197876_ERX — Ipratropium-albuterol 20-100 Mcg/actuation In Mist [197876]
Cite this view
HANK Price Transparency. (n.d.). IPRATROPIUM-ALBUTEROL 20-100 MCG/ACTUATION IN MIST [197876] (CDM 197876_ERX) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/197876_ERX?code_type=CDM
“IPRATROPIUM-ALBUTEROL 20-100 MCG/ACTUATION IN MIST [197876] (CDM 197876_ERX) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/197876_ERX?code_type=CDM. Accessed .
“IPRATROPIUM-ALBUTEROL 20-100 MCG/ACTUATION IN MIST [197876] (CDM 197876_ERX) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/197876_ERX?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $779–$2,104 (25th–75th percentile) across 1 hospital · 14 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 197876_ERX — 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 |
|---|---|---|---|---|---|---|---|
| TOMAH MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $778.65 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $778.65 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $778.65 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $778.65 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | QUARTZ MCR ADV | QUARTZ MCR ADV | $778.65 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | GROUP HLTH MCR ADV - ALL PLANS | GROUP HLTH MCR ADV - ALL PLANS | $778.65 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | INDEPENDENT CARE MCR - ALL OTHER PLANS | INDEPENDENT CARE MCR - ALL OTHER PLANS | $778.65 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | SECURITY HP MCR ADV | SECURITY HP MCR ADV | $778.65 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $1,488.60 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | CIGNA - ALL OTHER PLANS | CIGNA - ALL OTHER PLANS | $1,740.51 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | AETNA/FIRST HEALTH - ALL OTHER PLANS | AETNA/FIRST HEALTH - ALL OTHER PLANS | $1,946.63 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | SECURITY HP COMM - ALL OTHER PLANS | SECURITY HP COMM - ALL OTHER PLANS | $1,946.63 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | QUARTZ COMM - ALL OTHER PLANS | QUARTZ COMM - ALL OTHER PLANS | $2,061.14 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $2,118.39 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | THE ALLIANCE - ALL PLANS | THE ALLIANCE - ALL PLANS | $2,129.84 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $2,159.61 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | CIGNA - PPO/OPEN ACCESS PLUS | CIGNA - PPO/OPEN ACCESS PLUS | $2,221.45 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | BCBS COMM - ALL OTHER PLANS | BCBS COMM - ALL OTHER PLANS | $6,870.45 | $2,290.15 | $1,316.84 | 2026-03-03 | MRF ↗ |