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 J3357 · ARDMORE, OK

J3357 — Ustekinumab 90 Mg/ml Subcutaneous Syringe

What each payer pays MERCY HOSPITAL ARDMORE, INC (CCN 370047) 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.

$51,819 All-payer median here
$85,271 Cash / self-pay here
79 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
   
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] $131,187 153.2% 2
MULTIPLAN CONTRACTED [320270] $111,508 115.2% 4
PHCS (Private Healthcare Systems) $101,669 96.2% 4
PREFERRED COMMUNITY CHOICE CONTRACTED [320311] $99,702 92.4% 2
First Health Network $87,239 68.4% 2
POINT C / MID-AMERICAN BENEFITS $85,271 64.6% 2
TRI STATE HEALTHCARE COALITION CONTRACTED [320379] $85,271 64.6% 2
HealthSCOPE Benefits EHC Repricing $85,271 64.6% 2
FEDERAL MEDICAL CENTER CONTRACTED [320127] $85,271 64.6% 2
PREFERRED HEALTH PLAN CONTRACTED [320522] $85,271 64.6% 2
HEALTHLINK PPO $81,991 58.2% 4
BENEFIT MANAGEMENT CONTRACTED [320052] $81,991 58.2% 4
MERCY BENEFIT ADMIN CONTRACTED [320251] $78,715 51.9% 22
AUXIANT CONTRACTED [320462] $78,715 51.9% 6
EBMS CONTRACTED [320493] $78,712 51.9% 2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $78,712 51.9% 4
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $78,712 51.9% 2
QUIK TRIP CONTRACTED [320447] $78,712 51.9% 2
IMAGINE360 ADMINISTRATORS (GPA) $78,712 51.9% 2
AITHER HEALTH CONTRACTED [320449] $78,712 51.9% 4
YUZU HEALTH CONTRACTED [320521] $78,712 51.9% 2
UMR (UnitedHealthcare TPA) $75,170 45.1% 4
HEALTHSMART BENEFIT SOLUTIONS $65,593 26.6% 6
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] $65,069 25.6% 2
UnitedHealthcare $65,066 25.6% 6
Healthcare Highways $64,937 25.3% 4
Aetna $57,591 11.1% 6
WEBTPA CONTRACTED [320417] $55,098 6.3% 2
Medica $52,475 1.3% 6
OSMA HEALTH CONTRACTED [320292] $52,475 1.3% 2
Community Care, Inc. $46,026 -11.2% 4
GLOBAL HEALTH $44,677 -13.8% 4
Cigna Healthcare $32,871 -36.6% 4
WORKERS COMP [20426] $32,797 -36.7% 2
Medicaid (Generic) $14,029 -72.9% 2
Humana $14,029 -72.9% 6
Oklahoma Complete Care (Centene OK Medicaid) $14,029 -72.9% 2
HEALTH CHOICE CONTRACTED [320166] $13,119 -74.7% 2
KEMPTON CONTRACTED [320214] $330 -99.4% 2
Home State Health (Centene Missouri Medicaid) $202 -99.6% 2
AMBETTER CONTRACTED [320452] $202 -99.6% 2
NOVASYS CONTRACTED [320285] $202 -99.6% 2
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $202 -99.6% 2
Devoted Health $155 -99.7% 2
Medica Holding Company $149 -99.7% 2
BLUE CROSS AND BLUE SHIELD [20053] $149 -99.7% 6
MC GENERIC ANTHEM [20456] $149 -99.7% 2
MC ANTHEM [20455] $149 -99.7% 2
KINDFUL HOSPICE CONTRACTED [320434] $147 -99.7% 2
MERCY HOSPICE OKC [20252] $147 -99.7% 2
KINDFUL HOSPICE [20434] $147 -99.7% 2
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $147 -99.7% 2
AMERICAN HEALTH ADVANTAGE OF OK MEDICARE [20019] $147 -99.7% 2
INDIAN HEALTH SERVICES $147 -99.7% 2
Independent Health Association, Inc. $147 -99.7% 2
HORIZONS MEDICARE [20190] $147 -99.7% 2
HEALTH FIRST HEALTH PLANS MEDICARE [20170] $147 -99.7% 2
HALO HCR INC HOSPICE CONTRACTED [320432] $147 -99.7% 2
HALO HCR INC HOSPICE [20432] $147 -99.7% 2
GENERIC MEDICARE MANAGED CARE [20137] $147 -99.7% 2
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] $147 -99.7% 2
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] $147 -99.7% 2
QUAL CHOICE CONTRACTED [320325] $147 -99.7% 2
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $147 -99.7% 2
ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] $147 -99.7% 2
ELARA CARING ASPIRE HOSPICE [20433] $147 -99.7% 2
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] $147 -99.7% 2
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $147 -99.7% 2
TRIBUTE HEALTH PLAN MCR CONTRACTED [320338] $147 -99.7% 2
TRICARE $147 -99.7% 2
CROSS TIMBERS HOSPICE [20098] $147 -99.7% 2
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $147 -99.7% 2
WINDSOR MEDICARE [20424] $147 -99.7% 2
VA COMMUNITY CARE NETWORK $147 -99.7% 2
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $147 -99.7% 2
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] $147 -99.7% 2
MEDICAL ASSOCIATES HEALTH [20444] $147 -99.7% 2
Medicare (Generic) $147 -99.7% 2
MENTAL HEALTH NETWORK MEDICARE [20250] $147 -99.7% 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.