4079153 — Prothrombin Complex Concentrate 1000
Cite this view
HANK Price Transparency. (n.d.). Prothrombin Complex Concentrate 1000 (CDM 4079153) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4079153?code_type=CDM
“Prothrombin Complex Concentrate 1000 (CDM 4079153) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4079153?code_type=CDM. Accessed .
“Prothrombin Complex Concentrate 1000 (CDM 4079153) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4079153?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,218–$10,990 (25th–75th percentile) across 1 hospital · 13 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4079153 — 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 |
|---|---|---|---|---|---|---|---|
| SPRINGFIELD HOSPITAL Both | Anthem | Anthem Exchange | $4,176.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Wellsense | Medicare Advantage | $4,176.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Anthem | Medicare Advantage | $4,176.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | United Healthcare | Medicare Advantage | $4,176.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | MVP Health Plan | Medicare Advantage | $4,176.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Harvard Pilgrim Health Care | Medicare Advantage | $4,218.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | WellCare | Medicare Advantage | $4,301.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Anthem | Commercial | $7,367.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Cigna | Commercial | $7,715.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | MVP Health Plan | Commercial | $8,462.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Harvard Pilgrim Health Care | Commercial | $9,093.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | MultiPlan | Commercial | $9,122.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | United Healthcare | Commercial | $9,891.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Aetna | Commercial | $10,441.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Coventry | Commercial | $10,441.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Wellsense | Commercial | $10,990.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Beacon Health | Commercial | $10,990.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Blue Cross Blue Shield | Medicare Advantage | $10,990.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Manage Behavioral Health | Commercial | $10,990.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Martin's Point Healthcare | Tricare | $10,990.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Cigna | Medicare Advantage | $11,430.00 | $10,990.00 | $8,243.00 | 2026-08-27 | MRF ↗ |