32068 — Montelukast 10 Mg Tablet
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MONTELUKAST 10 MG TABLET (CDM 32068) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/32068?code_type=CDM
MLA (9th ed.)
“MONTELUKAST 10 MG TABLET (CDM 32068) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/32068?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“MONTELUKAST 10 MG TABLET (CDM 32068) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/32068?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $22–$1,379 (25th–75th percentile) across 8 hospitals · 39 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 32068 — 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 |
|---|---|---|---|---|---|---|---|
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | BCBS | Cap | $10.25 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | BCBS | BlueChoice | $10.25 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | OptionsPPO | $10.41 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United | OptionsPPO | $10.75 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | CignaLocalPlusNetwork | $12.10 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | CignaLocalPlusNetwork | $12.31 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | WPPA | UnifiedHealthPlan | $12.35 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | WPPA | ProviderCareNetwork | $12.35 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | WPPA | PrimeNetwork | $12.35 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | WPPA | UnifiedHealth | $12.38 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | LocalPreferred | $12.38 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | WPPA | ProviderCareNetwork | $12.38 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | WPPA | WPPAPrimeNetwork | $12.38 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | LocalPreferred | $12.40 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Centene | HIX | $12.81 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Centene | COMM | $12.94 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Medical Associates Health Plan | COMM | $13.45 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Preferred Health Choices | COMM | $13.45 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | Non-LocalPlusandNon-ConnectCare | $15.78 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | LocalOpen | $16.66 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | LocalOpen | $16.68 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | Non-LocalPlusandNon-ConnectCare | $16.79 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | NationalOpen | $17.06 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | NationalOpen | $17.08 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $19.40 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna Better Health | MCD | $21.35 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Spirit Aerosystems | COMMOON | $21.86 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Spirit Aerosystems | COMMOON | $22.77 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | Spirit | $25.40 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $29.11 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | First Health | PPO | $31.37 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United | GlobalBenefitPlan | $32.02 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | Humana | $32.34 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | First Health | PPO | $32.80 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | Humana | $35.58 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Triwest Healthcare Alliance | Tricare | $42.04 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $45.28 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Triwest Healthcare Alliance | Tricare | $46.25 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $49.81 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | SMARTHEALTH | 794_MHKS SMARTHEALTH INPATIENT 20241001 | $52.65 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | SMARTHEALTH | 655_MHKS SMARTHEALTH OUTPATIENT 20230101 | $52.65 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | USA Managed Care | COMM | $54.98 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $54.98 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | BeechStreetCOMMPPO | $58.21 | $64.68 | $64.68 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $60.49 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | USA Managed Care | COMM | $60.49 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | BeechStreetCOMMPPO | $64.04 | $71.16 | $71.16 | 2026-03-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | AETNA | 780_MHKS AETNA 20240701 | $72.90 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | FIRST HEALTH | 115_FIRST HEALTH 20130101 | $74.25 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CORE SOURCE | 283_CORE SOURCE 20180101 | $74.25 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | COVENTRY | 669_MHKS COVENTRY 20170101 | $74.25 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | MEDICA | 799_MEDICA HEALTHIER YOU 20241001 | $86.40 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | PROVIDRS CARE | 867_MHKS PROVIDRS CARE 20250701 | $91.80 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | UHC | 844_MHKS UNITED HEALTH CARE 20250101 | $98.55 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | MULTIPLAN | 106_MULTIPLAN PHCS MHKS 20180601 | $108.00 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CENTURY | 668_CENTURY 20130101 | $118.80 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CIGNA | 778_MHKS CIGNA 20240701 | $120.15 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | BCBS CHOICE | 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101 | $121.50 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | BCBS CAP | 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101 | $121.50 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | HUMANA | 870_HUMANA 20250101 | $121.50 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | NON-CONTRACTED | 275_NON-CONTRACTED 20170101 | $135.00 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $135.00 | $135.00 | $54.00 | 2026-01-01 | MRF ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Nebraska Medicaid | Managed Medicaid | $253.58 | $818.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Ambetter | All Products | $572.60 | $818.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice CHI | All Products | $572.60 | $818.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | Select Blue | $588.96 | $818.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | UHC | TNMC - University Regents | $621.68 | $818.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | BluePrint | $647.86 | $818.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice Elevate | All Products | $654.40 | $818.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | All Products | $654.40 | $818.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | UHC | All Products | $687.12 | $818.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Avera Health Plan | All Products | $695.30 | $818.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Centivo | All Products | $695.30 | $818.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Wellmark | All Products | $695.30 | $818.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Aetna | All Products | $719.84 | $818.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Sanford Health Plan | All Products | $719.84 | $818.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice | All Products | $719.84 | $818.00 | — | 2026-03-31 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Ambetter | Commercial | $812.00 | $1,800.00 | $1,440.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Healthscope | Commercial | $1,080.00 | $1,800.00 | $1,440.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Anthem | Commercial | $1,372.00 | $1,800.00 | $1,440.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $1,386.00 | $1,800.00 | $1,440.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | MultiPlan | Commercial | $1,440.00 | $1,800.00 | $1,440.00 | 2026-06-22 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $1,540.00 | $1,540.00 | $754.60 | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $1,540.00 | $1,540.00 | $754.60 | 2026-01-01 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Centene | Commercial | $1,800.00 | $1,800.00 | $1,440.00 | 2026-06-22 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | AETNA | AETNA COVENTRY | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH LINK | HEALTH LINK ALL PPO | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | AETNA | AETNA COMMERCIAL | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE | HEALTH ALLIANCE HMO & PPO | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE | HEALTH ALLIANCE MEDICARE ADVANTAGE | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH SMART | HEALTH SMART | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS MEDICARE ADVANTAGE | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS BLUE CHOICE | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS PPO | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BLUE CROSS COMMUNITY (MMAI) | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS TRADITIONAL | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE VA COMMUNITY CARE NETWORK | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE HMO & PPO | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | SIHO | SIHO COMMERCIAL PPO | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | SIHO | SIHO MEDICARE ADVANTAGE | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA COMMERCIAL HMO, PPO, POS, EPO | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA MEDICARE ADVANTAGE | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA GOLD INTEGRATED PLUS (MMAI) | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | CIGNA | CIGNA HMO & PPO PLANS | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | MOLINA | MOLINA DUAL OPTIONS (MMAI) | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | MULTIPLAN | MULTIPLAN | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | ZELIS | ZELIS | — | $41,192.40 | $17,823.60 | 2025-02-07 | MRF ↗ |