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 J9042 · BLOOMER, WI

J9042 — Brentuximab Vedotin 50 Mg Intravenous Solution

What each payer pays MAYO CLINIC HEALTH SYSTEM CHIPPEWA VALLEY (CCN 521314) 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.

$35,639 All-payer median here
$33,411 Cash / self-pay here
239 payer/plan-name variants
← This hospital National rates for J9042 →
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
   
SummaCare $36,010 1.0% 1
Geisinger Health Plan $36,010 1.0% 1
POMCO Group $36,010 1.0% 1
GENERIC COMMERCIAL [91160547] $36,010 1.0% 3
PLANNED ADMINISTRATORS INCORPORATED (PAI) $36,010 1.0% 1
HEALTHLINK [91160223] $36,010 1.0% 1
Network Health, Inc. $36,010 1.0% 2
Medical Associates Clinic, P.C. $36,010 1.0% 1
STANDARD SECURITY LIFE [91160392] $36,010 1.0% 1
Sentara Health Plans $36,010 1.0% 1
Sanford Health $36,010 1.0% 1
MAPFRE [91160268] $36,010 1.0% 1
LIFETIME BENEFIT SOLUTIONS [91160578] $36,010 1.0% 1
INTERNATIONAL MEDICAL GROUP (IMG) $36,010 1.0% 1
KEMPTON GROUP ADMINISTRATORS [91160249] $36,010 1.0% 1
UNITY HEALTH INSURANCE [91160445] $36,010 1.0% 1
Regence BCBS $36,010 1.0% 1
YUZU HEALTH [91160974] $36,010 1.0% 1
Christian Care Ministries (MediShare) $36,010 1.0% 1
CIELOSTAR [91160330] $36,010 1.0% 1
WPS HEALTH INSURANCE $36,010 1.0% 1
QUIK TRIP [91160358] $36,010 1.0% 1
COMPREHENSIVE CARE SERVICES $36,010 1.0% 1
CONNECTICARE (COMMERCIAL) $36,010 1.0% 1
TRUSTEED PLANS [91160422] $36,010 1.0% 1
AMERICAN PUBLIC LIFE [91160044] $36,010 1.0% 1
ADMINISTRATIVE CONCEPTS [91160008] $36,010 1.0% 1
Cooperative Benefit Administrators (CBA) $36,010 1.0% 1
CoxHealth $36,010 1.0% 1
CUSTOM BENEFIT ADMINISTRATORS [91160139] $36,010 1.0% 1
DAKOTA CARE [91160142] $36,010 1.0% 1
DEAN HEALTH PLAN INDIVIDUAL AND FAMILY (IFB) PLANS $36,010 1.0% 5
EmblemHealth $36,010 1.0% 1
WISCONSIN PHYSICIANS SERVICE (WPS) COMMERCIAL $36,010 1.0% 3
Anthem (Elevance Health) $36,010 1.0% 1
EMPLOYEE BENEFIT SYSTEMS $36,010 1.0% 1
3P ADMIN $36,010 1.0% 1
ARM LIMITED [91160056] $36,010 1.0% 1
ASPIRUS HEALTH PLAN [91160895] $36,010 1.0% 1
PREVEA360 [91160575] $36,010 1.0% 1
FOREST COUNTY POTAWATOMI HEALTH [91160727] $36,010 1.0% 1
TCC BENEFITS ADMINISTRATOR [91160407] $36,010 1.0% 1
WESTERN GROWERS ASSOCIATION [91160533] $36,010 1.0% 1
PHYSICIANS PLUS [91160339] $36,010 1.0% 1
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN $36,010 1.0% 1
PEKIN INSURANCE [91160335] $36,010 1.0% 1
PAN AMERICAN LIFE [91160333] $36,010 1.0% 1
HEALTH PAYMENT SYSTEMS [91160212] $36,010 1.0% 1
OPTIMED HEALTH $36,010 1.0% 1
HEALTH PLAN SERVICES $36,010 1.0% 1
TAYLOR BENEFIT RESOURCE $36,010 1.0% 1
SUMMIT ADMINISTRATORS [91160403] $36,010 1.0% 1
WEA TRUST [91160451] $36,010 1.0% 1
GROUP ADMINISTRATORS [91160190] $35,824 0.5% 2
