2500332 — Warfarin Tab 4 Mg (Jantoven)
Cite this view
HANK Price Transparency. (n.d.). Warfarin Tab 4 mg (Jantoven) (CDM 2500332) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2500332?code_type=CDM
“Warfarin Tab 4 mg (Jantoven) (CDM 2500332) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2500332?code_type=CDM. Accessed .
“Warfarin Tab 4 mg (Jantoven) (CDM 2500332) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2500332?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $21–$1,821 (25th–75th percentile) across 4 hospitals · 21 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 2500332 — 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 |
|---|---|---|---|---|---|---|---|
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | FirstCare | PPO | $1.00 | $5.00 | $4.00 | 2026-08-20 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Blue Cross Blue Shield | HMO | $3.00 | $5.00 | $4.00 | 2026-08-20 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Aetna | Commercial | $4.00 | $5.00 | $4.00 | 2026-08-20 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | United Healthcare | Commercial | $4.00 | $5.00 | $4.00 | 2026-08-20 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Blue Cross Blue Shield | Medicare Advantage | $5.00 | $5.00 | $4.00 | 2026-08-20 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Superior HealthPlan | Medicare Advantage | $5.00 | $5.00 | $4.00 | 2026-08-20 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Humana | Medicare Advantage | $5.00 | $5.00 | $4.00 | 2026-08-20 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | FirstCare | HMO | $5.00 | $5.00 | $4.00 | 2026-08-20 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $8.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $8.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $8.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $8.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Blue Cross Blue Shield | PPO | $8.00 | $5.00 | $4.00 | 2026-08-20 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $11.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $21.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | $23.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $23.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Advantage | $24.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Essentials | $25.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Commercial | $26.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | PPO | $26.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Three Rivers Provider Network | Commercial | $30.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Commercial | $32.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Health Advantage Network | Commercial | $32.00 | $35.00 | $35.00 | 2025-07-03 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Aetna | Commercial | $413.00 | $1,060.00 | $636.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | PPO | $625.00 | $1,060.00 | $636.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | HMO | $625.00 | $1,060.00 | $636.00 | 2025-12-16 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | United Healthcare | All Managed Medicare | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Caresource | All Marketplace Plans | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Humana | All Managed Medicare | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Aetna | All Managed Medicare | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Corvel | All Managed Care Plans | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Health Alliance | All Managed Medicare | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Government Medicaid HIP | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Managed Medicare | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem IUH Employee Plan | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Government Medicaid HIP | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | Blue Essentials | $848.00 | $1,060.00 | $636.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | United Healthcare of Texas | Commercial | $848.00 | $1,060.00 | $636.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | HMO | $848.00 | $1,060.00 | $636.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | Commercial | $848.00 | $1,060.00 | $636.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | Commercial | $1,060.00 | $1,060.00 | $636.00 | 2025-12-16 | MRF ↗ |