Price Transparency 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 J1747 · CORPUS CHRISTI, TX

J1747 — Inj, Spesolimab-sbzo, 1 Mg

What each payer pays Driscoll Children's Hospital Transplant Center (CCN 459823) 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.

$247,230 All-payer median here
$71,661 Cash / self-pay here
216 payer/plan-name variants
← This hospital National rates for J1747 →
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
   
GEHA (Government Employees Health Association) $322,474 30.4% 3
COVENTRY HEALTH CARE [50075] $322,474 30.4% 10
MERCY HLTH PLANS OF MIS [50149] $322,474 30.4% 2
GALAXY HEALTH INSURANCE [50047] $322,474 30.4% 1
HEALTHSMART BENEFIT SOLUTIONS $311,725 26.1% 2
BCBS DCH EMPLOYEE INSURANCE [50324] $308,142 24.6% 1
BLUE CROSS BLUE SHIELD [50152] $308,142 24.6% 16
PREFERRED ADMINISTRATORS [50326] $304,559 23.2% 1
BOON CHAPMAN - CHRISTUS SPOHN [50204] $304,559 23.2% 1
MERITAIN HEALTH [50029] $304,559 23.2% 2
BOON-CHAPMAN [50000] $304,559 23.2% 2
MAILHANDLERS BENEFIT PLN [50004] $304,559 23.2% 1
UNICARE [50156] $304,559 23.2% 1
Aetna $304,559 23.2% 15
ENTRUST $304,559 23.2% 2
Humana $304,559 23.2% 8
GOLDEN RULE INSURANCE $304,559 23.2% 2
THE LOOMIS COMP [50300] $304,559 23.2% 1
TEXAS TRUE CHOICE [50058] $304,559 23.2% 1
PROVIDER NETWORK OF AMERICA [50317] $304,559 23.2% 1
ASSURANT HEALTH [50028] $304,559 23.2% 4
ALLIED BENEFIT SYSTEMS [50231] $304,559 23.2% 1
Priority Health $304,559 23.2% 1
FEDERATED CONTRACTORS ADM [50103] $304,559 23.2% 1
FEDERATED INSURANCE [50046] $304,559 23.2% 1
BENEFIT MGMT. ADMIN. INC. [50124] $304,559 23.2% 1
Great-West Healthcare $304,559 23.2% 2
FRINGE BENEFIT GROUP INC (EMPLOYER PLAN SERVICES, INC. - AUSTIN) $304,559 23.2% 1
CHRISTUS HEALTH PLAN [50316] $304,559 23.2% 1
CHRISTUS SPOHN HEALTH NET [50158] $304,559 23.2% 2
Cigna Healthcare $304,559 23.2% 5
THE LOOMIS COMPANY [50127] $304,559 23.2% 1
HEALTHFIRST TPA $304,559 23.2% 2
HEALTH PARTNERS CLAIMS [50056] $304,559 23.2% 1
UMR [50145] $297,393 20.3% 3
AMS [50234] $297,393 20.3% 1
TML INTERGOVERNMENTAL [50057] $297,393 20.3% 1
FREEDOM LIFE INS. [50142] $297,393 20.3% 1
UNITED MEDICAL RESOURCES [50041] $297,393 20.3% 1
INS. SYSTEMS [50201] $275,895 11.6% 2
WebTPA Employer Services LLC $275,895 11.6% 2
ALLEGIAN HEALTH PLANS [50106] $250,814 1.4% 1
OPTUM HEALTHCARE SOLUTIONS [50213] $250,814 1.4% 1
GENERIC COVERAGE COMMERCIAL [50009] $247,230 0.0% 1
GENERIC COVERAGE WORKERS COMP [50262] $247,230 0.0% 1
GILSBAR INSURANCE [50032] $247,230 0.0% 1
