94990000-2215105 — 57894-0061-03 - Ustekinumab 90 mg/mL Soln
Cite this view
HANK Price Transparency. (n.d.). 57894-0061-03 - ustekinumab 90 mg/mL Soln (OTHER 94990000-2215105) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/94990000-2215105?code_type=OTHER
“57894-0061-03 - ustekinumab 90 mg/mL Soln (OTHER 94990000-2215105) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/94990000-2215105?code_type=OTHER. Accessed .
“57894-0061-03 - ustekinumab 90 mg/mL Soln (OTHER 94990000-2215105) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/94990000-2215105?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $187,164–$288,833 (25th–75th percentile) across 2 hospitals · 26 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 94990000-2215105 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| NORTHWEST HEALTH-LA PORTE Outpatient | Aetna | Node Aetna Mcr Adv | $86,442.18 | $332,469.94 | $109,715.08 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Aetna | Node Aetna Mcr Adv | $86,442.18 | $332,469.94 | $89,766.88 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Lutheran | Lutheran Preferred | $89,766.88 | $332,469.94 | $89,766.88 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Lutheran | Lutheran Preferred | $89,766.88 | $332,469.94 | $109,715.08 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Self Pay | Self Pay | $89,766.88 | $332,469.94 | $89,766.88 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Self Pay | Self Pay | $109,715.08 | $332,469.94 | $109,715.08 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Medpartners | Lutheran Preferred Chs Employees | $111,377.43 | $332,469.94 | $182,858.47 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Physicians Health Plan | Php Options | $137,343.33 | $332,469.94 | $89,766.88 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Php | Php Options | $137,343.33 | $332,469.94 | $109,715.08 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Lutheran Preferred Medpartners | Lutheran Preferred Chs Employees | $138,972.43 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Alpha Baking | Alpha Baking | $149,611.47 | $332,469.94 | $89,766.88 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Alpha Baking | Alpha Baking | $149,611.47 | $332,469.94 | $109,715.08 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Self Pay | Self Pay | $179,533.77 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Self Pay | Self Pay | $182,858.47 | $332,469.94 | $182,858.47 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Php | Php Freedom Network | $200,080.41 | $332,469.94 | $89,766.88 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Php Freedom Network | Php Freedom Network | $200,080.41 | $332,469.94 | $109,715.08 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Encore | Encore Combined Ppo | $216,105.46 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Encore | Encore Combined Ppo | $216,105.46 | $332,469.94 | $182,858.47 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | United Healthcare | Uhc Apa | $231,731.55 | $332,469.94 | $109,715.08 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | One Call | One Call Care Diagnostics Wc | $232,728.96 | $332,469.94 | $89,766.88 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | County Of Laporte | County Of Laporte | $232,728.96 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | One Call | One Call | $232,728.96 | $332,469.94 | $109,715.08 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | One Call | One Call Work Comp | $232,728.96 | $332,469.94 | $109,715.08 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Uhc Apa | Uhc Apa | $233,061.43 | $332,469.94 | $89,766.88 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | United Healthcare | Uhc Core | $234,058.84 | $332,469.94 | $109,715.08 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | United Healthcare | Uhc Core | $235,388.72 | $332,469.94 | $89,766.88 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Cigna | Cigna All | $247,025.17 | $332,469.94 | $109,715.08 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Prime Health Services Auto | Prime Health Services Auto | $249,352.46 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Prime Health Services | Prime Health Services | $249,352.46 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Aetna | Aetna All | $258,329.14 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Aetna | Aetna | $265,643.48 | $332,469.94 | $109,715.08 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Ihn | Ihn | $265,975.95 | $332,469.94 | $109,715.08 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Multiplan Inc | Multiplan Complementary | $265,975.95 | $332,469.94 | $89,766.88 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Aetna | Aetna All | $271,627.94 | $332,469.94 | $89,766.88 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Aetna | Aetna Nap | $274,952.64 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Cigna All | Cigna All | $275,950.05 | $332,469.94 | $182,858.47 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Encore | Encore Market Share | $282,599.45 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Multiplan Inc | Multiplan Complementary | $282,599.45 | $332,469.94 | $182,858.47 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Aetna | Aetna Nap | $287,586.50 | $332,469.94 | $182,858.47 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Coventry First Health | Coventry First Health | $287,586.50 | $332,469.94 | $182,858.47 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Encore | Encore | $289,248.85 | $332,469.94 | $182,858.47 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Community Health Alliance | Cha | $289,248.85 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Lutheran Network | Lutheran Preferred Choice | $292,573.55 | $332,469.94 | $182,858.47 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Sagamore Health Network | Sagamore | $292,573.55 | $332,469.94 | $182,858.47 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Lutheran Network | Lutheran Preferred Choice | $292,573.55 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Sagamore Health Network | Sagamore | $292,573.55 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Encore | Encore | $299,222.95 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Hfn Workers Compensation | Hfn Work Comp | $299,222.95 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Phcs | Phcs | $299,222.95 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Multiplan | Multiplan | $299,222.95 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Chandler Group | Preferred Plan Inc | $299,222.95 | $332,469.94 | $179,533.77 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Multiplan Inc | Multiplan Primary | $299,222.95 | $332,469.94 | $182,858.47 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Community Health Alliance | Community Health Alliance | $299,222.95 | $332,469.94 | $182,858.47 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Ppom | Cofinity | $312,521.74 | $332,469.94 | $182,858.47 | 2026-05-27 | MRF ↗ |