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 J0875 · HARLOWTON, MT

J0875 — Dalbavancin 500 Mg Intravenous Solution

What each payer pays WHEATLAND MEMORIAL HOSPITAL (CCN 271321) 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.

$4,930 All-payer median here
$5,190 Cash / self-pay here
21 payer/plan-name variants
← This hospital National rates for J0875 →
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
   
CITY OF BILLINGS-ALL PLANS $7,785 57.9% 1
UnitedHealthcare $5,086 3.2% 1
CCN-ALL PLANS $5,034 2.1% 1
First Health Network $4,982 1.1% 1
FIRST CHOICE BIG SKY-ALL PLANS $4,930 0.0% 1
6 DEGREES HEALTH $4,930 0.0% 1
America's Choice Healthplans $4,930 0.0% 1
COMMUNITY HEALTH NTWK-ALL PLANS $4,930 0.0% 1
FEDMED NETWORK-ALL PLANS $4,930 0.0% 1
INTERWEST HEALTH PPO $4,930 0.0% 1
Mountain Health Co-op $4,930 0.0% 1
PACIFIC STEEL & RECYCLING-ALL PLANS $4,930 0.0% 1
ROCKY MOUNTAIN HEALTH NETWORK-ALL PLANS $4,930 0.0% 1
Three Rivers Provider Network $4,930 0.0% 1
ALLEGIANCE BENEFIT PLAN MANAGEMENT $4,411 -10.5% 1
PacificSource $4,048 -17.9% 2
AMISH OLD ORDERS-ALL PLANS $3,892 -21.1% 1
Medica $3,166 -35.8% 1
Health Net $3,166 -35.8% 1
PGBA TRIWEST VA CCN $3,166 -35.8% 1
Humana $3,166 -35.8% 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.