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 J9307 · UTICA, NY

J9307 — Pralatrexate Injection

What each payer pays St Elizabeth Medical Center (CCN 330245) 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.

$83,734 All-payer median here
$41,728 Cash / self-pay here
79 payer/plan-name variants
← This hospital National rates for J9307 →
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
   
WPS [600005] $83,734 0.0% 2
ADAP PLUS [500010] $83,734 0.0% 2
Aetna $83,734 0.0% 2
AETNA MEDICARE ADVANTAGE [450001] $83,734 0.0% 2
ALLSTATE AUTO INSURANCE [800001] $83,734 0.0% 2
Anthem BCBS of New York $83,734 0.0% 4
BLUE CROSS FEDERAL [200063] $83,734 0.0% 2
BLUE CROSS NY WESTERN NEW YORK [200042] $83,734 0.0% 2
BLUE CROSS OUT OF STATE [209999] $83,734 0.0% 4
BLUE SHIELD NY NORTHEASTERN NEW YORK [200043] $83,734 0.0% 2
CANCER SERVICES PROGRAM [500011] $83,734 0.0% 2
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) $83,734 0.0% 12
Carelon Behavioral Health $83,734 0.0% 4
CARELON BEHAVIORAL HEALTH [100023] $83,734 0.0% 2
CHAMPVA [600007] $83,734 0.0% 2
CHARTIS WC [700029] $83,734 0.0% 2
WC MISC. [709999] $83,734 0.0% 2
WellCare Health Plans $83,734 0.0% 4
WELLPATH [500030] $83,734 0.0% 2
ACCESS COMPLIANCE [109956] $83,734 0.0% 2
CORVEL CORP WC [700054] $83,734 0.0% 2
EmblemHealth $83,734 0.0% 4
ERIE INS NF [800002] $83,734 0.0% 2
ESIS WORK COMP [700010] $83,734 0.0% 2
Excellus BCBS $83,734 0.0% 32
FIDELIS CARE (CENTERCARE) $83,734 0.0% 20
GALLAGHER BASSETT WORK COMP [700013] $83,734 0.0% 2
GEICO AUTO INSURANCE [800003] $83,734 0.0% 2
HARTFORD INS WC [700055] $83,734 0.0% 2
HERKIMER COUNTY JAIL [500017] $83,734 0.0% 2
Humana $83,734 0.0% 4
HUMANA MILITARY [600003] $83,734 0.0% 2
LIBERTY MUTUAL AUTO INSURANCE [800008] $83,734 0.0% 2
LIBERTY MUTUAL WORK COMP [700016] $83,734 0.0% 2
MADISON ONEIDA HERK WC [700056] $83,734 0.0% 2
Martin's Point Health Care, Inc. $83,734 0.0% 2
MEDICAID ALTERNATE [350064] $83,734 0.0% 4
MEDICAID HMO MISC. [359999] $83,734 0.0% 4
MEDICAID NY [300033] $83,734 0.0% 2
MEDICAID OUT OF STATE [309999] $83,734 0.0% 2
MEDICAID PENDING [309998] $83,734 0.0% 2
Medicare (Generic) $83,734 0.0% 10
MEDICARE ADVANTAGE ALTERNATE [450120] $83,734 0.0% 2
MEDICARE ALTERNATE [400002] $83,734 0.0% 4
MEDIGOLD [450050] $83,734 0.0% 2
Meritain Health $83,734 0.0% 2
MET LIFE AUTO INSURANCE [800009] $83,734 0.0% 2
Molina Healthcare $83,734 0.0% 2
MVHS WORKMANS COMPENSATION [700059] $83,734 0.0% 8
MVP Health Care $83,734 0.0% 16
NCA WC [700057] $83,734 0.0% 2
NF MISC. [809999] $83,734 0.0% 2
NY CTRL MUTUAL NF [800004] $83,734 0.0% 2
NYS DEPARTMENT OF CORRECTIONS [500014] $83,734 0.0% 2
NYS OFFICE OF MENTAL HEALTH [500015] $83,734 0.0% 2
NYSIF [700058] $83,734 0.0% 2
ONEIDA COUNTY HEALTH DEPARTMENT [500019] $83,734 0.0% 2
ONEIDA COUNTY HEALTH RABIES CLINIC [500020] $83,734 0.0% 2
ONEIDA COUNTY JAIL [500016] $83,734 0.0% 2
PGBA TRIWEST VA CCN $83,734 0.0% 2
PMA WORK COMP [700031] $83,734 0.0% 2
PROGRESSIVE AUTO INSURANCE [800005] $83,734 0.0% 2
SEDGWICK [700027] $83,734 0.0% 2
STATE FARM AUTO INSURANCE NF [800026] $83,734 0.0% 2
STRATEGIC COMP SERVICES [700061] $83,734 0.0% 2
TRAVELERS NO FAULT [800006] $83,734 0.0% 2
TRAVELERS WORK COMP [700028] $83,734 0.0% 2
TRICARE $83,734 0.0% 2
UnitedHealthcare $83,734 0.0% 18
US Family Health Plan $83,734 0.0% 2
UTICA NATIONAL NO FAULT [800007] $83,734 0.0% 2
UTICA NATIONAL WORKER'S COMP [700062] $83,734 0.0% 2
VA / CHAMPVA $83,734 0.0% 4
VA COMMUNITY CARE NETWORK $83,734 0.0% 2
VOUCHER [500013] $83,734 0.0% 2
SUREST [100070] $19,083 -77.2% 2
GEHA [100039] $19,083 -77.2% 2
OXFORD HEALTH [100258] $19,083 -77.2% 2
Cigna Healthcare $16,192 -80.7% 4

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.