Price Transparencybeta 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 · HCPCS Q5115 · CASSVILLE, MO

Q5115 — Rituximab-abbs 10 Mg/ml Intravenous Solution

What each payer pays MERCY HOSPITAL - CASSVILLE (CCN 261317) 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.

$11,330 All-payer median here
$9,210 Cash / self-pay here
75 payer/plan-name variants
← This hospital National rates for Q5115 →
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
   
MC ANTHEM [20455] $13,744 21.3% 2
MultiPlan $13,461 18.8% 2
First Health Network $13,461 18.8% 2
PHCS (Private Healthcare Systems) $13,461 18.8% 2
Cigna Healthcare $13,455 18.7% 10
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $12,752 12.5% 2
AUXIANT $12,752 12.5% 6
YUZU HEALTH CONTRACTED [320521] $12,752 12.5% 4
USA MANAGED CARE ORG CONTRACTED [320429] $12,752 12.5% 2
EDISON HEALTH SOLUTIONS $12,752 12.5% 2
AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] $12,752 12.5% 2
MERCY BENEFIT ADMINISTRATION $12,752 12.5% 18
EVOLUTIONS HEALTHCARE SYSTEMS $12,752 12.5% 2
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $12,752 12.5% 2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $12,752 12.5% 4
BENEFIT MANAGEMENT CONTRACTED [320052] $12,752 12.5% 2
IMAGINE360 ADMINISTRATORS (GPA) $12,752 12.5% 2
AITHER HEALTH $12,752 12.5% 4
90 Degree Benefits $12,752 12.5% 2
POINT C / MID-AMERICAN BENEFITS $12,747 12.5% 18
Medica $12,695 12.0% 2
HEALTHLINK PPO $12,398 9.4% 8
WORKERS COMP [20426] $11,689 3.2% 8
UMR (UnitedHealthcare TPA) $11,689 3.2% 4
MUNICIPAL HEALTH PLAN CONTRACTED [320271] $11,477 1.3% 2
Insurance Systems, Inc. $11,335 0.0% 2
HEALTH SYSTEMS INC CONTRACTED [320174] $11,335 0.0% 2
BLUE CROSS AND BLUE SHIELD [20053] $10,768 -5.0% 14
PREFERRED HEALTH PLAN CONTRACTED [320522] $9,210 -18.7% 2
UnitedHealthcare $8,446 -25.5% 8
United Behavioral Health (Optum) $8,377 -26.1% 4
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $7,368 -35.0% 2
AMBETTER CONTRACTED [320452] $7,368 -35.0% 2
NOVASYS HEALTH $7,368 -35.0% 2
CENTIVO CONTRACTED [320505] $7,226 -36.2% 2
HealthSCOPE Benefits EHC Repricing $6,950 -38.7% 2
ADMINISTRATIVE PAYOR CONTRACTED [320005] $6,376 -43.7% 4
BCBS MEDICAID CONTRACTED [320046] $6,029 -46.8% 2
TRICARE $5,741 -49.3% 2
WellCare Health Plans $5,727 -49.5% 2
Devoted Health $5,638 -50.2% 2
KINDFUL HOSPICE [20434] $5,421 -52.2% 2
ACENTRA HEALTH CONTRACTED [320527] $5,421 -52.2% 2
Aetna $5,421 -52.2% 6
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $5,421 -52.2% 4
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $5,421 -52.2% 2
CROSS TIMBERS HOSPICE [20098] $5,421 -52.2% 2
ELARA CARING ASPIRE HOSPICE [20433] $5,421 -52.2% 2
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $5,421 -52.2% 2
GLOBAL HEALTH $5,421 -52.2% 2
HALO HCR INC HOSPICE [20432] $5,421 -52.2% 2
HALO HCR INC HOSPICE CONTRACTED [320432] $5,421 -52.2% 2
HEALTHSPRING $5,421 -52.2% 2
Humana $5,421 -52.2% 6
INDIAN HEALTH SERVICES $5,421 -52.2% 2
KINDFUL HOSPICE CONTRACTED [320434] $5,421 -52.2% 2
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $5,421 -52.2% 2
Medica Holding Company $5,421 -52.2% 2
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] $5,421 -52.2% 2
Medicare (Generic) $5,421 -52.2% 2
MERCY HOSPICE OKC [20252] $5,421 -52.2% 2
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $5,421 -52.2% 2
PACE OF THE OZARKS $5,421 -52.2% 2
Prominence Health Plan $5,421 -52.2% 2
Provider Partners Health Plan (PPHP) $5,421 -52.2% 2
QUALCHOICE ADVANTAGE $5,421 -52.2% 2
Home State Health (Centene Missouri Medicaid) $5,100 -55.0% 4
VA COMMUNITY CARE NETWORK $4,832 -57.4% 2
MO HealthNet (Missouri Medicaid) $2,834 -75.0% 2
UnitedHealthcare Community Plan $2,834 -75.0% 2
Medicaid (Generic) $2,212 -80.5% 4
Oklahoma Complete Health (Centene OK Medicaid) $1,592 -86.0% 2
KANCARE CONTRACTED [320213] $1,508 -86.7% 2
KANCARE [20213] $1,508 -86.7% 2
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $31 -99.7% 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.