25001196 — Pletal (cilostazol) 100mg Tab
Cite this view
HANK Price Transparency. (n.d.). PLETAL (CILOSTAZOL) 100MG TAB (CDM 25001196) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25001196?code_type=CDM
“PLETAL (CILOSTAZOL) 100MG TAB (CDM 25001196) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25001196?code_type=CDM. Accessed .
“PLETAL (CILOSTAZOL) 100MG TAB (CDM 25001196) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25001196?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7–$3,022 (25th–75th percentile) across 3 hospitals · 18 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 25001196 — 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 |
|---|---|---|---|---|---|---|---|
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Molina Healthcare | Benefit Exchange | $2.72 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $3.12 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Humana | KY Medicaid | $3.12 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Kentucky WC | Medicaid | $3.15 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Molina Healthcare | Medicaid | $3.18 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | PPO SOMC Employees | $6.26 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Medical Mutual Of Ohio | POS/PPO/Traditional | $6.69 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | HMO | $6.80 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Aetna | Commercial | $6.98 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Anthem | POS/PPO/Traditional | $7.07 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | PPO Differential | $7.26 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Medical Mutual Of Ohio | HMO | $7.44 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Cigna | Commercial | $7.53 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Humana | Commercial | $7.71 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | PPO No Differential | $7.89 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | United Healthcare | All Payer | $7.98 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Choice | Commercial | $7.98 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | First Health | Commercial | $8.62 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | PHCS | Commercial | $8.71 | $9.07 | $4.54 | 2026-01-23 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | BCBS MHCP MCAID | BCBS MHCP MCAID | $1,269.53 | $4,695.00 | $3,521.25 | 2026-06-26 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $1,766.26 | $4,695.00 | $3,521.25 | 2026-06-26 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $1,784.10 | $4,695.00 | $3,521.25 | 2026-06-26 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | MEDICA MCR ADV MAYO | MEDICA MCR ADV MAYO | $1,784.10 | $4,695.00 | $3,521.25 | 2026-06-26 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | MEDICA MCAID MN CARE | MEDICA MCAID MN CARE | $2,000.07 | $4,695.00 | $3,521.25 | 2026-06-26 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $2,236.23 | $4,695.00 | $3,521.25 | 2026-06-26 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | BCBS COMM / BLUE PLUS - ALL OTHER PLANS | BCBS COMM / BLUE PLUS - ALL OTHER PLANS | $2,912.31 | $4,695.00 | $3,521.25 | 2026-06-26 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | MEDICA IFB | MEDICA IFB | $3,131.57 | $4,695.00 | $3,521.25 | 2026-06-26 | MRF ↗ |
| APPLETON AREA HEALTH Outpatient | BCBS MHCP | BCBS MHCP | $3,283.42 | $10,657.00 | $9,058.45 | 2026-01-22 | MRF ↗ |
| APPLETON AREA HEALTH Outpatient | BCBS MHCP | BCBS MHCP | $3,283.42 | $10,657.00 | $9,058.45 | 2026-01-22 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | UHC ALL PAYER - ALL PLANS | UHC ALL PAYER - ALL PLANS | $3,643.32 | $4,695.00 | $3,521.25 | 2026-06-26 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | MEDICA COMM - ALL OTHER PLANS | MEDICA COMM - ALL OTHER PLANS | $3,699.66 | $4,695.00 | $3,521.25 | 2026-06-26 | MRF ↗ |
| APPLETON AREA HEALTH Outpatient | BCBS MCR SELECT | BCBS MCR SELECT | $5,648.21 | $10,657.00 | $9,058.45 | 2026-01-22 | MRF ↗ |
| APPLETON AREA HEALTH Outpatient | BCBS MCR SELECT | BCBS MCR SELECT | $5,648.21 | $10,657.00 | $9,058.45 | 2026-01-22 | MRF ↗ |
| APPLETON AREA HEALTH Outpatient | BCBS - ALL OTHER PLANS | BCBS - ALL OTHER PLANS | $6,592.42 | $10,657.00 | $9,058.45 | 2026-01-22 | MRF ↗ |
| APPLETON AREA HEALTH Outpatient | BCBS - ALL OTHER PLANS | BCBS - ALL OTHER PLANS | $6,592.42 | $10,657.00 | $9,058.45 | 2026-01-22 | MRF ↗ |