4990000 — Actemra Inj 400mg/20ml P1mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ACTEMRA INJ 400MG/20ML P1MG (CDM 4990000) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4990000?code_type=CDM
MLA (9th ed.)
“ACTEMRA INJ 400MG/20ML P1MG (CDM 4990000) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4990000?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“ACTEMRA INJ 400MG/20ML P1MG (CDM 4990000) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4990000?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9–$17 (25th–75th percentile) across 5 hospitals · 29 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4990000 — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION SACRED HEART BAY Outpatient | BCBS BSL | 2516_BLUE CROSS BLUE SHIELD BSL BMFL 20250701 | $4.03 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS MBN | 2517_BLUE CROSS BLUE SHIELD MBN BMFL 20250701 | $4.03 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS HMO | 2518_BLUE CROSS BLUE SHIELD HMO BMFL 20250701 | $4.88 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS SBN | 2519_BLUE CROSS BLUE SHIELD SBN BMFL 20250701 | $4.88 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS MBN | 2515_BLUE CROSS BLUE SHIELD MBN PSH 20250701 | $6.50 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS BSL | 2509_BLUE CROSS BLUE SHIELD BSL PSH 20250701 | $6.50 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS NWB | 2520_BLUE CROSS BLUE SHIELD NWB BMFL 20250701 | $6.57 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS SBN | 2511_BLUE CROSS BLUE SHIELD SBN PSH 20250701 | $6.70 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS HMO | 2510_BLUE CROSS BLUE SHIELD HMO PSH 20250701 | $6.70 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | BCBS MBN | 769_BLUE CROSS BLUE SHIELD MBN 20250701 | $7.63 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | BCBS BSL | 768_BLUE CROSS BLUE SHIELD BSL 20250701 | $7.63 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS PHS | 2513_BLUE CROSS BLUE SHIELD PHS PSH 20250701 | $8.27 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS PPO | 2522_BLUE CROSS BLUE SHIELD PPO BMFL 20250701 | $8.69 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS PHS | 2521_BLUE CROSS BLUE SHIELD PHS BMFL 20250701 | $8.69 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | CIGNA | 2531_CIGNA PSH 20250701 | $9.46 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | AETNA | 2494_AETNA PSH 20250701 | $9.46 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | HUMANA | 811_HUMANA 20240701 | $9.54 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | BCBS PHS | 774_BLUE CROSS BLUE SHIELD PHS 20250701 | $9.75 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | UHC NHP | 2530_UNITED HEALTH CARE NHP PSH 20250701 | $9.85 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | UHC HMO | 2529_UNITED HEALTH CARE HMO PSH 20250701 | $9.85 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS NWB | 2512_BLUE CROSS BLUE SHIELD NWB PSH 20250701 | $9.85 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | CIGNA | 917_CIGNA 20250701 | $10.39 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | UHC | 913_UNITED HEALTH CARE 20250701 | $10.60 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | BCBS NWB | 772_BLUE CROSS BLUE SHIELD NWB 20250701 | $10.60 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | AETNA | 901_AETNA 20250701 | $10.60 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | UHC NHP | 914_UNITED HEALTH CARE NHP 20250701 | $10.60 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | AETNA | 2495_AETNA BMFL 20250701 | $11.24 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS PPO | 2514_BLUE CROSS BLUE SHIELD PPO PSH 20250701 | $11.62 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | VISTA COVENTRY STATE OF FLORIDA | 2416_VISTA PSH 20241001 | $11.62 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | PCC EMPLOYEE | 2411_PENSACOLA CHRISTIAN COLLEGE PSH 20241001 | $11.82 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | FIRSTHEALTH | 1977_FIRST HEALTH PSH 20220701 | $12.02 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | BCBS PPO | 771_BLUE CROSS BLUE SHIELD PPO 20250701 | $12.30 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | EVOLUTIONS PRIME | 227_EVOLUTIONS PRIME 20100526 | $12.30 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVOLUTION MANAGED CARE PRIME | 321_EVOLUTION HEALTHCARE PPO 20170101 | $12.72 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | COVENTRY WC | 2265_COVENTRY WORKERS COMPENSATION SHFL 20230715 | $12.80 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | FIRSTHEALTH | 632_FIRST HEALTH 20220701 | $13.14 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | COVENTRY WC | 784_COVENTRY WORKERS COMPENSATION 20230715 | $13.78 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | COVENTRY WC | 2266_COVENTRY WORKERS COMPENSATION BMFL 20230715 | $13.78 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Inpatient | CHOICE CARE | 424_CHOICE CARE PSH 20181001 | $13.79 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | FIRSTHEALTH | 107_FIRST HEALTH 20130101 | $14.20 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | COVENTRY PPO | 1684_COVENTRY BMFL 20200101 | $15.90 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS AL PPO | 360_BLUE CROSS BLUE SHIELD OF ALABAMA 20170101 | $15.90 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | MULTIPLAN | 1824_MULTIPLAN PSH 20210101 | $16.75 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | EVOLUTIONAL TRADITIONAL PPO | 1456_EVOLUTION HEALTHCARE TRADITIONAL PPO PSH 20170101 | $16.75 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | ACCOUNTABLE HEALTH | 827_ACCOUNTABLE HEALTH 20220301 | $16.96 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BEECHSTREET | 1477_BEECH STREET PSH 20170101 | $17.73 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | MULTIPLAN | 1824_MULTIPLAN PSH 20210101 | $18.02 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | ONE HEALTH PLAN OF FLORIDA | 828_ONE HEALTH PLAN OF FLORIDA 20030127 | $18.02 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVOLUTION PPO TRADITIONAL | 320_EVOLUTION HEALTHCARE TRADITIONAL 20170101 | $18.02 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BEECH STREET | 318_BEECH STREET 20170101 | $19.08 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | MVA | 1476_MVA AUTO 20150101 | $19.70 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $19.70 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | EVERNORTH BEHAVIORAL HEALTH | 2064_EVERNORTH BEHAVIORAL HEALTH 20221123 | $19.70 | $19.70 | $7.88 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | EVERNORTH BEHAVIORAL HEALTH | 555_EVERNORTH BEHAVIORAL HEALTH 20221123 | $21.20 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $21.20 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $21.20 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVERNORTH BEHAVIORAL HEALTH | 675_EVERNORTH BEHAVIORAL HEALTH 20221123 | $21.20 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $21.20 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | MVA | 1476_MVA AUTO 20150101 | $21.20 | $21.20 | $8.48 | 2026-01-01 | MRF ↗ |
| Carrus Rehabilitation Hospital Inpatient | Humana | Managed Care | $825.00 | $473.50 | $284.00 | 2026-07-19 | MRF ↗ |