Payer comparison · HCPCS J1628 · COOKEVILLE, TN

J1628 — Inj., Guselkumab, 1 Mg

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.

$16,060 All-payer median here

$13,536 Cash / self-pay here

20 payer/plan-name variants

← This hospital National rates for J1628 →

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)	$28,776	79.2%	1
Medigap	$25,492	58.7%	1
Non Contracted (100% Poc)	$25,492	58.7%	1
GEHA (Government Employees Health Association)	$23,708	47.6%	1
Humana	$22,943	42.9%	1
Medical Mutual of Ohio	$21,668	34.9%	1
Aetna Vhan	$20,368	26.8%	1
Blue Cross Blue Shield Association	$19,629	22.2%	1
Cigna Healthcare	$18,635	16.0%	1
UnitedHealthcare	$17,360	8.1%	1
Hpi	$16,060	0.0%	1
Nhc I-Snp Medicare	$15,392	-4.2%	1
Generic Healthshare Ministries	$14,785	-7.9%	1
Aetna	$14,728	-8.3%	2
Bluecare Medicare	$14,053	-12.5%	1
Self-Pay	$13,536	-15.7%	1
BCBS of Illinois	$13,384	-16.7%	1
Medicare Advantage 100 Percent	$13,384	-16.7%	1
Medicare (Generic)	$13,384	-16.7%	1
Cosmetic-Bariatric	$11,500	-28.4%	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.