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 J2779 · LODI, OH

J2779 — Inj, Susvimo 0.1 Mg

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.

$164,160 All-payer median here
$187,200 Cash / self-pay here
25 payer/plan-name variants
← This hospital National rates for J2779 →
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
   
Tertiary Care Network $259,200 57.9% 1
FRONTPATH HEALTH COALITION $259,200 57.9% 1
Managed Care Services $259,200 57.9% 1
MultiPlan $259,200 57.9% 1
Consociate Health $216,000 31.6% 1
Anthem (Elevance Health) $209,016 27.3% 6
Aetna $202,896 23.6% 6
Medical Benefit Corp $201,600 22.8% 1
GMS $201,600 22.8% 1
CC EHP $193,536 17.9% 1
Cigna Healthcare $185,760 13.2% 1
UPMC Health Plan $172,800 5.3% 1
PHP $172,800 5.3% 1
PHPHI $172,800 5.3% 1
The Health Plan of West Virginia, Inc. $172,800 5.3% 2
Ohio Healthy $155,520 -5.3% 1
AULTCARE/PRIMETIME HEALTH PLAN $144,000 -12.3% 1
OMAS $144,000 -12.3% 1
Ohio Health Choice $139,968 -14.7% 1
Amish Community Aid Plan $136,800 -16.7% 2
Oscar Health $98,755 -39.8% 2
UnitedHealthcare $86,400 -47.4% 5
SummaCare $86,400 -47.4% 5
Medical Mutual of Ohio $86,400 -47.4% 3
Humana $86,400 -47.4% 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.