GUSELKUMAB (TREMFYA) 1MG INJ at UPMC Bedford

Everett, PA

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Pricing by billing methodology

Price type

Payers reporting HCPCS J1268 at UPMC Bedford

Negotiated rates from the hospital’s own file: 6 payers, 30 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	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
2	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
3	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
4	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
5	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
6	Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
7	Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
8	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$107	$107	—	—	—	$107 – $107
9	Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
10	UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
11	UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
12	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$136	$136	—	—	—	$136 – $136
13	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$136	$136	—	—	—	$136 – $136
14	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$140	$140	—	—	—	$140 – $140
15	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$140	$140	—	—	—	$140 – $140
16	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
17	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
18	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
19	UnitedHealthcare all business facility · percent of total billed charges · outpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
20	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$144	$144	—	—	—	$144 – $144
21	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$147	$147	—	—	—	$147 – $147
22	Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$147	$147	—	—	—	$147 – $147
23	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$147	$147	—	—	—	$147 – $147
24	UnitedHealthcare all business facility · percent of total billed charges · inpatientfrom % of charges	$147	$147	—	—	—	$147 – $147
25	Highmark commercial - indemnity/managed care facility · percent of total billed charges · outpatientfrom % of charges	$151	$151	—	—	—	$151 – $151

Page 1 of 2 · 30 rates

Last updated: Mar 6, 2026

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