12203335 — Ipilimumab 200 Mg 40 Ml Vial
Cite this view
HANK Price Transparency. (n.d.). IPILIMUMAB 200 MG 40 ML VIAL (OTHER 12203335) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/12203335?code_type=OTHER
“IPILIMUMAB 200 MG 40 ML VIAL (OTHER 12203335) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/12203335?code_type=OTHER. Accessed .
“IPILIMUMAB 200 MG 40 ML VIAL (OTHER 12203335) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/12203335?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $188–$86,518 (25th–75th percentile) across 2 hospitals · 28 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 12203335 — 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 |
|---|---|---|---|---|---|---|---|
| ANDERSON HOSPITAL Outpatient | Illinois Medicaid-Other | Illinois Medicaid-Other | $138.83 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Illinois Medicaid | Illinois Medicaid | $138.83 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Tricare | Tricare | $179.81 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Tricare | Tricare | $181.65 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Medicare Pffs/Ma | Medicare Pffs/Ma | $183.92 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | United Healthcare Services | United Healthcare Government | $183.92 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Humana | Humana Medicare | $183.92 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Medicare | Medicare | $183.92 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Medicare | Medicare | $183.92 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Medicare Advantage | Medicare Pffs/Ma | $186.91 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Medicare | Medicare | $186.91 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Humana | Humana Medicare | $186.91 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Aetna Inc | Aetna Medicare | $186.91 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Medicare Advantage | Medicare Pffs/Ma | $186.91 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Essence | Essence | $186.91 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | United Healthcare Services | United Healthcare Government | $186.91 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Clear Spring Health Ma | Clear Spring Health Ma | $189.44 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Essence | Essence Ppo | $192.52 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Clear Springs Health | Clear Springs Health Ma | $192.52 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | United Healthcare Services | United Healthcare | $223.76 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Health Care Service Corporation | Blue Cross Of Illinois Sihca | $224.30 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Blue Choice | Blue Choice | $271.03 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Ambetter | Ambetter | $271.03 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Illinois Medicaid - Other | Illinois Medicaid - Other | $26,844.21 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Illinois Medicaid | Illinois Medicaid | $26,844.21 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Illinois Medicaid-Other | Illinois Medicaid-Other | $27,670.87 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Illinois Medicaid | Illinois Medicaid | $27,670.87 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Tricare | Tricare | $35,734.43 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Medicare Pffs/Ma | Medicare Pffs/Ma | $36,485.82 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Medicare | Medicare | $37,079.09 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Clear Spring Health Ma | Clear Spring Health Ma | $37,580.39 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | Aetna Inc | Aetna/Coventry | $41,157.79 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | Health Care Service Corporation | Blue Cross Of Illinois Hmo/Ppo | $48,820.80 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | Mercy Benefit Admin | Anh-Mercyba | $49,438.78 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | Mercy Aco | Mercy Aco | $49,438.78 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | Health Care Service Corporation | Blue Cross Of Illinois Sihca | $49,438.78 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Health Care Service Corporation | Blue Cross Of Illinois Hmo/Ppo | $56,545.61 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | United Healthcare | United Healthcare | $59,326.54 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Self Pay | Self Pay | $61,798.48 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Self Pay | Self Pay | $61,798.48 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | Cigna Corporation | Cigna Hmo/Ppo | $61,798.48 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Anthem Blue Cross And Blue Shield | Anthem | $66,285.05 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Anthem Blue Cross And Blue Shield | Anthem | $68,658.11 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | Healthlink | Healthlink Hmo | $76,630.12 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | Healthlink | Healthlink Ppo | $76,630.12 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Cigna Hmo/Ppo | Cigna Hmo/Ppo | $79,596.44 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | Work Comp | Work Comp | $80,338.02 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Healthlink | Healthlink Hmo | $92,697.72 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Blue Cross Ppo | Blue Cross Ppo | $92,697.72 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | Multiplan/Phcs | Multiplan/Phcs | $92,697.72 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Health Alliance Commercial | Health Alliance Commercial | $98,877.57 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Aetna | Aetna | $100,113.54 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Inpatient | Multiplan/Phcs | Multiplan/Phcs | $105,057.42 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Healthlink | Healthlink Ppo | $105,057.42 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | Beech Street Corporation | Beech Street | $111,237.26 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Inpatient | Beech Street | Beech Street | $112,473.23 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | Tricare | Tricare | $123,596.96 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Blue Cross Ppo | Blue Cross Ppo | $123,596.96 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Illinois Medicaid | Illinois Medicaid | $123,596.96 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Aetna | Aetna | $123,596.96 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Health Alliance Commercial | Health Alliance Commercial | $123,596.96 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | Illinois Medicaid - Other | Illinois Medicaid - Other | $123,596.96 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON Outpatient | United Healthcare | United Healthcare | $123,596.96 | $123,596.96 | $61,798.48 | 2026-05-09 | MRF ↗ |