Payer comparison · HCPCS J3245 · THE DALLES, OR

J3245 — Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe

What each payer pays MID-COLUMBIA MEDICAL CENTER (CCN 380001) 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.

$55,337 All-payer median here

$41,374 Cash / self-pay here

27 payer/plan-name variants

← This hospital National rates for J3245 →

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

PacificSource	$103,434	86.9%	1
Devoted Health	$93,091	68.2%	1
Humana	$91,367	65.1%	1
America's Choice Healthplans	$83,609	51.1%	1
MultiPlan / PHCS Network	$81,886	48.0%	1
FIRST CHOICE - ALL PLANS	$81,886	48.0%	1
UnitedHealthcare	$81,886	48.0%	2
Three Rivers Provider Network	$81,886	48.0%	1
Providence Preferred PPO	$81,886	48.0%	1
Cigna Healthcare	$81,196	46.7%	1
Aetna	$79,558	43.8%	1
COVENTRY HEALTH	$77,576	40.2%	1
HEALTHSCAPE - ALL PLANS	$68,956	24.6%	1
Regence BCBS	$53,786	-2.8%	3
Amerigroup	$44,822	-19.0%	1
UnitedHealthcare Community Plan	$44,822	-19.0%	1
Coordinated Care (Centene WA Medicaid)	$44,822	-19.0%	1
NOROCOR - ALL PLANS	$43,098	-22.1%	1
Health Net	$38,848	-29.8%	2
MODA HEALTH - ODS MEDICAL	$28,504	-48.5%	2
First Health Network	$2,500	-95.5%	1
EMPLOYEE HEALTH PLAN - ALL PLANS	$213	-99.6%	1
Molina Healthcare	$130	-99.8%	3
COMMUNITY HP MCR ADV - ALL PLANS	$118	-99.8%	1
REGENCE BCBS VA TRIWEST	$118	-99.8%	1
PGBA TRIWEST VA CCN	$118	-99.8%	1
TRICARE	$118	-99.8%	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.