180349 — Pku Periflex Early Years 13.5 Gram-473 Kcal/100 Gram Oral Powder
Cite this view
HANK Price Transparency. (n.d.). PKU PERIFLEX EARLY YEARS 13.5 GRAM-473 KCAL/100 GRAM ORAL POWDER (CDM 180349) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/180349?code_type=CDM
“PKU PERIFLEX EARLY YEARS 13.5 GRAM-473 KCAL/100 GRAM ORAL POWDER (CDM 180349) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/180349?code_type=CDM. Accessed .
“PKU PERIFLEX EARLY YEARS 13.5 GRAM-473 KCAL/100 GRAM ORAL POWDER (CDM 180349) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/180349?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $39,438–$40,277 (25th–75th percentile) across 1 hospital · 8 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 180349 — 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 |
|---|---|---|---|---|---|---|---|
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Tricare | Commercial | $11,157.00 | $41,955.00 | $41,955.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Midlands Choice | Commercial | $39,438.00 | $41,955.00 | $41,955.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Ambetter | Commercial | $39,438.00 | $41,955.00 | $41,955.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Cigna | Commercial | $39,438.00 | $41,955.00 | $41,955.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Blue Cross Blue Shield | Commercial | $39,857.00 | $41,955.00 | $41,955.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Medica | Commercial | $39,857.00 | $41,955.00 | $41,955.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Meritain | Commercial | $40,277.00 | $41,955.00 | $41,955.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Aetna | Commercial | $40,277.00 | $41,955.00 | $41,955.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Both | Coventry | Commercial | $40,277.00 | $41,955.00 | $41,955.00 | 2025-11-07 | MRF ↗ |