10003 — Amantadine Hcl T
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). AMANTADINE HCL T (CDM 10003) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/10003?code_type=CDM
MLA (9th ed.)
“AMANTADINE HCL T (CDM 10003) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/10003?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“AMANTADINE HCL T (CDM 10003) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/10003?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$252 (25th–75th percentile) across 12 hospitals · 37 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 10003 — 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 |
|---|---|---|---|---|---|---|---|
| KAHUKU MEDICAL CENTER OutpatientFacility | Ohana Health Plan | Medicaid | $1.26 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Humana | Medicare | $1.26 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | AlohaCare | Medicare | $1.26 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Medicare | $1.26 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Devoted Health | Medicare | $1.26 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Kaiser Permanente | Medicare | $1.26 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Hawaii Medical Service Association | Medicare | $1.26 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Ohana Health Plan | Medicare | $1.26 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | AlohaCare | Medicaid | $1.50 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Kaiser Permanente | Medicaid | $1.53 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Health Partners of Kansas | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Christian Health Aid | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | ChoiceCare | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | University Health Alliance | Commercial | $2.19 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER InpatientFacility | Health Management Network | Commercial | $2.55 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | MCR | $2.70 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER InpatientFacility | Kaiser Permanente | Commercial | $2.70 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Deseret Mutual Benefit Administrators | Commercial | $2.76 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Hawaii Western Management Group | Commercial | $2.85 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | MCR | $2.90 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER InpatientFacility | MDX Hawaii | PPO | $2.91 | $3.00 | $1.95 | 2026-07-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | MedCare Partners | MGMCR | $4.05 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Imperial Insurance | MCR | $4.05 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | $4.35 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | PPO | $4.91 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | EPO | $4.91 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | HMO | $5.05 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | EPO | $5.14 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | HMO | $5.14 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | PPO | $5.14 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Bright Health | COMM | $7.44 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Cigna | HMO | $7.49 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Cigna | PPO | $7.49 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Cigna | PPO | $7.67 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Cigna | HMO | $7.67 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Blue Shield | EPN | $7.81 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Bright Health | COMM | $8.00 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | United | OptionsPPO | $8.16 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Blue Shield | EPN | $8.18 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | United | OptionsPPO | $8.34 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Health Net | COMM | $10.99 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Blue Shield | COMM | $11.15 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Blue Shield | COMM | $11.69 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Health Net | COMM | $11.82 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| GENOA COMMUNITY HOSPITAL Outpatient | Wellcare of Nebraska | Commercial | $18.00 | $30.00 | $27.00 | 2026-03-13 | MRF ↗ |
| GENOA COMMUNITY HOSPITAL Outpatient | Nebraska Total Care | Commercial | $18.00 | $30.00 | $27.00 | 2026-03-13 | MRF ↗ |
| GENOA COMMUNITY HOSPITAL Outpatient | Cigna | Commercial | $18.00 | $30.00 | $27.00 | 2026-03-13 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Networks by Design | COMM | $18.36 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | First Health | COMM | $18.36 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | ChoiceCare Network | COMMPPO | $18.90 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | First Health | COMM | $19.74 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | ChoiceCare Network | COMMPPO | $20.32 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | PPO Next | WC | $21.60 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | PPO Next | PPO | $21.60 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Multiplan | PRIMARY | $21.60 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | First Health | WCOMP | $21.60 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | First Health | WCOMP | $23.22 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | PPO Next | WC | $23.22 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | PPO Next | PPO | $23.22 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Multiplan | PRIMARY | $23.22 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Interplan Corporation | COMM | $24.30 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Interplan Corporation | WC | $24.30 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Ventura County Foundation | COMM | $24.30 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | $25.65 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Interplan Corporation | WC | $26.13 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Ventura County Foundation | COMM | $26.13 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Interplan Corporation | COMM | $26.13 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna Senior Health Plan | MCR | $27.00 | $27.00 | $27.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Multiplan | COMPLEMENTARY | $27.58 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna Senior Health Plan | MCR | $29.03 | $29.03 | $29.03 | 2026-03-01 | MRF ↗ |
| GENOA COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Nebraska | Commercial | $33.00 | $30.00 | $27.00 | 2026-03-13 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Ambetter | Commercial | $233.00 | $517.00 | $414.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Healthscope | Commercial | $310.00 | $517.00 | $414.00 | 2026-06-22 | MRF ↗ |
| BORGESS MEDICAL CENTER Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $321.00 | $321.00 | $157.29 | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $321.00 | $321.00 | $157.29 | 2026-01-01 | MRF ↗ |
| ORTHOPAEDIC HOSPITAL OF WISCONSIN Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $343.00 | $343.00 | $181.79 | 2026-01-01 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $378.00 | $772.00 | $772.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | WellMed | Medicare Advantage | $378.00 | $772.00 | $772.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $378.00 | $772.00 | $772.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Medicare Advantage | $382.00 | $772.00 | $772.00 | 2026-01-21 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Anthem | Commercial | $394.00 | $517.00 | $414.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $398.00 | $517.00 | $414.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | MultiPlan | Commercial | $414.00 | $517.00 | $414.00 | 2026-06-22 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $448.00 | $772.00 | $772.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | FirstCare | Baylor Scott Health Plan | $502.00 | $772.00 | $772.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $502.00 | $772.00 | $772.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $502.00 | $772.00 | $772.00 | 2026-01-21 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Centene | Commercial | $517.00 | $517.00 | $414.00 | 2026-06-22 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $656.00 | $772.00 | $772.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $695.00 | $772.00 | $772.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | FirstCare | Commercial | $695.00 | $772.00 | $772.00 | 2026-01-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | UHC MCAID | UHC MCAID | $12,500.00 | $50,000.00 | $31,500.00 | 2026-03-25 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $17,500.00 | $50,000.00 | $31,500.00 | 2026-03-25 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | AETNA MCR ADV | AETNA MCR ADV | $17,500.00 | $50,000.00 | $31,500.00 | 2026-03-25 | MRF ↗ |
| KANSAS HEART HOSPITAL Both | WPPA | COMMERCIAL | $20,000.00 | $50,000.00 | — | 2024-07-10 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40,000.00 | $50,000.00 | $31,500.00 | 2026-03-25 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | WPPA - ALL PLANS | WPPA - ALL PLANS | $50,000.00 | $50,000.00 | $31,500.00 | 2026-03-25 | MRF ↗ |