Payer comparison · HCPCS J0225 · CONCORD, NC

J0225 — Inj, Vutrisiran, 1 Mg

What each payer pays CAROLINAS MEDICAL CENTER-NORTHEAST (CCN 340001) 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.

$299,094 All-payer median here

$238,702 Cash / self-pay here

27 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

MultiPlan	$453,534	51.6%	1
BeechStreet Corporation	$429,664	43.7%	1
Healthgram Inc (formerly Primary PhysicianCare Inc)	$381,923	27.7%	1
PHCS (Private Healthcare Systems)	$381,923	27.7%	1
Humana	$345,282	15.4%	4
Carolina Behavioral Health	$321,412	7.5%	4
Quik Trip	$310,313	3.8%	1
GMMI Inc	$310,313	3.8%	1
MBS (Formerly MedCost Benefit Services)	$307,448	2.8%	2
Magellan Health	$292,768	-2.1%	2
First Health Network	$291,216	-2.6%	1
Physician Reach Out	$268,898	-10.1%	2
Cigna Healthcare	$257,918	-13.8%	8
Centene	$236,196	-21.0%	4
BCBS of North Carolina	$220,370	-26.3%	6
Aetna	$214,354	-28.3%	11
Employers Health Network	$211,013	-29.4%	1
UnitedHealthcare	$201,703	-32.6%	6
Trillium Behavioral Health	$180,292	-39.7%	2
Alliance	$179,981	-39.8%	4
VAYA HEALTH	$179,695	-39.9%	2
Partners	$179,623	-39.9%	2
WellCare Health Plans	$179,385	-40.0%	2
Carolina Complete Health (Centene NC Medicaid)	$179,385	-40.0%	2
HEALTHY BLUE SOUTH CAROLINA	$179,385	-40.0%	2
AmeriHealth Caritas	$178,836	-40.2%	2
Ortho Carolina	$152,674	-49.0%	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.