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 J1823 · FREEHOLD, NJ

J1823 — Inj. Inebilizumab-cdon, 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.

$168,685 All-payer median here
$171,113 Cash / self-pay here
150 payer/plan-name variants
← This hospital National rates for J1823 →
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
   
INSURANCE ADMINISTRATORS OF AMERICA $210,387 24.7% 2
ALLIED BENEFIT SYSTEMS $209,765 24.4% 4
Christian Brothers Services $209,144 24.0% 2
HEALTHSMART BENEFIT SOLUTIONS $209,144 24.0% 2
Meritain Health $209,144 24.0% 2
MARPAI HEALTH $209,144 24.0% 2
LUMINARE HEALTH BENEFITS [5483] $209,144 24.0% 2
Banner Health $209,144 24.0% 2
BOON-CHAPMAN ADMINISTRATORS $209,144 24.0% 2
STARMARK $209,144 24.0% 2
1199 NATIONAL BENEFIT FUND $209,144 24.0% 2
NIPPON BENEFIT LIFE [5201] $209,144 24.0% 2
CONTINENTAL ASSURANCE [5091] $209,144 24.0% 2
HealthEZ $200,203 18.7% 4
EVOLUTIONS HEALTHCARE SYSTEMS $200,203 18.7% 4
WEBTPA $200,203 18.7% 4
PRIME HEALTHCARE [5435] $191,601 13.6% 2
Independence BCBS $191,601 13.6% 2
SUMMIT MEDICAL GROUP BLUE CROSS [5406] $191,601 13.6% 2
Tufts Health Plan $191,262 13.4% 2
Cigna Healthcare $191,262 13.4% 19
SEAFARERS HEALTH AND BENEFITS PLAN $191,262 13.4% 2
MVP Health Care $191,262 13.4% 2
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $191,262 13.4% 2
CENTIVO [5405] $179,359 6.3% 4
United Behavioral Health (Optum) $177,291 5.1% 2
NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOCIATION $177,291 5.1% 2
AMERICAN POSTAL WORKERS UNION HEALTH PLAN $177,291 5.1% 2
OXFORD BEHAVIORAL HEALTH [5291] $177,291 5.1% 2
UMR (UnitedHealthcare TPA) $177,291 5.1% 2
GEHA (Government Employees Health Association) $177,291 5.1% 2
GOLDEN RULE INSURANCE $177,291 5.1% 2
Surest (UHC) $177,291 5.1% 2
Harvard Pilgrim Health Care $177,291 5.1% 2
UnitedHealthcare $177,291 5.1% 13
Anthem BCBS of New York $169,966 0.8% 8
ZURICH WORKERS COMP [5275] $168,685 0.0% 1
AETNA BETTER HEALTH [5005] $168,685 0.0% 1
AIG WORKERS COMPENSATION [5045] $168,685 0.0% 1
ALLSTATE [5047] $168,685 0.0% 1
AMERIHEALTH [5008] $168,685 0.0% 2
AMERIHEALTH CARITAS NORTHEAST $168,685 0.0% 1
AMTRUST NORTH AMERICA INC [5521] $168,685 0.0% 1
ANTHEM BCBSNY MEDICAID [5511] $168,685 0.0% 1
BERKSHIRE HATHAWAY GUARD INSURANCE COMPANY [5529] $168,685 0.0% 1
BROADSPIRE, A CRAWFORD COMPANY $168,685 0.0% 1
BUNDLED CASES/EPISODIC PAYMENT [5492] $168,685 0.0% 1
CARBA R GENERIC [5530] $168,685 0.0% 1
CCMSI WC [5525] $168,685 0.0% 1
CENTRASTATE MONMOUTH COUNTY JAIL [5427] $168,685 0.0% 1
CHUBB WORKER'S COMPENSATION [5075] $168,685 0.0% 1
CHURCH MUTUAL WC INSURANCE COMPANY [5524] $168,685 0.0% 1
CLAIMS RESOLUTION CORPORATION INC [5520] $168,685 0.0% 1
CONTINENTAL ASSURANCE - PHCS [5092] $168,685 0.0% 1
CORESOURCE [5014] $168,685 0.0% 1
CORVEL $168,685 0.0% 1
EmblemHealth $168,685 0.0% 1
ESIS [5519] $168,685 0.0% 1
ESURANCE NO FAULT [5105] $168,685 0.0% 1
FIDELIS CARE (CENTERCARE) $168,685 0.0% 1
First Health Network $168,685 0.0% 1
FIRST MANAGED CARE OPTION [5109] $168,685 0.0% 2
GALLAGHER BASSETT WORKERS COMP [5117] $168,685 0.0% 1
GEICO NO FAULT [5120] $168,685 0.0% 1
HANOVER NO FAULT [5129] $168,685 0.0% 1
HANOVER WORKERS COMP [5130] $168,685 0.0% 1
HARTFORD INSURANCE $168,685 0.0% 1
HIGH POINT NO FAULT [5146] $168,685 0.0% 1
Humana $168,685 0.0% 1
ILA LOCAL 1478-2 WELFARE FUND [5448] $168,685 0.0% 1
INSERVCO WORKERS COMPENSATION [5158] $168,685 0.0% 2
Kaiser Permanente $168,685 0.0% 1
KESSLER FOUNDATION [5532] $168,685 0.0% 1
