4055151 — Ethacrynic Acid 50 Mg IV Inj [cmh]
Cite this view
HANK Price Transparency. (n.d.). ethacrynic acid 50 mg IV Inj [CMH] (CDM 4055151) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4055151?code_type=CDM
“ethacrynic acid 50 mg IV Inj [CMH] (CDM 4055151) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4055151?code_type=CDM. Accessed .
“ethacrynic acid 50 mg IV Inj [CMH] (CDM 4055151) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4055151?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,435–$16,982 (25th–75th percentile) across 1 hospital · 26 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4055151 — 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 |
|---|---|---|---|---|---|---|---|
| COLUMBIA MEMORIAL HOSPITAL BothFacility | WASHINGTON STATE DSHS - Medicaid | WASHINGTON STATE DSHS - Medicaid | $2,735.03 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Care Oregon | Medicaid | $6,077.84 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Medicare of OR | Medicare | $6,435.36 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | CARE OREGON - Medicare Advantage | CARE OREGON - Medicare Advantage | $6,435.36 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Tricare West | Military | $6,435.36 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Regence BCBS | Medicare | $6,435.36 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | MOLINA MA - Medicare Advantage | MOLINA MA - Medicare Advantage | $6,435.36 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | UnitedHealthcare | Medicare | $6,435.36 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | STERLING - Medicare Advantage | STERLING - Medicare Advantage | $6,435.36 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | AETNA MEDICARE ADVANTAGE - Medicare Advantage | AETNA MEDICARE ADVANTAGE - Medicare Advantage | $6,614.12 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | CIGNA MEDICARE ADVANTAGE - Medicare Advantage | CIGNA MEDICARE ADVANTAGE - Medicare Advantage | $6,757.13 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Molina | Medicaid | $8,020.96 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | PROVIDER NETWORK OF AMERICA - Commercial | PROVIDER NETWORK OF AMERICA - Commercial | $9,831.80 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | PNOA - Auto/Liability | PNOA - Auto/Liability | $9,831.80 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Regence BCBS | Commercial | $15,909.64 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | FIRST HEALTH/COVENTRY - Commercial | FIRST HEALTH/COVENTRY - Commercial | $16,088.40 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | PACIFIC SOURCE - Commercial | PACIFIC SOURCE - Commercial | $16,445.92 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | PROVIDENCE PREFERRED/CHOICE - Commercial | PROVIDENCE PREFERRED/CHOICE - Commercial | $16,624.68 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | ODS MODA COMMERCIAL NETWORKS - Commercial | ODS MODA COMMERCIAL NETWORKS - Commercial | $16,982.20 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | UnitedHealthcare | Commercial | $16,982.20 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | BC PREMERA LIFEWISE - Commercial | BC PREMERA LIFEWISE - Commercial | $16,982.20 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | HEALTH NET - Commercial | HEALTH NET - Commercial | $16,982.20 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | PACIFICARE - Commercial | PACIFICARE - Commercial | $16,982.20 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | CHP OF WASHINGTON PEBB- Medicaid | CHP OF WASHINGTON PEBB- Medicaid | $16,982.20 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | MULTIPLAN - Commercial | MULTIPLAN - Commercial | $17,160.96 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Aetna | Commercial | $17,160.96 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Cigna | Commercial | $17,160.96 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | PROVIDENCE MCO - Worker's Compensation | PROVIDENCE MCO - Worker's Compensation | $17,876.00 | $18,706.70 | $14,965.36 | 2026-01-05 | MRF ↗ |