3000091 — Clopidogrel (plavix) 75 Mg Tablet
Cite this view
HANK Price Transparency. (n.d.). CLOPIDOGREL (PLAVIX) 75 MG TABLET (CDM 3000091) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3000091?code_type=CDM
“CLOPIDOGREL (PLAVIX) 75 MG TABLET (CDM 3000091) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3000091?code_type=CDM. Accessed .
“CLOPIDOGREL (PLAVIX) 75 MG TABLET (CDM 3000091) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3000091?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7–$26 (25th–75th percentile) across 8 hospitals · 31 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 3000091 — 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 |
|---|---|---|---|---|---|---|---|
| WASHINGTON COUNTY HOSPITAL Both | Humana | PPO | — | $15.00 | $6.00 | 2025-05-21 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL Both | United Health Care | PPO | — | $15.00 | $6.00 | 2025-05-21 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL Both | Blue Cross Blue Shield AL | PPO | — | $15.00 | $6.00 | 2025-05-21 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | NovaSys All Payor | $2.49 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | NovaSys Exchange | $2.49 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | Network Access | $2.49 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Aetna Behavioral Health Medicare Advantage | Medicare Advantage | $4.01 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | BCBS PPO | PPO | $6.98 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | BCBS Preferred | Preferred | $6.98 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | True Blue PPO | True Blue PPO | $6.98 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | BCBS HMO | HMO | $6.98 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Amerigroup Medicare Advantage | Medicare Advantage | $7.33 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Humana Medicare | Medicare Advantage | $7.33 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Cigna Medicare Advantage | Medicare Advantage | $7.33 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | BCBS MCR ADV | Health Advantage HMO | $7.33 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Caresource Medicare | Medicare Advantage | $7.33 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Access Health SVCS ADV Medicare Advantage-Superior Select | Medicare Advantage | $7.33 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Caresouce MarketPlace BH | All Products | $7.33 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Caresource Medicare Behavioral | Medicare Behavorial | $7.33 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Supple,emental | Medicare Advantage | $7.33 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | Medicare Advantage | $7.55 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | Medicaid Passe | $7.55 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | AllWell | Medicare Advantage | $7.55 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Velocity National Provider Network | Workers Comp | $9.60 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Velocity National Provider Network | Group Health | $9.60 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Velocity National Provider Network | Medicare Advantage | $9.60 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL BothFacility | Velocity National Provider Network | Auto Liability | $9.60 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage HMO | $10.00 | $19.00 | $19.00 | 2025-11-06 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | United Behavorial Health | All Products | $10.47 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Provider Network of America PNOA | All Products | $10.99 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Humana | Commercial | $12.00 | $19.00 | $19.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Superior Health Plan | Commercial | $12.00 | $19.00 | $19.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | WellMed | Commercial | $12.00 | $19.00 | $19.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | MultiPlan | Commercial | $12.00 | $19.00 | $19.00 | 2025-11-06 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Mercy Behavorial Health | All Products | $12.21 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Bardavon | All Products | $12.21 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Multi Plan | All Products | $12.21 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL BothFacility | Velocity National Provider Network | All Other | $12.21 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Municipal Health Benefits MHB | All Products | $12.21 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $13.00 | $19.00 | $19.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Essentials | $13.00 | $19.00 | $19.00 | 2025-11-06 | MRF ↗ |
| LEVI HOSPITAL BothFacility | Corvel | All Products | $14.83 | $17.45 | $6.46 | 2024-12-26 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Aetna | Commercial | $15.00 | $19.00 | $19.00 | 2025-11-06 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL Both | Alabama Medicaid | PPO | $15.00 | $15.00 | $6.00 | 2025-05-21 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | FirstCare | Commercial | $16.00 | $19.00 | $19.00 | 2025-11-06 | MRF ↗ |
| United Memorial Medical Center Both | Blue Cross Blue Shield of Texas | PPO | $26.00 | $32.00 | $32.00 | 2025-03-24 | MRF ↗ |
| United Memorial Medical Center Both | Blue Cross Blue Shield of Texas | HMO | $26.00 | $32.00 | $32.00 | 2025-03-24 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Both | Blue Cross Blue Shield of Texas | HMO | $26.00 | $32.00 | $32.00 | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Both | Blue Cross Blue Shield of Texas | PPO | $26.00 | $32.00 | $32.00 | 2026-04-01 | MRF ↗ |
| United Memorial Medical Center Both | Blue Cross Blue Shield of Texas | Blue Advantage | $26.00 | $32.00 | $32.00 | 2025-03-24 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Both | Blue Cross Blue Shield of Texas | Blue Advantage | $26.00 | $32.00 | $32.00 | 2026-04-01 | MRF ↗ |
| FRANKLIN COUNTY MEMORIAL HOSPITAL Both | United Healthcare | PPO | $83.00 | $100.00 | $90.00 | 2026-03-10 | MRF ↗ |
| FRANKLIN COUNTY MEMORIAL HOSPITAL Both | United Healthcare | Commercial | $83.00 | $100.00 | $90.00 | 2026-03-10 | MRF ↗ |
| FRANKLIN COUNTY MEMORIAL HOSPITAL Both | United Healthcare | HMO | $83.00 | $100.00 | $90.00 | 2026-03-10 | MRF ↗ |
| FRANKLIN COUNTY MEMORIAL HOSPITAL Both | Aetna | Medicare Advantage | $87.00 | $100.00 | $90.00 | 2026-03-10 | MRF ↗ |
| FRANKLIN COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | $95.00 | $100.00 | $90.00 | 2026-03-10 | MRF ↗ |
| FRANKLIN COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield of Nebraska | PPO | $95.00 | $100.00 | $90.00 | 2026-03-10 | MRF ↗ |
| FOREST HEALTH MEDICAL CENTER Both | None | — | — | $293.60 | — | 2026-02-26 | MRF ↗ |
| TYLER COUNTY HOSPITAL Both | Blue Cross and Blue Shield | Blue Advantage HMO | $739.00 | $1,478.00 | $1,109.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Both | Blue Cross and Blue Shield | PPO/POS Network Participation | $1,182.00 | $1,478.00 | $1,109.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Both | Blue Cross and Blue Shield | Blue Essentials | $1,182.00 | $1,478.00 | $1,109.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Both | Blue Cross and Blue Shield | Traditional Indemnity | $1,256.00 | $1,478.00 | $1,109.00 | 2025-04-15 | MRF ↗ |