Payer comparison · HCPCS J0225 · CLEVELAND, OH

J0225 — Inj, Vutrisiran, 1 Mg

What each payer pays CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB (CCN 363304) 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.

$569,734 All-payer median here

$558,563 Cash / self-pay here

25 payer/plan-name variants

← This hospital National rates for J0225 →

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

Three Rivers Provider Network	$773,394	35.7%	1
Managed Care Services	$773,394	35.7%	1
MultiPlan	$773,394	35.7%	1
Aetna	$773,394	35.7%	6
Evernorth Health Services	$687,462	20.7%	1
Ohio Healthy	$687,462	20.7%	1
Consociate Health	$644,495	13.1%	1
Anthem (Elevance Health)	$618,372	8.5%	3
CC EHP	$609,263	6.9%	1
Medical Benefit Corp	$601,529	5.6%	1
GMS	$601,529	5.6%	1
Quality Care Partners	$601,529	5.6%	1
UnitedHealthcare	$589,498	3.5%	4
Buckeye Health Plan	$519,463	-8.8%	2
PHPHI	$515,596	-9.5%	1
The Health Plan of West Virginia, Inc.	$515,596	-9.5%	1
UPMC Health Plan	$515,596	-9.5%	1
PHP	$515,596	-9.5%	1
HEALTHSMART BENEFIT SOLUTIONS	$472,630	-17.0%	1
Ohio Health Choice	$417,633	-26.7%	1
Amish Community Aid Plan	$408,180	-28.4%	2
Cigna Healthcare	$371,229	-34.8%	1
Oscar Health	$294,663	-48.3%	2
AULTCARE/PRIMETIME HEALTH PLAN	$292,171	-48.7%	1
SummaCare	$217,450	-61.8%	4

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.