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 J1413 · TOLEDO, OH

J1413 — Inj Delandistrogene Mox Rokl

What each payer pays Nationwide Children’s Hospital Toledo, Llc (CCN 360373) 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.

$3,244,663 All-payer median here
9 payer/plan-name variants
← This hospital National rates for J1413 →
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
   
McClaren Health Plan - Michigan $3,427,696 5.6% 1
CareSource $3,327,860 2.6% 3
Molina Healthcare $3,327,860 2.6% 4
TRICARE $3,161,467 -2.6% 1
AMERIHEALTH NEW JERSEY (NON-HMO) $20,638 -99.4% 1
Anthem (Elevance Health) $20,638 -99.4% 1
BCHP $20,638 -99.4% 1
Humana $20,638 -99.4% 1
UnitedHealthcare $20,441 -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.