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 →

J2781 — Inj, Pegcetacoplan, 1mg

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.

$45,388 All-payer median here
$51,758 Cash / self-pay here
25 payer/plan-name variants
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 $71,666 57.9% 1
FRONTPATH HEALTH COALITION $71,666 57.9% 1
Managed Care Services $71,666 57.9% 1
MultiPlan $71,666 57.9% 1
Consociate Health $59,721 31.6% 1
Anthem (Elevance Health) $57,790 27.3% 6
Aetna $56,098 23.6% 6
Medical Benefit Corp $55,740 22.8% 1
GMS $55,740 22.8% 1
CC EHP $53,510 17.9% 1
Cigna Healthcare $51,360 13.2% 1
UPMC Health Plan $47,777 5.3% 1
PHP $47,777 5.3% 1
PHPHI $47,777 5.3% 1
The Health Plan of West Virginia, Inc. $47,777 5.3% 2
Ohio Healthy $42,999 -5.3% 1
AULTCARE/PRIMETIME HEALTH PLAN $39,814 -12.3% 1
OMAS $39,814 -12.3% 1
Ohio Health Choice $38,699 -14.7% 1
Amish Community Aid Plan $37,823 -16.7% 2
Oscar Health $27,305 -39.8% 2
UnitedHealthcare $23,889 -47.4% 5
SummaCare $23,889 -47.4% 5
Medical Mutual of Ohio $23,889 -47.4% 3
Humana $23,889 -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.