Payer comparison · HCPCS Q5116 · SAINTE GENEVIEVE, MO

Q5116 — Trastuzumab-qyyp 420 Mg Intravenous Solution

What each payer pays STE GENEVIEVE COUNTY MEMORIAL HOSPITAL (CCN 261330) 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.

$6,464 All-payer median here

$7,584 Cash / self-pay here

15 payer/plan-name variants

← This hospital National rates for Q5116 →

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

HEALTHLINK PPO	$13,499	108.8%	12
MultiPlan / PHCS Network	$12,892	99.4%	4
Meritain Health	$11,679	80.7%	4
Cigna Healthcare	$6,825	5.6%	4
Home State Health (Centene Missouri Medicaid)	$6,311	-2.4%	4
UMR (UnitedHealthcare TPA)	$6,218	-3.8%	4
HEALTHY BLUE SOUTH CAROLINA	$6,188	-4.3%	4
Medicaid (Generic)	$6,188	-4.3%	4
Aetna	$6,104	-5.6%	8
BCBS of Illinois	$6,027	-6.8%	28
Centene	$4,740	-26.7%	4
UnitedHealthcare	$4,491	-30.5%	12
Pphp	$4,361	-32.5%	4
Allwell (Centene Medicare Advantage)	$3,868	-40.2%	4
VA / CHAMPVA	$3,792	-41.3%	4

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.