437001591 (CDM) — raw rate rows

CDM · raw rates

437001591 — Aripiprazole Asimtufii 960 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 $20,476

Usually $20,035–$20,916 (25th–75th percentile) across 1 hospital · 11 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 437001591 — 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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This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

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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
MOAB REGIONAL HOSPITAL Both	Cigna	Default	$17,613.40	$22,016.75	$13,430.22	2026-07-15	MRF ↗
MOAB REGIONAL HOSPITAL Both	Molina	Default	$17,613.40	$22,016.75	$13,430.22	2026-07-15	MRF ↗
MOAB REGIONAL HOSPITAL Both	United Health Care	Default	$19,815.08	$22,016.75	$13,430.22	2026-07-15	MRF ↗
MOAB REGIONAL HOSPITAL Both	Educators Mutual	Default	$20,255.41	$22,016.75	$13,430.22	2026-07-15	MRF ↗
MOAB REGIONAL HOSPITAL Both	Blue Cross Blue Shield	Default	$20,475.58	$22,016.75	$13,430.22	2026-07-15	MRF ↗
MOAB REGIONAL HOSPITAL Both	Aetna	Default	$20,475.58	$22,016.75	$13,430.22	2026-07-15	MRF ↗
MOAB REGIONAL HOSPITAL Both	University Of Utah	Default	$20,475.58	$22,016.75	$13,430.22	2026-07-15	MRF ↗
MOAB REGIONAL HOSPITAL Both	Dmba	Default	$20,915.91	$22,016.75	$13,430.22	2026-07-15	MRF ↗
MOAB REGIONAL HOSPITAL Both	Humana	Default	$20,915.91	$22,016.75	$13,430.22	2026-07-15	MRF ↗
MOAB REGIONAL HOSPITAL Both	Select Health	Default	$20,915.91	$22,016.75	$13,430.22	2026-07-15	MRF ↗
MOAB REGIONAL HOSPITAL Both	Pehp	Default	$21,356.25	$22,016.75	$13,430.22	2026-07-15	MRF ↗