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 · CPT A9543 · HOBART, IN

A9543 — Y90 Ibritumomab, Rx

What each payer pays ST MARY MEDICAL CENTER INC (CCN 150034) 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.

$54,423 All-payer median here
$43,481 Cash / self-pay here
38 payer/plan-name variants
← This hospital National rates for A9543 →
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
   
NPPN [409] $63,772 17.2% 1
MULTIPLAN [476] $63,772 17.2% 1
COMMERCIAL [600] $60,298 10.8% 2
BX ILL HMO MCNP [315] $58,091 6.7% 2
HFN [470] $57,974 6.5% 1
FORD MOTOR COMPANY [469] $57,974 6.5% 1
FIRST HEALTH [375] $57,974 6.5% 1
MEDICARE MANAGED CARE PLANS [152] $56,825 4.4% 1
VA / CHAMPVA $56,825 4.4% 2
UnitedHealthcare $56,825 4.4% 3
UMR (UnitedHealthcare TPA) $56,825 4.4% 1
TRICARE $56,825 4.4% 3
MEDICARE PSYCH [111] $56,825 4.4% 1
Medicare (Generic) $56,825 4.4% 2
MITTAL [385] $56,825 4.4% 1
Humana $54,423 0.0% 2
CHOICECARE [395] $54,423 0.0% 1
Aetna $53,844 -1.1% 3
PHCS [380] $52,177 -4.1% 1
MEDICAID HIP [230] $48,771 -10.4% 1
MEDICAID MANAGED HEALTH [210] $48,771 -10.4% 1
MEDICAID MD WISE HIP STC BHS [231] $48,771 -10.4% 1
MEDICAID MDWISE [220] $48,771 -10.4% 1
MEDICAID MDWISE CARE SELECT [221] $48,771 -10.4% 1
MEDICAID MDWISE ST MARG BHS [224] $48,771 -10.4% 1
MEDICAID PATHWAYS [270] $48,771 -10.4% 1
MEDICAID PRESUMPTIVE [250] $48,771 -10.4% 1
MEDICAID ANTHEM MAGELLAN HLT [212] $48,771 -10.4% 1
MEDICAID ADVANTAGED HEALTH [201] $48,771 -10.4% 1
Medicaid (Generic) $48,771 -10.4% 1
MDWISE HOOSIER HEALTHWISE (DOS ON OR AFTER 1/1/2019) $48,771 -10.4% 1
MDwise $48,771 -10.4% 1
MEDICAID CENPATICO BHS [211] $48,771 -10.4% 1
CARETAKER HIP [232] $48,771 -10.4% 1
CareSource $48,771 -10.4% 1
FRANCISCAN ACO [236] $48,771 -10.4% 1
LUTHERAN PREFERRED NETWORK [486] $43,481 -20.1% 1
BCBS of Illinois $36,017 -33.8% 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.