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 J3245 · HAMILTON, MT

J3245 — Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe

What each payer pays BITTERROOT HEALTH - DALY HOSPITAL (CCN 271340) 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.

$57,090 All-payer median here
$62,055 Cash / self-pay here
6 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
   
Missoula County Employee Benefits Plan $62,055 8.7% 1
Mountain Health Co-op $60,193 5.4% 1
PacificSource $58,952 3.3% 1
BCBS of Montana $57,090 0.0% 5
ALLEGIANCE BENEFIT PLAN MANAGEMENT $155 -99.7% 1
First Choice Network $143 -99.8% 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.