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 J9316 · COOKEVILLE, TN

J9316 — Pertuzu, Trastuzu, 10 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.

$12,502 All-payer median here
$12,932 Cash / self-pay here
20 payer/plan-name variants
← This hospital National rates for J9316 →
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
   
Non Contracted (100% Poc) $20,295 62.3% 2
Medigap $20,295 62.3% 2
GEHA (Government Employees Health Association) $18,874 51.0% 2
Humana $18,266 46.1% 2
Medical Mutual of Ohio $17,251 38.0% 2
Aetna Vhan $16,216 29.7% 2
Blue Cross Blue Shield Association $15,627 25.0% 2
Cigna Healthcare $14,836 18.7% 2
UnitedHealthcare $13,821 10.6% 2
Hpi $12,786 2.3% 2
Generic Healthshare Ministries $11,771 -5.8% 2
Cosmetic-Bariatric $11,500 -8.0% 1
Self-Pay $10,777 -13.8% 2
Aetna $8,699 -30.4% 4
Ambetter (Mcr) $7,791 -37.7% 2
Nhc I-Snp Medicare $4,167 -66.7% 2
Bluecare Medicare $3,805 -69.6% 2
BCBS of Illinois $3,624 -71.0% 2
Medicare (Generic) $3,624 -71.0% 2
Medicare Advantage 100 Percent $3,624 -71.0% 2

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.