GM SOUTHWEST INC. [50072] $247,230 0.0% 1
PRESBYTERIAN [50265] $247,230 0.0% 1
ADMINISTRATIVE CONCEPTS [50063] $247,230 0.0% 1
AIG DOMESTIC CLAIMS INC. [50066] $247,230 0.0% 2
ALLIED NATIONAL [50048] $247,230 0.0% 1
AMERIBEN [50230] $247,230 0.0% 1
AMERICAN ADMINISTRATOR [50043] $247,230 0.0% 1
AMERICAN MEDICAL SECURI [50018] $247,230 0.0% 1
ASSO & SOCIETY INS. CORP. [50077] $247,230 0.0% 1
ASSURE CARE [50102] $247,230 0.0% 1
ASSURED BENEFIT ADMINISTRATORS [50235] $247,230 0.0% 1
AVMA [50023] $247,230 0.0% 1
BAC [50027] $247,230 0.0% 1
BAKER BENEFITS ADMIN. [50026] $247,230 0.0% 2
BANKER FIDELITY [50112] $247,230 0.0% 1
BANNER PLAN ADMIN. [50128] $247,230 0.0% 1
BENEFIT ADMINISTRATIVE SYSTEMS [50003] $247,230 0.0% 1
BENEFIT PLAN ADMINISTRATION [50100] $247,230 0.0% 1
BENEFIT PLANNERS [50082] $247,230 0.0% 1
BENEFITS MANAGEMENT SERV. [50088] $247,230 0.0% 1
BENESIGHT [50080] $247,230 0.0% 1
BLUE BELL BENEFITS TRUST [50116] $247,230 0.0% 1
BMI-HEALTH PLANS [50071] $247,230 0.0% 1
BOLLINGER INSURANCE [50025] $247,230 0.0% 1
CAPROCK [50241] $247,230 0.0% 2
CEBA [50044] $247,230 0.0% 1
CENTIVO-SAN PATRICIO COUNTY [50322] $247,230 0.0% 1
CHESTERFIELD RESOURCES IN [50141] $247,230 0.0% 1
CHRISTIAN MEDI-SHARE [50055] $247,230 0.0% 1
CNIC HEALTH SOLUTIONS [50089] $247,230 0.0% 1
Cooperative Benefit Administrators (CBA) $247,230 0.0% 1
CORESOURCE [50013] $247,230 0.0% 1
COX HEALTH PLAN $247,230 0.0% 1
CRIME VICTIMS [50064] $247,230 0.0% 1
DCH-EMPLOYEE SCREEN OR WORKMANS COMP [50214] $247,230 0.0% 1
DEFINITY HEALTH [50049] $247,230 0.0% 1
DESTINY HEALTH PLAN [50036] $247,230 0.0% 1
EMPLOYEE BENEFIT SERVICES, INC. (EBSI) $247,230 0.0% 1
EMPLOYER DIRECT HEALTHCARE $247,230 0.0% 1
FIRST CARE [50098] $247,230 0.0% 1
First Choice Health $247,230 0.0% 1
First Health Network $247,230 0.0% 5
FISERV HEALTH BENEFIT [50015] $247,230 0.0% 1
FOUNDATION BENEFITS ADMIN [50068] $247,230 0.0% 1
ONE SOURCE ADMINISTRATORS [50084] $247,230 0.0% 1
OXFORD HEALTH PLAN [50017] $247,230 0.0% 1
P5 HEALTH PLAN SOLUTIONS [50039] $247,230 0.0% 1
PAN AMERICAN LIFE [50111] $247,230 0.0% 1
PHYSICIANS HEALTH CHOICE [50060] $247,230 0.0% 1
PRIMARY PHYSICIAN CARE [50146] $247,230 0.0% 1
PRIMSOURCE HLTH. NETWORK [50109] $247,230 0.0% 1
PRINCIPAL FIN.GRP.INS. [50101] $247,230 0.0% 1
PRINCIPAL LIFE INSURANCE [50081] $247,230 0.0% 1
PRIVATE HEALTHCARE SYSTEMS [50217] $247,230 0.0% 1
PROVIDENCE PREFERRED [50130] $247,230 0.0% 1
REGIONAL CARE INC. [50095] $247,230 0.0% 1
RELIANCE STANDARD [50131] $247,230 0.0% 1
