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 J2794 · HAVRE, MT

J2794 — Risperidone Microspheres ER 25 Mg/2 Ml Intramuscular Susp,ext Release

What each payer pays Northern Montana Hospital (CCN 270032) 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.

$512 All-payer median here
$1,068 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for J2794 →
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
   
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $1,480 189.1% 1
GEHA (Government Employees Health Association) $1,480 189.1% 1
PacificSource $1,465 186.1% 1
Mountain Health Co-op $1,449 183.2% 1
ALLEGIANCE BENEFIT PLAN MANAGEMENT $1,236 141.4% 1
UnitedHealthcare $976 90.8% 2
BCBS Commercial $695 35.9% 2
Healthy Kids Medicaid $480 -6.3% 2
Montana Medicaid $480 -6.3% 2
Aetna $473 -7.6% 1
BCBS Medicare Advantage $473 -7.6% 1
Medicare (Generic) $473 -7.6% 1
TriWest $458 -10.6% 1
Humana $458 -10.6% 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.