27003316 — Dapagliflozin 10 Mg Tablet
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DAPAGLIFLOZIN 10 MG TABLET (CDM 27003316) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/27003316?code_type=CDM
MLA (9th ed.)
“DAPAGLIFLOZIN 10 MG TABLET (CDM 27003316) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/27003316?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“DAPAGLIFLOZIN 10 MG TABLET (CDM 27003316) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/27003316?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10–$34,848 (25th–75th percentile) across 3 hospitals · 41 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 27003316 — 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 | $5.60 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | CorVel Corporation | Commercial | $5.60 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Cigna Health Care | Commercial | $5.79 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | HealthLink | HMO | $5.81 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Aetna | Commercial | $5.95 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Humana | Commercial | $5.95 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | HealthLink | PPO | $6.16 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Coventry Health Care | Commercial | $6.28 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Mercy Premier Health Plans | Commercial | $6.30 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Multiplan/PHCS | Commercial | $6.30 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | American Health Alliance | Commercial | $6.30 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Cox Health Network | Commercial | $6.30 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | HealthLink | Amprod | $6.51 | — | — | 2025-01-29 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID HIP | CARESOURCE MCAID HIP | $9.24 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCARE HMO | CARESOURCE MCARE HMO | $9.24 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE MEDSELECT | ANTHEM MCARE MEDSELECT | $9.24 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCAID HIP | ANTHEM MCAID HIP | $9.24 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCAID HIP | MHS MCAID HIP | $9.24 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | $9.24 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MDWISE MCAID HIP - ALL OTHER PLANS | MDWISE MCAID HIP - ALL OTHER PLANS | $9.24 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CENPATICO MCAID HIP | CENPATICO MCAID HIP | $9.24 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $9.24 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE MCARE | HUMANA CHOICECARE MCARE | $9.33 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCARE ALLWELL | MHS MCARE ALLWELL | $9.33 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | $10.23 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCAID HIP | MHS MCAID HIP | $10.23 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCARE HMO | CARESOURCE MCARE HMO | $10.23 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE MEDSELECT | ANTHEM MCARE MEDSELECT | $10.23 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCAID HIP | ANTHEM MCAID HIP | $10.23 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $10.23 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID HIP | CARESOURCE MCAID HIP | $10.23 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CENPATICO MCAID HIP | CENPATICO MCAID HIP | $10.23 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MDWISE MCAID HIP - ALL OTHER PLANS | MDWISE MCAID HIP - ALL OTHER PLANS | $10.23 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCARE ALLWELL | MHS MCARE ALLWELL | $10.33 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE MCARE | HUMANA CHOICECARE MCARE | $10.33 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE HMO/PPO | ANTHEM MCARE HMO/PPO | $11.22 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE HMO/PPO | ANTHEM MCARE HMO/PPO | $11.22 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | $11.55 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | AETNA MCARE - ALL PLANS | AETNA MCARE - ALL PLANS | $11.88 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | AETNA MCARE - ALL PLANS | AETNA MCARE - ALL PLANS | $11.88 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | $12.79 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM HMO - ALL OTHER PLANS | ANTHEM HMO - ALL OTHER PLANS | $19.20 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM HMO - ALL OTHER PLANS | ANTHEM HMO - ALL OTHER PLANS | $19.20 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM PPO/EXCHANGE | ANTHEM PPO/EXCHANGE | $20.58 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM PPO/EXCHANGE | ANTHEM PPO/EXCHANGE | $20.58 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ANTHEM | SAGAMORE ANTHEM | $21.19 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ANTHEM | SAGAMORE ANTHEM | $21.19 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM WORKERS COMP | ANTHEM WORKERS COMP | $21.23 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM WORKERS COMP | ANTHEM WORKERS COMP | $21.23 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM TRADITIONAL | ANTHEM TRADITIONAL | $21.95 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM TRADITIONAL | ANTHEM TRADITIONAL | $21.95 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ROSE ACRE | SAGAMORE ROSE ACRE | $24.59 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ROSE ACRE | SAGAMORE ROSE ACRE | $24.59 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE - ALL OTHER PLANS | SAGAMORE - ALL OTHER PLANS | $24.95 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE - ALL OTHER PLANS | SAGAMORE - ALL OTHER PLANS | $24.95 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE - ALL OTHER PLANS | UNITED HEALTHCARE - ALL OTHER PLANS | $26.07 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UMR - ALL PLANS | UMR - ALL PLANS | $26.07 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE - ALL OTHER PLANS | UNITED HEALTHCARE - ALL OTHER PLANS | $26.07 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UMR - ALL PLANS | UMR - ALL PLANS | $26.07 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE PPO - ALL OTHER PLANS | HUMANA CHOICECARE PPO - ALL OTHER PLANS | $26.53 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE PPO - ALL OTHER PLANS | HUMANA CHOICECARE PPO - ALL OTHER PLANS | $26.53 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $28.05 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $28.05 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | COMMUNITY HEALTH ALLIANCE - ALL PLANS | COMMUNITY HEALTH ALLIANCE - ALL PLANS | $29.37 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | COMMUNITY HEALTH ALLIANCE - ALL PLANS | COMMUNITY HEALTH ALLIANCE - ALL PLANS | $29.37 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE WORKERS COMP | ENCORE WORKERS COMP | $29.70 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $29.70 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE WORKERS COMP | ENCORE WORKERS COMP | $29.70 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $29.70 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $31.35 | $33.00 | $23.10 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $31.35 | $33.00 | $23.10 | 2026-07-07 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Health Partners | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Health Partners | Medicare | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Midlands Choice | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Aetna | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Aetna | Medicare | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Geha | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Trustmark | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Golden Rule | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Mutual Of Omaha | Medicare | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Auxiant | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Midlands | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Cigna | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Admin Concepts | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Securehorizons Direct | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Ebs | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Medico | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Phcs Nippon Life Benefits | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Coventry | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Molina | Medicaid | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Molina | Medicare | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Iowa Total Care | Medicaid | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Wellpoint | Medicaid | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Physicians Mutual | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Humana | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Humana | Medicare | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Uhc | Medicare | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Uhc | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Meritain | Commercial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Blue Cross | Medicare | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Blue Cross | Commericial | $34,848.48 | $34,848.48 | $31,363.63 | 2026-07-17 | MRF ↗ |