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 J1411 · NEWPORT NEWS, VA

J1411 — Inj, Hemgenix, Per Tx Dose

What each payer pays RIVERSIDE REGIONAL MEDICAL CENTER (CCN 490052) 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.

$3,685,267 All-payer median here
7 payer/plan-name variants
← This hospital National rates for J1411 →
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
   
Anthem (Elevance Health) $3,795,825 3.0% 1
VA / CHAMPVA $3,685,267 0.0% 1
Humana $3,685,267 0.0% 3
Sentara Health Plans $1,951,373 -47.0% 2
Aetna $1,914,112 -48.1% 2
UnitedHealthcare $1,895,686 -48.6% 2
Molina Healthcare $1,858,833 -49.6% 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.