Payer comparison · HCPCS J0840 · MOUNTAIN VIEW, MO

J0840 — Crotalidae Poly Immune Fab

What each payer pays MERCY ST FRANCIS HOSPITAL (CCN 261335) 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.

$8,663 All-payer median here

$6,257 Cash / self-pay here

72 payer/plan-name variants

← This hospital National rates for J0840 →

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]	$9,337	7.8%	2
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS)	$9,145	5.6%	2
AITHER HEALTH	$9,145	5.6%	4
BENEFIT MANAGEMENT CONTRACTED [320052]	$9,145	5.6%	2
Cigna Healthcare	$9,145	5.6%	6
EDISON HEALTH SOLUTIONS	$9,145	5.6%	2
90 Degree Benefits	$9,145	5.6%	2
EVOLUTIONS HEALTHCARE SYSTEMS	$9,145	5.6%	2
First Health Network	$9,145	5.6%	2
HEALTH SYSTEMS INC CONTRACTED [320174]	$9,145	5.6%	2
IMAGINE360 ADMINISTRATORS (GPA)	$9,145	5.6%	2
Insurance Systems, Inc.	$9,145	5.6%	2
MERCY BENEFIT ADMINISTRATION	$9,145	5.6%	19
MultiPlan	$9,145	5.6%	2
PHCS (Private Healthcare Systems)	$9,145	5.6%	2
POINT C / MID-AMERICAN BENEFITS	$9,145	5.6%	17
REFLECT HEALTH (FORMERLY S&S HEALTHCARE)	$9,145	5.6%	2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483]	$9,145	5.6%	4
USA MANAGED CARE ORG CONTRACTED [320429]	$9,145	5.6%	2
YUZU HEALTH CONTRACTED [320521]	$9,145	5.6%	4
Medica	$9,097	5.0%	2
UnitedHealthcare	$8,952	3.3%	7
United Behavioral Health (Optum)	$8,952	3.3%	2
HEALTHLINK PPO	$8,904	2.8%	6
AUXIANT	$8,904	2.8%	8
UMR (UnitedHealthcare TPA)	$8,808	1.7%	4
BLUE CROSS AND BLUE SHIELD [20053]	$8,760	1.1%	14
WORKERS COMP [20426]	$7,701	-11.1%	6
PREFERRED HEALTH PLAN CONTRACTED [320522]	$6,257	-27.8%	2
Humana	$5,983	-30.9%	4
Aetna	$5,934	-31.5%	4
BCBS MEDICAID CONTRACTED [320046]	$5,930	-31.6%	2
SUNFLOWER HEALTH PLAN CONTRACTED [320369]	$4,996	-42.3%	2
NOVASYS HEALTH	$4,996	-42.3%	2
AMBETTER CONTRACTED [320452]	$4,996	-42.3%	2
CENTIVO CONTRACTED [320505]	$4,973	-42.6%	2
ADMINISTRATIVE PAYOR CONTRACTED [320005]	$4,332	-50.0%	3
HealthSCOPE Benefits EHC Repricing	$3,847	-55.6%	2
Home State Health (Centene Missouri Medicaid)	$3,461	-60.1%	4
TRICARE	$3,273	-62.2%	2
Devoted Health	$3,094	-64.3%	2
WellCare Health Plans	$3,064	-64.6%	2
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122]	$2,974	-65.7%	2
GLOBAL HEALTH	$2,974	-65.7%	2
HALO HCR INC HOSPICE [20432]	$2,974	-65.7%	2
HALO HCR INC HOSPICE CONTRACTED [320432]	$2,974	-65.7%	2
INDIAN HEALTH SERVICES	$2,974	-65.7%	2
KINDFUL HOSPICE [20434]	$2,974	-65.7%	2
KINDFUL HOSPICE CONTRACTED [320434]	$2,974	-65.7%	2
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225]	$2,974	-65.7%	2
Medica Holding Company	$2,974	-65.7%	2
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444]	$2,974	-65.7%	2
Medicare (Generic)	$2,974	-65.7%	2
MERCY HOSPICE OKC [20252]	$2,974	-65.7%	2
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259]	$2,974	-65.7%	2
PACE OF THE OZARKS	$2,974	-65.7%	2
BCBS MEDICARE ADVANTAGE CONTRACTED [320047]	$2,974	-65.7%	4
CHEROKEE NATION HEALTH SERV CONTRACTED [320066]	$2,974	-65.7%	2
Prominence Health Plan	$2,974	-65.7%	2
CROSS TIMBERS HOSPICE [20098]	$2,974	-65.7%	2
Provider Partners Health Plan (PPHP)	$2,974	-65.7%	2
ELARA CARING ASPIRE HOSPICE [20433]	$2,974	-65.7%	2
QUALCHOICE ADVANTAGE	$2,974	-65.7%	2
VA COMMUNITY CARE NETWORK	$2,974	-65.7%	2
ACENTRA HEALTH CONTRACTED [320527]	$2,647	-69.4%	1
HEALTHSPRING	$2,647	-69.4%	1
Medicaid (Generic)	$1,925	-77.8%	2
UnitedHealthcare Community Plan	$1,925	-77.8%	2
MO HealthNet (Missouri Medicaid)	$1,925	-77.8%	2
NHC ADVANTAGE MEDICARE CONTRACTED [320282]	$1,884	-78.3%	2
KANCARE CONTRACTED [320213]	$1,827	-78.9%	2
KANCARE [20213]	$1,827	-78.9%	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.