Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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40700510 — Apixaban 5mg Tablet

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $5

Usually $4–$6 (25th–75th percentile) across 4 hospitals · 8 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 40700510 — 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
Madera Community Hospital Outpatient HEALTHNET MCAL HEALTHNET MCAL $0.17 $1.10 $0.66 2026-07-30 MRF ↗
RUSSELL MEDICAL CENTER OutpatientFacility Aetna Medicare Advantage $0.80 $3.25 $1.17 2026-04-01 MRF ↗
RUSSELL MEDICAL CENTER OutpatientFacility Devoted Health All Products $1.63 $3.25 $1.17 2026-04-01 MRF ↗
RUSSELL MEDICAL CENTER BothFacility Aetna All Products $2.76 $3.25 $1.17 2026-04-01 MRF ↗
WASHINGTON HOSPITAL, THE OutpatientFacility UPMC Health Plan Managed Medicare $3.40 $10.00 $3.00 2025-08-06 MRF ↗
WASHINGTON HOSPITAL, THE OutpatientFacility Health Plan of Upper Ohio Valley Commercial — $10.00 $3.00 2025-08-06 MRF ↗
WASHINGTON HOSPITAL, THE OutpatientFacility Aetna Advantra Washington Prime $4.00 $10.00 $3.00 2025-08-06 MRF ↗
UPMC GREENE OutpatientFacility Aetna Advantra Washington Prime $4.00 $10.00 $3.00 2025-08-06 MRF ↗
WASHINGTON HOSPITAL, THE OutpatientFacility Aetna of PA Medicare $4.00 $10.00 $3.00 2025-08-06 MRF ↗
UPMC GREENE OutpatientFacility Aetna of PA Medicare $4.00 $10.00 $3.00 2025-08-06 MRF ↗
UPMC GREENE OutpatientFacility Aetna of PA Medicare $4.24 $10.60 $7.42 2026-03-06 MRF ↗
UPMC GREENE OutpatientFacility Aetna Advantra Washington Prime $4.24 $10.60 $7.42 2026-03-06 MRF ↗
WASHINGTON HOSPITAL, THE OutpatientFacility Highmark Wholecare (prev Gateway) Medicaid $4.30 $10.00 $3.00 2025-08-06 MRF ↗
UPMC GREENE OutpatientFacility Highmark Wholecare (prev Gateway) Medicaid $4.30 $10.00 $3.00 2025-08-06 MRF ↗
UPMC GREENE OutpatientFacility Highmark Wholecare (prev Gateway) Medicaid $4.56 $10.60 $7.42 2026-03-06 MRF ↗
WASHINGTON HOSPITAL, THE OutpatientFacility Highmark Wholecare (prev Gateway) Medicare $5.00 $10.00 $3.00 2025-08-06 MRF ↗
WASHINGTON HOSPITAL, THE OutpatientFacility Aetna of PA Auto/Workers Compensation $5.33 $10.00 $3.00 2025-08-06 MRF ↗
UPMC GREENE OutpatientFacility Aetna of PA Auto/Workers Compensation $5.33 $10.00 $3.00 2025-08-06 MRF ↗
WASHINGTON HOSPITAL, THE OutpatientFacility Aetna of PA Cofinity/FirstHealth $5.50 $10.00 $3.00 2025-08-06 MRF ↗
WASHINGTON HOSPITAL, THE OutpatientFacility Aetna of PA Commercial $5.50 $10.00 $3.00 2025-08-06 MRF ↗
UPMC GREENE OutpatientFacility Aetna of PA Cofinity/FirstHealth $5.50 $10.00 $3.00 2025-08-06 MRF ↗
UPMC GREENE OutpatientFacility Aetna of PA Commercial $5.50 $10.00 $3.00 2025-08-06 MRF ↗
UPMC GREENE OutpatientFacility Aetna of PA Auto/Workers Compensation $5.66 $10.60 $7.42 2026-03-06 MRF ↗
UPMC GREENE OutpatientFacility Aetna of PA Commercial $5.83 $10.60 $7.42 2026-03-06 MRF ↗
UPMC GREENE OutpatientFacility Aetna of PA Cofinity/FirstHealth $5.83 $10.60 $7.42 2026-03-06 MRF ↗
WASHINGTON HOSPITAL, THE OutpatientFacility Cigna Commercial $6.00 $10.00 $3.00 2025-08-06 MRF ↗
UPMC GREENE OutpatientFacility Senior Life All $6.00 $10.00 $3.00 2025-08-06 MRF ↗
UPMC GREENE OutpatientFacility Senior Life All $6.36 $10.60 $7.42 2026-03-06 MRF ↗
WASHINGTON HOSPITAL, THE OutpatientFacility Coventry/First Health Commercial $7.20 $10.00 $3.00 2025-08-06 MRF ↗