4990063 — Glycopyrrolate 0.4mg/2ml Inj
Cite this view
HANK Price Transparency. (n.d.). GLYCOPYRROLATE 0.4MG/2ML INJ (CDM 4990063) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4990063?code_type=CDM
“GLYCOPYRROLATE 0.4MG/2ML INJ (CDM 4990063) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4990063?code_type=CDM. Accessed .
“GLYCOPYRROLATE 0.4MG/2ML INJ (CDM 4990063) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4990063?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1–$3 (25th–75th percentile) across 4 hospitals · 25 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4990063 — 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 MBN | 2517_BLUE CROSS BLUE SHIELD MBN BMFL 20250701 | $0.69 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS BSL | 2516_BLUE CROSS BLUE SHIELD BSL BMFL 20250701 | $0.69 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS SBN | 2519_BLUE CROSS BLUE SHIELD SBN BMFL 20250701 | $0.83 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS HMO | 2518_BLUE CROSS BLUE SHIELD HMO BMFL 20250701 | $0.83 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | BCBS MBN | 769_BLUE CROSS BLUE SHIELD MBN 20250701 | $1.01 | $2.80 | $1.12 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | BCBS BSL | 768_BLUE CROSS BLUE SHIELD BSL 20250701 | $1.01 | $2.80 | $1.12 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS NWB | 2520_BLUE CROSS BLUE SHIELD NWB BMFL 20250701 | $1.13 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | BCBS PHS | 774_BLUE CROSS BLUE SHIELD PHS 20250701 | $1.29 | $2.80 | $1.12 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | CIGNA | 775_CIGNA 20250701 | $1.37 | $2.80 | $1.12 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | UHC | 766_UNITED HEALTH CARE 20250701 | $1.40 | $2.80 | $1.12 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | BCBS NWB | 772_BLUE CROSS BLUE SHIELD NWB 20250701 | $1.40 | $2.80 | $1.12 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | UHC NHP | 767_UNITED HEALTH CARE NHP SH 20250701 | $1.40 | $2.80 | $1.12 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS PHS | 2521_BLUE CROSS BLUE SHIELD PHS BMFL 20250701 | $1.49 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS PPO | 2522_BLUE CROSS BLUE SHIELD PPO BMFL 20250701 | $1.49 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | EVOLUTIONS PRIME | 227_EVOLUTIONS PRIME 20100526 | $1.62 | $2.80 | $1.12 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | BCBS PPO | 771_BLUE CROSS BLUE SHIELD PPO 20250701 | $1.62 | $2.80 | $1.12 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | HUMANA | 811_HUMANA 20240701 | $1.63 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | CIGNA | 917_CIGNA 20250701 | $1.78 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | UHC NHP | 2528_UNITED HEALTH CARE NHP BMFL 20250701 | $1.81 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | AETNA | 901_AETNA 20250701 | $1.81 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | UHC | 913_UNITED HEALTH CARE 20250701 | $1.81 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | CIGNA | 2532_CIGNA BMFL 20250701 | $1.81 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | UHC HMO | 2527_UNITED HEALTH CARE HMO BMFL 20250701 | $1.81 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | UHC NHP | 914_UNITED HEALTH CARE NHP 20250701 | $1.81 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | FIRSTHEALTH | 107_FIRST HEALTH 20130101 | $1.88 | $2.80 | $1.12 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | AETNA | 2495_AETNA BMFL 20250701 | $1.92 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVOLUTION MANAGED CARE PRIME | 321_EVOLUTION HEALTHCARE PPO 20170101 | $2.18 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | FIRSTHEALTH | 632_FIRST HEALTH 20220701 | $2.25 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | COVENTRY WC | 784_COVENTRY WORKERS COMPENSATION 20230715 | $2.36 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | COVENTRY WC | 2266_COVENTRY WORKERS COMPENSATION BMFL 20230715 | $2.36 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS AL PPO | 360_BLUE CROSS BLUE SHIELD OF ALABAMA 20170101 | $2.72 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | COVENTRY PPO | 1684_COVENTRY BMFL 20200101 | $2.72 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $2.80 | $2.80 | $1.12 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART GULF Outpatient | EVERNORTH BEHAVIORAL HEALTH | 555_EVERNORTH BEHAVIORAL HEALTH 20221123 | $2.80 | $2.80 | $1.12 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | ACCOUNTABLE HEALTH | 827_ACCOUNTABLE HEALTH 20220301 | $2.90 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | ONE HEALTH PLAN OF FLORIDA | 828_ONE HEALTH PLAN OF FLORIDA 20030127 | $3.09 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | MULTIPLAN | 1824_MULTIPLAN PSH 20210101 | $3.09 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVOLUTION PPO TRADITIONAL | 320_EVOLUTION HEALTHCARE TRADITIONAL 20170101 | $3.09 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BEECH STREET | 318_BEECH STREET 20170101 | $3.27 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVERNORTH BEHAVIORAL HEALTH | 675_EVERNORTH BEHAVIORAL HEALTH 20221123 | $3.63 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $3.63 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $3.63 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | MVA | 1476_MVA AUTO 20150101 | $3.63 | $3.63 | $1.45 | 2026-01-01 | MRF ↗ |
| Carrus Rehabilitation Hospital Inpatient | Humana | Managed Care | $450.00 | $3,675.00 | $2,205.00 | 2026-07-19 | MRF ↗ |