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 J0875 · MOSES LAKE, WA

J0875 — Dalbavancin 500 Mg Intravenous Solution

What each payer pays SAMARITAN HOSPITAL (CCN 500033) 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.

$5,315 All-payer median here
$6,482 Cash / self-pay here
64 payer/plan-name variants
← This hospital National rates for J0875 →
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
   
HEALTHCARE MGNT ADMIN [540] $6,158 15.9% 1
ASURIS [1258] $6,158 15.9% 1
UMR (UnitedHealthcare TPA) $5,834 9.8% 1
TRUSTMARK [524] $5,834 9.8% 1
EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC) $5,834 9.8% 2
FIRST CHOICE [528] $5,834 9.8% 1
Meritain Health $5,834 9.8% 1
GEHA (Government Employees Health Association) $5,834 9.8% 1
ZENITH ADMINISTRATORS [586] $5,834 9.8% 1
MAILHANDLERS BENEFIT PLN [547] $5,834 9.8% 1
BRMS [1270] $5,834 9.8% 1
CITY OF PASCO [2247] $5,834 9.8% 1
Aetna $5,834 9.8% 1
COASTAL ADMINSTRATIVE SERVICES [2269] $5,834 9.8% 1
NW SHEET METAL WORKERS [597] $5,575 4.9% 2
Community Health Plan of Washington $5,315 0.0% 1
ALLEGIANCE [1245] $5,315 0.0% 1
AMERICAN POSTAL WORK [1008] $5,315 0.0% 1
AMERICAN TRUST ADMINISTRATORS [2019] $5,315 0.0% 1
Amerigroup $5,315 0.0% 1
AMERIGROUP MEDICAID HMO [1460] $5,315 0.0% 1
BOILERMAKERS [1269] $5,315 0.0% 1
Cigna Healthcare $5,315 0.0% 1
COMMUNITY HLTH PLAN CHPW MEDICAID HMO [1229] $5,315 0.0% 1
COORDINATED CARE MEDICAID HMO [1462] $5,315 0.0% 1
GREAT WEST CIGNA [534] $5,315 0.0% 1
HEALTHSMART [584] $5,315 0.0% 1
LOOMIS BENEFITS WEST COMM [1109] $5,315 0.0% 1
MASTERS MATES PILOT [1114] $5,315 0.0% 1
MEDICAID WA ALT [1622] $5,315 0.0% 1
MEDICAID WASHINGTON [203] $5,315 0.0% 1
Medicare (Generic) $5,315 0.0% 2
MEDICARE ALT [1644] $5,315 0.0% 1
Molina Healthcare $5,315 0.0% 3
NALC COMM [1136] $5,315 0.0% 1
NW ADMINISTRATORS [1238] $5,315 0.0% 1
SAMBA [1966] $5,315 0.0% 1
TRICARE $5,315 0.0% 1
VA / CHAMPVA $5,315 0.0% 2
Personify Health $5,251 -1.2% 2
First Choice Health $5,186 -2.4% 1
BCBS [1263] $3,847 -27.6% 2
NW PLUMBING PIPEFITTERS [1331] $1,536 -71.1% 1
NW ROOFERS EMP HLT SEC TRST [1615] $1,536 -71.1% 1
BLUE CROSS ID [1265] $1,536 -71.1% 1
OPERATING ENGINEERS [1144] $1,536 -71.1% 1
Premera BCBS $1,536 -71.1% 3
PUGET SND ELECT WRKRS [1348] $1,536 -71.1% 1
PUGET SOUND BENEFITS TRUST [2688] $1,536 -71.1% 1
Regence BCBS $1,536 -71.1% 1
UNITED EMP BEN TRUST [1375] $1,536 -71.1% 1
INLANDBOATMENS UNION TRUST [2687] $1,536 -71.1% 1
LIFEWISE [1108] $1,536 -71.1% 1
LINECO [1931] $1,536 -71.1% 1
SAVERS [2689] $1,536 -71.1% 1
INLAND EMP TEAMSTRS TR [1305] $1,536 -71.1% 1
SPOKANE FIRE FIGHTERS BENEFIT TRUST [2691] $1,536 -71.1% 1
STILLAGUAMISH TRIBE [2690] $1,536 -71.1% 1
TEAMSTERS [1190] $1,536 -71.1% 1
WELFARE AND PENSION [583] $1,536 -71.1% 1
BCBS of Montana $1,536 -71.1% 1
WASH TEAMSTERS [1379] $1,536 -71.1% 1
AMERIBENS SOLUTIONS [508] $1,536 -71.1% 1
NW IRONWORKERS [1645] $1,536 -71.1% 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.