Payer comparison · HCPCS J0801 · CHARLOTTE, NC

J0801 — Inj. Acthar Gel To 40 Units

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.

$95,341 All-payer median here

$79,282 Cash / self-pay here

30 payer/plan-name variants

← This hospital National rates for J0801 →

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	$144,293	51.3%	2
BeechStreet Corporation	$141,915	48.9%	2
Provider Select	$131,608	38.0%	2
PHCS (Private Healthcare Systems)	$128,437	34.7%	2
Healthgram Inc (formerly Primary PhysicianCare Inc)	$126,851	33.1%	2
Humana	$117,337	23.1%	5
First Health Network	$115,752	21.4%	3
Carolina Behavioral Health	$104,771	9.9%	4
Quik Trip	$103,067	8.1%	2
GMMI Inc	$103,067	8.1%	1
Broughton Cardinal Partners	$95,376	0.0%	1
Ortho Carolina	$95,376	0.0%	1
UnitedHealthcare	$95,305	-0.0%	12
Magellan Health	$95,257	-0.1%	2
MBS (Formerly MedCost Benefit Services)	$93,156	-2.3%	4
Cigna Healthcare	$90,183	-5.4%	10
Physician Reach Out	$87,329	-8.4%	4
WellCare Health Plans	$79,116	-17.0%	4
Carolina Complete Health (Centene NC Medicaid)	$79,116	-17.0%	4
HEALTHY BLUE SOUTH CAROLINA	$79,116	-17.0%	4
AmeriHealth Caritas	$78,537	-17.6%	4
Aetna	$76,666	-19.6%	16
Employers Health Network	$70,085	-26.5%	2
Trillium Behavioral Health	$65,836	-30.9%	2
Alliance	$65,653	-31.1%	4
VAYA HEALTH	$65,479	-31.3%	2
Partners	$65,130	-31.7%	2
Centene	$57,559	-39.6%	7
BCBS of North Carolina	$53,547	-43.8%	12
Molina Healthcare	$49,961	-47.6%	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.