Payer comparison · HCPCS J0225 · TULLAHOMA, TN

J0225 — Inj, Vutrisiran, 1 Mg

What each payer pays VANDERBILT TULLAHOMA-HARTON HOSPITAL (CCN 440144) 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.

$160,511 All-payer median here

$96,975 Cash / self-pay here

17 payer/plan-name variants

← This hospital National rates for J0225 →

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

Commonwealth Health	$319,185	98.9%	1
MedBen	$319,185	98.9%	1
LUCENT HEALTH	$319,185	98.9%	1
Partner Direct Health	$319,185	98.9%	1
HPI	$319,185	98.9%	1
Oscar Health	$286,274	78.4%	1
BCBS of Tennessee	$273,751	70.5%	4
NovaNet	$234,078	45.8%	1
Centene	$233,077	45.2%	1
PHCS (Private Healthcare Systems)	$224,381	39.8%	1
Cigna Healthcare	$200,639	25.0%	4
Aetna	$160,511	0.0%	6
WellCare of TN	$150,815	-6.0%	1
UnitedHealthcare	$149,991	-6.6%	9
Humana	$143,959	-10.3%	3
Anthem (Elevance Health)	$138,475	-13.7%	3
Molina Healthcare	$100,319	-37.5%	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.