Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS A9543 · CONCORD, OH

A9543 — Y90 Ibritumomab, Rx

What each payer pays LAKE HEALTH (CCN 360098) 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.

$209,398 All-payer median here
$230,954 Cash / self-pay here
36 payer/plan-name variants
← This hospital National rates for A9543 →
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
   
Fortified Provider Network $277,144 32.4% 1
MultiPlan $277,144 32.4% 1
ConfigureNet $277,144 32.4% 1
PHCS (Private Healthcare Systems) $264,827 26.5% 1
BeechStreet Corporation $261,748 25.0% 2
Ohio Preferred Network $261,748 25.0% 2
Century Health Network $261,748 25.0% 1
Ohio Health Choice $238,652 14.0% 2
Aetna $209,398 0.0% 8
AmeriHealth Caritas $209,398 0.0% 1
Buckeye Health Plan $209,398 0.0% 1
CareSource $209,398 0.0% 3
Humana $209,398 0.0% 3
UnitedHealthcare $209,398 0.0% 4
HEALTHSMART BENEFIT SOLUTIONS $200,160 -4.4% 1
AULTCARE/PRIMETIME HEALTH PLAN $189,382 -9.6% 4
SummaCare $183,223 -12.5% 4
University Health Employee Plan (Contigo) $166,287 -20.6% 2
Centene $155,841 -25.6% 2
Molina Healthcare $154,199 -26.4% 5
CHRISTIAN CARE MINISTRY $153,969 -26.5% 1
Immergrun $153,969 -26.5% 1
Sunrise Plan Communities $153,969 -26.5% 1
Clarity $147,810 -29.4% 1
Amish Church Fund and Workers Aid Plan $141,652 -32.4% 1
Buckeye Plain Ministries $141,652 -32.4% 1
Amish Aid Community Plan $141,652 -32.4% 1
Valor Health Plans $134,532 -35.8% 2
Perennial Advantage of Ohio $134,532 -35.8% 2
PARAMOUNT HEALTH CARE $133,964 -36.0% 2
Anthem (Elevance Health) $133,111 -36.4% 10
The Health Plan of West Virginia, Inc. $133,111 -36.4% 2
Medical Mutual of Ohio $133,111 -36.4% 2
Devoted Health $133,111 -36.4% 2
Allwell (Centene Medicare Advantage) $133,111 -36.4% 2
Cigna Healthcare $133,111 -36.4% 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.