Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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5005585 — Pregabalin (lyrica) 100mg Cap

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $6

Usually $6–$8 (25th–75th percentile) across 2 hospitals · 23 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 5005585 — 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 — $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Humana Commercial — $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Humana Medicare Advantage $3.03 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Meridian Health Plan Commercial Meridian Health Plan Commercial $3.03 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Humana Medicare Advantage $3.03 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Meridian Health Plan Commercial Meridian Health Plan Commercial $3.03 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility HealthNet Commercial HealthNet Commercial $3.41 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility HealthNet Commercial HealthNet Commercial $3.41 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $3.46 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $3.46 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Aetna Medicare Advantage $3.96 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Blue Cross Blue Shield Medicare Advantage $3.96 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Aetna Medicare Advantage $3.96 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Blue Cross Blue Shield Medicare Advantage $3.96 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility HealthNet Commercial HealthNet Commercial $5.24 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility HealthNet Commercial HealthNet Commercial $5.24 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Cigna Commercial Cigna Commercial $5.52 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Cigna Commercial Cigna Commercial $5.52 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Aetna Commercial $5.76 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Aetna Commercial $5.76 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Aetna Workers Comp Aetna Workers Comp $5.90 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Blue Cross Blue Shield Workers Comp Blue Cross Blue Shield Workers Comp $5.90 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Preferred Health Choices Commercial Preferred Health Choices Commercial $5.90 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Medical Associates Health Plan Commercial Medical Associates Health Plan Commercial $5.90 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Health Choices Commercial Health Choices Commercial $5.90 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility HealthLink Commercial HMO HealthLink Commercial HMO $5.90 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Medical Associates Health Plan Commercial Medical Associates Health Plan Commercial $5.90 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Preferred Health Choices Commercial Preferred Health Choices Commercial $5.90 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility HealthLink Commercial HMO HealthLink Commercial HMO $5.90 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Health Choices Commercial Health Choices Commercial $5.90 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Blue Cross Blue Shield Workers Comp Blue Cross Blue Shield Workers Comp $5.90 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Aetna Workers Comp Aetna Workers Comp $5.90 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Great West Commercial $6.24 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Great West Commercial $6.24 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Workers Comp Blue Cross Blue Shield Workers Comp $6.49 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Workers Comp Blue Cross Blue Shield Workers Comp $6.49 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Medical Rental Blue Cross Blue Shield Medical Rental $6.49 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Medical Rental Blue Cross Blue Shield Medical Rental $6.49 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Auto Blue Cross Blue Shield Auto $6.49 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Blue Cross Blue Shield Auto Blue Cross Blue Shield Auto $6.49 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility HealthLink Commercial PPO HealthLink Commercial PPO $6.74 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Health Alliance Commercial Health Alliance Commercial $6.74 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility CorVel Auto Medical CorVel Auto Medical $6.74 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility CorVel Workers Comp CorVel Workers Comp $6.74 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility HealthLink Commercial PPO HealthLink Commercial PPO $6.74 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Integrated Health Plan Commercial Integrated Health Plan Commercial $6.74 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Health Alliance Commercial Health Alliance Commercial $6.74 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility CorVel Auto Medical CorVel Auto Medical $6.74 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility CorVel Workers Comp CorVel Workers Comp $6.74 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Integrated Health Plan Commercial Integrated Health Plan Commercial $6.74 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility United Healthcare Commercial $7.17 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility United Healthcare Commercial $7.17 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Velocity Commercial Velocity Commercial $7.76 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Velocity Commercial Velocity Commercial $7.76 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Harmony Health Plan Medicaid/CHIP Harmony Health Plan Medicaid/CHIP $8.43 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Harmony Health Plan Commercial Harmony Health Plan Commercial $8.43 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Harmony Health Plan Commercial Harmony Health Plan Commercial $8.43 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL InpatientFacility Harmony Health Plan Medicaid/CHIP Harmony Health Plan Medicaid/CHIP $8.43 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Blue Cross Blue Shield Commercial $12.04 $8.43 $5.90 2026-03-21 MRF ↗
CARLINVILLE AREA HOSPITAL OutpatientFacility Blue Cross Blue Shield Commercial $12.04 $8.43 $5.90 2026-03-21 MRF ↗
OCHILTREE GENERAL HOSPITAL Outpatient Superior Health Plan Commercial $6,423.00 $13,108.00 $9,176.00 2026-05-06 MRF ↗
OCHILTREE GENERAL HOSPITAL Outpatient Humana Medicare Advantage $6,423.00 $13,108.00 $9,176.00 2026-05-06 MRF ↗
OCHILTREE GENERAL HOSPITAL Outpatient Aetna Medicare Advantage $6,423.00 $13,108.00 $9,176.00 2026-05-06 MRF ↗
OCHILTREE GENERAL HOSPITAL Outpatient Aetna Commercial $11,142.00 $13,108.00 $9,176.00 2026-05-06 MRF ↗
OCHILTREE GENERAL HOSPITAL Outpatient FirstCare Commercial $11,797.00 $13,108.00 $9,176.00 2026-05-06 MRF ↗
OCHILTREE GENERAL HOSPITAL Outpatient Blue Cross Blue Shield of Texas Commercial $11,797.00 $13,108.00 $9,176.00 2026-05-06 MRF ↗
OCHILTREE GENERAL HOSPITAL Outpatient Blue Cross Blue Shield of Texas PPO $11,797.00 $13,108.00 $9,176.00 2026-05-06 MRF ↗
OCHILTREE GENERAL HOSPITAL Outpatient Cigna Commercial $11,797.00 $13,108.00 $9,176.00 2026-05-06 MRF ↗