Price Transparencybeta 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 J0897 · KINGFISHER, OK

J0897 — Denosumab 60 Mg/ml Subcutaneous Syringe

What each payer pays MERCY HOSPITAL KINGFISHER, INC (CCN 371313) 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.

$4,955 All-payer median here
$6,296 Cash / self-pay here
66 payer/plan-name variants
← This hospital National rates for J0897 →
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
   
CENTIVO CONTRACTED [320505] $8,311 67.7% 2
AITHER HEALTH $8,233 66.2% 4
YUZU HEALTH CONTRACTED [320521] $8,233 66.2% 2
AUXIANT $8,233 66.2% 4
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $8,233 66.2% 2
IMAGINE360 ADMINISTRATORS (GPA) $8,233 66.2% 2
HEALTHLINK PPO $8,233 66.2% 2
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $8,233 66.2% 2
EDISON HEALTH SOLUTIONS $8,233 66.2% 2
First Health Network $7,574 52.9% 2
Healthcare Highways $7,264 46.6% 4
MERCY BENEFIT ADMINISTRATION $7,262 46.6% 20
OSMA HEALTH CONTRACTED [320292] $6,780 36.8% 2
BENEFIT MANAGEMENT CONTRACTED [320052] $6,779 36.8% 4
UMR (UnitedHealthcare TPA) $6,761 36.4% 2
United Behavioral Health (Optum) $6,761 36.4% 2
Medica $5,906 19.2% 4
Medica Holding Company $5,906 19.2% 4
Cigna Healthcare $5,885 18.8% 4
UnitedHealthcare $5,848 18.0% 8
QUIK TRIP CONTRACTED [320447] $5,812 17.3% 2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $5,812 17.3% 4
MC GENERIC ANTHEM [20456] $5,327 7.5% 2
MC ANTHEM [20455] $5,327 7.5% 2
Devoted Health $5,238 5.7% 2
HEALTHSPRING $5,188 4.7% 2
GLOBAL HEALTH $5,040 1.7% 2
Medicare (Generic) $4,941 -0.3% 2
ELARA CARING ASPIRE HOSPICE [20433] $4,940 -0.3% 2
VA COMMUNITY CARE NETWORK $4,940 -0.3% 2
Independent Health Association, Inc. $4,940 -0.3% 2
INDIAN HEALTH SERVICES $4,940 -0.3% 2
KINDFUL HOSPICE [20434] $4,940 -0.3% 2
KINDFUL HOSPICE CONTRACTED [320434] $4,940 -0.3% 2
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $4,940 -0.3% 2
HEALTH FIRST HEALTH PLANS MEDICARE [20170] $4,940 -0.3% 2
WINDSOR MEDICARE [20424] $4,940 -0.3% 2
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $4,940 -0.3% 2
HALO HCR INC HOSPICE CONTRACTED [320432] $4,940 -0.3% 2
WellCare Health Plans $4,940 -0.3% 2
Medical Associates Health Plans/Health Choices [MAHC1] $4,940 -0.3% 2
CROSS TIMBERS HOSPICE [20098] $4,940 -0.3% 2
BCBS MEDICARE ADVANTAGE [20047] $4,940 -0.3% 2
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $4,940 -0.3% 2
TRICARE $4,940 -0.3% 4
ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] $4,940 -0.3% 2
MENTAL HEALTH NETWORK MEDICARE [20250] $4,940 -0.3% 2
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $4,940 -0.3% 2
MERCY HOSPICE OKC [20252] $4,940 -0.3% 2
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $4,940 -0.3% 2
HORIZONS MEDICARE [20190] $4,940 -0.3% 2
Prominence Health Plan $4,940 -0.3% 2
Provider Partners Health Plan (PPHP) $4,940 -0.3% 2
QUALCHOICE ADVANTAGE $4,940 -0.3% 2
HALO HCR INC HOSPICE [20432] $4,940 -0.3% 2
BLUE CROSS AND BLUE SHIELD [20053] $4,891 -1.3% 12
Aetna $4,838 -2.4% 8
WEBTPA $4,068 -17.9% 2
Humana $3,293 -33.5% 4
AMBETTER CONTRACTED [320452] $2,906 -41.4% 2
NOVASYS HEALTH $2,906 -41.4% 2
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $2,906 -41.4% 2
Home State Health (Centene Missouri Medicaid) $2,906 -41.4% 2
HEALTH CHOICE CONTRACTED [320166] $2,195 -55.7% 2
Medicaid (Generic) $1,660 -66.5% 2
Oklahoma Complete Health (Centene OK Medicaid) $1,660 -66.5% 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.