4405485 — Trelegy Inhaler 100/62.5/35
Cite this view
HANK Price Transparency. (n.d.). TRELEGY INHALER 100/62.5/35 (CDM 4405485) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4405485?code_type=CDM
“TRELEGY INHALER 100/62.5/35 (CDM 4405485) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4405485?code_type=CDM. Accessed .
“TRELEGY INHALER 100/62.5/35 (CDM 4405485) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4405485?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,200–$2,312 (25th–75th percentile) across 2 hospitals · 34 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4405485 — 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 |
|---|---|---|---|---|---|---|---|
| ASPIRE HOSPITAL Outpatient | Cigna | Commercial | $5.00 | $12.00 | $12.00 | 2026-04-27 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | Aetna | Commercial | $7.00 | $12.00 | $12.00 | 2026-04-27 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | BlueCross BlueShield of Texas | Commercial | $7.00 | $12.00 | $12.00 | 2026-04-27 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | BlueCross BlueShield | Commercial | $7.00 | $12.00 | $12.00 | 2026-04-27 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $150.77 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $150.77 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AETNA BETTER HLTH | MCD AETNA IP | $150.77 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AETNA BETTER HLTH | MCD AETNA OP | $150.77 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD MISC | MCD MISC OP | $150.77 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD MISC | MCD MISC IP | $150.77 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICAID LA | MEDICAID IP | $150.77 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICAID LA | MEDICAID OP | $150.77 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD UHC | MCD UHC OP | $150.77 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD UHC | MCD UHC IP | $150.77 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD HEALTHY BLUE | MCD HEALTHY BLUE OP | $150.77 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD HEALTHY BLUE | MCD HEALTHY BLUE IP | $150.77 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD LA HLTH CONN | MCD LHC IP | $150.77 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD LA HLTH CONN | MCD LHC OP | $150.77 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | CASHIERING | SELF PAY OP | $1,027.40 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | CASHIERING | SELF PAY IP | $1,027.40 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | CIGNA | CIGNA OP | $1,200.00 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | CIGNA | CIGNA IP | $1,200.00 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | CIGNA | CIGNA OP | $1,284.25 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | CIGNA | CIGNA IP | $1,284.25 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AMBETTER | AMBETTER OP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AMBETTER | AMBETTER IP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AETNA MEDICARE | MCR AETNA OP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AETNA MEDICARE | MCR AETNA IP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICARE | MEDICARE NOV IP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICARE | MEDICARE NOV PT B IP ONLY | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICARE | MEDICARE NOV SWING | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICARE | MEDICARE NOV OP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | UMR | UMR OP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | UMR | UMR IP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | UHC | UHC COMM OP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | UHC | UHC COMM IP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC MISC | MCR HMO MISC IP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC MISC | DOWNGRADE MEDICARE HMO | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC MISC | MCR HMO MISC OP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC BLUE ADVANTAGE | MCR BCBS ADVANTAGE OP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC BLUE ADVANTAGE | MCR BCBS ADVANTAGE IP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC HEALTHY BLUE MEDICARE | MCR HEALTHY BLUE DUAL OP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC HEALTHY BLUE MEDICARE | MCR HEALTHY BLUE DUAL IP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC HUMANA GOLD | MMC AMERICAN HEALTH | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC HUMANA GOLD | MCR HUMANA IP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC HUMANA GOLD | MCR HUMANA OP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC UHC | MCR UHC IP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC UHC | MCR UHC OP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MISC MGD CARE | MCR HMO MISC OP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | VA HEALTH | VA HEALTH | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MCR AMERICAN HLTH ADV | MCR AMERICAN HLTH ADV IP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MCR AMERICAN HLTH ADV | MCR AMERICAN HLTH ADV OP | $1,386.99 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | CASHIERING | SELF PAY OP | $1,541.10 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | CASHIERING | SELF PAY IP | $1,541.10 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | BCBS LA | BLUE CROSS IP | $1,546.23 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | BCBS LA | BLUE CROSS OP | $1,546.23 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | BCBS 00S | DEACTIVATE BCBS OOS | $1,546.23 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | HUMANA MEDICAID | MCD HUMANA OP | $1,658.48 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | HUMANA MEDICAID | MCD HUMANA IP | $1,658.48 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC HOUSE OF RAEFORD | WC HOUSE OF RAEFORD OP | $2,311.65 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC MISC | WORK COMP IP | $2,311.65 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC MISC | WORK COMP OP | $2,311.65 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC STONETRUST | WC STONETRUST WC IP | $2,311.65 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC STONETRUST | WC STONETRUST WC OP | $2,311.65 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC CITY OF ARCADIA | WC CITY ARCADIA IP | $2,311.65 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC CITY OF ARCADIA | WC CITY ARCADIA OP | $2,311.65 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC HOUSE OF RAEFORD | WC HOUSE OF RAEFORD IP | $2,311.65 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AARP | AARP OP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AARP | AARP IP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MISC COMM A-L | MISC COMM OP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AMFIRST | AMFIRST IP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MISC COMM A-L | MISC COMM IP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | ALLEGIANCE HEALTH MANAGME | GULF SOUTH OP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | ALLEGIANCE HEALTH MANAGME | GULF SOUTH IP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MISC COMM M-Z | DEACTIVATE MISC M TO Z | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | APWU | APWU OP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | APWU | APWU IP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | TRICARE FOR LIFE | TRICARE FOR LIFE OP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MISC MGD CARE | MCR HMO MISC IP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | TRICARE FOR LIFE | TRICARE FOR LIFE IP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AETNA | AETNA OP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AETNA | AETNA IP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AMFIRST | AMFIRST OP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | LIBERTY MUTUAL | LIBERTY MUTUAL IP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | LIBERTY MUTUAL | LIBERTY MUTUAL OP | $2,568.50 | $2,568.50 | $1,541.10 | 2025-12-04 | MRF ↗ |