109863473 (CDM) — raw rate rows

CDM · raw rates

109863473 — Antivenin (Crotalidae Ovine) Polyvalent Intravenous Injection[mort]

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

View state-by-state → View hospital-by-hospital →

Typical negotiated price $10,746

Usually $8,684–$11,182 (25th–75th percentile) across 1 hospital · 4 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 109863473 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

Estimate your cost

What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

Loading estimate…

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
MORTON COUNTY HOSPITAL Both	Humana (ChoiceCare Network)	Medicare Advantage	$3,369.00	$11,618.00	$10,456.00	2025-09-25	MRF ↗
MORTON COUNTY HOSPITAL Both	Aetna	Commercial	$10,456.00	$11,618.00	$10,456.00	2025-09-25	MRF ↗
MORTON COUNTY HOSPITAL Both	Blue Cross Blue Shield	Blue Choice	$11,037.00	$11,618.00	$10,456.00	2025-09-25	MRF ↗
MORTON COUNTY HOSPITAL Both	United Healthcare	Medicare Advantage	$11,618.00	$11,618.00	$10,456.00	2025-09-25	MRF ↗