Payer comparison · HCPCS Q5115 · BIG TIMBER, MT

Q5115 — Rituximab-abbs 10 Mg/ml Intravenous Solution

What each payer pays PIONEER MEDICAL CENTER (CCN 271313) 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.

$4,702 All-payer median here

$7,031 Cash / self-pay here

23 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

HEALTH INFO NET STANDARD-ALL OTHER PLANS	$8,525	81.3%	4
HEALTH INFO NET PEAK/EQUITY	$8,525	81.3%	4
INTERWEST HEALTH PPO	$8,417	79.0%	8
COMMUNITY HEALTH NTWK-ALL PLANS	$8,349	77.6%	4
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS)	$8,349	77.6%	4
FEDMED NETWORK-ALL PLANS	$8,349	77.6%	4
FIRST CHOICE BIG SKY-ALL PLANS	$8,349	77.6%	4
First Health Network	$8,349	77.6%	4
6 DEGREES HEALTH	$8,349	77.6%	4
America's Choice Healthplans	$8,349	77.6%	4
CITY OF BILLINGS-ALL PLANS	$8,349	77.6%	4
PacificSource	$8,349	77.6%	4
PACIFIC STEEL & RECYCLING-ALL PLANS	$8,349	77.6%	4
Three Rivers Provider Network	$8,349	77.6%	4
Mountain Health Co-op	$7,870	67.4%	12
ALLEGIANCE BENEFIT PLAN MANAGEMENT	$7,470	58.9%	4
ROCKY MOUNTAIN HEALTH NETWORK-ALL PLANS	$6,152	30.8%	4
UnitedHealthcare	$4,634	-1.4%	8
Humana	$4,594	-2.3%	8
BCBS of Montana	$4,471	-4.9%	8
PGBA TRIWEST VA CCN	$3,955	-15.9%	4
HEALTH INFO NET MCR ADV	$3,955	-15.9%	4
Health Net	$3,955	-15.9%	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.