Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION|RX AMT DISCARD/NOT ADMIN TO PT
Perryville, MO
See all hospitals reporting HCPCS Q5121 →Price type
Mercy Perry’s median price of $1.0k is 2186% above the median hospital's median price ($45), higher than 90% of the 1,671 hospitals reporting HCPCS Q5121. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 29 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $252 | $252 | $1 | 0% | — | $251 – $253 |
| 2 | Optum hb pcmh uhc all payer exchange facility · fee schedule · outpatient | $319 | $319 | — | — | — | $319 – $319 |
| 3 | UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient | $319 | $319 | — | — | — | $319 – $319 |
| 4 | UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient | $319 | $319 | — | — | — | $319 – $319 |
| 5 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $336 | $336 | $1 | 0% | — | $335 – $337 |
| 6 | Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $336 | $336 | $1 | 0% | — | $335 – $337 |
| 7 | UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $336 | $336 | $1 | 0% | — | $335 – $337 |
| 8 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $511 | $511 | $2 | 0% | — | $509 – $513 |
| 9 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $511 | $511 | $2 | 0% | — | $509 – $513 |
| 10 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $511 | $511 | $2 | 0% | — | $509 – $513 |
| 11 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $511 | $511 | $2 | 0% | — | $509 – $513 |
| 12 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $511 | $511 | $2 | 0% | — | $509 – $513 |
| 13 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $511 | $511 | $2 | 0% | — | $509 – $513 |
| 14 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $521 | $521 | $2 | 0% | — | $519 – $523 |
| 15 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $532 | $532 | $2 | 0% | — | $530 – $533 |
| 16 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $532 | $532 | $2 | 0% | — | $530 – $534 |
| 17 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $609 | $609 | $2 | 0% | — | $607 – $612 |
| 18 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $706 | $706 | $3 | 0% | — | $704 – $709 |
| 19 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $797 | $797 | $3 | 0% | — | $794 – $800 |
| 20 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $798 | $798 | $3 | 0% | — | $796 – $801 |
| 21 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $4 | 0% | — | $1.0k – $1.0k |
| 22 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $4 | 0% | — | $1.0k – $1.0k |
| 23 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $4 | 0% | — | $1.1k – $1.1k |
| 24 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $4 | 0% | — | $1.1k – $1.1k |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $4 | 0% | — | $1.2k – $1.2k |
Last updated: Mar 12, 2026
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