Price Transparency 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 J3245 · LIVINGSTON, MT

J3245 — Inj., Tildrakizumab, 1 Mg

What each payer pays LIVINGSTON HEALTHCARE (CCN 271317) 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.

$30,714 All-payer median here
$30,714 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for J3245 →
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
   
BCBS TRAD - ALL OTHER PLANS $32,331 5.3% 1
COVENTRY - ALL PLANS $31,361 2.1% 1
INTERWEST HEALTH PPO $31,199 1.6% 2
ALLEGIANCE - ALL PLANS $30,714 0.0% 1
BCBS POS/CLOSED PLAN $30,714 0.0% 1
FIRST CHOICE/HIN - ALL PLANS $30,714 0.0% 1
PACIFICSOURCE - ALL OTHER PLANS $30,113 -2.0% 1
BCBS HLTHLINK/BLUE OPTIONS $28,128 -8.4% 1
UnitedHealthcare $23,925 -22.1% 2
PacificSource $19,398 -36.8% 1
Humana $17,307 -43.7% 1
BCBS MCR ADV $17,135 -44.2% 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.