00264-9577-10 — Dextrose/Heparin Sodium
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Dextrose/Heparin Sodium (OTHER 00264-9577-10) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00264-9577-10?code_type=OTHER
MLA (9th ed.)
“Dextrose/Heparin Sodium (OTHER 00264-9577-10) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00264-9577-10?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Dextrose/Heparin Sodium (OTHER 00264-9577-10) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00264-9577-10?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $74–$2,208 (25th–75th percentile) across 2 hospitals · 30 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 00264-9577-10 — 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 |
|---|---|---|---|---|---|---|---|
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $43.08 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $46.21 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $47.19 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $47.19 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $47.19 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $47.19 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $47.19 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $47.19 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $47.19 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $47.19 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $47.19 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $54.13 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $54.65 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $54.94 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $57.20 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $60.06 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $66.50 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $68.32 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $72.61 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $73.69 | $107.25 | $49.01 | 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 | $73.88 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $74.11 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $74.14 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $76.49 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $77.20 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $77.22 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $81.27 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $83.87 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $84.94 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $92.66 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Coventry | Coventry - Workers Comp | $101.35 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Multiplan | Multiplan Ppo | $101.89 | $107.25 | $49.01 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Umr | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Phcs | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Midlands Choice | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Corvel | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Geha | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare All Savers | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare Surest | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Choicecare | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Other | Other | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Molina | Medicaid | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Equian | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Liability | Liability | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Especially For You | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Gem | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Hms Preferred Health Choices | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medimore | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Preferred Medical Solutions | Workers Compensation | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Splashlight | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medical Associates Health Plan | Mercy Cedar Rapid | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | First Health | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Tricare | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Cigna | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Multiplan | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Umr | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Phcs | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Midlands Choice | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Corvel | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Geha | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare All Savers | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare Surest | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Choicecare | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Other | Other | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medical Associates Health Plan | Mercy Cedar Rapid | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Equian | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Liability | Liability | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Especially For You | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Gem | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Hms Preferred Health Choices | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medimore | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Preferred Medical Solutions | Workers Compensation | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Splashlight | Commercial | — | $68.91 | $55.13 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Molina | Medicaid | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | First Health | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Tricare | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Cigna | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Multiplan | Commercial | — | $68.91 | $55.13 | 2026-05-23 | MRF ↗ |