5000121 — Hydroxychloroquine (plaquenil) 200mg
Cite this view
HANK Price Transparency. (n.d.). HYDROXYCHLOROQUINE (PLAQUENIL) 200MG (OTHER 5000121) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5000121?code_type=OTHER
“HYDROXYCHLOROQUINE (PLAQUENIL) 200MG (OTHER 5000121) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5000121?code_type=OTHER. Accessed .
“HYDROXYCHLOROQUINE (PLAQUENIL) 200MG (OTHER 5000121) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5000121?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15–$27,771 (25th–75th percentile) across 2 hospitals · 18 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 Inpatient | United Healthcare | . | — | $18.00 | $12.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Corvel | Auto/Medical | — | $18.00 | $12.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Corvel | Workers Comp | — | $18.00 | $12.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Health Net | . | — | $18.00 | $12.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Blue Cross Blue Shield | Medical Rental Network | — | $18.00 | $12.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Blue Cross Blue Shield | Workers Comp | — | $18.00 | $12.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Blue Cross Blue Shield | Auto Service | — | $18.00 | $12.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Integrated Health Plan | . | — | $18.00 | $12.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Velocity | . | — | $18.00 | $12.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Harmony Health Plan | . | — | $18.00 | $12.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Harmony Health Plan | Medicaid/Chip | — | $18.00 | $12.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Health Choices | . | — | $18.00 | $12.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Medical Associates Health Plan | . | — | $18.00 | $12.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Preferred Health Choices | . | — | $18.00 | $12.60 | 2026-05-08 | MRF ↗ |
| Mclaren Thumb Region | Amish Board | — | $16,756.00 | $34,852.50 | $17,426.30 | 2026-07-05 | MRF ↗ |
| Mclaren Thumb Region | Employee Benefit Logistics | — | $20,107.20 | $34,852.50 | $17,426.30 | 2026-07-05 | MRF ↗ |
| Mclaren Thumb Region | Mclaren Health Plan - Commercial Hmo | — | $21,327.04 | $34,852.50 | $17,426.30 | 2026-07-05 | MRF ↗ |
| Mclaren Thumb Region | Mclaren Health Plan Community | — | $21,327.04 | $34,852.50 | $17,426.30 | 2026-07-05 | MRF ↗ |
| Mclaren Thumb Region | Mclaren Health Advantage Ppo | — | $21,327.04 | $34,852.50 | $17,426.30 | 2026-07-05 | MRF ↗ |
| Mclaren Thumb Region | Blue Care Network | — | $27,771.39 | $34,852.50 | $17,426.30 | 2026-07-05 | MRF ↗ |
| Mclaren Thumb Region | Blue Cross Blue Shield Of Mi Bpp (Blue Preferred Partner) | — | $27,771.39 | $34,852.50 | $17,426.30 | 2026-07-05 | MRF ↗ |
| Mclaren Thumb Region | Blue Cross Blue Shield Of Mi Ppo Rate | — | $27,771.39 | $34,852.50 | $17,426.30 | 2026-07-05 | MRF ↗ |
| Mclaren Thumb Region | United Healthcare | — | $29,155.44 | $34,852.50 | $17,426.30 | 2026-07-05 | MRF ↗ |
| Mclaren Thumb Region | Aetna | — | $29,490.56 | $34,852.50 | $17,426.30 | 2026-07-05 | MRF ↗ |
| Mclaren Thumb Region | Cigna | — | $29,490.56 | $34,852.50 | $17,426.30 | 2026-07-05 | MRF ↗ |
| Mclaren Thumb Region | Priority Health Hmo | — | $29,875.95 | $34,852.50 | $17,426.30 | 2026-07-05 | MRF ↗ |
| Mclaren Thumb Region | Priority Health Ppo | — | $29,875.95 | $34,852.50 | $17,426.30 | 2026-07-05 | MRF ↗ |