MBS (Formerly MedCost Benefit Services) $35,824 0.5% 2
Employee Benefit Services d/b/a Key Benefit Administrators $35,824 0.5% 2
PROVIDENCE HEALTH PLAN [91160353] $35,824 0.5% 2
INSURANCE DESIGN ADMINISTRATORS $35,824 0.5% 2
INSURANCE MANAGEMENT ADMINISTRATORS [91160236] $35,824 0.5% 2
ALLIED NATIONAL [91160026] $35,824 0.5% 2
INTERNATIONAL BENEFITS ADMINISTRATORS [91160240] $35,824 0.5% 2
UPMC Health Plan $35,824 0.5% 2
AMERICAN TRUST ADMINISTRATORS [91160048] $35,824 0.5% 2
The Health Plan of West Virginia, Inc. $35,824 0.5% 2
WELLFLEET [91160116] $35,824 0.5% 2
CWI BENEFITS [91160140] $35,824 0.5% 2
HARRINGTON HEALTH [91160202] $35,824 0.5% 2
UNIFIED GROUP SERVICES [91160431] $35,824 0.5% 2
Health Net $35,824 0.5% 2
CERNER HEALTH PLAN [91160096] $35,824 0.5% 2
Fox-Everett $35,824 0.5% 2
PROFESSIONAL BENEFIT ADMINISTRATORS [91160351] $35,824 0.5% 2
American National $35,824 0.5% 2
AMERIHEALTH [91160051] $35,824 0.5% 2
BENEFIT MANAGEMENT INC $35,824 0.5% 2
Edison Revolution $35,824 0.5% 2
Priority Health $35,824 0.5% 2
QUARTZ [91160565] $35,824 0.5% 2
THE BENEFIT GROUP [91160410] $35,824 0.5% 2
FCE BENEFITS [91160601] $35,824 0.5% 2
IHC HEALTH SOLUTIONS [91160233] $35,824 0.5% 2
IMAGINE360 [91160191] $35,824 0.5% 2
RURAL CARRIER BENEFIT PLAN [91160365] $35,732 0.3% 2
PacificSource $35,732 0.3% 2
Presbyterian Healthcare Services $35,732 0.3% 2
MAIL HANDLERS BENEFIT PLAN [91160264] $35,732 0.3% 2
PREFERREDONE ADMINISTRATIVE SERVICES [91160346] $35,732 0.3% 2
COVENTRY HEALTH CARE [91160134] $35,639 0.0% 2
First Choice Health $35,639 0.0% 2
Exceedent $35,639 0.0% 2
LIFESTYLE HEALTH PLANS [91160253] $35,639 0.0% 2
Medical Mutual of Ohio $35,639 0.0% 3
AFTRA HEALTH FUND $35,639 0.0% 1
ALTERNATIVE INSURANCE RESOURCE [91160028] $35,639 0.0% 1
AMERIBEN [91160032] $35,639 0.0% 3
AMERICAN REPUBLIC [91160045] $35,639 0.0% 1
ANGLE HEALTH [91160979] $35,639 0.0% 3
ARCBEST CORPORATION [91160054] $35,639 0.0% 1
ASSURANT HEALTH [91160060] $35,639 0.0% 1
ASSURED BENEFITS ADMINSTRATOR [91160061] $35,639 0.0% 1
BENEFIT AND RISK MANAGEMENT SERVICES [91160074] $35,639 0.0% 1
BOILERMAKERS NATIONAL HEALTH & WELFARE FUND $35,639 0.0% 1
BYWATER [91160889] $35,639 0.0% 1
CAPITAL ADMINISTRATORS $35,639 0.0% 1
CAPROCK HEALTH [91160271] $35,639 0.0% 1
Centene $35,639 0.0% 1
Cigna Healthcare $35,639 0.0% 1
CNIC HEALTH SOLUTIONS [91160101] $35,639 0.0% 1
CONSOCIATE HEALTH [91160115] $35,639 0.0% 3
CONTIGO HEALTH [91160207] $35,639 0.0% 1
CONTINENTAL GENERAL [91160119] $35,639 0.0% 1
CURATIVE $35,639 0.0% 1
EBA&M; Employee Benefits Administration & Management $35,639 0.0% 1
EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC) $35,639 0.0% 1
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $35,639 0.0% 3
EMPLOYEE PLANS [91160154] $35,639 0.0% 1
