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 J2997 · AURORA, MO

J2997 — Alteplase 2 Mg Intra-catheter Solution

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.

$7,536 All-payer median here
$8,609 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for J2997 →
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] $12,980 72.2% 6
PHCS (Private Healthcare Systems) $12,582 67.0% 3
MULTIPLAN CONTRACTED [320270] $12,582 67.0% 3
Aetna $11,788 56.4% 3
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] $11,655 54.7% 3
USA MANAGED CARE ORG CONTRACTED [320429] $11,655 54.7% 3
UMR (UnitedHealthcare TPA) $11,457 52.0% 6
90 DEGREE BENEFITS CONTRACTED [320436] $11,258 49.4% 3
Cigna Healthcare $11,258 49.4% 15
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $11,258 49.4% 3
EBMS CONTRACTED [320493] $11,258 49.4% 3
EDISON HEALTH SOLUTIONS CONTRACTED [320502] $11,258 49.4% 3
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $11,258 49.4% 6
IMAGINE360 ADMINISTRATORS (GPA) $11,258 49.4% 3
AITHER HEALTH CONTRACTED [320449] $11,258 49.4% 6
YUZU HEALTH CONTRACTED [320521] $11,258 49.4% 6
AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] $11,258 49.4% 3
AUXIANT CONTRACTED [320462] $11,258 49.4% 12
BENEFIT MANAGEMENT CONTRACTED [320052] $11,258 49.4% 3
POINT C / MID-AMERICAN BENEFITS $11,258 49.4% 21
EVOLUTIONS HEALTHCARE SYSTEMS $11,258 49.4% 3
First Health Network $11,258 49.4% 3
HEALTHLINK PPO $11,258 49.4% 12
MERCY BENEFIT ADMIN CONTRACTED [320251] $11,258 49.4% 27
Medica $11,205 48.7% 3
WORKERS COMP [20426] $10,927 45.0% 12
HEALTH SYSTEMS INC CONTRACTED [320174] $10,596 40.6% 3
INSURANCE SYSTEM INC CONTRACTED [320465] $10,596 40.6% 3
BLUE CROSS AND BLUE SHIELD [20053] $9,867 30.9% 18
PREFERRED HEALTH PLAN CONTRACTED [320522] $8,609 14.2% 3
UnitedHealthcare $7,549 0.2% 15
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $6,715 -10.9% 3
AMBETTER CONTRACTED [320452] $6,715 -10.9% 3
NOVASYS CONTRACTED [320285] $6,715 -10.9% 3
ADMINISTRATIVE PAYOR CONTRACTED [320005] $5,960 -20.9% 6
Humana $5,652 -25.0% 6
CENTIVO CONTRACTED [320505] $5,298 -29.7% 3
HealthSCOPE Benefits EHC Repricing $4,881 -35.2% 3
KANCARE [20213] $4,692 -37.7% 3
KANCARE CONTRACTED [320213] $4,692 -37.7% 3
Home State Health (Centene Missouri Medicaid) $3,973 -47.3% 6
Devoted Health $3,919 -48.0% 3
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] $3,881 -48.5% 3
VA COMMUNITY CARE NETWORK $3,854 -48.9% 3
TRICARE $3,854 -48.9% 3
Medicare (Generic) $3,775 -49.9% 3
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $3,775 -49.9% 3
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $3,771 -50.0% 6
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] $3,768 -50.0% 3
QUAL CHOICE CONTRACTED [320325] $3,768 -50.0% 3
CROSS TIMBERS HOSPICE [20098] $3,768 -50.0% 3
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $3,768 -50.0% 3
INDIAN HEALTH SERVICES $3,768 -50.0% 3
KINDFUL HOSPICE [20434] $3,768 -50.0% 3
KINDFUL HOSPICE CONTRACTED [320434] $3,768 -50.0% 3
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $3,768 -50.0% 3
Medica Holding Company $3,768 -50.0% 3
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] $3,768 -50.0% 3
MERCY HOSPICE OKC [20252] $3,768 -50.0% 3
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $3,768 -50.0% 3
HALO HCR INC HOSPICE CONTRACTED [320432] $3,768 -50.0% 3
HALO HCR INC HOSPICE [20432] $3,768 -50.0% 3
PACE OF THE OZARKS CONTRACTED [320518] $3,768 -50.0% 3
GLOBAL HEALTH $3,768 -50.0% 3
ELARA CARING ASPIRE HOSPICE [20433] $3,768 -50.0% 3
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] $3,768 -50.0% 3
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] $3,768 -50.0% 3
BCBS MEDICAID CONTRACTED [320046] $3,708 -50.8% 3
MO MEDICAID BH CARVE OUT [320315] $2,649 -64.9% 3
HOME STATE MEDICAID CONTRACTED [320189] $2,649 -64.9% 3
UNITED HEALTHCARE MEDICAID CONTRACTED [320397] $2,649 -64.9% 3
Medicaid (Generic) $2,215 -70.6% 6
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $97 -98.7% 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.