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 J1602 · PILOT KNOB, MO

J1602 — Golimumab 12.5 Mg/ml Intravenous Solution

What each payer pays IRON COUNTY MEDICAL CENTER (CCN 261336) 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.

$2,135 All-payer median here
$6,137 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for J1602 →
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
   
Anthem (Elevance Health) $5,114 139.5% 1
HEALTHLINK PPO $5,114 139.5% 1
Cigna Healthcare $4,091 91.6% 1
Aetna $3,784 77.3% 2
Humana $3,454 61.8% 2
UnitedHealthcare $3,273 53.3% 2
WellCare Health Plans $2,177 2.0% 1
Provider Partners Health Plan (PPHP) $2,114 -1.0% 1
Centene $2,114 -1.0% 1
VA / CHAMPVA $2,114 -1.0% 1
TRICARE $2,114 -1.0% 1
Blue Cross - Medicare Advantage $2,114 -1.0% 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.