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 J0897 · MCCONNELLSBURG, PA

J0897 — Denosumab 60 Mg/ml Subcutaneous Syringe

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.

$4,221 All-payer median here
$3,524 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for J0897 →
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 $8,022 90.0% 2
Highmark $7,309 73.1% 2
Capital BCBS $7,130 68.9% 2
Self-Pay $6,239 47.8% 2
Geisinger Health Plan $5,998 42.1% 2
Aetna $5,021 18.9% 4
UPMC Health Plan $4,632 9.7% 6
Humana $4,027 -4.6% 3
Cigna Healthcare $3,563 -15.6% 4
Medicare Advantage (115Percentage Pom) $3,382 -19.9% 2
Devoted Health $3,088 -26.8% 2
Highmark BCBS $2,941 -30.3% 2
Medicare Advantage 100% $2,941 -30.3% 2
AmeriHealth Caritas $2,941 -30.3% 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.