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 J1747 · BAKER CITY, OR

J1747 — Inj, Spesolimab-sbzo, 1 Mg

What each payer pays ST. ALPHONSUS MEDICAL CENTER - BAKER CITY (CCN 381315) 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.

$99,096 All-payer median here
$73,018 Cash / self-pay here
53 payer/plan-name variants
← This hospital National rates for J1747 →
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 $166,898 68.4% 1
Woodgrain Millwork $102,225 3.2% 1
ALLEGIANCE $102,225 3.2% 3
EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC) $100,139 1.1% 1
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $100,139 1.1% 1
ASR Health Benefits $100,139 1.1% 1
GEHA (Government Employees Health Association) $100,139 1.1% 1
ATLANTIC MEDICAL INSURANCE $100,139 1.1% 1
BRITISH CAYMANIAN $100,139 1.1% 1
Rural Carrier Health Benefit Plan $100,139 1.1% 1
Christian Brothers Services $100,139 1.1% 1
ALLIED BENEFIT SYSTEMS $100,139 1.1% 1
Aetna $100,139 1.1% 7
COLONIAL MEDICAL $100,139 1.1% 1
Meritain Health $100,139 1.1% 1
LUMINARE HEALTH (AZ, IL, IN, MD, MN, NC, PA) $100,139 1.1% 1
AMERICAN CONTINENTAL SUPPLEMENT $100,139 1.1% 1
MVP Health Care $99,096 0.0% 1
Allied National Global Care $99,096 0.0% 1
ASRM - RELIANCE STANDARD LIFE INSURANCE $99,096 0.0% 1
Christian Care Ministries (MediShare) $99,096 0.0% 1
CHRISTIAN CARE MINISTRY $99,096 0.0% 1
DEAN HEALTH $99,096 0.0% 1
Fallon Health $99,096 0.0% 1
Family Life Insurance Company $99,096 0.0% 1
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN $99,096 0.0% 1
INTERNATIONAL BENEFIT ADMINISTRATORS $99,096 0.0% 1
LIFETIME BENEFIT SOLUTIONS $99,096 0.0% 1
MANHATTAN LIFE $99,096 0.0% 1
MultiPlan $99,096 0.0% 1
PARAMOUNT HEALTH CARE $99,096 0.0% 1
PHCS (Private Healthcare Systems) $99,096 0.0% 1
PLANNED ADMINISTRATORS INCORPORATED (PAI) $99,096 0.0% 1
TRINITY HEALTH SHARE $99,096 0.0% 1
Providence Health & Services $97,531 -1.6% 1
Cigna Healthcare $97,010 -2.1% 1
UnitedHealthcare $97,010 -2.1% 1
Centene $97,010 -2.1% 1
SelectHealth $96,488 -2.6% 2
PAN-AMERICAN LIFE $95,966 -3.2% 3
First Choice Health $95,445 -3.7% 2
COLUMBIA HEALTH NETWORK $88,665 -10.5% 1
Moda $80,841 -18.4% 2
Moda Health $73,539 -25.8% 2
Humana $69,889 -29.5% 2
ID County Canyon $64,673 -34.7% 2
ID COUNTY PAYETTE $64,673 -34.7% 2
CENTURION OF IDAHO $64,673 -34.7% 2
ADA County Jail Inmate INS $64,673 -34.7% 2
ID County ADA $64,673 -34.7% 2
Molina Healthcare $47,983 -51.6% 1
Regence BCBS $47,983 -51.6% 1
Borderland $26 -100.0% 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.