Payer comparison · HCPCS Q5115 · MOUNTAIN VIEW, MO

Q5115 — Rituximab-abbs 10 Mg/ml Intravenous Solution

What each payer pays MERCY ST FRANCIS HOSPITAL (CCN 261335) 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.

$12,747 All-payer median here

$9,210 Cash / self-pay here

72 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	7.8%	2
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS)	$13,461	5.6%	2
AITHER HEALTH	$13,461	5.6%	4
BENEFIT MANAGEMENT CONTRACTED [320052]	$13,461	5.6%	2
EDISON HEALTH SOLUTIONS	$13,461	5.6%	2
90 Degree Benefits	$13,461	5.6%	2
EVOLUTIONS HEALTHCARE SYSTEMS	$13,461	5.6%	2
First Health Network	$13,461	5.6%	2
HEALTH SYSTEMS INC CONTRACTED [320174]	$13,461	5.6%	2
IMAGINE360 ADMINISTRATORS (GPA)	$13,461	5.6%	2
Insurance Systems, Inc.	$13,461	5.6%	2
MultiPlan	$13,461	5.6%	2
PHCS (Private Healthcare Systems)	$13,461	5.6%	2
REFLECT HEALTH (FORMERLY S&S HEALTHCARE)	$13,461	5.6%	2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483]	$13,461	5.6%	4
USA MANAGED CARE ORG CONTRACTED [320429]	$13,461	5.6%	2
YUZU HEALTH CONTRACTED [320521]	$13,461	5.6%	4
Cigna Healthcare	$13,455	5.6%	6
POINT C / MID-AMERICAN BENEFITS	$13,455	5.6%	18
MERCY BENEFIT ADMINISTRATION	$13,455	5.6%	20
Medica	$13,390	5.0%	2
United Behavioral Health (Optum)	$13,177	3.4%	2
UnitedHealthcare	$13,172	3.3%	6
HEALTHLINK PPO	$13,106	2.8%	8
AUXIANT	$13,106	2.8%	8
UMR (UnitedHealthcare TPA)	$12,965	1.7%	4
BLUE CROSS AND BLUE SHIELD [20053]	$12,894	1.2%	14
WORKERS COMP [20426]	$11,340	-11.0%	6
PREFERRED HEALTH PLAN CONTRACTED [320522]	$9,210	-27.7%	2
BCBS MEDICAID CONTRACTED [320046]	$8,728	-31.5%	2
Humana	$8,322	-34.7%	4
Aetna	$8,252	-35.3%	4
NOVASYS HEALTH	$7,354	-42.3%	2
SUNFLOWER HEALTH PLAN CONTRACTED [320369]	$7,354	-42.3%	2
AMBETTER CONTRACTED [320452]	$7,354	-42.3%	2
CENTIVO CONTRACTED [320505]	$6,421	-49.6%	2
ADMINISTRATIVE PAYOR CONTRACTED [320005]	$6,376	-50.0%	2
Home State Health (Centene Missouri Medicaid)	$5,093	-60.0%	4
HealthSCOPE Benefits EHC Repricing	$4,864	-61.8%	2
TRICARE	$4,818	-62.2%	2
Devoted Health	$4,048	-68.2%	2
WellCare Health Plans	$4,008	-68.6%	2
VA COMMUNITY CARE NETWORK	$3,896	-69.4%	2
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122]	$3,896	-69.4%	2
GLOBAL HEALTH	$3,896	-69.4%	2
HALO HCR INC HOSPICE [20432]	$3,896	-69.4%	2
HALO HCR INC HOSPICE CONTRACTED [320432]	$3,896	-69.4%	2
HEALTHSPRING	$3,896	-69.4%	2
INDIAN HEALTH SERVICES	$3,896	-69.4%	2
KINDFUL HOSPICE [20434]	$3,896	-69.4%	2
KINDFUL HOSPICE CONTRACTED [320434]	$3,896	-69.4%	2
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225]	$3,896	-69.4%	2
ACENTRA HEALTH CONTRACTED [320527]	$3,896	-69.4%	2
Medica Holding Company	$3,896	-69.4%	2
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444]	$3,896	-69.4%	2
Medicare (Generic)	$3,896	-69.4%	2
MERCY HOSPICE OKC [20252]	$3,896	-69.4%	2
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259]	$3,896	-69.4%	2
PACE OF THE OZARKS	$3,896	-69.4%	2
Prominence Health Plan	$3,896	-69.4%	2
Provider Partners Health Plan (PPHP)	$3,896	-69.4%	2
BCBS MEDICARE ADVANTAGE CONTRACTED [320047]	$3,896	-69.4%	4
QUALCHOICE ADVANTAGE	$3,896	-69.4%	2
CHEROKEE NATION HEALTH SERV CONTRACTED [320066]	$3,896	-69.4%	2
CROSS TIMBERS HOSPICE [20098]	$3,896	-69.4%	2
ELARA CARING ASPIRE HOSPICE [20433]	$3,896	-69.4%	2
Medicaid (Generic)	$2,834	-77.8%	2
UnitedHealthcare Community Plan	$2,834	-77.8%	2
MO HealthNet (Missouri Medicaid)	$2,834	-77.8%	2
KANCARE [20213]	$1,508	-88.2%	2
KANCARE CONTRACTED [320213]	$1,508	-88.2%	2
NHC ADVANTAGE MEDICARE CONTRACTED [320282]	$31	-99.8%	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.