Payer comparison · HCPCS J0896 · MCCONNELLSBURG, PA

J0896 — Luspatercept-aamt 25 Mg Subcutaneous Solution

What each payer pays FULTON COUNTY MEDICAL CENTER (CCN 391303) 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.

$13,593 All-payer median here

$10,572 Cash / self-pay here

14 payer/plan-name variants

← This hospital National rates for J0896 →

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

UnitedHealthcare	$27,186	100.0%	2
Highmark	$24,770	82.2%	2
Capital BCBS	$24,165	77.8%	2
Self-Pay	$21,145	55.6%	2
Geisinger Health Plan	$20,329	49.6%	2
Aetna	$16,659	22.6%	4
UPMC Health Plan	$15,179	11.7%	6
Humana	$12,083	-11.1%	3
Cigna Healthcare	$11,834	-12.9%	4
Medicare Advantage (115Percentage Pom)	$11,463	-15.7%	2
Devoted Health	$10,467	-23.0%	2
Highmark BCBS	$9,968	-26.7%	2
Medicare Advantage 100%	$9,968	-26.7%	2
AmeriHealth Caritas	$9,968	-26.7%	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.