Payer comparison · HCPCS J1413 · PORT JEFFERSON, NY

J1413 — Inj Delandistrogene Mox Rokl

What each payer pays ST CHARLES HOSPITAL (CCN 330246) 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.

$3,930,863 All-payer median here

30 payer/plan-name variants

← This hospital National rates for J1413 →

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

WellCare Health Plans	$4,321,527	9.9%	2
PARTNERS HEALTH PLAN	$4,125,094	4.9%	2
VNS CHOICE (NY)	$4,125,094	4.9%	2
AgeWell PACE	$4,066,164	3.4%	2
Humana	$4,009,481	2.0%	3
Health First	$3,970,172	1.0%	1
Centers Plan for Healthy Living	$3,930,863	0.0%	1
VA / CHAMPVA	$3,930,863	0.0%	2
Independent Health Association, Inc.	$3,930,863	0.0%	1
Liberty Health	$3,930,863	0.0%	1
Medicare (Generic)	$3,930,863	0.0%	2
ORTHONET - UNIFORMED SERVICES FAMILY HEALTH PLAN	$3,930,863	0.0%	1
MVP Health Care	$3,930,863	0.0%	1
PMC	$3,930,863	0.0%	1
Senior Whole Health	$3,930,863	0.0%	2
TRICARE	$3,930,863	0.0%	2
EmblemHealth	$3,930,863	0.0%	5
Universal Healthcare	$3,930,863	0.0%	3
World Trade Center (WTC) Health Program	$3,928,661	-0.1%	2
Beacon Health Strategies	$3,928,661	-0.1%	4
CenterLight Health System, Inc.	$3,928,661	-0.1%	2
Cigna Healthcare	$3,928,661	-0.1%	2
Elderplan, Inc.	$3,928,661	-0.1%	2
FIDELIS CARE (CENTERCARE)	$3,928,661	-0.1%	6
Health Plus	$3,928,661	-0.1%	2
Longevity Health Plan	$3,928,661	-0.1%	2
UnitedHealthcare	$3,928,661	-0.1%	2
US Family Health Plan	$3,928,661	-0.1%	2
Aetna	$3,928,661	-0.1%	2
Anthem BCBS of New York	$3,891,555	-1.0%	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.