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 J1306 · AURORA, MO

J1306 — Inclisiran 284 Mg/1.5 Ml Subcutaneous Syringe

What each payer pays MERCY HOSPITAL AURORA (CCN 261316) 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.

$8,546 All-payer median here
$6,749 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for J1306 →
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
   
MC ANTHEM [20455] $10,176 19.1% 2
PHCS (Private Healthcare Systems) $9,865 15.4% 1
MULTIPLAN CONTRACTED [320270] $9,865 15.4% 1
Aetna $9,242 8.1% 1
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] $9,138 6.9% 1
USA MANAGED CARE ORG CONTRACTED [320429] $9,138 6.9% 1
UnitedHealthcare $9,138 6.9% 5
UMR (UnitedHealthcare TPA) $8,982 5.1% 2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $8,826 3.3% 2
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $8,826 3.3% 1
EBMS CONTRACTED [320493] $8,826 3.3% 1
EDISON HEALTH SOLUTIONS CONTRACTED [320502] $8,826 3.3% 1
POINT C / MID-AMERICAN BENEFITS $8,826 3.3% 7
EVOLUTIONS HEALTHCARE SYSTEMS $8,826 3.3% 1
First Health Network $8,826 3.3% 1
IMAGINE360 ADMINISTRATORS (GPA) $8,826 3.3% 1
AITHER HEALTH CONTRACTED [320449] $8,826 3.3% 2
YUZU HEALTH CONTRACTED [320521] $8,826 3.3% 2
AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] $8,826 3.3% 1
AUXIANT CONTRACTED [320462] $8,826 3.3% 4
BENEFIT MANAGEMENT CONTRACTED [320052] $8,826 3.3% 1
90 DEGREE BENEFITS CONTRACTED [320436] $8,826 3.3% 1
Cigna Healthcare $8,826 3.3% 5
HEALTHLINK PPO $8,826 3.3% 4
MERCY BENEFIT ADMIN CONTRACTED [320251] $8,826 3.3% 9
Medica $8,785 2.8% 1
WORKERS COMP [20426] $8,567 0.2% 4
BLUE CROSS AND BLUE SHIELD [20053] $8,515 -0.4% 6
HEALTH SYSTEMS INC CONTRACTED [320174] $8,307 -2.8% 1
INSURANCE SYSTEM INC CONTRACTED [320465] $8,307 -2.8% 1
PREFERRED HEALTH PLAN CONTRACTED [320522] $6,749 -21.0% 1
Humana $5,890 -31.1% 2
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $5,265 -38.4% 1
AMBETTER CONTRACTED [320452] $5,265 -38.4% 1
NOVASYS CONTRACTED [320285] $5,265 -38.4% 1
ADMINISTRATIVE PAYOR CONTRACTED [320005] $4,673 -45.3% 2
CENTIVO CONTRACTED [320505] $4,153 -51.4% 1
HealthSCOPE Benefits EHC Repricing $3,826 -55.2% 1
Home State Health (Centene Missouri Medicaid) $3,671 -57.0% 2
KANCARE [20213] $3,604 -57.8% 1
KANCARE CONTRACTED [320213] $3,604 -57.8% 1
Devoted Health $3,073 -64.0% 1
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] $3,042 -64.4% 1
VA COMMUNITY CARE NETWORK $3,022 -64.6% 1
TRICARE $3,021 -64.6% 1
Medicare (Generic) $2,959 -65.4% 1
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $2,959 -65.4% 1
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $2,957 -65.4% 2
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] $2,954 -65.4% 1
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] $2,954 -65.4% 1
QUAL CHOICE CONTRACTED [320325] $2,954 -65.4% 1
CROSS TIMBERS HOSPICE [20098] $2,954 -65.4% 1
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $2,954 -65.4% 1
INDIAN HEALTH SERVICES $2,954 -65.4% 1
KINDFUL HOSPICE [20434] $2,954 -65.4% 1
KINDFUL HOSPICE CONTRACTED [320434] $2,954 -65.4% 1
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $2,954 -65.4% 1
Medica Holding Company $2,954 -65.4% 1
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] $2,954 -65.4% 1
MERCY HOSPICE OKC [20252] $2,954 -65.4% 1
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $2,954 -65.4% 1
HALO HCR INC HOSPICE CONTRACTED [320432] $2,954 -65.4% 1
HALO HCR INC HOSPICE [20432] $2,954 -65.4% 1
PACE OF THE OZARKS CONTRACTED [320518] $2,954 -65.4% 1
GLOBAL HEALTH $2,954 -65.4% 1
ELARA CARING ASPIRE HOSPICE [20433] $2,954 -65.4% 1
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] $2,954 -65.4% 1
BCBS MEDICAID CONTRACTED [320046] $2,907 -66.0% 1
MO MEDICAID BH CARVE OUT [320315] $2,077 -75.7% 1
Medicaid (Generic) $2,077 -75.7% 1
HOME STATE MEDICAID CONTRACTED [320189] $2,077 -75.7% 1
UNITED HEALTHCARE MEDICAID CONTRACTED [320397] $2,077 -75.7% 1
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $13 -99.9% 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.