Payer comparison · NDC 57894006103 · GALLIPOLIS, OH

57894006103 — Ustekinumab 90 Mg/ml Sc Sosy

What each payer pays HOLZER MEDICAL CENTER (CCN 360054) 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.

$29,832 All-payer median here

$27,046 Cash / self-pay here

24 payer/plan-name variants

← This hospital National rates for 57894006103 →

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

PHCS (Private Healthcare Systems)	$51,928	74.1%	1
HEALTHSMART BENEFIT SOLUTIONS	$51,387	72.3%	3
MultiPlan	$51,387	72.3%	1
Humana	$48,683	63.2%	8
Ohio Health Choice	$45,978	54.1%	2
The Health Plan of West Virginia, Inc.	$43,273	45.1%	6
Quality Care Partners	$42,192	41.4%	1
Medical Mutual of Ohio	$41,651	39.6%	4
Assc Benefits Solution	$40,569	36.0%	1
Cigna Healthcare	$39,487	32.4%	1
Medbenemp	$35,160	17.9%	1
Anthem (Elevance Health)	$28,723	-3.7%	7
Ohiohealth	$10,818	-63.7%	3
Aetna	$7,011	-76.5%	7
Paramount Health Care	$7,011	-76.5%	1
Unison Medicaid	$6,878	-76.9%	1
Molina Healthcare	$6,878	-76.9%	1
OHIO MEDICAID	$6,678	-77.6%	1
Buckeye Health Plan	$3,586	-88.0%	2
CareSource	$3,451	-88.4%	2
Ohio Medicare	$160	-99.5%	1
UnitedHealthcare	$160	-99.5%	5
Valor Health Plans	$160	-99.5%	1
West Virginia Senior Choice	$160	-99.5%	1

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.