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 · COOKEVILLE, TN

J3245 — Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe

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.

$17,632 All-payer median here
$38,570 Cash / self-pay here
12 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
   
Montgomery County $55,100 212.5% 1
Health Partners of Kansas $49,590 181.2% 1
BCBS of Kansas $28,652 62.5% 2
Oklahoma Complete Health (Centene OK Medicaid) $17,632 0.0% 1
Centene $17,632 0.0% 1
Humana $16,589 -5.9% 2
Aetna $8,875 -49.7% 2
CareSource $8,875 -49.7% 2
Optum Care Network � Kansas City $130 -99.3% 1
Aetna Better Health Administrators, LLC $118 -99.3% 1
TriWest $118 -99.3% 1
UnitedHealthcare $118 -99.3% 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.