EMPLOYER DIRECT HEALTHCARE $35,639 0.0% 1
EQUITABLE PLAN SERVICES [91160158] $35,639 0.0% 1
EXEMPLAR HEALTH $35,639 0.0% 3
FEDERATED INSURANCE [91160164] $35,639 0.0% 3
FREEDOM LIFE [91160172] $35,639 0.0% 3
FRINGE BENEFIT SERVICES [91160173] $35,639 0.0% 1
GROUP RESOURCES $35,639 0.0% 1
HEALTH PLANS INCORPORATED [91160214] $35,639 0.0% 3
HealthEZ $35,639 0.0% 5
Healthfirst $35,639 0.0% 1
Healthgram Inc (formerly Primary PhysicianCare Inc) $35,639 0.0% 1
HEALTHNOW ADMINISTRATIVE SERVICES [91160733] $35,639 0.0% 1
HEALTHSMART BENEFIT SOLUTIONS $35,639 0.0% 3
HOMETOWN HEALTH [91160230] $35,639 0.0% 1
Humana $35,639 0.0% 1
INTEGRA BMS [91160238] $35,639 0.0% 1
JACKSONVILLE PLUMBERS TRUST [91160244] $35,639 0.0% 1
JP FARLEY CORPORATION [91160246] $35,639 0.0% 3
LIFE X BENEFIT HEALTH PLAN [91160976] $35,639 0.0% 1
LUMINARE HEALTH [91160423] $35,639 0.0% 3
MAGNACARE [91160263] $35,639 0.0% 1
MARPAI $35,639 0.0% 5
Meritain Health $35,639 0.0% 3
Midlands Choice $35,639 0.0% 1
MOTIVHEALTH [91160859] $35,639 0.0% 1
MVP Health Care $35,639 0.0% 1
NATIONAL ASSOCIATION OF LETTER CARRIERS [91160301] $35,639 0.0% 1
Oscar Health $35,639 0.0% 1
PARAGON BENEFITS [91160334] $35,639 0.0% 1
Personal Insurance Administrators, Inc. (PIA) $35,639 0.0% 1
Personify Health $35,639 0.0% 8
PRAIRIE STATES [91160344] $35,639 0.0% 3
REGIONAL CARE [91160359] $35,639 0.0% 1
RELIGIOUS COMPREHENSIVE TRUST [91160360] $35,639 0.0% 1
SAMBA [91160367] $35,639 0.0% 1
SELF FUNDED ADMINISTRATION [91160376] $35,639 0.0% 1
SELF INSURED SERVICES COMPANY [91160378] $35,639 0.0% 5
SHASTA ADMINISTRATIVE SERVICES [91160381] $35,639 0.0% 1
SHEET METAL WORKERS [91160382] $35,639 0.0% 1
SIMPLAN [91160661] $35,639 0.0% 1
SOUTHWEST SERVICE ADMINISTRATORS [91160389] $35,639 0.0% 1
STIRLING [91160398] $35,639 0.0% 1
TALL TREE ADMINISTRATORS [91160405] $35,639 0.0% 1
TEACHER'S HEALTH TRUST [91160408] $35,639 0.0% 1
THE LOOMIS COMPANY [91160412] $35,639 0.0% 1
TRISTAR BENEFIT ADMINISTRATORS [91160421] $35,639 0.0% 1
Tufts Health Plan $35,639 0.0% 1
UMWA Health and Retirement Funds $35,639 0.0% 1
VAULT AMPS ADMIN SERVICES $35,639 0.0% 1
VERDEGARD ADMINISTRATORS LLC [91160228] $35,639 0.0% 3
WORLD INSURANCE [91160466] $35,639 0.0% 1
ASR HEALTH BENEFITS [91160058] $35,546 -0.3% 2
90 Degree Benefits $35,546 -0.3% 6
ALLSTATE [91160027] $35,546 -0.3% 2
S&S HEALTH ASU ATHLETES [91160673] $35,546 -0.3% 2
HEALTHSCOPE BENEFITS [91160225] $35,546 -0.3% 4
GRAVIE $35,546 -0.3% 2
ALLIANCE HEALTH AND LIFE [91160024] $35,546 -0.3% 2
LUCENT HEALTH [91160312] $35,546 -0.3% 2
LUCENT HEALTH [91160141] $35,546 -0.3% 4
WELLNET [91160921] $35,546 -0.3% 2
STARMARK [91160393] $35,546 -0.3% 2
EDUCATORS MUTUAL INSURANCE (EMI) $35,546 -0.3% 2
WebTPA Employer Services LLC $35,546 -0.3% 4
