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 J3394 · SMITHTOWN, NY

J3394 — Inj, Lovotibeglogene 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.

$3,778,468 All-payer median here
30 payer/plan-name variants
← This hospital National rates for J3394 →
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
   
Beacon Health Strategies $4,345,239 15.0% 2
WellCare Health Plans $4,156,315 10.0% 1
Partners Health Plan $3,967,392 5.0% 1
VNS CHOICE (NY) $3,967,392 5.0% 1
AgeWell PACE $3,910,715 3.5% 1
Humana $3,854,038 2.0% 2
Health First $3,816,253 1.0% 1
Fidelis Care New York $3,778,468 0.0% 3
Health Plus $3,778,468 0.0% 1
Independent Health Association, Inc. $3,778,468 0.0% 1
Liberty Health $3,778,468 0.0% 1
Longevity Health Plan $3,778,468 0.0% 1
Medicare (Generic) $3,778,468 0.0% 2
Mvp Health Plans $3,778,468 0.0% 1
ORTHONET - UNIFORMED SERVICES FAMILY HEALTH PLAN $3,778,468 0.0% 1
PMC $3,778,468 0.0% 1
Senior Whole Health $3,778,468 0.0% 2
TRICARE $3,778,468 0.0% 2
UnitedHealthcare $3,778,468 0.0% 1
Universal Healthcare $3,778,468 0.0% 3
US Family Health Plan $3,778,468 0.0% 1
VA / CHAMPVA $3,778,468 0.0% 2
Aetna $3,778,468 0.0% 1
Zadroga $3,778,468 0.0% 1
Anthem BCBS of New York $3,778,468 0.0% 3
CenterLight Health System, Inc. $3,778,468 0.0% 1
Centers Plan For Healthy Living $3,778,468 0.0% 1
Cigna Healthcare $3,778,468 0.0% 1
Elderplan, Inc. $3,778,468 0.0% 1
EmblemHealth $3,778,468 0.0% 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.