57894-060-03 (NDC) — raw rate rows

NDC · raw rates

57894-060-03 — Ustekinumab 45 Mg/0.5ml Sc Sosy

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

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Typical negotiated price $119,313

Usually $116,560–$126,196 (25th–75th percentile) across 2 hospitals · 3 payers.

“Negotiated” is the hospital’s negotiated facility rate for this NDC 57894-060-03 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $19,768.

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Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital	Payer	Plan	Negotiated rate	Gross	Cash	Observed	Source
GREATER BALTIMORE MEDICAL CENTER BothFacility	ALL PAYERS	ALL PLANS	$17,748.68	$17,748.68	$17,393.71	2026-07-01	MRF ↗
Adventhealth Connerton Both	Aetna	ASA_PPO	$115,642.00	$183,559.02	$73,423.61	2024-12-15	MRF ↗
Adventhealth Connerton Both	Aetna	International_PPO	$119,313.00	$183,559.02	$73,423.61	2024-12-15	MRF ↗
Adventhealth Connerton Both	Aetna_Whole_Health	HMO_PPO	$119,313.00	$183,559.02	$73,423.61	2024-12-15	MRF ↗
Adventhealth Connerton Both	First_Health_Network	PPO	$128,491.00	$183,559.02	$73,423.61	2024-12-15	MRF ↗
Adventhealth Connerton Both	Beech_Street	HMO	$146,847.00	$183,559.02	$73,423.61	2024-12-15	MRF ↗