIANS MUTUAL [1161]	$559	0.0%	1
Priority Health	$559	0.0%	1
PRIORITY HEALTH MEDICAID [3107]	$559	0.0%	1
PRIORITY HEALTH MEDICARE [2107]	$559	0.0%	1
SAGINAW COUNTY CMH [3543]	$559	0.0%	1
SANILAC COUNTY CMH [3544]	$559	0.0%	1
Senior Care Partners PACE	$559	0.0%	1
ST CLAIR COUNTY CMH [3546]	$559	0.0%	1
ST JOSEPH COUNTY CMH [3547]	$559	0.0%	1
TUSCOLA COUNTY CMH [3548]	$559	0.0%	1
UHC MEDICAID [3108]	$559	0.0%	1
UHC MEDICARE [2108]	$559	0.0%	1
UMR (UnitedHealthcare TPA)	$559	0.0%	1
United Behavioral Health (Optum)	$559	0.0%	1
UnitedHealthcare	$559	0.0%	1
UNIVERSITY OF MICHIGAN HEALTH PLAN [1205]	$559	0.0%	1
UNIVERSITY OF MICHIGAN HEALTH PLAN COMM [1159]	$559	0.0%	1
VANBUREN COUNTY CMH [3549]	$559	0.0%	1
WASHTENAW COUNTY CMH [3550]	$559	0.0%	1
WAYNE COUNTY CMH [3551]	$559	0.0%	1
WebTPA Employer Services LLC	$559	0.0%	1
WellCare Health Plans	$559	0.0%	2
WELLVANCE CMH [3501]	$559	0.0%	1
WEST MICHIGAN CMH [3552]	$559	0.0%	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.