Payer comparison · HCPCS J3357 · LODI, OH

J3357 — Ustekinumab 90 Mg/ml Subcutaneous Syringe

What each payer pays LODI COMMUNITY HOSPITAL (CCN 361303) 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.

$62,967 All-payer median here

$68,214 Cash / self-pay here

25 payer/plan-name variants

← This hospital National rates for J3357 →

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

Tertiary Care Network	$94,451	50.0%	2
FRONTPATH HEALTH COALITION	$94,451	50.0%	2
Managed Care Services	$94,451	50.0%	2
MultiPlan	$94,451	50.0%	2
Consociate Health	$78,709	25.0%	2
Anthem (Elevance Health)	$77,282	22.7%	11
Aetna	$73,934	17.4%	12
Medical Benefit Corp	$73,462	16.7%	2
GMS	$73,462	16.7%	2
CC EHP	$70,523	12.0%	2
Cigna Healthcare	$67,690	7.5%	2
UPMC Health Plan	$62,967	-0.0%	2
PHP	$62,967	-0.0%	2
PHPHI	$62,967	-0.0%	2
The Health Plan of West Virginia, Inc.	$62,967	-0.0%	4
Ohio Healthy	$56,670	-10.0%	2
SummaCare	$55,726	-11.5%	10
OMAS	$52,473	-16.7%	2
AULTCARE/PRIMETIME HEALTH PLAN	$52,473	-16.7%	2
Ohio Health Choice	$51,003	-19.0%	2
Amish Community Aid Plan	$49,849	-20.8%	4
UnitedHealthcare	$48,275	-23.3%	8
Oscar Health	$35,986	-42.9%	4
Medical Mutual of Ohio	$31,484	-50.0%	6
Humana	$31,484	-50.0%	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.