Payer comparison · HCPCS J9359 · LODI, OH

J9359 — Inj Lon Tesirin-lpyl 0.075mg

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.

$56,977 All-payer median here

$64,973 Cash / self-pay here

25 payer/plan-name variants

← This hospital National rates for J9359 →

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	$89,963	57.9%	1
Managed Care Services	$89,963	57.9%	1
Tertiary Care Network	$89,963	57.9%	1
FRONTPATH HEALTH COALITION	$89,963	57.9%	1
Consociate Health	$74,969	31.6%	1
Anthem (Elevance Health)	$72,545	27.3%	6
Aetna	$70,421	23.6%	6
GMS	$69,971	22.8%	1
Medical Benefit Corp	$69,971	22.8%	1
CC EHP	$67,172	17.9%	1
Cigna Healthcare	$64,474	13.2%	1
The Health Plan of West Virginia, Inc.	$59,975	5.3%	2
UPMC Health Plan	$59,975	5.3%	1
PHP	$59,975	5.3%	1
PHPHI	$59,975	5.3%	1
Ohio Healthy	$53,978	-5.3%	1
AULTCARE/PRIMETIME HEALTH PLAN	$49,980	-12.3%	1
OMAS	$49,980	-12.3%	1
Ohio Health Choice	$48,580	-14.7%	1
Amish Community Aid Plan	$47,481	-16.7%	2
Oscar Health	$34,276	-39.8%	2
SummaCare	$29,988	-47.4%	5
Humana	$29,988	-47.4%	1
UnitedHealthcare	$29,988	-47.4%	5
Medical Mutual of Ohio	$29,988	-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.