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 J2997 · CASSVILLE, MO

J2997 — Alteplase 2 Mg Intra-catheter Solution

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.

$9,033 All-payer median here
$8,609 Cash / self-pay here
75 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] $12,847 42.2% 3
Cigna Healthcare $12,582 39.3% 15
MultiPlan $12,582 39.3% 3
First Health Network $12,582 39.3% 3
PHCS (Private Healthcare Systems) $12,582 39.3% 3
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $11,920 32.0% 3
AUXIANT $11,920 32.0% 9
YUZU HEALTH CONTRACTED [320521] $11,920 32.0% 6
USA MANAGED CARE ORG CONTRACTED [320429] $11,920 32.0% 3
EDISON HEALTH SOLUTIONS $11,920 32.0% 3
AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] $11,920 32.0% 3
MERCY BENEFIT ADMINISTRATION $11,920 32.0% 27
EVOLUTIONS HEALTHCARE SYSTEMS $11,920 32.0% 3
POINT C / MID-AMERICAN BENEFITS $11,920 32.0% 27
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $11,920 32.0% 3
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $11,920 32.0% 6
BENEFIT MANAGEMENT CONTRACTED [320052] $11,920 32.0% 3
IMAGINE360 ADMINISTRATORS (GPA) $11,920 32.0% 3
AITHER HEALTH $11,920 32.0% 6
90 Degree Benefits $11,920 32.0% 3
Medica $11,867 31.4% 3
HEALTHLINK PPO $11,589 28.3% 12
WORKERS COMP [20426] $10,927 21.0% 12
UMR (UnitedHealthcare TPA) $10,927 21.0% 6
MUNICIPAL HEALTH PLAN CONTRACTED [320271] $10,728 18.8% 3
HEALTH SYSTEMS INC CONTRACTED [320174] $10,596 17.3% 3
Insurance Systems, Inc. $10,596 17.3% 3
BLUE CROSS AND BLUE SHIELD [20053] $10,135 12.2% 21
PREFERRED HEALTH PLAN CONTRACTED [320522] $8,609 -4.7% 3
UnitedHealthcare $7,666 -15.1% 12
United Behavioral Health (Optum) $7,601 -15.9% 6
NOVASYS HEALTH $6,887 -23.8% 3
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $6,887 -23.8% 3
AMBETTER CONTRACTED [320452] $6,887 -23.8% 3
CENTIVO CONTRACTED [320505] $6,755 -25.2% 3
HealthSCOPE Benefits EHC Repricing $6,496 -28.1% 3
ADMINISTRATIVE PAYOR CONTRACTED [320005] $5,960 -34.0% 3
BCBS MEDICAID CONTRACTED [320046] $5,636 -37.6% 3
TRICARE $5,367 -40.6% 3
WellCare Health Plans $5,353 -40.7% 3
Devoted Health $5,270 -41.7% 3
KINDFUL HOSPICE [20434] $5,067 -43.9% 3
ACENTRA HEALTH CONTRACTED [320527] $5,067 -43.9% 3
Aetna $5,067 -43.9% 9
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $5,067 -43.9% 6
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $5,067 -43.9% 3
CROSS TIMBERS HOSPICE [20098] $5,067 -43.9% 3
ELARA CARING ASPIRE HOSPICE [20433] $5,067 -43.9% 3
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $5,067 -43.9% 3
GLOBAL HEALTH $5,067 -43.9% 3
HALO HCR INC HOSPICE [20432] $5,067 -43.9% 3
HALO HCR INC HOSPICE CONTRACTED [320432] $5,067 -43.9% 3
HEALTHSPRING $5,067 -43.9% 3
Humana $5,067 -43.9% 9
INDIAN HEALTH SERVICES $5,067 -43.9% 3
KINDFUL HOSPICE CONTRACTED [320434] $5,067 -43.9% 3
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $5,067 -43.9% 3
Medica Holding Company $5,067 -43.9% 3
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] $5,067 -43.9% 3
Medicare (Generic) $5,067 -43.9% 3
MERCY HOSPICE OKC [20252] $5,067 -43.9% 3
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $5,067 -43.9% 3
PACE OF THE OZARKS $5,067 -43.9% 3
Prominence Health Plan $5,067 -43.9% 3
Provider Partners Health Plan (PPHP) $5,067 -43.9% 3
QUALCHOICE ADVANTAGE $5,067 -43.9% 3
KANCARE [20213] $4,692 -48.1% 3
KANCARE CONTRACTED [320213] $4,692 -48.1% 3
Oklahoma Complete Health (Centene OK Medicaid) $4,574 -49.4% 3
VA COMMUNITY CARE NETWORK $4,516 -50.0% 3
Home State Health (Centene Missouri Medicaid) $3,973 -56.0% 6
Medicaid (Generic) $2,649 -70.7% 9
UnitedHealthcare Community Plan $2,649 -70.7% 3
MO HealthNet (Missouri Medicaid) $2,649 -70.7% 3
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $97 -98.9% 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.