04503071 — Prolia 60 Mg/ml Syringe
Cite this view
HANK Price Transparency. (n.d.). PROLIA 60 MG/ML SYRINGE (CDM 04503071) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/04503071?code_type=CDM
“PROLIA 60 MG/ML SYRINGE (CDM 04503071) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/04503071?code_type=CDM. Accessed .
“PROLIA 60 MG/ML SYRINGE (CDM 04503071) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/04503071?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,429–$5,043 (25th–75th percentile) across 1 hospital · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 04503071 — 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 |
|---|---|---|---|---|---|---|---|
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $2,000.00 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | UHC VA | UHC VA | $3,429.24 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | HEALTH ALLIANCE MCR ADV | HEALTH ALLIANCE MCR ADV | $3,429.24 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $3,429.24 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $3,429.24 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | WELLCARE MCR ADV-ALL PLANS | WELLCARE MCR ADV-ALL PLANS | $3,429.24 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV-ALL PLANS | HUMANA MCR ADV-ALL PLANS | $3,463.53 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $3,497.82 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | HEALTH ALLIANCE-ALL OTHER PLANS | HEALTH ALLIANCE-ALL OTHER PLANS | $4,115.09 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | AMBETTER - ALL PLANS | AMBETTER - ALL PLANS | $4,458.01 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $4,794.21 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | BCBS BLUE CHOICE | BCBS BLUE CHOICE | $4,908.52 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | BCBS HMO | BCBS HMO | $4,908.52 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | BCBS PPO - ALL OTHER PLANS | BCBS PPO - ALL OTHER PLANS | $5,043.00 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $5,043.00 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | HEALTHLINK HMO | HEALTHLINK HMO | $5,110.24 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | HEALTHLINK IL ONLY | HEALTHLINK IL ONLY | $5,110.24 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | HEALTHLINK PPO-ALL OTHER PLANS | HEALTHLINK PPO-ALL OTHER PLANS | $5,782.64 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | HFN ZELIS-ALL PLANS | HFN ZELIS-ALL PLANS | $6,118.84 | $6,724.00 | $5,379.20 | 2026-04-24 | MRF ↗ |