CORESOURCE [91160128] $35,546 -0.3% 2
BENEFIT PLAN ADMINISTRATORS [91160076] $35,453 -0.5% 6
HAP (Health Alliance Plan) $35,453 -0.5% 1
Aetna $35,453 -0.5% 1
FOREIGN SERVICE BENEFIT [91160170] $35,453 -0.5% 1
CONSUMERS' CHOICE HEALTH PLAN $35,453 -0.5% 1
Allina Health and Aetna Insurance Holding Company $35,453 -0.5% 1
ALLIED BENEFIT SYSTEMS [91160025] $35,453 -0.5% 5
INNOVATION HEALTH $35,453 -0.5% 1
AUXIANT [91160064] $35,453 -0.5% 7
1199 NATIONAL BENEFIT FUND $35,453 -0.5% 1
MODA HEALTH [91160295] $35,453 -0.5% 1
ASEA AFSCME HEALTH BENEFIT TRUST [91160057] $35,453 -0.5% 1
NIPPON LIFE [91160310] $35,453 -0.5% 1
HEALTH FIRST HEALTH PLANS NATIONAL $35,453 -0.5% 1
ALTERNATIVE RISK MANAGEMENT [91160573] $35,268 -1.0% 1
NORTH CENTRAL STATES [91160314] $35,268 -1.0% 1
ALLEGIANCE [91160022] $35,268 -1.0% 3
UMR (UnitedHealthcare TPA) $35,268 -1.0% 7
SANA BENEFITS INC [91160949] $35,268 -1.0% 1
Independent Health Association, Inc. $35,082 -1.6% 2
AMERICAN POSTAL WORKERS UNION [91160043] $34,896 -2.1% 2
GEHA (Government Employees Health Association) $34,803 -2.3% 2
BEST DOCTORS [91160846] $34,803 -2.3% 2
United Behavioral Health (Optum) $34,525 -3.1% 1
Security Health Plan of Wisconsin $34,339 -3.6% 4
NRECA [91160319] $34,154 -4.2% 1
ROCKY MOUNTAIN HEALTH PLAN [91160363] $34,154 -4.2% 1
SelectHealth $34,154 -4.2% 1
AVERA HEALTH PLANS [91160065] $34,154 -4.2% 1
Harvard Pilgrim Health Care $34,154 -4.2% 1
NTCA BENEFITS [91160320] $34,154 -4.2% 1
DESERET MUTUAL BENEFIT ADMINISTRATORS $34,154 -4.2% 1
PIPE TRADES SERVICES MN [91160425] $34,154 -4.2% 1
HEALTH PLAN OF NEVADA [91160213] $34,154 -4.2% 1
UnitedHealthcare $34,154 -4.2% 13
Surest (UHC) $34,154 -4.2% 1
COMPASS ROSE HEALTH PLAN [91160106] $34,154 -4.2% 1
Medica $31,555 -11.5% 12
INDEPENDENCE AMERICAN INSURANCE COMPANY [91160832] $26,394 -25.9% 2
WILSON-MCSHANE $26,208 -26.5% 2
Group Health Cooperative of Eau Claire $24,641 -30.9% 2
HealthPartners $21,866 -38.6% 4
MESSA [91160557] $16,778 -52.9% 1
ZENITH AMERICAN SOLUTIONS [91160468] $16,778 -52.9% 2
BLUE CROSS BLUE SHIELD [91160554] $16,778 -52.9% 1
CAPITAL HEALTH PLAN [91160736] $16,778 -52.9% 1
NORTHWEST ADMINISTRATORS INC [91160955] $16,778 -52.9% 1
FLORIDA HEALTH CARE PLAN $16,778 -52.9% 1
LINE CONSTRUCTION BENEFIT FUND [91160257] $16,778 -52.9% 1
LUCENT HEALTH $16,778 -52.9% 1
GENERIC BLUE CROSS BLUE SHIELD [91160558] $16,778 -52.9% 1
INDEPENDENCE ADMINISTRATORS [91160556] $16,778 -52.9% 1
ANTHEM QUANTUM HEALTH [91160987] $16,778 -52.9% 1
ROCHESTER PUBLIC SCHOOLS [91160362] $16,778 -52.9% 1
BRIGHTEN HEALTH PLAN SOLUTIONS $16,778 -52.9% 1
BLUE CROSS BLUE SHIELD [91180006] $13,643 -61.7% 1
UCARE [91180041] $13,643 -61.7% 1
ACUTE REHABILITATION [1140122] $12,993 -63.5% 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.