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 J7201 · AURORA, MO

J7201 — Factor Ix Alprolix Recomb

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.

$28,909 All-payer median here
$22,832 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for J7201 →
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] $34,424 19.1% 2
PHCS (Private Healthcare Systems) $33,370 15.4% 1
MULTIPLAN CONTRACTED [320270] $33,370 15.4% 1
Aetna $31,263 8.1% 1
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] $30,912 6.9% 1
USA MANAGED CARE ORG CONTRACTED [320429] $30,912 6.9% 1
UnitedHealthcare $30,912 6.9% 5
UMR (UnitedHealthcare TPA) $30,385 5.1% 2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $29,858 3.3% 2
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $29,858 3.3% 1
EBMS CONTRACTED [320493] $29,858 3.3% 1
EDISON HEALTH SOLUTIONS CONTRACTED [320502] $29,858 3.3% 1
POINT C / MID-AMERICAN BENEFITS $29,858 3.3% 7
EVOLUTIONS HEALTHCARE SYSTEMS $29,858 3.3% 1
First Health Network $29,858 3.3% 1
IMAGINE360 ADMINISTRATORS (GPA) $29,858 3.3% 1
AITHER HEALTH CONTRACTED [320449] $29,858 3.3% 2
YUZU HEALTH CONTRACTED [320521] $29,858 3.3% 2
AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] $29,858 3.3% 1
AUXIANT CONTRACTED [320462] $29,858 3.3% 4
BENEFIT MANAGEMENT CONTRACTED [320052] $29,858 3.3% 1
90 DEGREE BENEFITS CONTRACTED [320436] $29,858 3.3% 1
Cigna Healthcare $29,858 3.3% 5
HEALTHLINK PPO $29,858 3.3% 4
MERCY BENEFIT ADMIN CONTRACTED [320251] $29,858 3.3% 9
Medica $29,717 2.8% 1
WORKERS COMP [20426] $28,980 0.2% 4
BLUE CROSS AND BLUE SHIELD [20053] $28,804 -0.4% 6
HEALTH SYSTEMS INC CONTRACTED [320174] $28,101 -2.8% 1
INSURANCE SYSTEM INC CONTRACTED [320465] $28,101 -2.8% 1
PREFERRED HEALTH PLAN CONTRACTED [320522] $22,832 -21.0% 1
Humana $19,926 -31.1% 2
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $17,809 -38.4% 1
AMBETTER CONTRACTED [320452] $17,809 -38.4% 1
NOVASYS CONTRACTED [320285] $17,809 -38.4% 1
ADMINISTRATIVE PAYOR CONTRACTED [320005] $15,807 -45.3% 1
CENTIVO CONTRACTED [320505] $14,051 -51.4% 1
HealthSCOPE Benefits EHC Repricing $12,944 -55.2% 1
Home State Health (Centene Missouri Medicaid) $12,417 -57.0% 2
KANCARE [20213] $10,800 -62.6% 1
KANCARE CONTRACTED [320213] $10,800 -62.6% 1
Devoted Health $10,394 -64.0% 1
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] $10,292 -64.4% 1
VA COMMUNITY CARE NETWORK $10,222 -64.6% 1
TRICARE $10,221 -64.6% 1
Medicare (Generic) $10,011 -65.4% 1
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $10,011 -65.4% 1
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $10,002 -65.4% 2
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] $9,994 -65.4% 1
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] $9,994 -65.4% 1
QUAL CHOICE CONTRACTED [320325] $9,994 -65.4% 1
CROSS TIMBERS HOSPICE [20098] $9,994 -65.4% 1
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $9,994 -65.4% 1
INDIAN HEALTH SERVICES $9,994 -65.4% 1
KINDFUL HOSPICE [20434] $9,994 -65.4% 1
KINDFUL HOSPICE CONTRACTED [320434] $9,994 -65.4% 1
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $9,994 -65.4% 1
Medica Holding Company $9,994 -65.4% 1
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] $9,994 -65.4% 1
MERCY HOSPICE OKC [20252] $9,994 -65.4% 1
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $9,994 -65.4% 1
HALO HCR INC HOSPICE CONTRACTED [320432] $9,994 -65.4% 1
HALO HCR INC HOSPICE [20432] $9,994 -65.4% 1
PACE OF THE OZARKS CONTRACTED [320518] $9,994 -65.4% 1
GLOBAL HEALTH $9,994 -65.4% 1
ELARA CARING ASPIRE HOSPICE [20433] $9,994 -65.4% 1
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] $9,994 -65.4% 1
BCBS MEDICAID CONTRACTED [320046] $9,835 -66.0% 1
Medicaid (Generic) $7,743 -73.2% 2
MO MEDICAID BH CARVE OUT [320315] $7,025 -75.7% 1
HOME STATE MEDICAID CONTRACTED [320189] $7,025 -75.7% 1
UNITED HEALTHCARE MEDICAID CONTRACTED [320397] $7,025 -75.7% 1
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $4 -100.0% 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.