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 A9604 · NEW BRUNSWICK, NJ

A9604 — Sm 153 Lexidronam

What each payer pays SAINT PETER'S UNIVERSITY HOSPITAL (CCN 310070) 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.

$24,884 All-payer median here
$36,883 Cash / self-pay here
16 payer/plan-name variants
← This hospital National rates for A9604 →
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
   
Horizon Mercy $62,993 153.1% 2
Anthem BCBS of New York $47,939 92.6% 2
No Fault $44,484 78.8% 6
Managed Care Other $43,179 73.5% 14
Self Pay $39,371 58.2% 2
All Other $35,545 42.8% 4
UnitedHealthcare $31,496 26.6% 6
Workman's Comp $29,870 20.0% 8
Commercial $28,748 15.5% 4
Cigna Healthcare $26,362 5.9% 4
Horizon BCBS of NJ $21,842 -12.2% 8
Managed Care Medicare $17,260 -30.6% 6
Medicare (Generic) $16,947 -31.9% 2
Aetna $15,292 -38.5% 4
Managed Care Medicaid $7,716 -69.0% 10
Medicaid (Generic) $7,301 -70.7% 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.