2604628 — Teplizum Mzwv 1mg/ml2ml Inj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TEPLIZUM MZWV 1MG/ML2ML INJ (CDM 2604628) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2604628?code_type=CDM
MLA (9th ed.)
“TEPLIZUM MZWV 1MG/ML2ML INJ (CDM 2604628) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2604628?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“TEPLIZUM MZWV 1MG/ML2ML INJ (CDM 2604628) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2604628?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $140,175–$233,625 (25th–75th percentile) across 2 hospitals · 19 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 2604628 — 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 |
|---|---|---|---|---|---|---|---|
| MISSISSIPPI METHODIST REHAB CTR Outpatient | CIGNA COMM - ALL OTHER PLANS | CIGNA COMM - ALL OTHER PLANS | $8.49 | $21.22 | — | 2025-03-14 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Outpatient | BCBS COMM - ALL OTHER PLANS | BCBS COMM - ALL OTHER PLANS | $12.73 | $21.22 | — | 2025-03-14 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Inpatient | MOLINA MCAID/CHIP | MOLINA MCAID/CHIP | $13.13 | $21.22 | — | 2025-03-14 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Inpatient | UHC MCAID | UHC MCAID | $13.13 | $21.22 | — | 2025-03-14 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Inpatient | MAGNOLIA MCAID - ALL PLANS | MAGNOLIA MCAID - ALL PLANS | $13.13 | $21.22 | — | 2025-03-14 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Outpatient | BCBS FMP | BCBS FMP | $15.92 | $21.22 | — | 2025-03-14 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Outpatient | MPCN - ALL PLANS | MPCN - ALL PLANS | $16.98 | $21.22 | — | 2025-03-14 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Emblem | Emblem - Exchange | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Emblem | GHI HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Emblem | HIP HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $116,812.63 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $126,157.64 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Emblem | Emblem - Exchange | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Emblem | GHI HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Emblem | HIP HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Oxford | Oxford Liberty HMO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | United | United HMO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | United | United - Exchange | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | United | United PPO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Oxford | Oxford PPO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Oxford | Oxford Freedom HMO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Empire | Empire Medicare HMO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Northwell Direct | Northwell Direct | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Empire | Empire Advantage Medicare PPO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Cigna | Cigna HMO | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Cigna | Cigna PPO | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | WellCare | WellCare MCR | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Aetna | Aetna Meritain PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Aetna | Aetna PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Aetna | Aetna HMO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Affinity | Affinity Health Plan - Essential 1&2 | $214,935.24 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Affinity | Affinity Health Plan - CHP | $214,935.24 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Affinity | Affinity Health Plan - MCD | $214,935.24 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $221,944.00 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Empire | Empire HMO | $221,944.00 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Empire | Empire Blue Access Large Group | $221,944.00 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Empire | Empire Connection | $221,944.00 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Empire | Empire PPO | $221,944.00 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Empire | Empire Indemnity | $221,944.00 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Empire | Empire Blue Access Small Group | $221,944.00 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Magna | Magna PPO Preferred | $233,625.26 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Fidelis | Fidelis - Essential 1&2 | $233,625.26 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Fidelis | Fidelis MCD - CHP | $233,625.26 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Fidelis | Fidelis - Exchange | $233,625.26 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Fidelis | Fidelis Care NY - Medicare Adv | $233,625.26 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Fidelis | Fidelis Medicaid - FHP | $233,625.26 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Cigna | Cigna HMO | $233,625.26 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Emblem | HIP PPO | $233,625.26 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Emblem | Connecticare PPO | $233,625.26 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Emblem | GHI Insured PPO | $233,625.26 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Emblem | GHI Net Access PPO | $233,625.26 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Emblem | Connecticare HMO | $233,625.26 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Metroplus | MetroPlus CHP | $233,625.26 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Metroplus | MetroPlus Medicaid & FHP | $233,625.26 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Metroplus | Metroplus MCR | $233,625.26 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Metroplus | Metroplus - Exchange | $233,625.26 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Metroplus | Metroplus - Essential 1&2 | $233,625.26 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Magna | Magna Guardian PPO | $233,625.26 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Emblem | HIP Medicaid | $280,350.31 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Emblem | GHI Medicare | $280,350.31 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Emblem | Emblem - Essential 3&4 | $280,350.31 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Emblem | HIP Medicare PPO | $280,350.31 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Emblem | HIP PPO | $280,350.31 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Emblem | Connecticare HMO | $280,350.31 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Emblem | Connecticare PPO | $280,350.31 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Emblem | HIP VIP Medicare | $280,350.31 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Emblem | GHI Net Access PPO | $280,350.31 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Emblem | GHI Insured PPO | $280,350.31 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Local 1199 | Local 1199 / 1115 PPO | $317,730.36 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | MVP | Mohawk Valley Plan (MVP) - HMO/PPO | $467,250.52 | — | $221,944.00 | 2026-03-31 | MRF ↗ |