Payer comparison · HCPCS J7190 · DURHAM, NC

J7190 — Factor Viii

What each payer pays DUKE UNIVERSITY HOSPITAL (CCN 340030) 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.

$645,291 All-payer median here

$770,582 Cash / self-pay here

15 payer/plan-name variants

← This hospital National rates for J7190 →

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

Humana	$2,425,906	275.9%	3
Aetna	$2,216,136	243.4%	8
Gateway Health Plan	$1,778,046	175.5%	1
Sentara Health Plans	$1,778,046	175.5%	1
UnitedHealthcare	$1,461,251	126.4%	5
MBS (Formerly MedCost Benefit Services)	$1,295,719	100.8%	2
Blue Cross Blue Shield Association	$1,079,100	67.2%	6
DUKE PLUS	$867,598	34.5%	1
Carolina Complete Health (Centene NC Medicaid)	$716,927	11.1%	3
AMERIHEALTH NEW JERSEY (NON-HMO)	$716,927	11.1%	3
Alliance Health	$716,927	11.1%	3
Trillium Behavioral Health	$716,927	11.1%	3
Cigna Healthcare	$5,100	-99.2%	36
Alignment Healthcare USA, LLC	$1	-100.0%	1
Troy Holdings, Inc.	$1	-100.0%	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.