Payer comparison · HCPCS J0225 · CHARLOTTE, NC

J0225 — Inj, Vutrisiran, 1 Mg

What each payer pays CAROLINAS MEDICAL CENTER/BEHAV HEALTH (CCN 340113) 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.

$287,159 All-payer median here

$238,702 Cash / self-pay here

30 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	$434,438	51.3%	2
BeechStreet Corporation	$427,277	48.8%	2
Provider Select	$396,245	38.0%	2
PHCS (Private Healthcare Systems)	$386,697	34.7%	2
Healthgram Inc (formerly Primary PhysicianCare Inc)	$381,923	33.0%	2
First Health Network	$348,505	21.4%	3
Humana	$321,651	12.0%	8
Carolina Behavioral Health	$315,445	9.9%	4
Quik Trip	$310,313	8.1%	2
GMMI Inc	$310,313	8.1%	1
Broughton Cardinal Partners	$287,159	0.0%	1
Magellan Health	$286,800	-0.1%	2
MBS (Formerly MedCost Benefit Services)	$280,475	-2.3%	4
UnitedHealthcare	$275,940	-3.9%	13
Physician Reach Out	$262,930	-8.4%	4
Cigna Healthcare	$255,889	-10.9%	13
WellCare Health Plans	$238,201	-17.0%	4
Carolina Complete Health (Centene NC Medicaid)	$238,201	-17.0%	4
HEALTHY BLUE SOUTH CAROLINA	$238,201	-17.0%	4
AmeriHealth Caritas	$236,458	-17.7%	4
Aetna	$226,290	-21.2%	19
Employers Health Network	$211,013	-26.5%	2
Trillium Behavioral Health	$198,218	-31.0%	2
Alliance	$197,669	-31.2%	4
VAYA HEALTH	$197,144	-31.3%	2
Partners	$196,094	-31.7%	2
Centene	$173,298	-39.7%	7
BCBS of North Carolina	$161,219	-43.9%	12
Ortho Carolina	$146,707	-48.9%	2
Molina Healthcare	$146,225	-49.1%	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.