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 J9119 · LEBANON, MO

J9119 — Cemiplimab-rwlc 50 Mg/ml Intravenous Solution

What each payer pays MERCY HOSPITAL LEBANON (CCN 260059) 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.

$22,099 All-payer median here
$23,100 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for J9119 →
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
   
MULTIPLAN CONTRACTED [320270] $33,762 52.8% 2
PHCS (Private Healthcare Systems) $33,762 52.8% 2
USA MANAGED CARE ORG CONTRACTED [320429] $31,274 41.5% 2
AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] $30,208 36.7% 2
WORKERS COMP [20426] $29,319 32.7% 8
POINT C / MID-AMERICAN BENEFITS $28,436 28.7% 18
INSURANCE SYSTEM INC CONTRACTED [320465] $28,431 28.7% 2
YUZU HEALTH CONTRACTED [320521] $28,431 28.7% 4
AITHER HEALTH CONTRACTED [320449] $28,431 28.7% 4
AUXIANT CONTRACTED [320462] $28,431 28.7% 8
BENEFIT MANAGEMENT CONTRACTED [320052] $28,431 28.7% 2
EBMS CONTRACTED [320493] $28,431 28.7% 2
EDISON HEALTH SOLUTIONS CONTRACTED [320502] $28,431 28.7% 2
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $28,431 28.7% 2
EVOLUTIONS HEALTHCARE SYSTEMS $28,431 28.7% 2
First Health Network $28,431 28.7% 2
HEALTH SYSTEMS INC CONTRACTED [320174] $28,431 28.7% 2
HEALTHLINK PPO $28,431 28.7% 8
IMAGINE360 ADMINISTRATORS (GPA) $28,431 28.7% 2
MERCY BENEFIT ADMIN CONTRACTED [320251] $28,426 28.6% 18
Aetna $26,654 20.6% 2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $26,654 20.6% 4
90 DEGREE BENEFITS CONTRACTED [320436] $26,654 20.6% 2
Cigna Healthcare $26,294 19.0% 6
PREFERRED HEALTH PLAN CONTRACTED [320522] $23,100 4.5% 2
UMR (UnitedHealthcare TPA) $22,111 0.1% 4
MC ANTHEM [20455] $18,382 -16.8% 4
ADMINISTRATIVE PAYOR CONTRACTED [320005] $15,992 -27.6% 4
UnitedHealthcare $15,796 -28.5% 10
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] $15,796 -28.5% 2
Humana $15,116 -31.6% 4
BLUE CROSS AND BLUE SHIELD [20053] $14,665 -33.6% 10
MC GENERIC ANTHEM [20456] $14,665 -33.6% 2
MEDICA [20239] $14,038 -36.5% 2
Medica $14,038 -36.5% 2
BCBS MEDICAID CONTRACTED [320046] $13,434 -39.2% 2
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $10,662 -51.8% 2
AMBETTER CONTRACTED [320452] $10,662 -51.8% 2
Home State Health (Centene Missouri Medicaid) $10,662 -51.8% 2
NOVASYS CONTRACTED [320285] $10,662 -51.8% 2
KANCARE CONTRACTED [320213] $10,042 -54.6% 2
KANCARE [20213] $10,042 -54.6% 2
Medicaid (Generic) $8,491 -61.6% 4
MO MEDICAID BH CARVE OUT [320315] $7,108 -67.8% 2
UNITED HEALTHCARE MEDICAID CONTRACTED [320397] $7,108 -67.8% 2
CENTIVO CONTRACTED [320505] $48 -99.8% 2
HealthSCOPE Benefits EHC Repricing $37 -99.8% 2
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $30 -99.9% 2
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] $30 -99.9% 2
Devoted Health $29 -99.9% 2
GLOBAL HEALTH $29 -99.9% 2
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $29 -99.9% 2
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] $29 -99.9% 2
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] $29 -99.9% 2
QUAL CHOICE CONTRACTED [320325] $29 -99.9% 2
ELARA CARING ASPIRE HOSPICE [20433] $29 -99.9% 2
CROSS TIMBERS HOSPICE [20098] $29 -99.9% 2
TRICARE $29 -99.9% 2
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $29 -99.9% 2
CHAMPVA [20065] $29 -99.9% 2
VA COMMUNITY CARE NETWORK $29 -99.9% 2
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $29 -99.9% 2
KINDFUL HOSPICE CONTRACTED [320434] $29 -99.9% 2
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $29 -99.9% 2
KINDFUL HOSPICE [20434] $29 -99.9% 2
Medica Holding Company $29 -99.9% 2
Medicare (Generic) $29 -99.9% 2
MERCY HOSPICE OKC [20252] $29 -99.9% 2
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $29 -99.9% 2
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] $29 -99.9% 2
HALO HCR INC HOSPICE CONTRACTED [320432] $29 -99.9% 2
PACE OF THE OZARKS CONTRACTED [320518] $29 -99.9% 2
HALO HCR INC HOSPICE [20432] $29 -99.9% 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.