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 J1413 · PITTSBURGH, PA

J1413 — Inj Delandistrogene Mox Rokl

What each payer pays WEST PENN HOSPITAL (CCN 390090) 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.

$3,573,846 All-payer median here
12 payer/plan-name variants
← This hospital National rates for J1413 →
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
   
Molina Healthcare $3,623,783 1.4% 1
UnitedHealthcare $3,590,538 0.5% 7
Highmark BCBS $3,590,400 0.5% 21
Cigna Healthcare $3,557,292 -0.5% 1
Highmark $3,524,046 -1.4% 1
Humana $3,524,046 -1.4% 1
AMERIHEALTH NEW JERSEY (NON-HMO) $3,490,800 -2.3% 1
Aetna $3,457,555 -3.3% 1
Devoted Health $3,424,309 -4.2% 1
Living Independence for the Elderly Pittsburgh Inc $3,324,572 -7.0% 1
Martin's Point Health Care, Inc. $3,324,572 -7.0% 1
American Health Plans $3,324,572 -7.0% 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.