Price Transparencybeta 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 J9228 · LEBANON, MO

J9228 — Ipilimumab 50 Mg/10 Ml (5 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.

$23,800 All-payer median here
$77,320 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for J9228 →
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
   
PHCS (Private Healthcare Systems) $70,635 196.8% 4
MULTIPLAN CONTRACTED [320270] $70,635 196.8% 4
USA MANAGED CARE ORG CONTRACTED [320429] $65,430 174.9% 4
AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] $63,200 165.5% 4
POINT C / MID-AMERICAN BENEFITS $61,713 159.3% 36
WORKERS COMP [20426] $60,226 153.0% 16
EBMS CONTRACTED [320493] $59,482 149.9% 4
YUZU HEALTH CONTRACTED [320521] $59,482 149.9% 8
AITHER HEALTH CONTRACTED [320449] $59,482 149.9% 8
AUXIANT CONTRACTED [320462] $59,482 149.9% 16
INSURANCE SYSTEM INC CONTRACTED [320465] $59,482 149.9% 4
BENEFIT MANAGEMENT CONTRACTED [320052] $59,482 149.9% 4
EDISON HEALTH SOLUTIONS CONTRACTED [320502] $59,482 149.9% 4
First Health Network $59,482 149.9% 4
IMAGINE360 ADMINISTRATORS (GPA) $59,482 149.9% 4
HEALTH SYSTEMS INC CONTRACTED [320174] $59,482 149.9% 4
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $59,482 149.9% 4
EVOLUTIONS HEALTHCARE SYSTEMS $59,482 149.9% 4
MERCY BENEFIT ADMIN CONTRACTED [320251] $56,508 137.4% 36
Aetna $55,764 134.3% 4
90 DEGREE BENEFITS CONTRACTED [320436] $55,764 134.3% 4
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $55,764 134.3% 8
HEALTHLINK PPO $51,304 115.6% 16
PREFERRED HEALTH PLAN CONTRACTED [320522] $48,329 103.1% 4
UMR (UnitedHealthcare TPA) $41,301 73.5% 8
BLUE CROSS AND BLUE SHIELD [20053] $36,866 54.9% 20
MC ANTHEM [20455] $36,866 54.9% 8
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] $36,751 54.4% 4
MC GENERIC ANTHEM [20456] $33,472 40.6% 4
ADMINISTRATIVE PAYOR CONTRACTED [320005] $33,459 40.6% 8
Medica $29,369 23.4% 4
MEDICA [20239] $29,369 23.4% 4
BCBS MEDICAID CONTRACTED [320046] $28,105 18.1% 4
Humana $25,283 6.2% 6
KANCARE [20213] $23,364 -1.8% 4
KANCARE CONTRACTED [320213] $23,364 -1.8% 4
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $22,306 -6.3% 4
AMBETTER CONTRACTED [320452] $22,306 -6.3% 4
Home State Health (Centene Missouri Medicaid) $22,306 -6.3% 4
NOVASYS CONTRACTED [320285] $22,306 -6.3% 4
Cigna Healthcare $22,015 -7.5% 10
UnitedHealthcare $21,476 -9.8% 16
Medicaid (Generic) $16,397 -31.1% 8
MO MEDICAID BH CARVE OUT [320315] $14,870 -37.5% 4
UNITED HEALTHCARE MEDICAID CONTRACTED [320397] $14,870 -37.5% 4
CENTIVO CONTRACTED [320505] $303 -98.7% 2
HealthSCOPE Benefits EHC Repricing $229 -99.0% 2
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $189 -99.2% 2
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] $186 -99.2% 2
Devoted Health $183 -99.2% 2
PACE OF THE OZARKS CONTRACTED [320518] $180 -99.2% 2
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $180 -99.2% 2
ELARA CARING ASPIRE HOSPICE [20433] $180 -99.2% 2
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] $180 -99.2% 2
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] $180 -99.2% 2
QUAL CHOICE CONTRACTED [320325] $180 -99.2% 2
CROSS TIMBERS HOSPICE [20098] $180 -99.2% 2
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $180 -99.2% 2
TRICARE $180 -99.2% 3
CHAMPVA [20065] $180 -99.2% 2
VA COMMUNITY CARE NETWORK $180 -99.2% 2
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $180 -99.2% 2
KINDFUL HOSPICE CONTRACTED [320434] $180 -99.2% 2
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $180 -99.2% 2
KINDFUL HOSPICE [20434] $180 -99.2% 2
Medica Holding Company $180 -99.2% 2
Medicare (Generic) $180 -99.2% 2
HALO HCR INC HOSPICE CONTRACTED [320432] $180 -99.2% 2
MERCY HOSPICE OKC [20252] $180 -99.2% 2
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $180 -99.2% 2
HALO HCR INC HOSPICE [20432] $180 -99.2% 2
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] $180 -99.2% 2
GLOBAL HEALTH $180 -99.2% 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.