Payer comparison · HCPCS J1747 · CHARLOTTE, NC

J1747 — Inj, Spesolimab-sbzo, 1 Mg

What each payer pays ATRIUM HEALTH UNIVERSITY CITY (CCN 340166) 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.

$102,377 All-payer median here

$83,710 Cash / self-pay here

29 payer/plan-name variants

← This hospital National rates for J1747 →

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

Provider Select	$154,026	50.4%	2
MultiPlan	$154,026	50.4%	1
BeechStreet Corporation	$150,678	47.2%	1
PHCS (Private Healthcare Systems)	$137,284	34.1%	1
First Health Network	$136,447	33.3%	2
Healthgram Inc (formerly Primary PhysicianCare Inc)	$133,936	30.8%	1
Carolina Behavioral Health	$111,460	8.9%	4
Humana	$111,460	8.9%	4
Quik Trip	$108,823	6.3%	1
GMMI Inc	$108,823	6.3%	1
Broughton Cardinal Partners	$102,377	0.0%	1
Magellan Health	$101,414	-0.9%	2
Physician Reach Out	$93,043	-9.1%	2
MBS (Formerly MedCost Benefit Services)	$90,825	-11.3%	2
Cigna Healthcare	$89,193	-12.9%	8
Centene	$81,575	-20.3%	4
BCBS of North Carolina	$76,368	-25.4%	6
Employers Health Network	$74,000	-27.7%	1
UnitedHealthcare	$72,828	-28.9%	6
Aetna	$71,656	-30.0%	12
Trillium Behavioral Health	$60,187	-41.2%	2
Alliance	$60,104	-41.3%	4
VAYA HEALTH	$60,012	-41.4%	2
WellCare Health Plans	$59,928	-41.5%	2
Carolina Complete Health (Centene NC Medicaid)	$59,928	-41.5%	2
HEALTHY BLUE SOUTH CAROLINA	$59,928	-41.5%	2
AmeriHealth Caritas	$59,769	-41.6%	2
Partners	$59,560	-41.8%	2
Ortho Carolina	$51,230	-50.0%	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.