Price Transparencybeta 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 J9347 · CONCORD, OH

J9347 — Tremelimumab-actl 20 Mg/ml Intravenous Solution

What each payer pays LAKE HEALTH (CCN 360098) 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.

$146,700 All-payer median here
$161,802 Cash / self-pay here
34 payer/plan-name variants
← This hospital National rates for J9347 →
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
   
ConfigureNet $194,162 32.4% 1
MultiPlan $194,162 32.4% 1
Fortified Provider Network $194,162 32.4% 1
PHCS (Private Healthcare Systems) $185,533 26.5% 1
Ohio Preferred Network $183,375 25.0% 2
BeechStreet Corporation $183,375 25.0% 2
Century Health Network $183,375 25.0% 1
Aetna $179,061 22.1% 3
Ohio Health Choice $167,195 14.0% 2
Buckeye Health Plan $146,700 0.0% 1
CareSource $146,700 0.0% 3
UnitedHealthcare $146,700 0.0% 4
HEALTHSMART BENEFIT SOLUTIONS $140,228 -4.4% 1
AULTCARE/PRIMETIME HEALTH PLAN $132,677 -9.6% 4
SummaCare $128,363 -12.5% 4
University Health Employee Plan (Contigo) $116,497 -20.6% 2
Sunrise Plan Communities $107,868 -26.5% 1
CHRISTIAN CARE MINISTRY $107,868 -26.5% 1
Immergrun $107,868 -26.5% 1
Clarity $103,553 -29.4% 1
Buckeye Plain Ministries $99,238 -32.4% 1
Amish Aid Community Plan $99,238 -32.4% 1
Amish Church Fund and Workers Aid Plan $99,238 -32.4% 1
Valor Health Plans $73,423 -50.0% 2
Perennial Advantage of Ohio $73,423 -50.0% 2
Paramount Health Care $73,421 -50.0% 2
Cigna Healthcare $73,419 -50.0% 4
Medical Mutual of Ohio $73,419 -50.0% 2
Humana $73,419 -50.0% 2
The Health Plan of West Virginia, Inc. $73,419 -50.0% 2
Allwell (Centene Medicare Advantage) $73,419 -50.0% 2
Devoted Health $73,419 -50.0% 2
Anthem (Elevance Health) $73,419 -50.0% 10
Molina Healthcare $152 -99.9% 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.