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 J9316 · TRENTON, MO

J9316 — Pertuzu, Trastuzu, 10 Mg

What each payer pays WRIGHT MEMORIAL HOSPITAL (CCN 261309) 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.

$21,594 All-payer median here
$17,604 Cash / self-pay here
10 payer/plan-name variants
← This hospital National rates for J9316 →
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
   
BLUE CROSS BLUE SHIELD [4000] $26,700 23.6% 38
Aetna $25,666 18.9% 22
Cigna Healthcare $24,880 15.2% 18
Humana $24,646 14.1% 2
First Health Network $24,176 12.0% 10
COMMERCIAL-CONTRACTED [8000] $21,597 0.0% 10
MEDICAID MANAGED CARE (MO) [2250] $19,834 -8.2% 6
MEDICARE REPLACEMENT PLAN [1250] $13,863 -35.8% 2
TRANSPLANTS-CASE RATES [5750] $13,203 -38.9% 10
UnitedHealthcare $11,337 -47.5% 30

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.