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 J0565 · BLACK RIVER FALLS, WI

J0565 — Bezlotoxumab 25 Mg/ml Intravenous Solution

What each payer pays BLACK RIVER MEMORIAL HOSPITAL (CCN 521333) 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.

$6,389 All-payer median here
$6,156 Cash / self-pay here
23 payer/plan-name variants
← This hospital National rates for J0565 →
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
   
CHORUS COMMUNITY HEALTH PLANS (BADGERCARE PLUS) $6,703 4.9% 2
WPS HEALTH INSURANCE $6,635 3.9% 2
Cigna Healthcare $6,635 3.9% 2
COFINITY $6,635 3.9% 2
Coventry Health Care $6,635 3.9% 2
Custom Benefit Administrators $6,635 3.9% 2
Group Health Cooperative of Eau Claire $6,635 3.9% 2
HealthPartners $6,635 3.9% 2
MultiPlan $6,635 3.9% 6
Family Health Center of Marshfield $6,498 1.7% 2
Association Benefits Solution $6,498 1.7% 2
Provider Network of America (PNOA) $6,498 1.7% 2
First Health Group Corporation $6,498 1.7% 2
Medica $6,389 0.0% 2
The Alliance $6,361 -0.4% 6
Triology Health Solutions $6,327 -1.0% 4
Humana $4,925 -22.9% 4
Security Health Plan of Wisconsin $4,608 -27.9% 8
CORVEL $4,172 -34.7% 4
Anthem BCBS $3,750 -41.3% 4
My Choice Wisconsin, Inc. $3,488 -45.4% 4
UnitedHealthcare $3,488 -45.4% 6
Quartz Health Solutions, Inc $1,765 -72.4% 4

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.