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 J3392 · SMITHTOWN, NY

J3392 — Inj, Exagamglogene Autotem

What each payer pays ST CATHERINE OF SIENA HOSPITAL (CCN 330401) 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.

$2,759,596 All-payer median here
32 payer/plan-name variants
← This hospital National rates for J3392 →
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
   
UMR (UnitedHealthcare TPA) $3,847,800 39.4% 1
UnitedHealthcare $3,847,800 39.4% 7
Surest (UHC) $3,847,800 39.4% 1
Health First $3,808,242 38.0% 2
Beacon Health Strategies $3,725,454 35.0% 4
WellCare Health Plans $3,035,555 10.0% 1
Partners Health Plan $2,897,575 5.0% 1
VNS CHOICE (NY) $2,897,575 5.0% 1
AgeWell PACE $2,856,181 3.5% 1
Humana $2,814,787 2.0% 2
Liberty Health $2,759,596 0.0% 1
Longevity Health Plan $2,759,596 0.0% 1
Medicare (Generic) $2,759,596 0.0% 2
Mvp Health Plans $2,759,596 0.0% 1
ORTHONET - UNIFORMED SERVICES FAMILY HEALTH PLAN $2,759,596 0.0% 1
PMC $2,759,596 0.0% 1
Senior Whole Health $2,759,596 0.0% 2
TRICARE $2,759,596 0.0% 2
Universal Healthcare $2,759,596 0.0% 3
US Family Health Plan $2,759,596 0.0% 1
VA / CHAMPVA $2,759,596 0.0% 2
Aetna $2,759,596 0.0% 1
Zadroga $2,759,596 0.0% 1
Anthem BCBS of New York $2,759,596 0.0% 3
CenterLight Health System, Inc. $2,759,596 0.0% 1
Centers Plan For Healthy Living $2,759,596 0.0% 1
Cigna Healthcare $2,759,596 0.0% 1
Elderplan, Inc. $2,759,596 0.0% 1
EmblemHealth $2,759,596 0.0% 4
Fidelis Care New York $2,759,596 0.0% 3
Health Plus $2,759,596 0.0% 1
Independent Health Association, Inc. $2,759,596 0.0% 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.