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 J3241 · ARDMORE, OK

J3241 — Inj. Teprotumumab-trbw 10 Mg

What each payer pays MERCY HOSPITAL ARDMORE, INC (CCN 370047) 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.

$30,600 All-payer median here
$51,223 Cash / self-pay here
79 payer/plan-name variants
← This hospital National rates for J3241 →
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
   
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] $78,805 157.5% 2
MULTIPLAN CONTRACTED [320270] $66,984 118.9% 4
PHCS (Private Healthcare Systems) $61,074 99.6% 4
PREFERRED COMMUNITY CHOICE CONTRACTED [320311] $59,892 95.7% 2
First Health Network $52,405 71.3% 2
POINT C / MID-AMERICAN BENEFITS $51,223 67.4% 2
TRI STATE HEALTHCARE COALITION CONTRACTED [320379] $51,223 67.4% 2
HealthSCOPE Benefits EHC Repricing $51,223 67.4% 2
FEDERAL MEDICAL CENTER CONTRACTED [320127] $51,223 67.4% 2
PREFERRED HEALTH PLAN CONTRACTED [320522] $51,223 67.4% 2
HEALTHLINK PPO $49,253 61.0% 4
BENEFIT MANAGEMENT CONTRACTED [320052] $49,253 61.0% 4
MERCY BENEFIT ADMIN CONTRACTED [320251] $47,286 54.5% 22
AUXIANT CONTRACTED [320462] $47,286 54.5% 6
EBMS CONTRACTED [320493] $47,283 54.5% 2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $47,283 54.5% 4
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $47,283 54.5% 2
QUIK TRIP CONTRACTED [320447] $47,283 54.5% 2
IMAGINE360 ADMINISTRATORS (GPA) $47,283 54.5% 2
AITHER HEALTH CONTRACTED [320449] $47,283 54.5% 4
YUZU HEALTH CONTRACTED [320521] $47,283 54.5% 2
UMR (UnitedHealthcare TPA) $45,155 47.6% 4
HEALTHSMART BENEFIT SOLUTIONS $39,403 28.8% 6
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] $39,087 27.7% 2
UnitedHealthcare $39,085 27.7% 6
Healthcare Highways $39,008 27.5% 4
Aetna $34,595 13.1% 6
WEBTPA CONTRACTED [320417] $33,098 8.2% 2
Medica $31,522 3.0% 6
OSMA HEALTH CONTRACTED [320292] $31,522 3.0% 2
Community Care, Inc. $27,849 -9.0% 4
Cigna Healthcare $25,596 -16.4% 4
HEALTH CHOICE CONTRACTED [320166] $22,264 -27.2% 2
WORKERS COMP [20426] $19,701 -35.6% 2
Medicaid (Generic) $17,355 -43.3% 2
Humana $17,355 -43.3% 6
Oklahoma Complete Care (Centene OK Medicaid) $17,355 -43.3% 2
GLOBAL HEALTH $15,414 -49.6% 4
KEMPTON CONTRACTED [320214] $793 -97.4% 2
Home State Health (Centene Missouri Medicaid) $485 -98.4% 2
AMBETTER CONTRACTED [320452] $485 -98.4% 2
NOVASYS CONTRACTED [320285] $485 -98.4% 2
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $485 -98.4% 2
Devoted Health $374 -98.8% 2
Medica Holding Company $359 -98.8% 2
BLUE CROSS AND BLUE SHIELD [20053] $359 -98.8% 6
MC GENERIC ANTHEM [20456] $359 -98.8% 2
MC ANTHEM [20455] $359 -98.8% 2
KINDFUL HOSPICE CONTRACTED [320434] $352 -98.8% 2
MERCY HOSPICE OKC [20252] $352 -98.8% 2
KINDFUL HOSPICE [20434] $352 -98.8% 2
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $352 -98.8% 2
AMERICAN HEALTH ADVANTAGE OF OK MEDICARE [20019] $352 -98.8% 2
INDIAN HEALTH SERVICES $352 -98.8% 2
Independent Health Association, Inc. $352 -98.8% 2
HORIZONS MEDICARE [20190] $352 -98.8% 2
HEALTH FIRST HEALTH PLANS MEDICARE [20170] $352 -98.8% 2
HALO HCR INC HOSPICE CONTRACTED [320432] $352 -98.8% 2
HALO HCR INC HOSPICE [20432] $352 -98.8% 2
GENERIC MEDICARE MANAGED CARE [20137] $352 -98.8% 2
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] $352 -98.8% 2
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] $352 -98.8% 2
QUAL CHOICE CONTRACTED [320325] $352 -98.8% 2
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $352 -98.8% 2
ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] $352 -98.8% 2
ELARA CARING ASPIRE HOSPICE [20433] $352 -98.8% 2
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] $352 -98.8% 2
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $352 -98.8% 2
TRIBUTE HEALTH PLAN MCR CONTRACTED [320338] $352 -98.8% 2
TRICARE $352 -98.8% 2
CROSS TIMBERS HOSPICE [20098] $352 -98.8% 2
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $352 -98.8% 2
WINDSOR MEDICARE [20424] $352 -98.8% 2
VA COMMUNITY CARE NETWORK $352 -98.8% 2
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $352 -98.8% 2
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] $352 -98.8% 2
MEDICAL ASSOCIATES HEALTH [20444] $352 -98.8% 2
Medicare (Generic) $352 -98.8% 2
MENTAL HEALTH NETWORK MEDICARE [20250] $352 -98.8% 2

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.