5000021 — Duloxetine Hcl Cap 30 Mg
Cite this view
HANK Price Transparency. (n.d.). DULOXETINE HCL CAP 30 MG (CDM 5000021) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5000021?code_type=CDM
“DULOXETINE HCL CAP 30 MG (CDM 5000021) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5000021?code_type=CDM. Accessed .
“DULOXETINE HCL CAP 30 MG (CDM 5000021) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5000021?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $27–$1,255 (25th–75th percentile) across 6 hospitals · 25 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 5000021 — 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 |
|---|---|---|---|---|---|---|---|
| OCHILTREE GENERAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $22.00 | $44.00 | $31.00 | 2026-05-06 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $22.00 | $36.00 | $36.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | VA CCN | Commercial | $22.00 | $36.00 | $36.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Coventry | Medicare Advantage | $22.00 | $36.00 | $36.00 | 2025-07-09 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Humana | Medicare Advantage | $22.00 | $44.00 | $31.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Superior Health Plan | Commercial | $22.00 | $44.00 | $31.00 | 2026-05-06 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Molina Healthcare of Nebraska | Commercial | $22.00 | $36.00 | $36.00 | 2025-07-09 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Preferred Care Blue | $27.10 | $77.43 | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Freedom Network Select | $27.10 | $77.43 | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue Select Plus | $27.10 | $77.43 | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue-Care | $27.10 | $77.43 | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue Access | $27.10 | $77.43 | — | 2025-12-05 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Midland's Choice | Commercial | $29.00 | $36.00 | $36.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Ambetter | Commercial | $32.00 | $36.00 | $36.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield of Nebraska | Commercial | $34.00 | $36.00 | $36.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | United Healthcare | Commercial | $35.00 | $36.00 | $36.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Aetna | Commercial | $36.00 | $36.00 | $36.00 | 2025-07-09 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Aetna | Commercial | $37.00 | $44.00 | $31.00 | 2026-05-06 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | Cigna | All Products | $38.72 | $77.43 | — | 2025-12-05 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Commercial | $40.00 | $44.00 | $31.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $40.00 | $44.00 | $31.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Cigna | Commercial | $40.00 | $44.00 | $31.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | FirstCare | Commercial | $40.00 | $44.00 | $31.00 | 2026-05-06 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | Medica | All Products | $42.59 | $77.43 | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE BothFacility | BCBS of Kansas City | Medicare Advantage (exiting market 01/01/2025) | $49.56 | $77.43 | — | 2025-12-05 | MRF ↗ |
| FOREST HEALTH MEDICAL CENTER Both | — | — | — | $196.98 | — | 2026-02-26 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | MAGELLAN BEHAVIORAL | 1784_SJMA SJMC MAGELLAN BEHAVIORAL 20200101 | $753.00 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PRIORITY PPO | 2009_PRIORITY PPO 20210801 | $978.90 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $1,004.00 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | AHLIC | 2163_AHLIC 20241001 | $1,004.00 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $1,004.00 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | CIGNA | 2014_SJRD,SJMC CIGNA 20210701 | $1,029.10 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PRIORITY HMO | 2010_PRIORITY HMO 20210701 | $1,029.10 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HOSPICE | 447_SJMA, SJMC HOSPICE 20160101 | $1,255.00 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $1,606.40 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HEALTHPLUS PPO | 990_HEALTHPLUS PPO 20200101 | $1,631.50 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | AETNA PPO | 2136_AETNA 20241001 | $1,731.90 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS POS | 1311_PHCS POS 20201001 | $1,757.00 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| MCBRIDE ORTHOPEDIC HOSPITAL Both | Humana | Commercial | $1,800.00 | $3.00 | $3.00 | 2026-01-15 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS PPO GREAT WEST & MAILHANDLERS | 1458_PHCS PPO GR WEST & MAILHANDLERS 20201001 | $1,882.50 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS PPO | 1457_PHCS PPO 20201001 | $1,882.50 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | $2,222.86 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $2,510.00 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | BCCCP | 1782_BCCCP 20210201 | $2,510.00 | $2,510.00 | $1,405.60 | 2026-01-01 | MRF ↗ |
| MCBRIDE ORTHOPEDIC HOSPITAL Both | United Healthcare | Commercial | $7,280.00 | $3.00 | $3.00 | 2026-01-15 | MRF ↗ |