4084928 — Aflibercept Ophthalmic 114.3 Mg/ml Sol
Cite this view
HANK Price Transparency. (n.d.). Aflibercept Ophthalmic 114.3 Mg/ml Sol (CDM 4084928) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4084928?code_type=CDM
“Aflibercept Ophthalmic 114.3 Mg/ml Sol (CDM 4084928) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4084928?code_type=CDM. Accessed .
“Aflibercept Ophthalmic 114.3 Mg/ml Sol (CDM 4084928) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4084928?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,074–$3,545 (25th–75th percentile) across 1 hospital · 5 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4084928 — 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 |
|---|---|---|---|---|---|---|---|
| ST ANDREW'S HOSPITAL Both | Medica | Medicare Advantage | $1,905.00 | $3,968.00 | $3,571.00 | 2025-11-12 | MRF ↗ |
| ST ANDREW'S HOSPITAL Both | NextBlue | Medicare Advantage | $1,905.00 | $3,968.00 | $3,571.00 | 2025-11-12 | MRF ↗ |
| ST ANDREW'S HOSPITAL Both | Blue Cross Blue Shield | Commercial | $2,581.00 | $3,968.00 | $3,571.00 | 2025-11-12 | MRF ↗ |
| ST ANDREW'S HOSPITAL Both | United Healthcare | Commercial | $3,468.00 | $3,968.00 | $3,571.00 | 2025-11-12 | MRF ↗ |
| ST ANDREW'S HOSPITAL Both | Medica | Commercial | $3,571.00 | $3,968.00 | $3,571.00 | 2025-11-12 | MRF ↗ |
| ST ANDREW'S HOSPITAL Both | Sandford Health Plan | Commercial | $3,770.00 | $3,968.00 | $3,571.00 | 2025-11-12 | MRF ↗ |