Payer comparison · HCPCS J3245 · MARION, OH

J3245 — Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe

What each payer pays MARION GENERAL HOSPITAL (CCN 360011) 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.

$73,995 All-payer median here

$55,927 Cash / self-pay here

31 payer/plan-name variants

← This hospital National rates for J3245 →

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

Anthem (Elevance Health)	$91,150	23.2%	5
Paramount Health Care	$86,041	16.3%	1
UnitedHealthcare Community Plan	$86,041	16.3%	1
UnitedHealthcare	$86,041	16.3%	21
Buckeye Health Plan	$86,041	16.3%	3
FLORA [411]	$81,739	10.5%	1
Ohio Health Choice	$81,739	10.5%	8
HEALTHSMART [493]	$81,739	10.5%	3
Cigna Healthcare	$80,190	8.4%	5
Great-West Healthcare	$80,190	8.4%	3
BeechStreet Corporation	$80,018	8.1%	1
First Health Network	$79,158	7.0%	1
EMERALD [395]	$79,158	7.0%	1
HEALTHLINK	$77,437	4.7%	2
Ohio Preferred Network	$75,716	2.3%	1
Aetna	$73,995	0.0%	22
Medical Mutual of Ohio	$73,909	-0.1%	12
INHEALTH MUTUAL [494]	$73,135	-1.2%	1
COVENTRY HEALTH	$73,135	-1.2%	1
COFINITY	$73,135	-1.2%	1
IHG [492]	$73,135	-1.2%	1
PARAMOUNT [555]	$73,135	-1.2%	3
AHPO (Accountable Health Plan of Ohio)	$73,135	-1.2%	1
HEALTHREACH [540]	$47,323	-36.0%	7
Humana	$34,698	-53.1%	4
OHIOHEALTHY MEDICAL PLAN [556]	$32,265	-56.4%	1
Molina Healthcare	$14,142	-80.9%	4
THE HEALTH PLAN [265]	$14,142	-80.9%	1
ANTHEM MANAGED MEDICARE [334]	$13,468	-81.8%	3
CareSource	$6,915	-90.7%	4
Blue Cross Blue Shield Association	$866	-98.8%	3

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.