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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4178504_1 — Lemtrada 12 Mg

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

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Typical negotiated price $35,725

Usually $18,656–$37,710 (25th–75th percentile) across 1 hospital · 14 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 4178504_1 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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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
TETON VALLEY HOSPITAL Outpatient UHC MEDICARE ADVANTAGE UHC MEDICARE ADVANTAGE $18,259.39 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient TRIWEST-ALL PLANS TRIWEST-ALL PLANS $18,656.33 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient AETNA MEDICARE AETNA MEDICARE $18,656.33 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient SELECT HEALTH MEDICARE ADVANTAGE SELECT HEALTH MEDICARE ADVANTAGE $18,656.33 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient REGENCE BLUE SHIELD MEDICARE ADVANTAGE REGENCE BLUE SHIELD MEDICARE ADVANTAGE $18,656.33 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient PRIME HEALTH SERVICES-ALL OTHER PLANS PRIME HEALTH SERVICES-ALL OTHER PLANS $18,656.33 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient PRIME HEALTH MEDICARE ADVANTAGE PRIME HEALTH MEDICARE ADVANTAGE $18,656.33 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient HUMANA-ALL PLANS HUMANA-ALL PLANS $18,656.33 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient BLUE CROSS MCR ADV BLUE CROSS MCR ADV $18,842.89 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient FIRST CHOICE-ALL PLANS FIRST CHOICE-ALL PLANS $35,724.89 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient MODA-ALL PLANS MODA-ALL PLANS $35,724.89 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient BLUE CROSS QHP BLUE CROSS QHP $36,578.32 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient AETNA-ALL OTHER PLANS AETNA-ALL OTHER PLANS $36,915.72 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient CIGNA OAP CIGNA OAP $37,709.60 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient ST LUKES BRIGHTPATH-ALL PLANS ST LUKES BRIGHTPATH-ALL PLANS $37,709.60 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient UHC ALL PAYER-ALL OTHER PLANS UHC ALL PAYER-ALL OTHER PLANS $37,709.60 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient CIGNA PPO-ALL OTHER PLANS CIGNA PPO-ALL OTHER PLANS $37,709.60 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient SELECT HEALTH-ALL OTHER PLANS SELECT HEALTH-ALL OTHER PLANS $37,709.60 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient BLUE CROSS TRAD/PPO/POS-ALL OTHER PLANS BLUE CROSS TRAD/PPO/POS-ALL OTHER PLANS $38,503.49 $39,694.32 $31,755.46 2026-04-16 MRF ↗
TETON VALLEY HOSPITAL Outpatient REGENCE BLUE SHIELD-ALL OTHER PLANS REGENCE BLUE SHIELD-ALL OTHER PLANS $38,900.43 $39,694.32 $31,755.46 2026-04-16 MRF ↗