Payer comparison · HCPCS J0897 · HERMANN, MO

J0897 — Denosumab 60 Mg/ml Subcutaneous Syringe

What each payer pays HERMANN AREA DISTRICT HOSPITAL (CCN 261314) 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.

$3,100 All-payer median here

$4,185 Cash / self-pay here

19 payer/plan-name variants

← This hospital National rates for J0897 →

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

COMP RESULTS - ALL PLANS	$5,186	67.3%	2
Three Rivers Provider Network	$5,186	67.3%	2
COVENTRY - ALL PLANS	$4,898	58.0%	2
Anthem BCBS of Missouri	$4,691	51.3%	2
MultiPlan / PHCS Network	$4,322	39.4%	2
Centene	$4,057	30.9%	2
HEALTHLINK PPO	$3,973	28.2%	4
ANTHEM BLUE PREFERRED	$3,844	24.0%	2
ANTHEM BLUE ACCESS ALLIANCE	$3,844	24.0%	2
HEALTHCARE USA MCAID- ALL PLANS	$3,746	20.8%	2
Aetna	$3,727	20.2%	4
Cigna Healthcare	$3,423	10.4%	2
WellCare Health Plans	$2,885	-6.9%	4
Anthem (Elevance Health)	$2,536	-18.2%	2
AMERICAN HLTH MCR ADV- ALL PLANS	$2,536	-18.2%	2
Humana	$2,466	-20.4%	4
TRICARE	$2,282	-26.4%	2
UnitedHealthcare	$1,911	-38.3%	5
CARE PARTNERS MCAID- ALL PLANS	$562	-81.9%	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.