25096513_1 — Privigen 10% Vial
Cite this view
HANK Price Transparency. (n.d.). PRIVIGEN 10% VIAL (CDM 25096513_1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25096513_1?code_type=CDM
“PRIVIGEN 10% VIAL (CDM 25096513_1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25096513_1?code_type=CDM. Accessed .
“PRIVIGEN 10% VIAL (CDM 25096513_1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25096513_1?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $110–$5,539 (25th–75th percentile) across 2 hospitals · 6 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 25096513_1 — 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 |
|---|---|---|---|---|---|---|---|
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | BRIGHTHEALTH-ALL PLANS | BRIGHTHEALTH-ALL PLANS | $47.84 | $159.47 | $159.47 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | MIDLANDS CHOICE MEDICA ELEVATE | MIDLANDS CHOICE MEDICA ELEVATE | $95.68 | $159.47 | $159.47 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | BCBS OF NE SELECT BLUE-ALL OTHER PLANS | BCBS OF NE SELECT BLUE-ALL OTHER PLANS | $98.47 | $159.47 | $159.47 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | MIDLANDS CHOICE MEDICA INSURED | MIDLANDS CHOICE MEDICA INSURED | $103.65 | $159.47 | $159.47 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | BCBS OF NE NETWORK BLUE | BCBS OF NE NETWORK BLUE | $103.65 | $159.47 | $159.47 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | MIDLANDS CHOICE PREMIER | MIDLANDS CHOICE PREMIER | $111.63 | $159.47 | $159.47 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | FIRST CHOICE HLTH NTWRK-ALL PLANS | FIRST CHOICE HLTH NTWRK-ALL PLANS | $111.63 | $159.47 | $159.47 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | MIDLANDS CHOICE STANDARD-ALL OTHER PLANS | MIDLANDS CHOICE STANDARD-ALL OTHER PLANS | $119.60 | $159.47 | $159.47 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | AETNA/COVENTRY-ALL PLANS | AETNA/COVENTRY-ALL PLANS | $122.79 | $159.47 | $159.47 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | HUMANA (CHOICECARE NETWORK)-ALL PLANS | HUMANA (CHOICECARE NETWORK)-ALL PLANS | $135.55 | $159.47 | $159.47 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | BRIGHTHEALTH-ALL PLANS | BRIGHTHEALTH-ALL PLANS | $2,508.23 | $8,360.75 | $8,360.75 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | MIDLANDS CHOICE MEDICA ELEVATE | MIDLANDS CHOICE MEDICA ELEVATE | $5,016.45 | $8,360.75 | $8,360.75 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | BCBS OF NE SELECT BLUE | BCBS OF NE SELECT BLUE | $5,162.76 | $8,360.75 | $8,360.75 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | BCBS OF NE NETWORK BLUE-ALL OTHER PLANS | BCBS OF NE NETWORK BLUE-ALL OTHER PLANS | $5,434.49 | $8,360.75 | $8,360.75 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | MIDLANDS CHOICE MEDICA INSURED | MIDLANDS CHOICE MEDICA INSURED | $5,434.49 | $8,360.75 | $8,360.75 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | FIRST CHOICE HLTH NTWRK-ALL PLANS | FIRST CHOICE HLTH NTWRK-ALL PLANS | $5,852.53 | $8,360.75 | $8,360.75 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | MIDLANDS CHOICE PREMIER | MIDLANDS CHOICE PREMIER | $5,852.53 | $8,360.75 | $8,360.75 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | MIDLANDS CHOICE STANDARD -ALL OTHER PLANS | MIDLANDS CHOICE STANDARD -ALL OTHER PLANS | $6,270.56 | $8,360.75 | $8,360.75 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | AETNA/COVENTRY-ALL PLANS | AETNA/COVENTRY-ALL PLANS | $6,437.78 | $8,360.75 | $8,360.75 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | HUMANA (CHOICECARE NETWORK)-ALL PLANS | HUMANA (CHOICECARE NETWORK)-ALL PLANS | $7,106.64 | $8,360.75 | $8,360.75 | 2026-05-04 | MRF ↗ |