Payer comparison · HCPCS J2326 · MILWAUKEE, WI

J2326 — Inj, Nusinersen, 0.1mg

What each payer pays FROEDTERT MEMORIAL LUTHERAN HOSPITAL (CCN 520177) 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.

$391,996 All-payer median here

$329,912 Cash / self-pay here

30 payer/plan-name variants

← This hospital National rates for J2326 →

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

First Health Network	$518,862	32.4%	1
WPS Government Health Administrators	$509,865	30.1%	1
HEALTHSMART BENEFIT SOLUTIONS	$497,868	27.0%	1
MultiPlan	$479,873	22.4%	2
Group Health Cooperative	$435,934	11.2%	2
Dean Health Plan	$435,934	11.2%	2
Cigna Healthcare	$429,936	9.7%	2
Health Payment Systems	$394,695	0.7%	1
ICare	$391,996	0.0%	3
Care Wisconsin/MyChoice	$391,996	0.0%	3
Chorus Community Health Plan	$391,996	0.0%	3
Community Care, Inc.	$391,996	0.0%	3
Molina Healthcare	$391,996	0.0%	3
Quartz	$391,996	0.0%	3
Security Health Plan of Wisconsin	$391,996	0.0%	4
WellCare Health Plans	$391,996	0.0%	3
Trilogy	$390,946	-0.3%	2
Aetna	$389,896	-0.5%	3
Wisconsin Physician Services Statewide Alliance	$384,948	-1.8%	2
Sheboygan Employers Health Network	$381,949	-2.6%	2
HealthPartners	$381,949	-2.6%	4
Anthem (Elevance Health)	$359,904	-8.2%	7
UnitedHealthcare	$359,904	-8.2%	9
Network Health, Inc.	$324,514	-17.2%	7
Froedtert South	$315,966	-19.4%	2
Centivo	$248,934	-36.5%	4
Medical College of Wisconsin	$248,934	-36.5%	2
Upper Peninsula Health Plan	$196,638	-49.8%	2
Priority Health	$196,638	-49.8%	2
Humana	$196,638	-49.8%	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.