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 J7165 · WATONGA, OK

J7165 — Inj, Human-lans, Per I.u

What each payer pays MERCY HOSPITAL WATONGA, INC (CCN 371302) 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.

$5,423 All-payer median here
$6,910 Cash / self-pay here
66 payer/plan-name variants
← This hospital National rates for J7165 →
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
   
YUZU HEALTH CONTRACTED [320521] $9,037 66.6% 2
AUXIANT CONTRACTED [320462] $9,037 66.6% 4
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $9,037 66.6% 2
EBMS CONTRACTED [320493] $9,037 66.6% 2
HEALTHLINK PPO $9,037 66.6% 2
IMAGINE360 ADMINISTRATORS (GPA) $9,037 66.6% 2
MULTIPLAN CONTRACTED [320270] $8,859 63.4% 4
First Health Network $8,622 59.0% 2
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] $8,420 55.3% 2
UMR (UnitedHealthcare TPA) $8,420 55.3% 2
PHCS (Private Healthcare Systems) $8,151 50.3% 4
PREFERRED COMMUNITY CHOICE CONTRACTED [320311] $7,973 47.0% 2
HEALTHSMART BENEFIT SOLUTIONS $7,973 47.0% 4
Healthcare Highways $7,973 47.0% 4
OSMA HEALTH CONTRACTED [320292] $7,442 37.2% 2
AITHER HEALTH CONTRACTED [320449] $7,265 34.0% 4
BENEFIT MANAGEMENT CONTRACTED [320052] $7,265 34.0% 4
MERCY BENEFIT ADMIN CONTRACTED [320251] $7,265 34.0% 20
QUIK TRIP CONTRACTED [320447] $6,379 17.6% 2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $6,379 17.6% 4
Cigna Healthcare $5,805 7.0% 4
UnitedHealthcare $5,518 1.8% 8
Aetna $5,124 -5.5% 6
Medica $4,835 -10.8% 4
Medica Holding Company $4,835 -10.8% 4
BLUE CROSS AND BLUE SHIELD [20053] $4,607 -15.1% 12
MC GENERIC ANTHEM [20456] $4,571 -15.7% 2
MC ANTHEM [20455] $4,571 -15.7% 2
WEBTPA CONTRACTED [320417] $4,465 -17.7% 2
Medicare (Generic) $4,276 -21.2% 2
GLOBAL HEALTH $4,148 -23.5% 2
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] $4,068 -25.0% 2
KINDFUL HOSPICE CONTRACTED [320434] $4,068 -25.0% 2
KINDFUL HOSPICE [20434] $4,068 -25.0% 2
INDIAN HEALTH SERVICES $4,068 -25.0% 2
Independent Health Association, Inc. $4,068 -25.0% 2
TRICARE $4,068 -25.0% 2
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $4,068 -25.0% 2
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $4,068 -25.0% 2
VA COMMUNITY CARE NETWORK $4,068 -25.0% 2
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] $4,068 -25.0% 2
WINDSOR MEDICARE [20424] $4,068 -25.0% 2
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $4,068 -25.0% 2
MEDICAL ASSOCIATES HEALTH [20444] $4,068 -25.0% 2
MENTAL HEALTH NETWORK MEDICARE [20250] $4,068 -25.0% 2
HORIZONS MEDICARE [20190] $4,068 -25.0% 2
MERCY HOSPICE OKC [20252] $4,068 -25.0% 2
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $4,068 -25.0% 2
HEALTH FIRST HEALTH PLANS MEDICARE [20170] $4,068 -25.0% 2
HALO HCR INC HOSPICE CONTRACTED [320432] $4,068 -25.0% 2
HALO HCR INC HOSPICE [20432] $4,068 -25.0% 2
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $4,068 -25.0% 2
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] $4,068 -25.0% 2
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] $4,068 -25.0% 2
QUAL CHOICE CONTRACTED [320325] $4,068 -25.0% 2
ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] $4,068 -25.0% 2
ELARA CARING ASPIRE HOSPICE [20433] $4,068 -25.0% 2
CROSS TIMBERS HOSPICE [20098] $4,068 -25.0% 2
TRIBUTE HEALTH PLAN MCR CONTRACTED [320338] $4,068 -25.0% 2
NOVASYS CONTRACTED [320285] $3,189 -41.2% 2
AMBETTER CONTRACTED [320452] $3,189 -41.2% 2
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $3,189 -41.2% 2
Home State Health (Centene Missouri Medicaid) $3,189 -41.2% 2
Humana $2,931 -46.0% 6
Oklahoma Complete Care (Centene OK Medicaid) $2,362 -56.4% 2
Medicaid (Generic) $2,362 -56.4% 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.