RESERVE NATIONAL [50118] $247,230 0.0% 1
RH ADMINISTRATORS [50228] $247,230 0.0% 1
SAMBA [50115] $247,230 0.0% 1
SEGWICK CMS [50136] $247,230 0.0% 1
SENTRY LIFE INSURANCE [50022] $247,230 0.0% 1
SOUTHERN FARM BUREAU [50086] $247,230 0.0% 1
SOUTHERN NATIONAL LIFE [50090] $247,230 0.0% 1
SOUTHWEST TRANSPLANT [50092] $247,230 0.0% 1
SPECIAL INS. SERVICES [50135] $247,230 0.0% 1
STARBRIDGE HRG [50073] $247,230 0.0% 1
STUDENT ASSURANCE [50037] $247,230 0.0% 1
STUDENT INSURANCE [50096] $247,230 0.0% 1
TEACHERS HEALTH TRUST [50099] $247,230 0.0% 1
THE CAPELLA GROUP INC [50035] $247,230 0.0% 1
TIME INSURANCE [50151] $247,230 0.0% 1
TOWER OF LIFE INS. CO. [50007] $247,230 0.0% 1
TRAILBLAZER HLTH ENTERPRI [50074] $247,230 0.0% 1
TRANS CHOICE [50137] $247,230 0.0% 1
TRAVELERS INS. [50069] $247,230 0.0% 1
TRISURANT [50139] $247,230 0.0% 1
TRUSTMARK SMALL BUSINESS BENEFITS $247,230 0.0% 1
Tufts Health Plan $247,230 0.0% 1
UNITED AMERICAN INS. CO. [50067] $247,230 0.0% 1
UNITED BEHAVIORAL HEALTH [50122] $247,230 0.0% 1
UnitedHealthcare $247,230 0.0% 23
UNIVERA HEALTHCARE [50097] $247,230 0.0% 1
VALERO ENERGY CORP. [50150] $247,230 0.0% 1
WORLD INSURANCE COMPANY [50114] $247,230 0.0% 1
GROUP ADMINISTRATORS [50083] $247,230 0.0% 1
GROUP INSURANCE PROGRAM [50138] $247,230 0.0% 1
GROUP INSURANCE SERVICE [50110] $247,230 0.0% 1
GROUP RESOURCES $247,230 0.0% 2
GUARDIAN INSURANCE [50125] $247,230 0.0% 1
HAA PERFERRED PARTNERS [50133] $247,230 0.0% 1
HARRINGTON BENEFITS [50070] $247,230 0.0% 1
Health Net $247,230 0.0% 1
HEALTH PLAN SERVICES [50059] $247,230 0.0% 1
HEALTH SPECIAL RISK [50237] $247,230 0.0% 1
HEALTHSCOPE BENEFITS [50085] $247,230 0.0% 1
HIDALGO COUNTY HUMAN SER. [50020] $247,230 0.0% 1
IAC [50104] $247,230 0.0% 1
IBEW-NECA SOUTHWESTERN HE [50006] $247,230 0.0% 1
IMAGINE 360 [50019] $247,230 0.0% 2
INS. ADMIN. OF AMERICA [50093] $247,230 0.0% 1
INS. MANAGEMENT SERVICES [50031] $247,230 0.0% 1
INS. MGMT. ADMINISTRATORS [50143] $247,230 0.0% 1
INTERNATIONAL BENEFITS ADMINISTRATORS [50268] $247,230 0.0% 1
JOHN ALDEN LIFE INS. CO. [50014] $247,230 0.0% 1
JOHN HOPKINS HEALTH PLAN [50119] $247,230 0.0% 1
KAISER FOUNDATION HEALTH [50054] $247,230 0.0% 1
LIBERTY HEALTHSHARE [50266] $247,230 0.0% 1
LIFEWISE ASSURANCE $247,230 0.0% 1
LUCENT HEALTH [50267] $247,230 0.0% 4
MASTERS,MATES & PILOTS [50087] $247,230 0.0% 1
MBA BENEFIT ADMINSTRATION [50121] $247,230 0.0% 1
MD IPA [50107] $247,230 0.0% 1
Medical Mutual of Ohio $247,230 0.0% 1
MEDICAL NETWORK [50140] $247,230 0.0% 1
