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 J2326 · COLUMBUS, OH

J2326 — Inj, Nusinersen, 0.1mg

What each payer pays MOUNT CARMEL EAST & WEST (CCN 360035) 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.

$193,199 All-payer median here
$268,907 Cash / self-pay here
105 payer/plan-name variants
← This hospital National rates for J2326 →
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) $413,702 114.1% 3
Sentara Health Plans $372,332 92.7% 2
BCCP $372,332 92.7% 2
HEALTHSMART BENEFIT SOLUTIONS $351,647 82.0% 1
AMERIBEN $330,962 71.3% 1
TWIN VALLEY PSYCHIATRIC $330,962 71.3% 1
Christian Care Ministries (MediShare) $326,825 69.2% 1
PHILADELPHIA AMERICAN LIFE INSURANCE $326,825 69.2% 1
PHCS (Private Healthcare Systems) $326,825 69.2% 1
MultiPlan $326,825 69.2% 1
OSU NOT INDEPENDENT CHOICE $320,619 66.0% 2
LUMINARE HEALTH (AZ, IL, IN, MD, MN, NC, PA) $320,619 66.0% 2
Ohio Health Choice $310,277 60.6% 1
HEALTHLINK PPO $310,277 60.6% 1
OHIO PPO CONNECT $310,277 60.6% 1
Health Design Plus $310,277 60.6% 1
MEDICAL BENEFITS MUTUAL $310,277 60.6% 1
MEDBEN $279,249 44.5% 2
Aetna $254,013 31.5% 11
Cigna Healthcare $242,430 25.5% 2
Medical Mutual of Ohio $212,229 9.9% 3
Humana $201,639 4.4% 8
EMPLOYEE BENEFIT CONCEPTS $193,199 0.0% 1
EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC) $193,199 0.0% 1
Employee Benefit Services d/b/a Key Benefit Administrators $193,199 0.0% 1
FOREST COUNTY POTAWATOMI $193,199 0.0% 1
FREEDOM LIFE INSURANCE COMPANY $193,199 0.0% 1
GROUP ADMINISTRATORS $193,199 0.0% 1
GROUP MARKETING SERVICES, INC. $193,199 0.0% 1
GROUP PENSION ADMINISTRATORS $193,199 0.0% 1
GUARDIAN $193,199 0.0% 1
HEALTH AMERICA $193,199 0.0% 1
Health Choices $193,199 0.0% 1
HEALTHCARE MANAGEMENT ADMIN $193,199 0.0% 1
HealthEZ $193,199 0.0% 1
Healthgram Inc (formerly Primary PhysicianCare Inc) $193,199 0.0% 1
INSIGHT $193,199 0.0% 1
INTERCARE $193,199 0.0% 1
JFP BENEFIT MANAGEMENT $193,199 0.0% 1
JP FARLEY CORPORATION $193,199 0.0% 1
LIBERTY UNION LIFE ASSURANCE CO $193,199 0.0% 1
LUCENT HEALTH $193,199 0.0% 1
LUMINARE HEALTH DETROIT $193,199 0.0% 3
MAGNACARE $193,199 0.0% 1
MBS (Formerly MedCost Benefit Services) $193,199 0.0% 1
WPS HEALTH INSURANCE $193,199 0.0% 1
ACCLAIM IPA $193,199 0.0% 1
ADMINISTRATIVE CONCEPTS $193,199 0.0% 1
ALLEGEANT $193,199 0.0% 1
ALLIED BENEFIT SYSTEMS $193,199 0.0% 1
AMERICAN FAMILY PPO POLICIES $193,199 0.0% 1
AMERICAN HEALTHCARE ALLIANCE $193,199 0.0% 1
American National $193,199 0.0% 1
AMERICAN REPUBLIC $193,199 0.0% 1
AMERIHEALTH NEW JERSEY (NON-HMO) $193,199 0.0% 1
AULTCARE/PRIMETIME HEALTH PLAN $193,199 0.0% 1
AUTOMATED BENEFIT SERVICES $193,199 0.0% 1
AUXIANT $193,199 0.0% 1
BOON-CHAPMAN ADMINISTRATORS $193,199 0.0% 1
CAM ADMINISTRATIVE SERVICES $193,199 0.0% 1
Christian Brothers Services $193,199 0.0% 2
CLAIMCHOICE ADMINISTRATORS (FORMERLY AMERAPLAN) $193,199 0.0% 1
COMPREHENSIVE BENEFITS $193,199 0.0% 1
CONTINENTAL GENERAL $193,199 0.0% 1
CONTINENTAL LIFE INSURANCE $193,199 0.0% 1
CUSTOM BENEFIT ADMINISTRATORS $193,199 0.0% 1
Cypress Benefit Administrators $193,199 0.0% 1
PHYSICIANS MUTUAL $193,199 0.0% 1
PLUMBERS LOCAL 98 INSURANCE FUND $193,199 0.0% 1
PRAIRIE STATES $193,199 0.0% 1
PREFERRED ONE $193,199 0.0% 1
PROFESSIONAL BENEFIT ADMINISTRATORS $193,199 0.0% 1
SECUREONE PREFERRED UNITED PLANS $193,199 0.0% 1
SIHO Holding, Inc. $193,199 0.0% 1
SISCO BENEFITS $193,199 0.0% 1
THE LOOMIS COMPANY $193,199 0.0% 1
TRUSTMARK SMALL BUSINESS BENEFITS $193,199 0.0% 1
UNIFIED GROUP SERVICES $193,199 0.0% 1
US Health $193,199 0.0% 1
Valenz Health $193,199 0.0% 1
VARIPRO $193,199 0.0% 1
ACCESS HEALTH PLANS $193,199 0.0% 1
Mutual Health Services $193,199 0.0% 1
MUTUAL OF OMAHA $193,199 0.0% 1
NCAS $193,199 0.0% 1
NIPPON LIFE INS $193,199 0.0% 1
NOVA $193,199 0.0% 1
PAINTERS UNION INSURANCE FUND $193,199 0.0% 1
PERSONIFY HEALTH / BENEFIT ADMINISTRATIVE SYSTEMS (BAS HEALTH) $193,199 0.0% 1
PHYSICIANS HEALTH PLAN $193,199 0.0% 1
The Health Plan of West Virginia, Inc. $145,413 -24.7% 2
Safe Program $16,932 -91.2% 1
Buckeye Health Plan $16,621 -91.4% 2
AmeriHealth Caritas $16,621 -91.4% 1
CareSource $16,621 -91.4% 3
Law Enforcement Franklin Co. $15,534 -92.0% 1
PARAMOUNT HEALTH CARE $9,009 -95.3% 2
Molina Healthcare $8,790 -95.5% 2
Quality Care Partners $2,735 -98.6% 1
Custom Design Benefits, Inc. $2,529 -98.7% 1
Enterprise Group Planning $2,335 -98.8% 1
Universal $1,271 -99.3% 1
UnitedHealthcare $1,234 -99.4% 3
VACCN United $1,211 -99.4% 1
Anthem BCBS $1,210 -99.4% 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.