5000121 — Hydroxychloroquine (plaquenil) 200mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HYDROXYCHLOROQUINE (PLAQUENIL) 200MG (CDM 5000121) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5000121?code_type=CDM
MLA (9th ed.)
“HYDROXYCHLOROQUINE (PLAQUENIL) 200MG (CDM 5000121) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5000121?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HYDROXYCHLOROQUINE (PLAQUENIL) 200MG (CDM 5000121) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5000121?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13–$168 (25th–75th percentile) across 4 hospitals · 38 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 5000121 — 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 |
|---|---|---|---|---|---|---|---|
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Humana | Commercial | — | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Humana | Commercial | — | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Meridian Health Plan Commercial | Meridian Health Plan Commercial | $6.48 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $6.48 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Meridian Health Plan Commercial | Meridian Health Plan Commercial | $6.48 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $6.48 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | HealthNet Commercial | HealthNet Commercial | $7.29 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | HealthNet Commercial | HealthNet Commercial | $7.29 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $7.38 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $7.38 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $8.46 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $8.46 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $8.46 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $8.46 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | HealthNet Commercial | HealthNet Commercial | $11.20 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | HealthNet Commercial | HealthNet Commercial | $11.20 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Cigna Commercial | Cigna Commercial | $11.79 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Cigna Commercial | Cigna Commercial | $11.79 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Aetna | Commercial | $12.29 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Aetna | Commercial | $12.29 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Preferred Health Choices Commercial | Preferred Health Choices Commercial | $12.60 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Medical Associates Health Plan Commercial | Medical Associates Health Plan Commercial | $12.60 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | HealthLink Commercial HMO | HealthLink Commercial HMO | $12.60 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Health Choices Commercial | Health Choices Commercial | $12.60 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Blue Cross Blue Shield Workers Comp | Blue Cross Blue Shield Workers Comp | $12.60 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Aetna Workers Comp | Aetna Workers Comp | $12.60 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Aetna Workers Comp | Aetna Workers Comp | $12.60 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Blue Cross Blue Shield Workers Comp | Blue Cross Blue Shield Workers Comp | $12.60 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Preferred Health Choices Commercial | Preferred Health Choices Commercial | $12.60 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Health Choices Commercial | Health Choices Commercial | $12.60 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | HealthLink Commercial HMO | HealthLink Commercial HMO | $12.60 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Medical Associates Health Plan Commercial | Medical Associates Health Plan Commercial | $12.60 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Great West | Commercial | $13.32 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Great West | Commercial | $13.32 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield Workers Comp | Blue Cross Blue Shield Workers Comp | $13.86 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield Auto | Blue Cross Blue Shield Auto | $13.86 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield Workers Comp | Blue Cross Blue Shield Workers Comp | $13.86 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield Auto | Blue Cross Blue Shield Auto | $13.86 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield Medical Rental | Blue Cross Blue Shield Medical Rental | $13.86 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield Medical Rental | Blue Cross Blue Shield Medical Rental | $13.86 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | HealthLink Commercial PPO | HealthLink Commercial PPO | $14.40 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | CorVel Auto Medical | CorVel Auto Medical | $14.40 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | CorVel Workers Comp | CorVel Workers Comp | $14.40 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | HealthLink Commercial PPO | HealthLink Commercial PPO | $14.40 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Health Alliance Commercial | Health Alliance Commercial | $14.40 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Integrated Health Plan Commercial | Integrated Health Plan Commercial | $14.40 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | CorVel Auto Medical | CorVel Auto Medical | $14.40 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | CorVel Workers Comp | CorVel Workers Comp | $14.40 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Integrated Health Plan Commercial | Integrated Health Plan Commercial | $14.40 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Health Alliance Commercial | Health Alliance Commercial | $14.40 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | United Healthcare | Commercial | $15.30 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | United Healthcare | Commercial | $15.30 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Velocity Commercial | Velocity Commercial | $16.56 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Velocity Commercial | Velocity Commercial | $16.56 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Harmony Health Plan Commercial | Harmony Health Plan Commercial | $18.00 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Harmony Health Plan Commercial | Harmony Health Plan Commercial | $18.00 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Harmony Health Plan Medicaid/CHIP | Harmony Health Plan Medicaid/CHIP | $18.00 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Harmony Health Plan Medicaid/CHIP | Harmony Health Plan Medicaid/CHIP | $18.00 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Commercial | $25.71 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Commercial | $25.71 | $18.00 | $12.60 | 2026-03-21 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Coventry | Medicare Advantage | $26.00 | $43.00 | $43.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Molina Healthcare of Nebraska | Commercial | $26.00 | $43.00 | $43.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | VA CCN | Commercial | $26.00 | $43.00 | $43.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $26.00 | $43.00 | $43.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Midland's Choice | Commercial | $34.00 | $43.00 | $43.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Ambetter | Commercial | $39.00 | $43.00 | $43.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield of Nebraska | Commercial | $41.00 | $43.00 | $43.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | United Healthcare | Commercial | $42.00 | $43.00 | $43.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Aetna | Commercial | $43.00 | $43.00 | $43.00 | 2025-07-09 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Preferred Care Blue | $168.11 | $480.30 | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue Select Plus | $168.11 | $480.30 | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue-Care | $168.11 | $480.30 | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue Access | $168.11 | $480.30 | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Freedom Network Select | $168.11 | $480.30 | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | Cigna | All Products | $240.15 | $480.30 | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | Medica | All Products | $264.17 | $480.30 | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE BothFacility | BCBS of Kansas City | Medicare Advantage (exiting market 01/01/2025) | $307.39 | $480.30 | — | 2025-12-05 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Humana | Medicare - Humana | $14,701.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Fidelis | Medicare - Fidelis | $14,701.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | MI Amish Medical Board | MI Amish Medical Board | $14,701.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - United | Medicare - United | $14,701.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $14,701.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Employee Benefit Logistics | Medicare - Employee Benefit Logistics | $14,701.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Priority Health | Medicare - Priority Health | $14,848.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Molina | Medicare - Molina | $14,995.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | McLaren Commercial Ins | McLaren Commercial Ins | $19,718.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | WC - Workers Compensation | WC - Workers Compensation | $22,087.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Cofinity Auto | Cofinity Auto | $27,932.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | First Health Network | First Health Network | $30,910.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | United Healthcare | United Healthcare | $30,986.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Priority Health | Priority Health | $31,713.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Aetna | Aetna | $32,569.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Blue Cross Blue Shield | Blue Cross Blue Shield | $32,731.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | HAP | HAP | $33,926.00 | $37,696.00 | $18,848.00 | 2025-02-03 | MRF ↗ |