Payer comparison · HCPCS Q5123 · SLEEPY EYE, MN

Q5123 — Rituximab-arrx 10 Mg/ml Intravenous Solution

What each payer pays SLEEPY EYE MEDICAL CENTER (CCN 241327) 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.

$31,422 All-payer median here

$28,082 Cash / self-pay here

23 payer/plan-name variants

← This hospital National rates for Q5123 →

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

Aetna	$69,539	121.3%	5
Christian Care Ministries (MediShare)	$69,539	121.3%	2
Merchants Benefit Admin IHS24	$69,539	121.3%	2
Meritain Health	$69,539	121.3%	2
Companion Life Insurance Company	$67,389	114.5%	2
Health Plans Inc	$67,389	114.5%	2
PHCS (Private Healthcare Systems)	$67,389	114.5%	2
Cigna Healthcare	$67,389	114.5%	2
Sanford Health	$65,955	109.9%	2
UMR (UnitedHealthcare TPA)	$63,922	103.4%	2
UnitedHealthcare	$63,302	101.5%	6
HealthPartners	$45,907	46.1%	4
Medica	$35,298	12.3%	4
TriWest	$33,282	5.9%	2
Medicaid Minnesota	$30,753	-2.1%	2
UCare	$30,085	-4.3%	6
PrimeWest Rural MN Health Care Access Initiative	$29,796	-5.2%	4
VA COMMUNITY CARE NETWORK REGION 1	$29,751	-5.3%	2
South Country Health Alliance	$29,445	-6.3%	4
Medicare (Generic)	$29,156	-7.2%	2
Humana	$29,156	-7.2%	2
BCBS of Minnesota	$28,082	-10.6%	8
National Government Services (JK)	$14,130	-55.0%	2

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.