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 J2506 · MOUNTAIN VIEW, MO

J2506 — Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe

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.

$17,386 All-payer median here
$12,557 Cash / self-pay here
72 payer/plan-name variants
← This hospital National rates for J2506 →
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] $18,739 7.8% 2
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $18,352 5.6% 2
AITHER HEALTH $18,352 5.6% 4
BENEFIT MANAGEMENT CONTRACTED [320052] $18,352 5.6% 2
Cigna Healthcare $18,352 5.6% 6
EDISON HEALTH SOLUTIONS $18,352 5.6% 2
90 Degree Benefits $18,352 5.6% 2
EVOLUTIONS HEALTHCARE SYSTEMS $18,352 5.6% 2
First Health Network $18,352 5.6% 2
HEALTH SYSTEMS INC CONTRACTED [320174] $18,352 5.6% 2
IMAGINE360 ADMINISTRATORS (GPA) $18,352 5.6% 2
Insurance Systems, Inc. $18,352 5.6% 2
MERCY BENEFIT ADMINISTRATION $18,352 5.6% 19
MultiPlan $18,352 5.6% 2
PHCS (Private Healthcare Systems) $18,352 5.6% 2
POINT C / MID-AMERICAN BENEFITS $18,352 5.6% 17
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $18,352 5.6% 2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $18,352 5.6% 6
USA MANAGED CARE ORG CONTRACTED [320429] $18,352 5.6% 2
YUZU HEALTH CONTRACTED [320521] $18,352 5.6% 4
Medica $18,256 5.0% 2
United Behavioral Health (Optum) $17,966 3.3% 2
UnitedHealthcare $17,966 3.3% 7
HEALTHLINK PPO $17,869 2.8% 8
AUXIANT $17,869 2.8% 8
UMR (UnitedHealthcare TPA) $17,676 1.7% 4
BLUE CROSS AND BLUE SHIELD [20053] $17,580 1.1% 14
Aetna $17,193 -1.1% 6
WORKERS COMP [20426] $15,455 -11.1% 6
PREFERRED HEALTH PLAN CONTRACTED [320522] $12,557 -27.8% 2
Humana $12,006 -30.9% 4
BCBS MEDICAID CONTRACTED [320046] $11,900 -31.6% 2
AMBETTER CONTRACTED [320452] $10,026 -42.3% 2
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $10,026 -42.3% 2
NOVASYS HEALTH $10,026 -42.3% 2
CENTIVO CONTRACTED [320505] $9,980 -42.6% 2
ADMINISTRATIVE PAYOR CONTRACTED [320005] $8,693 -50.0% 3
HealthSCOPE Benefits EHC Repricing $7,720 -55.6% 2
Home State Health (Centene Missouri Medicaid) $6,945 -60.1% 4
TRICARE $6,569 -62.2% 2
Devoted Health $6,209 -64.3% 2
WellCare Health Plans $6,149 -64.6% 2
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $5,969 -65.7% 2
GLOBAL HEALTH $5,969 -65.7% 2
HALO HCR INC HOSPICE [20432] $5,969 -65.7% 2
HALO HCR INC HOSPICE CONTRACTED [320432] $5,969 -65.7% 2
INDIAN HEALTH SERVICES $5,969 -65.7% 2
KINDFUL HOSPICE [20434] $5,969 -65.7% 2
KINDFUL HOSPICE CONTRACTED [320434] $5,969 -65.7% 2
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $5,969 -65.7% 2
Medica Holding Company $5,969 -65.7% 2
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] $5,969 -65.7% 2
MERCY HOSPICE OKC [20252] $5,969 -65.7% 2
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $5,969 -65.7% 2
PACE OF THE OZARKS $5,969 -65.7% 2
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $5,969 -65.7% 4
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $5,969 -65.7% 2
Prominence Health Plan $5,969 -65.7% 2
CROSS TIMBERS HOSPICE [20098] $5,969 -65.7% 2
Provider Partners Health Plan (PPHP) $5,969 -65.7% 2
ELARA CARING ASPIRE HOSPICE [20433] $5,969 -65.7% 2
QUALCHOICE ADVANTAGE $5,969 -65.7% 2
VA COMMUNITY CARE NETWORK $5,969 -65.7% 2
HEALTHSPRING $5,312 -69.4% 1
ACENTRA HEALTH CONTRACTED [320527] $5,312 -69.4% 1
Medicare (Generic) $5,312 -69.4% 3
UnitedHealthcare Community Plan $3,864 -77.8% 2
MO HealthNet (Missouri Medicaid) $3,864 -77.8% 2
Medicaid (Generic) $3,864 -77.8% 2
KANCARE CONTRACTED [320213] $1,474 -91.5% 2
KANCARE [20213] $1,474 -91.5% 2
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $109 -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.