MEDIPLUS [50129] $247,230 0.0% 1
MEGA LIFE & HEALTH [50076] $247,230 0.0% 1
MERCER ADMIN [50091] $247,230 0.0% 1
MISHE [50327] $247,230 0.0% 1
MISSISSIPPI ADM.SERVICE [50144] $247,230 0.0% 1
MUTUAL OF OMAHA [50001] $247,230 0.0% 1
NALC HEALTH BENEFIT PLAN [50024] $247,230 0.0% 1
NATIONAL HEALTH [50002] $247,230 0.0% 1
NATIONWIDE HEALTH [50042] $247,230 0.0% 1
NCAS $247,230 0.0% 1
NINETY DEGREE 5000 (OUT OF NETWORK) [50304] $247,230 0.0% 1
NIPPON LIFE INSURANCE CO. [50113] $247,230 0.0% 1
NORTH AMERICAN PREFERRED [50120] $247,230 0.0% 1
NTCA [50079] $247,230 0.0% 1
90 Degree Benefits $223,941 -9.4% 2
COVID19 HRSA UNINSURED FUND [50270] $171,986 -30.4% 1
DIVISION OF IMMIGRATION [50030] $171,986 -30.4% 3
Medicare (Generic) $171,986 -30.4% 3
UTMB CORRECT. MGED. CARE [50061] $128,990 -47.8% 1
EXCHANGE-COMMUNITY HEALTH CHOICE [50250] $125,407 -49.3% 1
EXCHANGE - GENERIC PLANS [50224] $125,407 -49.3% 1
EXCHANGE BCBS MAGELLAN [50312] $125,407 -49.3% 1
EXCHANGE-CHRISTUS HEALTH PLAN [50240] $125,407 -49.3% 1
Centene $121,824 -50.7% 1
POINT COMFORT UNDERWRITERS $114,658 -53.6% 1
DCH HEALTHPLAN-STAR MEDICAID [50168] $111,075 -55.1% 3
Superior HealthPlan $111,075 -55.1% 11
DRISCOLL CHILDRENS HEALTH PLAN $111,075 -55.1% 18
TEXAS CHILDREN'S HEALTH PLAN $87,176 -64.7% 3
DELL CHILDRENS HEALTH PLAN $87,176 -64.7% 2
CHRISTUS Health $87,176 -64.7% 4
Baylor Scott & White Health $87,176 -64.7% 3
BCBS of Texas $87,176 -64.7% 6
HEALTHY BLUE MEDICAID [50313] $87,176 -64.7% 1
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $87,176 -64.7% 4
UNICARE HEALTH PLANS OF TEXAS [50173] $87,176 -64.7% 2
FIRSTCARE LUBBOCK [50191] $87,176 -64.7% 2
TEXAS HEALTH NETWORK [50189] $87,176 -64.7% 2
COMMUNITY HEALTH CHOICE - HEALTH INSURANCE MARKETPLACE $87,176 -64.7% 3
OUT OF STATE MEDICAID [50321] $87,176 -64.7% 21
Community First Health Plan $87,176 -64.7% 3
COMM CENTENNIAL BLUE CROSS [50260] $87,176 -64.7% 1
PARKLAND COMMUNITY HEALTH PLAN (MEDICAID MANAGED CARE) $87,176 -64.7% 4
Amerigroup $87,176 -64.7% 5
Medicaid (Generic) $87,176 -64.7% 1
CSHCN - MEDICAID [50163] $84,452 -65.8% 1
PENDING TX MGD MDCD # [50242] $84,452 -65.8% 1
TMHP LONG TERM CARE $84,452 -65.8% 7
Molina Healthcare $75,996 -69.3% 5
El Paso Health $53,746 -78.3% 3
OUT OF STATE MEDICAID [50166] $42,997 -82.6% 11
MERCY HEALTH PLAN [50172] $42,997 -82.6% 3
PRESBYTERIAN [50323] $42,997 -82.6% 1
POLICE DEPARTMENTS [50065] $1,000 -99.6% 1
TEXAS REHABILITATION COMM [50038] $166 -99.9% 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.