Payer comparison · NDC 75987008010 · GALLIPOLIS, OH

75987008010 — Pegloticase 8 Mg/ml IV Soln

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.

$26,399 All-payer median here

$23,934 Cash / self-pay here

24 payer/plan-name variants

← This hospital National rates for 75987008010 →

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)	$45,953	74.1%	1
HEALTHSMART BENEFIT SOLUTIONS	$45,474	72.3%	3
MultiPlan	$45,474	72.3%	1
Humana	$43,081	63.2%	8
Ohio Health Choice	$40,688	54.1%	2
The Health Plan of West Virginia, Inc.	$38,294	45.1%	6
Quality Care Partners	$37,337	41.4%	1
Medical Mutual of Ohio	$36,858	39.6%	4
Assc Benefits Solution	$35,901	36.0%	1
Cigna Healthcare	$34,943	32.4%	1
Medbenemp	$31,114	17.9%	1
Anthem (Elevance Health)	$25,418	-3.7%	7
Aetna	$13,109	-50.3%	7
Paramount Health Care	$13,109	-50.3%	1
Molina Healthcare	$12,859	-51.3%	1
Unison Medicaid	$12,859	-51.3%	1
OHIO MEDICAID	$12,485	-52.7%	1
Ohiohealth	$9,574	-63.7%	3
CareSource	$8,680	-67.1%	2
Buckeye Health Plan	$8,296	-68.6%	2
Ohio Medicare	$3,482	-86.8%	1
UnitedHealthcare	$3,482	-86.8%	5
Valor Health Plans	$3,482	-86.8%	1
West Virginia Senior Choice	$3,482	-86.8%	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.