Gammagard Map
Gammagard
Keytruda
Meet Alex
Alex receives infusion therapy for a chronic condition. For the same therapy, in the same city, Alex’s annual cost to the plan can vary by six figures depending on the treatment location.
Explore how the location of care decisions impacts Gammagard treatment costs across eight major US cities.
see what’s driving the variance
Disclaimer:
Represents 68 units for procedure code J1569 – Injection, immune globulin, 500 mg administered every 4 weeks
see what’s driving the variance
Keytruda Map
Gammagard
Keytruda
Meet Jordan
Jordan receives Keytruda for cancer treatment. It’s life sustaining, and depending on where infusions occur, Jordan’s annual cost to the plan can vary by hundreds of thousands of dollars.
See how the location of care reshapes Keytruda costs across eight major US cities.
Disclaimer:
Represents 200 units for procedure code J9271-Injection, pembrolizumab, 1 mg administered every 3 weeks
What drives variation?
Site of care (hospital outpatient vs. infusion center vs. home), provider contracts, specialty drug utilization and regional cost factors.
Why does this matter?
Infusion costs can vary by thousands per treatment. For chronic therapies, as highlighted here, that variance can be as drastic as $50K–$500K+ annually per member. Understanding these differences helps you negotiate better terms and steer care to lower-cost settings.
Gallagher Drive® Insight
• Benchmark infusion costs across markets
• Model annualized savings from site-of-care redirection
• Identify contracts and providers driving high-cost variance
• Support better stop-loss negotiations and guide members to the most cost-effective infusion settings
What drives variation?
Site of care (hospital outpatient vs. infusion center vs. home), provider contracts, specialty drug utilization and regional cost factors.
Why does this matter?
Infusion costs can vary by thousands per treatment. For chronic therapies, as highlighted here, that variance can be as drastic as $50K–$500K+ annually per member. Understanding these differences helps you negotiate better terms and steer care to lower-cost settings.
Gallagher Drive® Insight
• Benchmark infusion costs across markets
• Model annualized savings from site-of-care redirection
• Identify contracts and providers driving high-cost variance
• Support better stop-loss negotiations and guide members to the most cost-effective infusion settings
Chicago
• Variation: 3.6x | Annual Cost Impact: $96,564
$3,127
$5,719
$11,174
10th
Median
90th
Want control over a $97k cost variance? Gallagher can help.
• The treatment location creates an annual cost impact of roughly $97K for a member on Gammagard.
Denver
• The treatment location creates an annual cost impact of about $8K for a member on Gammagard.
• Variation: 1.1x | Annual Cost Impact: $7,740
$4,574
$4,896
$5,219
10th
Median
90th
Want control over a $8k cost variance? Gallagher can help.
Houston
• The treatment location creates an annual cost impact of roughly $132K for a member on Gammagard.
• Variation: 4.3x | Annual Cost Impact: $132,108
$3,328
$13,095
$14,337
10th
Median
90th
Want control over a $132k cost variance? Gallagher can help.
Los Angeles
• The treatment location creates an annual cost impact of about $109K for a member on Gammagard.
• Variation: 4.0x | Annual Cost Impact: $109,416
$3,084
$6,122
$12,202
10th
Median
90th
Want control over a $109k cost variance? Gallagher can help.
Nashville
• The treatment location creates an annual cost impact of about $204K for a member on Gammagard.
• Variation: 6.5x | Annual Cost Impact: $204,000
$3,081
$4,063
$20,081
10th
Median
90th
New York
• The treatment location creates an annual cost impact of about $88K for a member on Gammagard.
• Variation: 3.4x | Annual Cost Impact: $87,972
$3,012
$7,645
$10,343
10th
Median
90th
Want control over a $88k cost variance? Gallagher can help.
Salt Lake City
• The treatment location creates an annual cost impact of about $11K for a member on Gammagard.
• Variation: 1.2x | Annual Cost Impact: $11,448
$4,542
$5,341
$5,496
10th
Median
90th
Want control over a $11k cost variance? Gallagher can help.
Tampa
• The treatment location creates an annual cost impact of about $222K for a member on Gammagard.
• Variation: 7.4x | Annual Cost Impact: $221,928
$2,907
$12,187
$21,401
10th
Median
90th
Want control over a $222k cost variance? Gallagher can help.
Chicago
• The treatment location creates an annual cost impact of roughly $470K for a member on Keytruda.
• Variation: 3.3x | Annual Cost Impact: $469,659
$12,200
$16,626
$39,827
10th
Median
90th
Want control over a $470k cost variance? Gallagher can help.
Denver
• The treatment location creates an annual cost impact of about $596K for a member on Keytruda.
• Variation: 3.1x | Annual Cost Impact: $595,782
$16,536
$21,742
$51,582
10th
Median
90th
Want control over a $596k cost variance? Gallagher can help.
Houston
• The treatment location creates an annual cost impact of roughly $520K for a member on Keytruda.
• Variation: 2.6x | Annual Cost Impact: $519,928
$18,938
$36,608
$49,522
10th
Median
90th
Want control over a $520k cost variance? Gallagher can help.
Los Angeles
• The treatment location creates an annual cost impact of about $316K for a member on Keytruda.
• Variation: 2.5x | Annual Cost Impact: $316,285
$12,058
$16,633
$30,663
10th
Median
90th
Want control over a $316k cost variance? Gallagher can help.
Nashville
• The treatment location creates an annual cost impact of about $106K for a member on Keytruda.
• Variation: 1.6x | Annual Cost Impact: $106,080
$10,493
$14,228
$16,733
10th
Median
90th
Want control over a $106k cost variance? Gallagher can help.
New York
• The treatment location creates an annual cost impact of about $361K for a member on Keytruda.
• Variation: 2.8x | Annual Cost Impact: $360,927
$12,058
$22,266
$33,289
10th
Median
90th
Want control over a $361k cost variance? Gallagher can help.
Salt Lake City
• The treatment location creates an annual cost impact of about $55K for a member on Keytruda.
• Variation: 1.2x | Annual Cost Impact: $54,604
$14,486
$16,798
$17,698
10th
Median
90th
Want control over a $55k cost variance? Gallagher can help.
Tampa
• The treatment location creates an annual cost impact of about $530K for a member on Keytruda.
• Variation: 3.8x | Annual Cost Impact: $530,740
$11,323
$24,997
$42,543
10th
Median
90th
Want control over a $530k cost variance? Gallagher can help.
Want control over a $204k cost variance? Gallagher can help.