Payer comparison · HCPCS A9543 · CLEVELAND, OH

A9543 — Y90 Ibritumomab, Rx

What each payer pays RAINBOW BABIES AND CHILDRENS HOSPITAL (CCN 363302) 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.

$200,160 All-payer median here

$230,954 Cash / self-pay here

39 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

ConfigureNet	$277,144	38.5%	1
Fortified Provider Network	$277,144	38.5%	1
MultiPlan	$277,144	38.5%	1
PHCS (Private Healthcare Systems)	$264,827	32.3%	1
BeechStreet Corporation	$261,748	30.8%	2
Ohio Preferred Network	$261,748	30.8%	2
Century Health Network	$261,748	30.8%	1
Ohio Health Choice	$238,652	19.2%	2
Molina Healthcare	$215,557	7.7%	3
AmeriHealth Caritas	$215,557	7.7%	1
UnitedHealthcare	$215,557	7.7%	5
Buckeye Health Plan	$215,557	7.7%	1
Enterprise Group Planning	$215,557	7.7%	1
Clarity	$215,557	7.7%	1
SummaCare	$212,477	6.2%	4
Aetna	$208,012	3.9%	10
The Health Plan of West Virginia, Inc.	$207,858	3.8%	4
Health Ohio Network	$206,319	3.1%	1
Medical Mutual of Ohio	$203,239	1.5%	11
HEALTHSMART BENEFIT SOLUTIONS	$200,160	0.0%	1
AULTCARE/PRIMETIME HEALTH PLAN	$198,620	-0.8%	4
Cigna Healthcare	$194,925	-2.6%	7
CareSource	$190,922	-4.6%	2
Immergrun	$184,763	-7.7%	1
Anthem (Elevance Health)	$182,915	-8.6%	8
JP Farley	$178,604	-10.8%	2
Centene	$172,445	-13.8%	1
Humana	$166,985	-16.6%	3
Buckeye Plain Ministries	$153,969	-23.1%	1
CHRISTIAN CARE MINISTRY	$153,969	-23.1%	1
Amish Church Fund and Workers Aid Plan	$153,969	-23.1%	1
Amish Aid Community Plan	$153,969	-23.1%	1
Sunrise Plain Communities	$153,969	-23.1%	1
University Health Employee Plan (Contigo)	$138,572	-30.8%	2
Valor Health Plans	$137,611	-31.2%	2
Perennial Advantage of Ohio	$137,611	-31.2%	2
PARAMOUNT HEALTH CARE	$137,043	-31.5%	2
Devoted Health	$136,191	-32.0%	2
Allwell (Centene Medicare Advantage)	$136,191	-32.0%	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.