230004 — Promethazine Hcl 25mg/ml Vial
Cite this view
HANK Price Transparency. (n.d.). PROMETHAZINE HCL 25MG/ML VIAL (CDM 230004) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/230004?code_type=CDM
“PROMETHAZINE HCL 25MG/ML VIAL (CDM 230004) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/230004?code_type=CDM. Accessed .
“PROMETHAZINE HCL 25MG/ML VIAL (CDM 230004) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/230004?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1–$5,626 (25th–75th percentile) across 3 hospitals · 8 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 230004 — 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 |
|---|---|---|---|---|---|---|---|
| USMD HOSPITAL AT ARLINGTON L P Both | Aetna | Aetna | — | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | United Healthcare | United Healthcare PPO | — | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | United Healthcare | United Healthcare HMO | — | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | Cigna | Cigna PPO | — | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | Cigna | Cigna HMO | — | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | United Healthcare | United Healthcare Option | — | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | United Healthcare | United Healthcare PPO | — | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | United Healthcare | United Healthcare HMO | — | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | United Healthcare | United Healthcare Option | — | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | Cigna | Cigna PPO | — | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | Cigna | Cigna HMO | — | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | Aetna | Aetna | — | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | Blue Cross | Blue Cross Marketplace | $0.38 | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | Blue Cross | Blue Cross Marketplace | $0.38 | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | Blue Cross | Blue Cross PPO | $0.61 | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | Blue Cross | Blue Cross HMO | $0.61 | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | Blue Cross | Blue Cross PPO | $0.61 | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| USMD HOSPITAL AT ARLINGTON L P Both | Blue Cross | Blue Cross HMO | $0.61 | $1.10 | $0.61 | 2025-01-01 | MRF ↗ |
| COMMUNITY CARE HOSPITAL Both | None | — | — | $2.79 | $2.51 | 2026-06-11 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Oscar | Commercial | $7,500.00 | $37,500.00 | $24,375.00 | 2026-05-27 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Blue Cross of Blue Shield of Texas | HMO | $15,000.00 | $37,500.00 | $24,375.00 | 2026-05-27 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Blue Cross of Blue Shield of Texas | Blue Essentials Network Participation | $16,875.00 | $37,500.00 | $24,375.00 | 2026-05-27 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Blue Cross of Blue Shield of Texas | Traditional Immidiate Bussiness | $18,750.00 | $37,500.00 | $24,375.00 | 2026-05-27 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Prime Health Services | Commercial | $24,375.00 | $37,500.00 | $24,375.00 | 2026-05-27 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Cigna Health Springs | Commercial | $37,500.00 | $37,500.00 | $24,375.00 | 2026-05-27 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Friday Health Insurance Company | Commercial | $48,750.00 | $37,500.00 | $24,375.00 | 2026-05-27 | MRF ↗ |