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 J0491 · COOKEVILLE, TN

J0491 — Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution

What each payer pays COOKEVILLE REGIONAL MEDICAL CENTER (CCN 440059) 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.

$6,385 All-payer median here
$4,957 Cash / self-pay here
20 payer/plan-name variants
← This hospital National rates for J0491 →
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
   
Ambetter (Mcr) $11,938 87.0% 1
Cosmetic-Bariatric $11,500 80.1% 1
Medigap $9,335 46.2% 1
Non Contracted (100% Poc) $9,335 46.2% 1
GEHA (Government Employees Health Association) $8,682 36.0% 1
Humana $8,402 31.6% 1
Medical Mutual of Ohio $7,935 24.3% 1
Aetna Vhan $7,459 16.8% 1
Blue Cross Blue Shield Association $7,188 12.6% 1
Cigna Healthcare $6,824 6.9% 1
Nhc I-Snp Medicare $6,385 0.0% 1
UnitedHealthcare $6,357 -0.4% 1
Hpi $5,881 -7.9% 1
Bluecare Medicare $5,830 -8.7% 1
Aetna $5,726 -10.3% 2
BCBS of Illinois $5,552 -13.0% 1
Medicare (Generic) $5,552 -13.0% 1
Medicare Advantage 100 Percent $5,552 -13.0% 1
Generic Healthshare Ministries $5,414 -15.2% 1
Self-Pay $4,957 -22.4% 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.