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 J0897 · SCOBEY, MT

J0897 — Denosumab 60 Mg/ml Subcutaneous Syringe

What each payer pays DANIELS MEMORIAL HOSPITAL (CCN 271342) 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.

$7,062 All-payer median here
$8,148 Cash / self-pay here
9 payer/plan-name variants
← This hospital National rates for J0897 →
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
   
INTERWEST HEALTH PPO $9,298 31.7% 2
PacificSource $9,107 29.0% 2
UnitedHealthcare $9,011 27.6% 2
Mountain Health Co-op $8,502 20.4% 4
BCBS of Montana $8,359 18.4% 2
BCBSMT TRAD NTWRK- ALL OTHER PLANS $8,359 18.4% 2
GEHA (Government Employees Health Association) $7,956 12.7% 2
ALLEGIANCE BENEFIT PLAN MANAGEMENT $6,991 -1.0% 4
PGBA TRIWEST VA CCN $5,752 -18.6% 2

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.