Payer comparison · HCPCS J7352 · EUCLID, OH

J7352 — Afamelanotide Implant, 1 Mg

What each payer pays EUCLID HOSPITAL (CCN 360082) 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.

$48,635 All-payer median here

$78,638 Cash / self-pay here

32 payer/plan-name variants

← This hospital National rates for J7352 →

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

Three Rivers Provider Network	$108,884	123.9%	1
FRONTPATH HEALTH COALITION	$108,884	123.9%	1
MultiPlan	$108,884	123.9%	1
Tertiary Care Network	$108,884	123.9%	1
Managed Care Services	$108,884	123.9%	1
Consociate Health	$90,736	86.6%	1
Quality Care Partners	$84,687	74.1%	1
Medical Benefit Corp	$84,687	74.1%	1
GMS	$84,687	74.1%	1
Anthem (Elevance Health)	$82,637	69.9%	4
PHP	$72,589	49.3%	1
HEALTHSMART BENEFIT SOLUTIONS	$66,540	36.8%	1
Ohio Healthy	$65,330	34.3%	1
OMAS	$60,491	24.4%	1
Ohio Health Choice	$58,797	20.9%	1
Amish Community Aid Plan	$57,466	18.2%	2
Humana	$52,854	8.7%	2
AULTCARE/PRIMETIME HEALTH PLAN	$52,022	7.0%	1
CC EHP	$48,635	0.0%	2
SummaCare	$44,703	-8.1%	4
Oscar Health	$41,485	-14.7%	2
UPMC Health Plan	$37,731	-22.4%	2
The Health Plan of West Virginia, Inc.	$37,731	-22.4%	2
Medical Mutual of Ohio	$26,858	-44.8%	5
Aetna	$7,936	-83.7%	6
Cigna Healthcare	$4,934	-89.9%	2
UnitedHealthcare	$4,525	-90.7%	4
Provider Partners Health Plan (PPHP)	$3,161	-93.5%	1
Perennial Health	$3,103	-93.6%	2
CommuniCare	$3,017	-93.8%	1
Devoted Health	$2,873	-94.1%	1
Valor	$2,873	-94.1%	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.