Payer comparison · HCPCS J0717 · BLACK RIVER FALLS, WI

J0717 — Certolizumab Pegol Inj 1mg

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.

$8,096 All-payer median here

$7,801 Cash / self-pay here

23 payer/plan-name variants

← This hospital National rates for J0717 →

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)	$8,495	4.9%	2
WPS HEALTH INSURANCE	$8,408	3.9%	2
Cigna Healthcare	$8,408	3.9%	2
COFINITY	$8,408	3.9%	2
Coventry Health Care	$8,408	3.9%	2
Custom Benefit Administrators	$8,408	3.9%	2
Group Health Cooperative of Eau Claire	$8,408	3.9%	2
HealthPartners	$8,408	3.9%	2
MultiPlan	$8,408	3.9%	6
Family Health Center of Marshfield	$8,235	1.7%	2
Association Benefits Solution	$8,235	1.7%	2
Provider Network of America (PNOA)	$8,235	1.7%	2
First Health Group Corporation	$8,235	1.7%	2
Medica	$8,096	0.0%	2
The Alliance	$8,061	-0.4%	6
Triology Health Solutions	$8,018	-1.0%	4
Humana	$6,241	-22.9%	4
Security Health Plan of Wisconsin	$5,840	-27.9%	8
CORVEL	$5,287	-34.7%	4
Anthem BCBS	$4,752	-41.3%	4
My Choice Wisconsin, Inc.	$4,421	-45.4%	4
UnitedHealthcare	$4,421	-45.4%	6
Quartz Health Solutions, Inc	$2,213	-72.7%	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.