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 J3262 · AURORA, MO

J3262 — Tocilizumab 400 Mg/20 Ml (20 Mg/ml) Intravenous 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.

$7,127 All-payer median here
$5,787 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for J3262 →
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] $8,725 22.4% 4
PHCS (Private Healthcare Systems) $8,458 18.7% 2
MULTIPLAN CONTRACTED [320270] $8,458 18.7% 2
Aetna $7,924 11.2% 2
USA MANAGED CARE ORG CONTRACTED [320429] $7,835 9.9% 2
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] $7,835 9.9% 2
UnitedHealthcare $7,829 9.9% 10
UMR (UnitedHealthcare TPA) $7,701 8.1% 4
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $7,568 6.2% 2
EBMS CONTRACTED [320493] $7,568 6.2% 2
EDISON HEALTH SOLUTIONS CONTRACTED [320502] $7,568 6.2% 2
IMAGINE360 ADMINISTRATORS (GPA) $7,568 6.2% 2
AITHER HEALTH CONTRACTED [320449] $7,568 6.2% 4
YUZU HEALTH CONTRACTED [320521] $7,568 6.2% 4
AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] $7,568 6.2% 2
AUXIANT CONTRACTED [320462] $7,568 6.2% 8
BENEFIT MANAGEMENT CONTRACTED [320052] $7,568 6.2% 2
90 DEGREE BENEFITS CONTRACTED [320436] $7,568 6.2% 2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $7,568 6.2% 4
EVOLUTIONS HEALTHCARE SYSTEMS $7,568 6.2% 2
First Health Network $7,568 6.2% 2
HEALTHLINK PPO $7,568 6.2% 8
MERCY BENEFIT ADMIN CONTRACTED [320251] $7,568 6.2% 18
POINT C / MID-AMERICAN BENEFITS $7,562 6.1% 14
Cigna Healthcare $7,562 6.1% 10
Medica $7,532 5.7% 2
WORKERS COMP [20426] $7,345 3.1% 8
BLUE CROSS AND BLUE SHIELD [20053] $7,300 2.4% 12
HEALTH SYSTEMS INC CONTRACTED [320174] $7,122 -0.1% 2
INSURANCE SYSTEM INC CONTRACTED [320465] $7,122 -0.1% 2
PREFERRED HEALTH PLAN CONTRACTED [320522] $5,787 -18.8% 2
Humana $5,049 -29.2% 4
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $4,514 -36.7% 2
AMBETTER CONTRACTED [320452] $4,514 -36.7% 2
NOVASYS CONTRACTED [320285] $4,514 -36.7% 2
ADMINISTRATIVE PAYOR CONTRACTED [320005] $4,006 -43.8% 4
CENTIVO CONTRACTED [320505] $3,561 -50.0% 2
HealthSCOPE Benefits EHC Repricing $3,281 -54.0% 2
Home State Health (Centene Missouri Medicaid) $3,146 -55.9% 4
Devoted Health $2,634 -63.0% 2
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] $2,609 -63.4% 2
VA COMMUNITY CARE NETWORK $2,591 -63.6% 2
TRICARE $2,591 -63.7% 2
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $2,537 -64.4% 2
Medicare (Generic) $2,537 -64.4% 2
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $2,535 -64.4% 4
GLOBAL HEALTH $2,533 -64.5% 2
ELARA CARING ASPIRE HOSPICE [20433] $2,533 -64.5% 2
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] $2,533 -64.5% 2
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] $2,533 -64.5% 2
QUAL CHOICE CONTRACTED [320325] $2,533 -64.5% 2
CROSS TIMBERS HOSPICE [20098] $2,533 -64.5% 2
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $2,533 -64.5% 2
INDIAN HEALTH SERVICES $2,533 -64.5% 2
KINDFUL HOSPICE [20434] $2,533 -64.5% 2
KINDFUL HOSPICE CONTRACTED [320434] $2,533 -64.5% 2
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $2,533 -64.5% 2
Medica Holding Company $2,533 -64.5% 2
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] $2,533 -64.5% 2
MERCY HOSPICE OKC [20252] $2,533 -64.5% 2
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $2,533 -64.5% 2
HALO HCR INC HOSPICE CONTRACTED [320432] $2,533 -64.5% 2
HALO HCR INC HOSPICE [20432] $2,533 -64.5% 2
PACE OF THE OZARKS CONTRACTED [320518] $2,533 -64.5% 2
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] $2,533 -64.5% 2
BCBS MEDICAID CONTRACTED [320046] $2,493 -65.0% 2
KANCARE CONTRACTED [320213] $2,244 -68.5% 2
KANCARE [20213] $2,244 -68.5% 2
Medicaid (Generic) $1,905 -73.3% 4
MO MEDICAID BH CARVE OUT [320315] $1,781 -75.0% 2
UNITED HEALTHCARE MEDICAID CONTRACTED [320397] $1,781 -75.0% 2
HOME STATE MEDICAID CONTRACTED [320189] $1,781 -75.0% 2
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $6 -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.