Payer comparison · HCPCS J9316 · ASTORIA, OR

J9316 — Pertuzu, Trastuzu, 10 Mg

What each payer pays COLUMBIA MEMORIAL HOSPITAL (CCN 381320) 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.

$24,344 All-payer median here

$29,503 Cash / self-pay here

26 payer/plan-name variants

← This hospital National rates for J9316 →

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

PROVIDENCE MCO - Worker's Compensation	$35,487	45.8%	2
Aetna	$34,067	39.9%	2
Cigna Healthcare	$34,067	39.9%	2
MULTIPLAN - Commercial	$34,067	39.9%	2
PACIFICARE - Commercial	$33,712	38.5%	2
HEALTH NET - Commercial	$33,712	38.5%	2
CHP OF WASHINGTON PEBB- Medicaid	$33,712	38.5%	2
BC PREMERA LIFEWISE - Commercial	$33,712	38.5%	2
ODS MODA COMMERCIAL NETWORKS - Commercial	$33,712	38.5%	2
PROVIDENCE PREFERRED/CHOICE - Commercial	$33,003	35.6%	2
PACIFIC SOURCE - Commercial	$32,648	34.1%	2
FIRST HEALTH/COVENTRY - Commercial	$31,938	31.2%	2
Regence BCBS	$25,266	3.8%	6
UnitedHealthcare	$21,150	-13.1%	8
PROVIDER NETWORK OF AMERICA - Commercial	$19,518	-19.8%	2
PNOA - Auto/Liability	$19,518	-19.8%	2
Molina Healthcare	$15,923	-34.6%	2
CIGNA MEDICARE ADVANTAGE - Medicare Advantage	$13,414	-44.9%	2
AETNA MEDICARE ADVANTAGE - Medicare Advantage	$13,130	-46.1%	2
CARE OREGON - Medicare Advantage	$12,775	-47.5%	2
Medicare of OR	$12,775	-47.5%	2
MOLINA MA - Medicare Advantage	$12,775	-47.5%	2
STERLING - Medicare Advantage	$12,775	-47.5%	2
TRICARE	$12,775	-47.5%	2
CareOregon, Inc.	$11,640	-52.2%	4
WASHINGTON STATE DSHS - Medicaid	$5,429	-77.7%	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.