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 J0225 · FREEHOLD, NJ

J0225 — Inj, Vutrisiran, 1 Mg

What each payer pays CENTRASTATE MEDICAL CENTER (CCN 310111) 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.

$124,596 All-payer median here
$143,381 Cash / self-pay here
79 payer/plan-name variants
← This hospital National rates for J0225 →
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
   
Independence BCBS $340,316 173.1% 2
SUMMIT MEDICAL GROUP BLUE CROSS [5406] $340,316 173.1% 2
PRIME HEALTHCARE [5435] $340,316 173.1% 2
Anthem BCBS of New York $232,456 86.6% 8
Meritain Health $175,681 41.0% 2
HEALTHSMART BENEFIT SOLUTIONS $175,681 41.0% 2
LUMINARE HEALTH BENEFITS [5483] $175,681 41.0% 2
NIPPON BENEFIT LIFE [5201] $175,681 41.0% 2
CONTINENTAL ASSURANCE [5091] $175,681 41.0% 2
Christian Brothers Services $175,681 41.0% 2
Banner Health $175,681 41.0% 2
BOON-CHAPMAN ADMINISTRATORS $175,681 41.0% 2
1199 NATIONAL BENEFIT FUND $175,681 41.0% 2
STARMARK $175,681 41.0% 2
MARPAI HEALTH $175,681 41.0% 2
ALLIED BENEFIT SYSTEMS $164,318 31.9% 4
EVOLUTIONS HEALTHCARE SYSTEMS $157,366 26.3% 4
HealthEZ $157,366 26.3% 4
WEBTPA $157,366 26.3% 4
INSURANCE ADMINISTRATORS OF AMERICA $152,955 22.8% 2
UMR (UnitedHealthcare TPA) $151,168 21.3% 2
NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOCIATION $151,168 21.3% 2
OXFORD BEHAVIORAL HEALTH [5291] $151,168 21.3% 2
Surest (UHC) $151,168 21.3% 2
AMERICAN POSTAL WORKERS UNION HEALTH PLAN $151,168 21.3% 2
United Behavioral Health (Optum) $151,168 21.3% 2
UnitedHealthcare $151,168 21.3% 12
GEHA (Government Employees Health Association) $151,168 21.3% 2
GOLDEN RULE INSURANCE $151,168 21.3% 2
Harvard Pilgrim Health Care $151,168 21.3% 2
MVP Health Care $139,050 11.6% 2
SEAFARERS HEALTH AND BENEFITS PLAN $139,050 11.6% 2
Tufts Health Plan $139,050 11.6% 2
Cigna Healthcare $139,050 11.6% 19
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $139,050 11.6% 2
CENTIVO [5405] $138,776 11.4% 4
WELLPOINT MANAGED MEDICAID [5006] $128,957 3.5% 2
Horizon BCBS of NJ $124,596 0.0% 16
Aetna $124,596 0.0% 24
Anthem (Elevance Health) $64,877 -47.9% 6
AMERIHEALTH CARITAS VIP CARE [5313] $64,815 -48.0% 2
AmeriHealth Caritas $64,815 -48.0% 2
US Family Health Plan $64,790 -48.0% 2
Allwell (Centene Medicare Advantage) $64,790 -48.0% 2
AMBETTER [5432] $64,790 -48.0% 2
AMERIHEALTH ADMINISTRATORS $64,790 -48.0% 2
AMERIHEALTH MEDIGAP [5049] $64,790 -48.0% 2
ANTHEM MEDICARE PFFS IP SPLITS [5474] $64,790 -48.0% 2
CLAIMDOC [5434] $64,790 -48.0% 2
CLAIM WATCHER/HOMESTEAD [5488] $64,790 -48.0% 2
COMPASSIONATE CARE [5442] $64,790 -48.0% 2
COSMETIC SURGERY/LAP BAND/GASTRIC BYPASS [5289] $64,790 -48.0% 2
CS CARD REHAB CASH PAY [5497] $64,790 -48.0% 2
CS NUTRITION CONSULT-INITIAL AND FOLLOW UP [5493] $64,790 -48.0% 2
CS PULMONARY REHAB CASH PAY [5496] $64,790 -48.0% 2
CS RADIOLOGY CASH PAY [5498] $64,790 -48.0% 2
CS REHAB CASH PAY [5495] $64,790 -48.0% 2
CS SPORTS PERFORMANCE EVAL AND VISITS [5494] $64,790 -48.0% 2
FAIROS [5491] $64,790 -48.0% 2
Highmark BCBS $64,790 -48.0% 2
HIGHMARK WHOLECARE HEALTH PLAN [5413] $64,790 -48.0% 2
HIGHMARK WHOLECARE HEALTH PLAN IP SPLITS [5464] $64,790 -48.0% 2
HORIZON BCBSNJ BRAVEN HEALTH [5416] $64,790 -48.0% 2
LONGEVITY MEDICARE ADVANTAGE HMO [5428] $64,790 -48.0% 2
LONGEVITY MEDICARE ADVANTAGE HMO IP SPLITS [5467] $64,790 -48.0% 2
MEDICAID PENDING [5302] $64,790 -48.0% 2
SPECIALTY IMAGING [5433] $64,790 -48.0% 2
TRICARE $64,790 -48.0% 4
UNTD HLTH MEDICARE [5035] $64,790 -48.0% 2
UNTD HLTH MEDICARE BEHAVIORAL [5409] $64,790 -48.0% 2
UPMC Health Plan $64,790 -48.0% 6
US MARSHALL SERVICE [5429] $64,790 -48.0% 2
VA / CHAMPVA $64,790 -48.0% 2
VA COMMUNITY CARE NETWORK $64,790 -48.0% 2
WELLCARE BEHAVIORAL HEALTH [5335] $64,790 -48.0% 2
WellCare Health Plans $64,790 -48.0% 4
WORLD TRADE CENTER - MCA SEDGWICK $64,790 -48.0% 2
World Trade Center (WTC) Health Program $62,310 -50.0% 2
HEALTHSPRING $4,984 -96.0% 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.