Payer comparison · HCPCS J3357 · WORCESTER, MA

J3357 — Ustekinumab 90 Mg/ml Subcutaneous Syringe

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.

$82,693 All-payer median here

$82,693 Cash / self-pay here

29 payer/plan-name variants

← This hospital National rates for J3357 →

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

Mass General Brigham Incorporated	$124,040	50.0%	2
Centers for Medicare & Medicaid Services	$124,040	50.0%	2
SENIOR WHOLE HEALTH [10110]	$124,040	50.0%	2
COMMONWEALTH CARE MCR [10115]	$124,040	50.0%	2
CONNECTICARE (COMMERCIAL)	$124,040	50.0%	2
ETERNALHEALTH MCR REPLACE [10116]	$124,040	50.0%	2
GRANTS [20507]	$124,040	50.0%	2
MASSHEALTH MCD MBHP [38]	$124,040	50.0%	2
AUTOMOBILE [10401]	$124,040	50.0%	2
BCBS of Massachusetts	$124,040	50.0%	2
BMC HealthNet Plan	$124,040	50.0%	2
WELLFLEET [11106]	$111,636	35.0%	2
Evernorth Health Services	$99,232	20.0%	2
First Health Network	$93,030	12.5%	2
MultiPlan	$93,030	12.5%	2
INSTITUTION [10406]	$85,174	3.0%	12
CORRECTIONAL CARE [11003]	$82,693	0.0%	6
UnitedHealthcare	$82,693	0.0%	14
Aetna	$80,874	-2.2%	2
Fallon Health	$80,543	-2.6%	4
Tufts Health Plan	$80,378	-2.8%	12
Cigna Healthcare	$60,180	-27.2%	2
HNE [11108]	$55,942	-32.4%	2
WORKERS COMPENSATION [20501]	$49,616	-40.0%	2
MEDICAID [20301]	$48,789	-41.0%	4
BCBS [10301]	$21,809	-73.6%	4
Harvard Pilgrim Health Care	$14,029	-83.0%	8
Anthem (Elevance Health)	$10,919	-86.8%	2
VA / CHAMPVA	$156	-99.8%	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.