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Guselkumab Injection

Montana rates for HCPCS J1628 · Tremfya

Injection, guselkumab, 1 mg

Rates data updated July 2026.

How much does Tremfya (guselkumab) cost?

$75.86per mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $75.86 for each mg of this drug. The price depends on where it is billed: about $74.13 from a physician practice, and about $263 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$74.13
At a hospital outpatient department
$263

The same drug, in the same amount, costs 255% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$74.13$69.18 to $75.86
FacilityA hospital or hospital-owned outpatient department$263$81.28 to $66,069

How much rates vary

Facilitymedian $263 · 10th to 90th $81 to $87,096Professionalmedian $74 · 10th to 90th $69 to $81
$100$1K$10K$100Kfacility $263professional $74

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$75.86
Typical High
$81.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$288.40
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$81.28
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$263.03
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44

Where Montana sits

The same service costs 1.9 times more in Oklahoma than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 18th of 51

$75.86

OK $126DC $67.61

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.