27003311 — Ampyra ER 10 Mg Tablet
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). AMPYRA ER 10 MG TABLET (CDM 27003311) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/27003311?code_type=CDM
MLA (9th ed.)
“AMPYRA ER 10 MG TABLET (CDM 27003311) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/27003311?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“AMPYRA ER 10 MG TABLET (CDM 27003311) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/27003311?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $39–$29,545 (25th–75th percentile) across 3 hospitals · 41 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 27003311 — 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 |
|---|---|---|---|---|---|---|---|
| OZARKS HEALTHCARE Both | Medica | Commercial | $4.80 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | CorVel Corporation | Commercial | $4.80 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Cigna Health Care | Commercial | $4.96 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | HealthLink | HMO | $4.98 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Humana | Commercial | $5.10 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Aetna | Commercial | $5.10 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | HealthLink | PPO | $5.28 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Coventry Health Care | Commercial | $5.38 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Mercy Premier Health Plans | Commercial | $5.40 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Multiplan/PHCS | Commercial | $5.40 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | American Health Alliance | Commercial | $5.40 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Cox Health Network | Commercial | $5.40 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | HealthLink | Amprod | $5.58 | — | — | 2025-01-29 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID HIP | CARESOURCE MCAID HIP | $35.56 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCARE HMO | CARESOURCE MCARE HMO | $35.56 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE MEDSELECT | ANTHEM MCARE MEDSELECT | $35.56 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCAID HIP | ANTHEM MCAID HIP | $35.56 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCAID HIP | MHS MCAID HIP | $35.56 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | $35.56 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MDWISE MCAID HIP - ALL OTHER PLANS | MDWISE MCAID HIP - ALL OTHER PLANS | $35.56 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CENPATICO MCAID HIP | CENPATICO MCAID HIP | $35.56 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $35.56 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE MCARE | HUMANA CHOICECARE MCARE | $35.92 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCARE ALLWELL | MHS MCARE ALLWELL | $35.92 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | $39.37 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCAID HIP | MHS MCAID HIP | $39.37 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCARE HMO | CARESOURCE MCARE HMO | $39.37 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE MEDSELECT | ANTHEM MCARE MEDSELECT | $39.37 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCAID HIP | ANTHEM MCAID HIP | $39.37 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $39.37 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID HIP | CARESOURCE MCAID HIP | $39.37 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CENPATICO MCAID HIP | CENPATICO MCAID HIP | $39.37 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MDWISE MCAID HIP - ALL OTHER PLANS | MDWISE MCAID HIP - ALL OTHER PLANS | $39.37 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCARE ALLWELL | MHS MCARE ALLWELL | $39.76 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE MCARE | HUMANA CHOICECARE MCARE | $39.76 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE HMO/PPO | ANTHEM MCARE HMO/PPO | $43.18 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE HMO/PPO | ANTHEM MCARE HMO/PPO | $43.18 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | $44.45 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | AETNA MCARE - ALL PLANS | AETNA MCARE - ALL PLANS | $45.72 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | AETNA MCARE - ALL PLANS | AETNA MCARE - ALL PLANS | $45.72 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | $49.21 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM HMO - ALL OTHER PLANS | ANTHEM HMO - ALL OTHER PLANS | $73.90 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM HMO - ALL OTHER PLANS | ANTHEM HMO - ALL OTHER PLANS | $73.90 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM PPO/EXCHANGE | ANTHEM PPO/EXCHANGE | $79.18 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM PPO/EXCHANGE | ANTHEM PPO/EXCHANGE | $79.18 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ANTHEM | SAGAMORE ANTHEM | $81.53 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ANTHEM | SAGAMORE ANTHEM | $81.53 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM WORKERS COMP | ANTHEM WORKERS COMP | $81.71 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM WORKERS COMP | ANTHEM WORKERS COMP | $81.71 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM TRADITIONAL | ANTHEM TRADITIONAL | $84.47 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM TRADITIONAL | ANTHEM TRADITIONAL | $84.47 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ROSE ACRE | SAGAMORE ROSE ACRE | $94.62 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ROSE ACRE | SAGAMORE ROSE ACRE | $94.62 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE - ALL OTHER PLANS | SAGAMORE - ALL OTHER PLANS | $96.01 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE - ALL OTHER PLANS | SAGAMORE - ALL OTHER PLANS | $96.01 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE - ALL OTHER PLANS | UNITED HEALTHCARE - ALL OTHER PLANS | $100.33 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UMR - ALL PLANS | UMR - ALL PLANS | $100.33 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE - ALL OTHER PLANS | UNITED HEALTHCARE - ALL OTHER PLANS | $100.33 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UMR - ALL PLANS | UMR - ALL PLANS | $100.33 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE PPO - ALL OTHER PLANS | HUMANA CHOICECARE PPO - ALL OTHER PLANS | $102.11 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE PPO - ALL OTHER PLANS | HUMANA CHOICECARE PPO - ALL OTHER PLANS | $102.11 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $107.95 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $107.95 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | COMMUNITY HEALTH ALLIANCE - ALL PLANS | COMMUNITY HEALTH ALLIANCE - ALL PLANS | $113.03 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | COMMUNITY HEALTH ALLIANCE - ALL PLANS | COMMUNITY HEALTH ALLIANCE - ALL PLANS | $113.03 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE WORKERS COMP | ENCORE WORKERS COMP | $114.30 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $114.30 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE WORKERS COMP | ENCORE WORKERS COMP | $114.30 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $114.30 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $120.65 | $127.00 | $88.90 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $120.65 | $127.00 | $88.90 | 2026-07-07 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Health Partners | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Health Partners | Medicare | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Midlands Choice | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Aetna | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Aetna | Medicare | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Geha | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Trustmark | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Golden Rule | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Mutual Of Omaha | Medicare | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Auxiant | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Midlands | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Cigna | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Admin Concepts | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Securehorizons Direct | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Ebs | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Medico | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Phcs Nippon Life Benefits | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Coventry | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Molina | Medicaid | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Molina | Medicare | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Iowa Total Care | Medicaid | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Wellpoint | Medicaid | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Physicians Mutual | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Humana | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Humana | Medicare | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Uhc | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Uhc | Medicare | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Meritain | Commercial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Blue Cross | Medicare | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Blue Cross | Commericial | $29,545.45 | $29,545.45 | $26,590.90 | 2026-07-17 | MRF ↗ |