1286149-2215105 — 54396-0801-01 - Pegloticase Soln
Cite this view
HANK Price Transparency. (n.d.). 54396-0801-01 - pegloticase Soln (OTHER 1286149-2215105) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1286149-2215105?code_type=OTHER
“54396-0801-01 - pegloticase Soln (OTHER 1286149-2215105) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1286149-2215105?code_type=OTHER. Accessed .
“54396-0801-01 - pegloticase Soln (OTHER 1286149-2215105) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1286149-2215105?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $211,569–$326,496 (25th–75th percentile) across 2 hospitals · 26 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1286149-2215105 — 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 |
|---|---|---|---|---|---|---|---|
| NORTHWEST HEALTH-LA PORTE Outpatient | Aetna | Node Aetna Mcr Adv | $97,713.80 | $375,822.31 | $124,021.36 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Aetna | Node Aetna Mcr Adv | $97,713.80 | $375,822.31 | $101,472.02 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Lutheran | Lutheran Preferred | $101,472.02 | $375,822.31 | $101,472.02 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Lutheran | Lutheran Preferred | $101,472.02 | $375,822.31 | $124,021.36 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Self Pay | Self Pay | $101,472.02 | $375,822.31 | $101,472.02 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Self Pay | Self Pay | $124,021.36 | $375,822.31 | $124,021.36 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Medpartners | Lutheran Preferred Chs Employees | $125,900.47 | $375,822.31 | $206,702.27 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Physicians Health Plan | Php Options | $155,252.20 | $375,822.31 | $101,472.02 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Php | Php Options | $155,252.20 | $375,822.31 | $124,021.36 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Lutheran Preferred Medpartners | Lutheran Preferred Chs Employees | $157,093.73 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Alpha Baking | Alpha Baking | $169,120.04 | $375,822.31 | $101,472.02 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Alpha Baking | Alpha Baking | $169,120.04 | $375,822.31 | $124,021.36 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Self Pay | Self Pay | $202,944.05 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Self Pay | Self Pay | $206,702.27 | $375,822.31 | $206,702.27 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Php | Php Freedom Network | $226,169.87 | $375,822.31 | $101,472.02 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Php Freedom Network | Php Freedom Network | $226,169.87 | $375,822.31 | $124,021.36 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Encore | Encore Combined Ppo | $244,284.50 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Encore | Encore Combined Ppo | $244,284.50 | $375,822.31 | $206,702.27 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | United Healthcare | Uhc Apa | $261,948.15 | $375,822.31 | $124,021.36 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | One Call | One Call Care Diagnostics Wc | $263,075.62 | $375,822.31 | $101,472.02 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | One Call | One Call Work Comp | $263,075.62 | $375,822.31 | $124,021.36 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | County Of Laporte | County Of Laporte | $263,075.62 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | One Call | One Call | $263,075.62 | $375,822.31 | $124,021.36 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Uhc Apa | Uhc Apa | $263,451.44 | $375,822.31 | $101,472.02 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | United Healthcare | Uhc Core | $264,578.91 | $375,822.31 | $124,021.36 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | United Healthcare | Uhc Core | $266,082.20 | $375,822.31 | $101,472.02 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Cigna | Cigna All | $279,235.98 | $375,822.31 | $124,021.36 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Prime Health Services Auto | Prime Health Services Auto | $281,866.73 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Prime Health Services | Prime Health Services | $281,866.73 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Aetna | Aetna All | $292,013.93 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Aetna | Aetna | $300,282.03 | $375,822.31 | $124,021.36 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Outpatient | Ihn | Ihn | $300,657.85 | $375,822.31 | $124,021.36 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Multiplan Inc | Multiplan Complementary | $300,657.85 | $375,822.31 | $101,472.02 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Outpatient | Aetna | Aetna All | $307,046.83 | $375,822.31 | $101,472.02 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Aetna | Aetna Nap | $310,805.05 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Cigna All | Cigna All | $311,932.52 | $375,822.31 | $206,702.27 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Encore | Encore Market Share | $319,448.96 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Multiplan Inc | Multiplan Complementary | $319,448.96 | $375,822.31 | $206,702.27 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Coventry First Health | Coventry First Health | $325,086.30 | $375,822.31 | $206,702.27 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Aetna | Aetna Nap | $325,086.30 | $375,822.31 | $206,702.27 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Encore | Encore | $326,965.41 | $375,822.31 | $206,702.27 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Community Health Alliance | Cha | $326,965.41 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Lutheran Network | Lutheran Preferred Choice | $330,723.63 | $375,822.31 | $206,702.27 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Sagamore Health Network | Sagamore | $330,723.63 | $375,822.31 | $206,702.27 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Lutheran Network | Lutheran Preferred Choice | $330,723.63 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Sagamore Health Network | Sagamore | $330,723.63 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Hfn Workers Compensation | Hfn Work Comp | $338,240.08 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Multiplan | Multiplan | $338,240.08 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Encore | Encore | $338,240.08 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Chandler Group | Preferred Plan Inc | $338,240.08 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Phcs | Phcs | $338,240.08 | $375,822.31 | $202,944.05 | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Multiplan Inc | Multiplan Primary | $338,240.08 | $375,822.31 | $206,702.27 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Community Health Alliance | Community Health Alliance | $338,240.08 | $375,822.31 | $206,702.27 | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Ppom | Cofinity | $353,272.97 | $375,822.31 | $206,702.27 | 2026-05-27 | MRF ↗ |