Payer comparison · HCPCS J0638 · LODI, OH

J0638 — Canakinumab Injection

What each payer pays LODI COMMUNITY HOSPITAL (CCN 361303) 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.

$41,495 All-payer median here

$47,319 Cash / self-pay here

25 payer/plan-name variants

← This hospital National rates for J0638 →

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	$65,518	57.9%	1
Managed Care Services	$65,518	57.9%	1
Tertiary Care Network	$65,518	57.9%	1
FRONTPATH HEALTH COALITION	$65,518	57.9%	1
Consociate Health	$54,598	31.6%	1
Anthem (Elevance Health)	$52,833	27.3%	6
Aetna	$51,286	23.6%	6
GMS	$50,958	22.8%	1
Medical Benefit Corp	$50,958	22.8%	1
CC EHP	$48,920	17.9%	1
Cigna Healthcare	$46,955	13.2%	1
The Health Plan of West Virginia, Inc.	$43,679	5.3%	2
UPMC Health Plan	$43,679	5.3%	1
PHP	$43,679	5.3%	1
PHPHI	$43,679	5.3%	1
Ohio Healthy	$39,311	-5.3%	1
AULTCARE/PRIMETIME HEALTH PLAN	$36,399	-12.3%	1
OMAS	$36,399	-12.3%	1
Ohio Health Choice	$35,380	-14.7%	1
Amish Community Aid Plan	$34,579	-16.7%	2
Oscar Health	$24,962	-39.8%	2
SummaCare	$21,839	-47.4%	5
Humana	$21,839	-47.4%	1
UnitedHealthcare	$21,839	-47.4%	5
Medical Mutual of Ohio	$21,839	-47.4%	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.