Payer comparison · HCPCS A9543 · WORCESTER, MA

A9543 — Y90 Ibritumomab, Rx

What each payer pays UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS (CCN 220163) 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.

$137,744 All-payer median here

$190,537 Cash / self-pay here

23 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

Cigna Healthcare	$213,298	54.9%	1
AUTOMOBILE [10401]	$190,537	38.3%	1
INSTITUTION [10406]	$190,537	38.3%	6
BMC HealthNet Plan	$190,537	38.3%	1
CONNECTICARE (COMMERCIAL)	$190,537	38.3%	1
MASSHEALTH MCD MBHP [38]	$190,537	38.3%	1
CORRECTIONAL CARE [11003]	$174,913	27.0%	1
WELLFLEET [11106]	$171,483	24.5%	1
GRANTS [20507]	$162,799	18.2%	2
Evernorth Health Services	$152,429	10.7%	1
First Health Network	$142,903	3.7%	1
MultiPlan	$142,903	3.7%	1
BCBS [10301]	$140,444	2.0%	2
Fallon Health	$140,426	1.9%	2
Aetna	$124,230	-9.8%	1
UnitedHealthcare	$91,934	-33.3%	4
HNE [11108]	$85,932	-37.6%	1
WORKERS COMPENSATION [20501]	$76,215	-44.7%	1
Harvard Pilgrim Health Care	$69,163	-49.8%	3
Tufts Health Plan	$65,169	-52.7%	3
MEDICAID [20301]	$62,877	-54.4%	3
Anthem (Elevance Health)	$61,628	-55.3%	1
SENIOR WHOLE HEALTH [10110]	$60,802	-55.9%	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.