1404698 — Vancomycin (vancocin) 250mg Capsule
Cite this view
HANK Price Transparency. (n.d.). VANCOMYCIN (VANCOCIN) 250MG CAPSULE (OTHER 1404698) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1404698?code_type=OTHER
“VANCOMYCIN (VANCOCIN) 250MG CAPSULE (OTHER 1404698) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1404698?code_type=OTHER. Accessed .
“VANCOMYCIN (VANCOCIN) 250MG CAPSULE (OTHER 1404698) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1404698?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $38–$42,981 (25th–75th percentile) across 2 hospitals · 13 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1404698 — 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 |
|---|---|---|---|---|---|---|---|
| DODGE COUNTY HOSPITAL Outpatient | Wellcare Medicaid | Medicaid | $11.14 | $58.25 | $34.95 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Pshp Medicaid | Medicaid | $11.14 | $58.25 | $34.95 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $11.58 | $58.25 | $34.95 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Amerigroup Peachcare | Medicaid | $11.58 | $58.25 | $34.95 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Caresource Medicaid | Medicaid | $11.69 | $58.25 | $34.95 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Uhc Commercial | Commercial | $36.70 | $58.25 | $34.95 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Humana Commerical Ppo | Commercial | $43.69 | $58.25 | $34.95 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Anthem | Commercial | $43.69 | $58.25 | $34.95 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Aetna Commercial | Commercial | $43.69 | $58.25 | $34.95 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Humana Commerical Epo | Commerical | $43.69 | $58.25 | $34.95 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Humana Commerical Hmo | Commerical | $43.69 | $58.25 | $34.95 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Humana Commerical Pos | Commercial | $43.69 | $58.25 | $34.95 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Aetna Medical Rental First Health | Commercial | $46.60 | $58.25 | $34.95 | 2026-05-06 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Cigna Commercial | Commercial | $52.43 | $58.25 | $34.95 | 2026-05-06 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Blue Cross Commercial | — | $804.00 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Cigna | — | $5,850.00 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Uhc Hmo-Non Hcmg | — | $55,358.07 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Uhc Ppo/Hmo-Hcmg | — | $55,358.07 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Aetna Comm | — | $64,215.37 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Aetna Senior | — | $64,436.80 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Magellan Comm | — | $66,429.69 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Tricare | — | $110,716.15 | $110,716.15 | $77,501.31 | 2026-05-22 | MRF ↗ |