Payer comparison · HCPCS J0225 · CHARLOTTE, NC

J0225 — Inj, Vutrisiran, 1 Mg

What each payer pays ATRIUM HEALTH PINEVILLE (CCN 340098) 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.

$286,442 All-payer median here

$238,702 Cash / self-pay here

29 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	$439,212	53.3%	2
BeechStreet Corporation	$429,664	50.0%	2
PHCS (Private Healthcare Systems)	$391,471	36.7%	2
Provider Select	$386,697	35.0%	3
Healthgram Inc (formerly Primary PhysicianCare Inc)	$381,923	33.3%	2
First Health Network	$343,731	20.0%	2
Humana	$343,731	20.0%	9
Carolina Behavioral Health	$317,832	11.0%	4
Quik Trip	$310,313	8.3%	2
GMMI Inc	$310,313	8.3%	2
Magellan Health	$289,187	1.0%	4
MBS (Formerly MedCost Benefit Services)	$267,108	-6.8%	4
Physician Reach Out	$265,317	-7.4%	4
Centene	$232,615	-18.8%	8
BCBS of North Carolina	$219,940	-23.2%	12
Cigna Healthcare	$216,741	-24.3%	14
Employers Health Network	$211,013	-26.3%	2
UnitedHealthcare	$204,090	-28.7%	12
Trillium Behavioral Health	$200,605	-30.0%	4
Alliance	$200,056	-30.2%	8
VAYA HEALTH	$199,531	-30.3%	4
WellCare Health Plans	$199,006	-30.5%	4
Carolina Complete Health (Centene NC Medicaid)	$199,006	-30.5%	4
HEALTHY BLUE SOUTH CAROLINA	$199,006	-30.5%	4
Partners	$198,481	-30.7%	4
AmeriHealth Caritas	$198,027	-30.9%	4
Aetna	$194,303	-32.2%	21
Ortho Carolina	$149,094	-47.9%	4
Molina Healthcare	$148,612	-48.1%	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.