00143950910A — Ketamine HCl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ketamine HCl (NDC 00143950910A) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00143950910A?code_type=NDC
MLA (9th ed.)
“Ketamine HCl (NDC 00143950910A) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00143950910A?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“Ketamine HCl (NDC 00143950910A) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00143950910A?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,577–$6,530 (25th–75th percentile) across 5 hospitals · 29 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 00143950910A — 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 |
|---|---|---|---|---|---|---|---|
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $23.69 | $23.22 | 2025-03-17 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $28.42 | $27.85 | 2025-08-04 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Ambetter | Medicare Advantage | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Aetna Better Health | Medicaid | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Coventry | Medicare Advantage | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Coventry | Open Network | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Coventry | Wesley Preferred Network | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Coventry | Workers Comp/Automobile Insurance | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | First Health | Commercial | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | United Healthcare | All Payer | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | United Healthcare | Individual Exchange | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | United Healthcare | Medicaid | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | United Healthcare | Medicare | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | United Healthcare | Veterans Affairs Program | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Multiplan | Workers Compensation/Auto Medical | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Multiplan | Commercial | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Medica | Medicare Advantage | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Aetna | Open Network Plan | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Aetna | Wichita Preferred Plan | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Aetna | Coventry | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Aetna | Local Best Plan | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Aetna | Hospice | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Celtic | Commercial Exchange | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Celtic | Medicaid | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Celtic | Medicare | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Corizon | Commercial | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Providrs | Chambers Plan | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Health Partners Of Kansas | Commercial | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Sunflower | Commercial Exchange | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Ks | Medicare | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Centurion Of Kansas | Commercial | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Wisconsin Physicians Service Insurance Corporation | Wisconsin Physicians Service Insurance Corporation | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Inpatient | Ambetter | Commercial Exchange | — | $109.29 | $109.29 | 2026-07-15 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Providence Health | Medicare Advantage | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Anthem | Medicare Advantage | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Blue Shield | Medicare Advantage | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | United Healthcare | Medicare Advantage | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Cigna | Hmo Oap | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Multiplan | Multiplan | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Humana | Medicare Advantage | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Cigna Behavioral Health | Evernorth | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Aetna | Medicare Advantage | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Aetna | Hmo Ppo | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Health Net | Enhanced Ppo | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Health Net | Medicare Advantage | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Heritage Provider Network | Medi Cal | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Heritage Provider Network | Commercial | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Heritage Provider Network | Medicare Advantage | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Keenan | Keenan | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Kaiser | Medicare Advantage | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Kaiser | Medical | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Kaiser | Hmo | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Facey | Medicare Advantage | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Optum Healthcare | Medicare Advantage | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Optum Healthcare | Commercial | — | $27.50 | $27.50 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Inpatient | Aetna | Commercial | — | $109.29 | $43.72 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Inpatient | Celtic | Medicaid | — | $109.29 | $43.72 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Inpatient | Wppa | Commercial | — | $109.29 | $43.72 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Inpatient | Health Partners Of Kansas | Commercial | — | $109.29 | $43.72 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Inpatient | Compalliance | Compresults Workers Comp | — | $109.29 | $43.72 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Inpatient | Three Rivers Provider Networks | Workers Comp | — | $109.29 | $43.72 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Inpatient | Aetna Better Health | Medicaid | — | $109.29 | $43.72 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Inpatient | Coventry | Workers Compensation | — | $109.29 | $43.72 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Inpatient | Coventry | Commercial/Self Insured | — | $109.29 | $43.72 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Inpatient | First Health | Commercial | — | $109.29 | $43.72 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Inpatient | United Healthcare | All Payer | — | $109.29 | $43.72 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Inpatient | United Healthcare | Medicaid | — | $109.29 | $43.72 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Inpatient | Multiplan | Commercial | — | $109.29 | $43.72 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Inpatient | Multiplan | Workers Compensation/Auto Medical | — | $109.29 | $43.72 | 2026-08-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | First Health | Commercial | — | $110.50 | $62.99 | 2026-07-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | Cigna | Commercial | — | $110.50 | $62.99 | 2026-07-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | Medica | Commercial | — | $110.50 | $62.99 | 2026-07-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | First Choice | Commercial | — | $110.50 | $62.99 | 2026-07-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | Blue Cross Blue Shield Wy Ppo | Commercial | — | $110.50 | $62.99 | 2026-07-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | Mountain Health Co | Op | — | $110.50 | $62.99 | 2026-07-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | United Healthcare | Commercial/Medicare Advantage | — | $110.50 | $62.99 | 2026-07-31 | MRF ↗ |