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 J3245 · GETTYSBURG, SD

J3245 — Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe

What each payer pays AVERA MISSOURI RIVER HEALTH CENTER (CCN 431302) 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.

$46,140 All-payer median here
$55,084 Cash / self-pay here
5 payer/plan-name variants
← This hospital National rates for J3245 →
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
   
Wellmark BCBS $56,788 23.1% 1
Avera Health Insurance $53,948 16.9% 1
HealthPartners $53,948 16.9% 1
UnitedHealthcare $48,440 5.0% 1
Medica $18,459 -60.0% 4

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.