03065864 — Dalvance 500 Mg Vial
Cite this view
HANK Price Transparency. (n.d.). DALVANCE 500 MG VIAL (CDM 03065864) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/03065864?code_type=CDM
“DALVANCE 500 MG VIAL (CDM 03065864) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/03065864?code_type=CDM. Accessed .
“DALVANCE 500 MG VIAL (CDM 03065864) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/03065864?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,540–$2,650 (25th–75th percentile) across 1 hospital · 3 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 03065864 — 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 |
|---|---|---|---|---|---|---|---|
| STANTON COUNTY HOSPITAL Outpatient | UHC ALL PAYER - ALL PLANS | UHC ALL PAYER - ALL PLANS | $2,471.00 | $2,745.56 | $2,745.56 | 2026-08-07 | MRF ↗ |
| STANTON COUNTY HOSPITAL Outpatient | TRIWEST TRICARE BCBS - ALL PLANS | TRIWEST TRICARE BCBS - ALL PLANS | $2,609.93 | $2,745.56 | $2,745.56 | 2026-08-07 | MRF ↗ |
| STANTON COUNTY HOSPITAL Outpatient | HEALTHY BLUE MCR ADV - ALL OTHER PLANS | HEALTHY BLUE MCR ADV - ALL OTHER PLANS | $2,690.65 | $2,745.56 | $2,745.56 | 2026-08-07 | MRF ↗ |