Price Transparencybeta 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 J0897 · CASSVILLE, MO

J0897 — Denosumab 60 Mg/ml Subcutaneous Syringe

What each payer pays MERCY HOSPITAL - CASSVILLE (CCN 261317) 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.

$5,511 All-payer median here
$7,737 Cash / self-pay here
75 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
   
MC ANTHEM [20455] $8,917 61.8% 4
First Health Network $8,734 58.5% 4
MultiPlan $8,734 58.5% 4
PHCS (Private Healthcare Systems) $8,734 58.5% 4
90 Degree Benefits $8,274 50.1% 4
BENEFIT MANAGEMENT CONTRACTED [320052] $8,274 50.1% 4
AITHER HEALTH $8,274 50.1% 8
MERCY BENEFIT ADMINISTRATION $8,274 50.1% 36
EDISON HEALTH SOLUTIONS $8,274 50.1% 4
AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] $8,274 50.1% 4
EVOLUTIONS HEALTHCARE SYSTEMS $8,274 50.1% 4
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $8,274 50.1% 4
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $8,274 50.1% 8
YUZU HEALTH CONTRACTED [320521] $8,274 50.1% 8
AUXIANT $8,274 50.1% 12
USA MANAGED CARE ORG CONTRACTED [320429] $8,274 50.1% 4
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $8,274 50.1% 4
IMAGINE360 ADMINISTRATORS (GPA) $8,274 50.1% 4
Medica $8,237 49.5% 4
WORKERS COMP [20426] $7,679 39.3% 16
POINT C / MID-AMERICAN BENEFITS $7,679 39.3% 36
UMR (UnitedHealthcare TPA) $7,517 36.4% 8
MUNICIPAL HEALTH PLAN CONTRACTED [320271] $7,447 35.1% 4
Insurance Systems, Inc. $7,355 33.5% 4
HEALTH SYSTEMS INC CONTRACTED [320174] $7,355 33.5% 4
HEALTHLINK PPO $6,786 23.1% 16
BLUE CROSS AND BLUE SHIELD [20053] $6,283 14.0% 28
Cigna Healthcare $6,159 11.8% 20
PREFERRED HEALTH PLAN CONTRACTED [320522] $5,976 8.4% 4
UnitedHealthcare $4,926 -10.6% 16
United Behavioral Health (Optum) $4,868 -11.7% 8
NOVASYS HEALTH $4,780 -13.3% 4
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $4,780 -13.3% 4
AMBETTER CONTRACTED [320452] $4,780 -13.3% 4
CENTIVO CONTRACTED [320505] $4,689 -14.9% 4
HealthSCOPE Benefits EHC Repricing $4,509 -18.2% 4
ADMINISTRATIVE PAYOR CONTRACTED [320005] $4,137 -24.9% 4
Aetna $3,937 -28.6% 12
Humana $3,937 -28.6% 12
BCBS MEDICAID CONTRACTED [320046] $3,912 -29.0% 4
TRICARE $3,725 -32.4% 4
WellCare Health Plans $3,716 -32.6% 4
Devoted Health $3,658 -33.6% 4
KINDFUL HOSPICE [20434] $3,517 -36.2% 4
ACENTRA HEALTH CONTRACTED [320527] $3,517 -36.2% 4
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $3,517 -36.2% 8
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $3,517 -36.2% 4
CROSS TIMBERS HOSPICE [20098] $3,517 -36.2% 4
ELARA CARING ASPIRE HOSPICE [20433] $3,517 -36.2% 4
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $3,517 -36.2% 4
GLOBAL HEALTH $3,517 -36.2% 4
HALO HCR INC HOSPICE [20432] $3,517 -36.2% 4
HALO HCR INC HOSPICE CONTRACTED [320432] $3,517 -36.2% 4
HEALTHSPRING $3,517 -36.2% 4
INDIAN HEALTH SERVICES $3,517 -36.2% 4
KINDFUL HOSPICE CONTRACTED [320434] $3,517 -36.2% 4
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $3,517 -36.2% 4
Medica Holding Company $3,517 -36.2% 4
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] $3,517 -36.2% 4
Medicare (Generic) $3,517 -36.2% 4
MERCY HOSPICE OKC [20252] $3,517 -36.2% 4
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $3,517 -36.2% 4
PACE OF THE OZARKS $3,517 -36.2% 4
Prominence Health Plan $3,517 -36.2% 4
Provider Partners Health Plan (PPHP) $3,517 -36.2% 4
QUALCHOICE ADVANTAGE $3,517 -36.2% 4
VA COMMUNITY CARE NETWORK $3,135 -43.1% 4
Home State Health (Centene Missouri Medicaid) $2,874 -47.8% 8
KANCARE [20213] $2,651 -51.9% 4
KANCARE CONTRACTED [320213] $2,651 -51.9% 4
Oklahoma Complete Health (Centene OK Medicaid) $2,489 -54.8% 4
UnitedHealthcare Community Plan $1,839 -66.6% 4
MO HealthNet (Missouri Medicaid) $1,839 -66.6% 4
Medicaid (Generic) $1,696 -69.2% 12
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $30 -99.4% 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.