Price Transparency 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 J9042 · COLUMBUS, OH

J9042 — Brentuximab Vedotin 50 Mg Intravenous Solution

What each payer pays Nationwide Children's Hospital (CCN 369810) 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.

$177,181 All-payer median here
$171,466 Cash / self-pay here
22 payer/plan-name variants
← This hospital National rates for J9042 →
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
   
Emerald Health $186,707 5.4% 1
PHCS (Private Healthcare Systems) $186,707 5.4% 1
The Health Plan of West Virginia, Inc. $182,897 3.2% 1
Aetna $180,991 2.2% 4
UNICARE $180,991 2.2% 1
Medical Mutual of Ohio $179,086 1.1% 1
AHPO $179,086 1.1% 1
Cigna Healthcare $179,086 1.1% 1
Front Path Health Coalition $179,086 1.1% 1
Humana $177,181 0.0% 3
OHC $177,181 0.0% 1
Anthem BCBS $176,228 -0.5% 2
Ohio PPO Connect $175,276 -1.1% 2
OSU $175,276 -1.1% 2
OHG $171,466 -3.2% 1
UnitedHealthcare $147,651 -16.7% 4
Molina Healthcare $11,718 -93.4% 1
BCHP $11,718 -93.4% 1
Anthem (Elevance Health) $11,718 -93.4% 1
AMERIHEALTH NEW JERSEY (NON-HMO) $11,718 -93.4% 1
CareSource $6,061 -96.6% 2
TRICARE $255 -99.9% 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.