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 J1602 · LAFAYETTE, TN

J1602 — Golimumab 12.5 Mg/ml Intravenous Solution

What each payer pays MACON COMMUNITY HOSPITAL (CCN 441305) 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.

$5,774 All-payer median here
$7 Cash / self-pay here
17 payer/plan-name variants
← This hospital National rates for J1602 →
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
   
PHCS (Private Healthcare Systems) $17,918 210.3% 2
Aetna $16,923 193.1% 2
SELFPAY $11,946 106.9% 1
UnitedHealthcare $11,846 105.2% 4
Humana $10,851 87.9% 4
Cigna Healthcare $8,999 55.9% 4
BLUECROSS_P $6,875 19.1% 2
BLUECROSS_S $6,278 8.7% 2
WELLPOINT_TENNCARE $5,774 0.0% 1
Amerigroup $5,774 0.0% 2
MCRADV_BCBS $5,774 0.0% 2
MCRADV_FARM_BUREAU $5,774 0.0% 2
Medicare (Generic) $5,774 0.0% 1
VA / CHAMPVA $5,774 0.0% 2
WellCare Health Plans $5,774 0.0% 2
TRICARE $5,289 -8.4% 2
UHC_TENNCARE $11 -99.8% 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.