☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /HCPCS
  4. /Q9997
  5. /Case rate
HCPCS Q9997

Ustekinumab-ttwe iv inj 1 mg

Reported by 12 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$9

Average

$6.6k

Median

$10

High

$19.8k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Sanford Fargo Medical CenterFargo, ND$10$10$0—$9$10
2Sanford Medical Center BismarckBismarck, ND$10$9$0—$9$10
3Sanford Bemidji Medical CenterBemidji, MN$10$9$0—$9$10
4Sanford USD Medical CenterSioux Falls, SD$10$9$0—$9$10
5Sanford Aberdeen Medical CenterAberdeen, SD$10$9$0—$9$10
6Sanford Worthington Medical CenterWorthington, MN$10$9$0—$9$10
7Geisinger Community Medical CenterScranton, PA$20.1k$19.8k$2.9k—$2.2k$23.0k
8Geisinger Bloomsburg HospitalBloomsburg, PA$10.4k$9.2k$3.4k—$3.9k$12.2k
9Geisinger Wyoming ValleyWilkes-Barre, PA$19.7k$19.7k$3.5k—$5.9k$23.2k
10Geisinger Lewistown HospitalLewistown, PA$16.7k$17.5k$4.3k—$2.0k$24.4k
Page 1 of 2

Look up this code directly

Ask Claude or any MCP client for HCPCS Q9997 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC