00093-2210-01 — Sucralfate
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Sucralfate (OTHER 00093-2210-01) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00093-2210-01?code_type=OTHER
MLA (9th ed.)
“Sucralfate (OTHER 00093-2210-01) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00093-2210-01?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Sucralfate (OTHER 00093-2210-01) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00093-2210-01?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $71–$2,208 (25th–75th percentile) across 3 hospitals · 34 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 00093-2210-01 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| HUGH CHATHAM MEMORIAL HOSPITAL Both | United Health | Commercial | — | $5.00 | $3.25 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Amerihealth | Medicaid | $1.54 | $5.00 | $3.25 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Anthem Bcbs Nc | Medicaid | — | $5.00 | $3.25 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Anthem Bcbs Nc | Medicaid | $1.54 | $5.00 | $3.25 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Inpatient | Bcbs | Hmo Ppo Pos | $1.93 | — | — | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Outpatient | Bcbs | Hmo Ppo Pos | $2.04 | — | — | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | United Health | Commercial | $2.85 | $5.00 | $3.25 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Outpatient | Cigna | — | $3.00 | — | — | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Inpatient | Cigna | — | $3.10 | — | — | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Outpatient | Medcost | Ppo | $3.26 | — | — | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo Pos | $3.40 | $5.00 | $3.25 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Inpatient | Medcost | Ppo | $3.61 | — | — | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Humana Choice | — | $4.00 | $5.00 | $3.25 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Multiplan | — | $4.25 | $5.00 | $3.25 | 2026-05-06 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $65.02 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $69.74 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $71.21 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $71.21 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $71.21 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $71.21 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $71.21 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $71.21 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $71.21 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $71.21 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $71.21 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $81.69 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $82.48 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $82.92 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $86.31 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $90.64 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $100.35 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $103.10 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $109.57 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $111.21 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $111.50 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $111.84 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $111.89 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $115.43 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $116.50 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $116.53 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $122.65 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $126.57 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $128.19 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $139.84 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Coventry | Coventry - Workers Comp | $152.95 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Multiplan | Multiplan Ppo | $153.76 | $161.85 | $73.97 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Umr | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Phcs | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Midlands Choice | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Corvel | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Geha | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare All Savers | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare Surest | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Choicecare | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Other | Other | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medical Associates Health Plan | Mercy Cedar Rapid | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Equian | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Liability | Liability | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Especially For You | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Gem | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Geha | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medimore | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Preferred Medical Solutions | Workers Compensation | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Splashlight | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | First Health | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Molina | Medicaid | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Tricare | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Cigna | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Multiplan | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Umr | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Phcs | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Midlands Choice | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Corvel | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Hms Preferred Health Choices | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare All Savers | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare Surest | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Choicecare | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Other | Other | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medical Associates Health Plan | Mercy Cedar Rapid | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Equian | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Liability | Liability | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Especially For You | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Gem | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Hms Preferred Health Choices | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medimore | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Preferred Medical Solutions | Workers Compensation | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Splashlight | Commercial | — | $0.80 | $0.64 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Molina | Medicaid | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | First Health | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Tricare | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Cigna | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Multiplan | Commercial | — | $0.80 | $0.64 | 2026-05-23 | MRF ↗ |