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 J3111 · VIBORG, SD

J3111 — Romosozumab-aqqg 210 Mg/2.34 Ml(105 Mg/1.17 Ml X2)subcutaneous Syringe

What each payer pays PIONEER MEMORIAL HOSPITAL - CAH (CCN 431328) 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.

$5,042 All-payer median here
$7,382 Cash / self-pay here
10 payer/plan-name variants
← This hospital National rates for J3111 →
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 $7,087 40.6% 2
Sanford Health $6,644 31.8% 2
Cigna Healthcare $6,275 24.4% 2
DakotaCare $6,275 24.4% 2
Medica $6,275 24.4% 2
Avera Health Plan $6,275 24.4% 2
UMR (UnitedHealthcare TPA) $6,201 23.0% 2
HealthPartners $6,127 21.5% 2
Aetna $5,832 15.7% 2
UnitedHealthcare $3,912 -22.4% 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.