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 J9334 · LEBANON, MO

J9334 — Inj Efgart-alfa 2mg Hya-qvfc

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.

$35,037 All-payer median here
$35,037 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for J9334 →
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] $51,207 46.2% 2
PHCS (Private Healthcare Systems) $51,207 46.2% 2
USA MANAGED CARE ORG CONTRACTED [320429] $47,434 35.4% 2
AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] $45,817 30.8% 2
WORKERS COMP [20426] $44,469 26.9% 8
POINT C / MID-AMERICAN BENEFITS $43,127 23.1% 18
INSURANCE SYSTEM INC CONTRACTED [320465] $43,122 23.1% 2
YUZU HEALTH CONTRACTED [320521] $43,122 23.1% 4
AITHER HEALTH CONTRACTED [320449] $43,122 23.1% 4
AUXIANT CONTRACTED [320462] $43,122 23.1% 8
BENEFIT MANAGEMENT CONTRACTED [320052] $43,122 23.1% 2
EBMS CONTRACTED [320493] $43,122 23.1% 2
EDISON HEALTH SOLUTIONS CONTRACTED [320502] $43,122 23.1% 2
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $43,122 23.1% 2
EVOLUTIONS HEALTHCARE SYSTEMS $43,122 23.1% 2
First Health Network $43,122 23.1% 2
HEALTH SYSTEMS INC CONTRACTED [320174] $43,122 23.1% 2
HEALTHLINK PPO $43,122 23.1% 8
IMAGINE360 ADMINISTRATORS (GPA) $43,122 23.1% 2
MERCY BENEFIT ADMIN CONTRACTED [320251] $43,117 23.1% 18
Aetna $40,427 15.4% 2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $40,427 15.4% 4
90 DEGREE BENEFITS CONTRACTED [320436] $40,427 15.4% 2
Cigna Healthcare $39,883 13.8% 6
UMR (UnitedHealthcare TPA) $35,083 0.1% 4
PREFERRED HEALTH PLAN CONTRACTED [320522] $35,037 0.0% 2
MC ANTHEM [20455] $31,119 -11.2% 4
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] $27,050 -22.8% 2
UnitedHealthcare $27,050 -22.8% 10
BLUE CROSS AND BLUE SHIELD [20053] $24,827 -29.1% 10
MC GENERIC ANTHEM [20456] $24,827 -29.1% 2
ADMINISTRATIVE PAYOR CONTRACTED [320005] $24,256 -30.8% 4
Humana $22,923 -34.6% 4
MEDICA [20239] $21,291 -39.2% 2
Medica $21,291 -39.2% 2
BCBS MEDICAID CONTRACTED [320046] $20,375 -41.8% 2
KANCARE CONTRACTED [320213] $17,196 -50.9% 2
KANCARE [20213] $17,196 -50.9% 2
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $16,171 -53.8% 2
AMBETTER CONTRACTED [320452] $16,171 -53.8% 2
Home State Health (Centene Missouri Medicaid) $16,171 -53.8% 2
NOVASYS CONTRACTED [320285] $16,171 -53.8% 2
Medicaid (Generic) $13,732 -60.8% 4
UNITED HEALTHCARE MEDICAID CONTRACTED [320397] $10,780 -69.2% 2
MO MEDICAID BH CARVE OUT [320315] $10,780 -69.2% 2
CENTIVO CONTRACTED [320505] $56 -99.8% 2
HealthSCOPE Benefits EHC Repricing $42 -99.9% 2
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $35 -99.9% 2
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] $34 -99.9% 2
Devoted Health $34 -99.9% 2
PACE OF THE OZARKS CONTRACTED [320518] $33 -99.9% 2
HALO HCR INC HOSPICE [20432] $33 -99.9% 2
GLOBAL HEALTH $33 -99.9% 2
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $33 -99.9% 2
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] $33 -99.9% 2
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] $33 -99.9% 2
QUAL CHOICE CONTRACTED [320325] $33 -99.9% 2
ELARA CARING ASPIRE HOSPICE [20433] $33 -99.9% 2
CROSS TIMBERS HOSPICE [20098] $33 -99.9% 2
TRICARE $33 -99.9% 2
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $33 -99.9% 2
CHAMPVA [20065] $33 -99.9% 2
VA COMMUNITY CARE NETWORK $33 -99.9% 2
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $33 -99.9% 2
KINDFUL HOSPICE CONTRACTED [320434] $33 -99.9% 2
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $33 -99.9% 2
Medica Holding Company $33 -99.9% 2
Medicare (Generic) $33 -99.9% 2
KINDFUL HOSPICE [20434] $33 -99.9% 2
MERCY HOSPICE OKC [20252] $33 -99.9% 2
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $33 -99.9% 2
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] $33 -99.9% 2
HALO HCR INC HOSPICE CONTRACTED [320432] $33 -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.