Payer comparison · HCPCS J9226 · MAYFIELD HEIGHTS, OH

J9226 — Supprelin La Implant

What each payer pays HILLCREST HOSPITAL (CCN 360230) 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.

$81,999 All-payer median here

$114,116 Cash / self-pay here

32 payer/plan-name variants

← This hospital National rates for J9226 →

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	$158,006	92.7%	1
Three Rivers Provider Network	$158,006	92.7%	1
Tertiary Care Network	$158,006	92.7%	1
MultiPlan	$158,006	92.7%	1
Managed Care Services	$158,006	92.7%	1
Consociate Health	$131,672	60.6%	1
GMS	$122,894	49.9%	1
Medical Benefit Corp	$122,894	49.9%	1
Quality Care Partners	$122,894	49.9%	1
PHP	$105,338	28.5%	1
Aetna	$100,708	22.8%	6
Humana	$97,289	18.6%	2
HEALTHSMART BENEFIT SOLUTIONS	$96,559	17.8%	1
Ohio Healthy	$94,804	15.6%	1
Anthem (Elevance Health)	$89,591	9.3%	4
OMAS	$87,781	7.1%	1
Ohio Health Choice	$85,323	4.1%	1
Amish Community Aid Plan	$83,392	1.7%	2
UPMC Health Plan	$75,344	-8.1%	2
The Health Plan of West Virginia, Inc.	$74,958	-8.6%	2
AULTCARE/PRIMETIME HEALTH PLAN	$73,736	-10.1%	1
Cigna Healthcare	$72,012	-12.2%	2
CC EHP	$70,576	-13.9%	2
SummaCare	$65,309	-20.4%	5
Oscar Health	$60,200	-26.6%	2
Provider Partners Health Plan (PPHP)	$49,885	-39.2%	1
Perennial Health	$48,978	-40.3%	2
CommuniCare	$47,618	-41.9%	1
Medical Mutual of Ohio	$46,711	-43.0%	5
UnitedHealthcare	$45,350	-44.7%	5
Devoted Health	$45,350	-44.7%	1
Valor	$45,350	-44.7%	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.