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 · WATERTOWN, NY

J0225 — Inj, Vutrisiran, 1 Mg

What each payer pays SAMARITAN MEDICAL CENTER (CCN 330157) 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.

$183,327 All-payer median here
$229,159 Cash / self-pay here
11 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
   
EmblemHealth $186,765 1.9% 2
Anthem (Elevance Health) $183,327 0.0% 1
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) $183,327 0.0% 6
Centene $183,327 0.0% 6
Excellus BCBS $183,327 0.0% 5
MVP Health Care $183,327 0.0% 10
Aetna $183,327 0.0% 4
United Behavioral Health (Optum) $183,327 0.0% 1
UnitedHealthcare $183,327 0.0% 5
UMR (UnitedHealthcare TPA) $169,578 -7.5% 2
WellCare Health Plans $94,165 -48.6% 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.