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 · BEACHWOOD, OH

J2326 — Inj, Nusinersen, 0.1mg

What each payer pays LAKE HEALTH BEACHWOOD MEDICAL CENTER (CCN 360367) 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.

$466,913 All-payer median here
$514,977 Cash / self-pay here
37 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
   
MultiPlan $617,973 32.4% 1
Fortified Provider Network $617,973 32.4% 1
ConfigureNet $617,973 32.4% 1
PHCS (Private Healthcare Systems) $590,508 26.5% 1
Century Health Network $583,641 25.0% 1
BeechStreet Corporation $583,641 25.0% 2
Ohio Preferred Network $583,641 25.0% 2
Ohio Health Choice $532,143 14.0% 2
Aetna $466,913 0.0% 8
AmeriHealth Caritas $466,913 0.0% 1
Buckeye Health Plan $466,913 0.0% 1
CareSource $466,913 0.0% 3
Humana $466,913 0.0% 3
Molina Healthcare $466,913 0.0% 5
UnitedHealthcare $466,913 0.0% 4
HEALTHSMART BENEFIT SOLUTIONS $446,314 -4.4% 1
AULTCARE/PRIMETIME HEALTH PLAN $422,282 -9.6% 4
SummaCare $398,249 -14.7% 4
JP Farley $398,249 -14.7% 2
University Health Employee Plan (Contigo) $370,784 -20.6% 2
Sunrise Plan Communities $343,318 -26.5% 1
Immergrun $343,318 -26.5% 1
CHRISTIAN CARE MINISTRY $343,318 -26.5% 1
Clarity $329,586 -29.4% 1
Amish Church Fund and Workers Aid Plan $315,853 -32.4% 1
Buckeye Plain Ministries $315,853 -32.4% 1
Amish Aid Community Plan $315,853 -32.4% 1
Centene $234,580 -49.8% 2
Perennial Advantage of Ohio $234,112 -49.9% 2
Valor Health Plans $234,112 -49.9% 2
PARAMOUNT HEALTH CARE $234,099 -49.9% 2
Devoted Health $234,081 -49.9% 2
Cigna Healthcare $234,081 -49.9% 4
Anthem (Elevance Health) $234,081 -49.9% 4
Allwell (Centene Medicare Advantage) $234,081 -49.9% 2
Medical Mutual of Ohio $234,081 -49.9% 2
The Health Plan of West Virginia, Inc. $234,081 -49.9% 2

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.