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 J1628 · HILLSBORO, OR

J1628 — Inj., Guselkumab, 1 Mg

What each payer pays HILLSBORO MEDICAL CENTER (CCN 380021) 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.

$61,924 All-payer median here
$40,251 Cash / self-pay here
19 payer/plan-name variants
← This hospital National rates for J1628 →
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
   
Humana $63,782 3.0% 2
PacificSource $63,782 3.0% 3
TRILLIUM $61,924 0.0% 1
COMMUNITY HEALTH PLAN OF WASHINGTON $61,924 0.0% 2
Samaritan Health Services, Inc. $61,924 0.0% 1
Molina Healthcare $61,924 0.0% 1
Medicare (Generic) $61,924 0.0% 2
MODA $61,924 0.0% 4
TUALITY HEALTH $61,924 0.0% 1
Aetna $61,305 -1.0% 2
CARE OREGON $55,744 -10.0% 2
Kaiser Permanente $55,732 -10.0% 2
First Health Network $52,636 -15.0% 1
HEALTH NET HEALTH PLAN OF OREGON, INC. $51,397 -17.0% 2
Providence Health & Services $51,088 -17.5% 2
FIRST CHOICE $49,540 -20.0% 1
Cigna Healthcare $42,728 -31.0% 1
UnitedHealthcare $32,911 -46.9% 2
Regence BCBS $245 -99.6% 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.