Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS J0225 · DOVER, OH

J0225 — Inj, Vutrisiran, 1 Mg

What each payer pays UNION HOSPITAL (CCN 360010) 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.

$386,697 All-payer median here
$558,563 Cash / self-pay here
36 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
   
FRONTPATH HEALTH COALITION $773,394 100.0% 1
Tertiary Care Network $773,394 100.0% 1
MultiPlan $773,394 100.0% 1
Managed Care Services $773,394 100.0% 1
The Health Plan of West Virginia, Inc. $704,648 82.2% 4
Consociate Health $644,495 66.7% 1
CC EHP $641,058 65.8% 1
Medical Benefit Corp $601,529 55.6% 1
GMS $601,529 55.6% 1
PHP $515,596 33.3% 1
PHPHI $515,596 33.3% 1
HEALTHSMART BENEFIT SOLUTIONS $472,630 22.2% 1
Ohio Healthy $464,037 20.0% 1
Anthem (Elevance Health) $436,366 12.8% 5
OMAS $429,664 11.1% 1
Ohio Health Choice $417,633 8.0% 1
Amish Community Aid Plan $408,180 5.6% 2
Aetna $390,135 0.9% 5
Oscar Health $294,663 -23.8% 2
UPMC Health Plan $260,261 -32.7% 2
Cigna Healthcare $195,886 -49.3% 2
AULTCARE/PRIMETIME HEALTH PLAN $195,442 -49.5% 2
AMERIHEALTH NEW JERSEY (NON-HMO) $13,733 -96.4% 1
Molina Healthcare $13,109 -96.6% 1
Buckeye Health Plan $12,485 -96.8% 1
CareSource $12,485 -96.8% 1
UnitedHealthcare $9,142 -97.6% 4
SummaCare $8,674 -97.8% 5
Provider Partners Health Plan (PPHP) $5,419 -98.6% 1
Perennial Health $5,320 -98.6% 2
CommuniCare $5,172 -98.7% 1
Medical Mutual of Ohio $5,074 -98.7% 3
Zing Health Consolidator, Inc $5,037 -98.7% 1
Humana $4,926 -98.7% 1
Devoted Health $4,926 -98.7% 1
Valor $4,926 -98.7% 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.