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 J1411 · NYACK, NY

J1411 — Inj, Hemgenix, Per Tx Dose

What each payer pays NYACK HOSPITAL (CCN 330104) 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.

$4,345,922 All-payer median here
$4,502,733 Cash / self-pay here
16 payer/plan-name variants
← This hospital National rates for J1411 →
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
   
Humana $4,780,514 10.0% 2
Longevity Medicare Health Plan $4,737,055 9.0% 2
Partners Health Plan $4,727,869 8.8% 1
Hamaspik $4,693,596 8.0% 2
CenterLight Health System, Inc. $4,476,300 3.0% 6
WellCare Health Plans $4,432,841 2.0% 2
EmblemHealth $4,345,922 0.0% 2
Anthem (Elevance Health) $4,345,922 0.0% 2
Centene $4,345,922 0.0% 2
VillageCareMAX $4,345,922 0.0% 2
VNS CHOICE (NY) $4,345,922 0.0% 2
Aetna $4,302,463 -1.0% 2
Healthfirst $4,280,733 -1.5% 4
UnitedHealthcare $4,200,000 -3.4% 9
American Postal Workers $4,200,000 -3.4% 1
1199 NATIONAL BENEFIT FUND $3,500,000 -19.5% 3

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.