25682002801A — Ultomiris
Cite this view
HANK Price Transparency. (n.d.). ULTOMIRIS (NDC 25682002801A) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25682002801A?code_type=NDC
“ULTOMIRIS (NDC 25682002801A) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25682002801A?code_type=NDC. Accessed .
“ULTOMIRIS (NDC 25682002801A) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25682002801A?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $278–$278 (25th–75th percentile) across 2 hospitals · 15 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 25682002801A — 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 |
|---|---|---|---|---|---|---|---|
| HAYS MEDICAL CENTER Outpatient | Wisconsin Physicians Service Insurance Corporation | Wisconsin Physicians Service Insurance Corporation | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Centurion Of Kansas | Commercial | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Preferred Health Systems | Commercial | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Ambetter | Commercial Exchange | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Ambetter | Medicare Advantage | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna Better Health | Medicaid | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Medicare Advantage | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Open Network | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Wesley Preferred Network | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Workers Comp/Automobile Insurance | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | First Health | Commercial | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Veterans Affairs Program | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Individual Exchange | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Medicare | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | All Payer | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Medicaid | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Multiplan | Workers Compensation/Auto Medical | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Medica | Medicare Advantage | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Local Best Plan | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Coventry | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Hospice | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Open Network Plan | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Medicare | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Medicaid | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Commercial Exchange | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Corizon | Commercial | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Providrs | Care Network | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Providrs | Chambers Plan | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Wppa | Commercial | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Health Partners Of Kansas | Commercial | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Sunflower | Commercial Exchange | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $278.41 | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Medicare | — | $612.27 | $612.27 | 2026-07-15 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $50,015.23 | $49,014.93 | 2025-03-17 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $60,112.20 | $58,909.96 | 2025-08-04 | MRF ↗ |