Payer comparison · HCPCS J0225 · DALLAS, TX

J0225 — Inj, Vutrisiran, 1 Mg

What each payer pays UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. (CCN 450044) 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.

$256,447 All-payer median here

$228,562 Cash / self-pay here

22 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

Galaxy Health Network	$402,269	56.9%	1
MultiPlan	$397,698	55.1%	1
HEALTHSMART BENEFIT SOLUTIONS	$379,413	48.0%	1
PHCS (Private Healthcare Systems)	$357,928	39.6%	2
Cigna Healthcare	$337,403	31.6%	3
United Healthcare W500	$330,044	28.7%	1
Rockwall County	$319,987	24.8%	1
QuikTrip	$281,131	9.6%	2
Healthfirst	$256,904	0.2%	1
Superior HealthPlan	$256,447	0.0%	5
VALUE OPTIONS	$256,447	0.0%	1
United Behavioral Health (Optum)	$256,447	0.0%	2
Maestro Health/Fort Worth Firefighters	$244,379	-4.7%	1
Aetna	$198,392	-22.6%	8
Molina Healthcare	$163,881	-36.1%	4
Anthem (Elevance Health)	$161,241	-37.1%	4
PARKLAND COMMUNITY HEALTH PLAN (MEDICAID MANAGED CARE)	$161,241	-37.1%	2
Blue Cross Blue Shield	$138,160	-46.1%	10
United Options Nexus	$133,095	-48.1%	2
Humana	$130,815	-49.0%	2
Procare	$130,715	-49.0%	2
UnitedHealthcare	$115,481	-55.0%	8

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.