LIBERTY MUTUAL NO FAULT [5173] $168,685 0.0% 1
LIBERTY MUTUAL WORKER'S COMP [5174] $168,685 0.0% 1
MAGNACARE $168,685 0.0% 1
Medicaid (Generic) $168,685 0.0% 1
MEDLOGIX/CONSUMER HEALTH NETWORK (CHN) [5415] $168,685 0.0% 2
MEDLOGIX/CONSUMER HEALTH NETWORK PIP (CHN) [5414] $168,685 0.0% 1
MEDRISK $168,685 0.0% 1
MultiPlan $168,685 0.0% 1
NATIONWIDE MUTUAL INSURANCE COMPANY [5526] $168,685 0.0% 1
NJ MANUFACTURERS NO FAULT [5203] $168,685 0.0% 1
NJ MANUFACTURERS WORKERS COMP [5204] $168,685 0.0% 1
OCCUNET $168,685 0.0% 2
Oscar Health $168,685 0.0% 1
PHCS (Private Healthcare Systems) $168,685 0.0% 2
PLYMOUTH ROCK ASSURANCE NO FAULT [5222] $168,685 0.0% 1
PMA WORKERS COMP [5224] $168,685 0.0% 1
PRAXIS WORKERS COMP [5515] $168,685 0.0% 2
PROGRESSIVE NO FAULT [5229] $168,685 0.0% 1
QUALCARE [5026] $168,685 0.0% 1
QUALCARE WORKERS COMPENSATION [5028] $168,685 0.0% 1
QUAL-LYNX WORKERS COMP [5230] $168,685 0.0% 1
SAGE ADJUSTING, LLC [5527] $168,685 0.0% 1
SEDGWICK [5235] $168,685 0.0% 1
SELECTIVE INS WORKERS COMP [5237] $168,685 0.0% 1
SENTRY WORKER'S COMP [5489] $168,685 0.0% 1
STATE FARM NO FAULT [5241] $168,685 0.0% 1
STRATEGIC COMP [5518] $168,685 0.0% 1
THE FAIRLY GROUP [5528] $168,685 0.0% 1
THE FAIRLY GROUP SECONDARY [5531] $168,685 0.0% 1
Travelers Indemnity Company of America (The) $168,685 0.0% 2
UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] $168,685 0.0% 1
USAA NO FAULT [5260] $168,685 0.0% 1
WELLPATH CORRECTIONAL [5485] $168,685 0.0% 1
ZURICH NO FAULT [5274] $168,685 0.0% 1
World Trade Center (WTC) Health Program $164,164 -2.7% 2
WELLPOINT MANAGED MEDICAID [5006] $153,522 -9.0% 2
Horizon BCBS of NJ $148,330 -12.1% 17
Aetna $148,330 -12.1% 24
CLAIM WATCHER/HOMESTEAD [5488] $148,330 -12.1% 3
Anthem (Elevance Health) $74,421 -55.9% 6
AMERIHEALTH CARITAS VIP CARE [5313] $74,415 -55.9% 2
AmeriHealth Caritas $74,415 -55.9% 2
US Family Health Plan $74,412 -55.9% 2
FAIROS [5491] $74,412 -55.9% 2
CLAIMDOC [5434] $74,412 -55.9% 2
US MARSHALL SERVICE [5429] $74,412 -55.9% 2
VA / CHAMPVA $74,412 -55.9% 2
VA COMMUNITY CARE NETWORK $74,412 -55.9% 2
LONGEVITY MEDICARE ADVANTAGE HMO [5428] $74,412 -55.9% 2
LONGEVITY MEDICARE ADVANTAGE HMO IP SPLITS [5467] $74,412 -55.9% 2
CS SPORTS PERFORMANCE EVAL AND VISITS [5494] $74,412 -55.9% 2
SPECIALTY IMAGING [5433] $74,412 -55.9% 2
CS REHAB CASH PAY [5495] $74,412 -55.9% 2
ANTHEM MEDICARE PFFS IP SPLITS [5474] $74,412 -55.9% 2
MEDICAID PENDING [5302] $74,412 -55.9% 2
Allwell (Centene Medicare Advantage) $74,412 -55.9% 2
WELLCARE BEHAVIORAL HEALTH [5335] $74,412 -55.9% 2
CS RADIOLOGY CASH PAY [5498] $74,412 -55.9% 2
AMERIHEALTH MEDIGAP [5049] $74,412 -55.9% 2
CS PULMONARY REHAB CASH PAY [5496] $74,412 -55.9% 2
CS NUTRITION CONSULT-INITIAL AND FOLLOW UP [5493] $74,412 -55.9% 2
CS CARD REHAB CASH PAY [5497] $74,412 -55.9% 2
WellCare Health Plans $74,412 -55.9% 4
COSMETIC SURGERY/LAP BAND/GASTRIC BYPASS [5289] $74,412 -55.9% 2
TRICARE $74,412 -55.9% 4
COMPASSIONATE CARE [5442] $74,412 -55.9% 2
AMBETTER [5432] $74,412 -55.9% 2
UNTD HLTH MEDICARE [5035] $74,412 -55.9% 2
Highmark BCBS $74,412 -55.9% 2
HIGHMARK WHOLECARE HEALTH PLAN [5413] $74,412 -55.9% 2
HIGHMARK WHOLECARE HEALTH PLAN IP SPLITS [5464] $74,412 -55.9% 2
UNTD HLTH MEDICARE BEHAVIORAL [5409] $74,412 -55.9% 2
HORIZON BCBSNJ BRAVEN HEALTH [5416] $74,412 -55.9% 2
UPMC Health Plan $74,412 -55.9% 6
WORLD TRADE CENTER - MCA SEDGWICK $74,412 -55.9% 2
AMERIHEALTH ADMINISTRATORS $74,412 -55.9% 2
HEALTHSPRING $494 -99.7% 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.