50242012001 — Hchg Rx 636 Drugs/detail Code
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HCHG RX 636 DRUGS/DETAIL CODE (NDC 50242012001) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/50242012001?code_type=NDC
MLA (9th ed.)
“HCHG RX 636 DRUGS/DETAIL CODE (NDC 50242012001) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/50242012001?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“HCHG RX 636 DRUGS/DETAIL CODE (NDC 50242012001) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/50242012001?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $977–$10,252 (25th–75th percentile) across 4 hospitals · 18 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 50242012001 — 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 |
|---|---|---|---|---|---|---|---|
| MOUNT GRANT GENERAL HOSPITAL Both | Optumcare W/ Medicare Advantage | Optumcare W/ Medicare Advantage | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Aetna | Aetna | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Prominence | Prominence | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Aetna W/ Medicare Advantage | Aetna W/ Medicare Advantage | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Humana W/ Medicare Advantage | Humana W/ Medicare Advantage | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Sierra Health and Life W/ Medicare Advantage | Sierra Health and Life W/ Medicare Advantage | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Healthplan Nevada W/ Medicare Advantage | Healthplan Nevada W/ Medicare Advantage | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Silver Summit | Silver Summit | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Anthem Blue Cross | Anthem Blue Cross | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Hometown Health | Hometown Health | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | All Products | $1.75 | $5.00 | $4.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | All Products | $1.75 | $5.00 | $4.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $2.00 | $5.00 | $4.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $2.00 | $5.00 | $4.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $2.00 | $5.00 | $4.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $2.00 | $5.00 | $4.00 | 2026-04-01 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Aetna | Medicare Advantage | $310.23 | $1,149.00 | $804.30 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Humana | Medicare Advantage | $310.23 | $1,149.00 | $804.30 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | United Healthcare | Medicare Advantage | $310.23 | $1,149.00 | $804.30 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Alignment | Medicare Advantage | $344.70 | $1,149.00 | $804.30 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Silver Summit | Medicare Advantage_Allwell | $367.68 | $1,149.00 | $804.30 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Hometown Health | All Products (Fully Insured and Self-Funded) | $827.28 | $1,149.00 | $804.30 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH BothFacility | Silver Summit | All Products _Ambetter | $930.69 | $1,149.00 | $804.30 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Hometown Health | All Products (Fully Insured and Self-Funded) | $930.69 | $1,149.00 | $804.30 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | United Healthcare | All Products | $952.06 | $1,149.00 | $804.30 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Anthem_BCBS | All Products | $976.65 | $1,149.00 | $804.30 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Prominence | All Products | $976.65 | $1,149.00 | $804.30 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Anthem_Pathway | All Products_HMO | $976.65 | $1,149.00 | $804.30 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH BothFacility | Aetna | All Products | $1,011.12 | $1,149.00 | $804.30 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH BothFacility | Cigna_Greatwest | All Products | $1,034.10 | $1,149.00 | $804.30 | 2026-03-27 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Mclaren Health Plan Inc | Commercial Plans | $6,259.48 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Amish Church Of Michigan | — | $6,541.97 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Medicare Advantage | $6,888.90 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | All Other Commercial Plans | $6,888.90 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Dow Chemical Employee Plans | $6,978.11 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Mclaren Health Plan Inc | Commercial Plans | $7,153.40 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Amish Church Of Michigan | — | $7,476.24 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Commercial Plans | $7,493.53 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | National Advantage | $7,493.53 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Open Choice Ppo | $7,493.53 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Select | $7,493.53 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Choice Pos Ii | $7,493.53 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Managed Choice Pos | $7,493.53 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Elect Choice | $7,493.53 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Qpos | $7,493.53 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Hmo | $7,493.53 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Pos | $7,731.42 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Ppo | $7,731.42 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Hmo | $7,731.42 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Medicare Advantage | $7,872.70 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | All Other Commercial Plans | $7,872.70 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Dow Chemical Employee Plans | $7,974.65 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Commercial Plans | $8,563.69 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Managed Choice Pos | $8,563.69 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Choice Pos Ii | $8,563.69 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Select | $8,563.69 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Hmo | $8,563.69 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | National Advantage | $8,563.69 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Qpos | $8,563.69 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Open Choice Ppo | $8,563.69 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Elect Choice | $8,563.69 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Blue Cross Blue Shield Of Michigan | Blue Care Network | $8,722.63 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Ppo | $8,835.55 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Hmo | $8,835.55 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Pos | $8,835.55 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Emergis | $8,920.87 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Multiplan Commercial Plans | $8,920.87 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Mclaren Health Plan Inc | Commercial Plans | $8,941.23 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Integrated Health Plan Commercial Plans | $9,119.12 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Three Rivers Provider Network Trpn | All Plans | $9,119.12 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Viant | $9,168.68 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Great West Healthcare | $9,218.24 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Amish Church Of Michigan | — | $9,344.76 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Commercial Plans | $9,485.86 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Connecticut Life | $9,485.86 | $9,912.08 | $9,912.08 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Medicare Advantage | $9,840.31 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | All Other Commercial Plans | $9,840.31 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Dow Chemical Employee Plans | $9,967.74 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Blue Cross Blue Shield Of Michigan | Blue Care Network | $9,968.31 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Emergis | $10,194.87 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Multiplan Commercial Plans | $10,194.87 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Integrated Health Plan Commercial Plans | $10,421.42 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Three Rivers Provider Network Trpn | All Plans | $10,421.42 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Viant | $10,478.06 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Great West Healthcare | $10,534.70 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Commercial Plans | $10,704.00 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Qpos | $10,704.00 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Select | $10,704.00 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Managed Choice Pos | $10,704.00 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Elect Choice | $10,704.00 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | National Advantage | $10,704.00 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Choice Pos Ii | $10,704.00 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Open Choice Ppo | $10,704.00 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Hmo | $10,704.00 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Connecticut Life | $10,840.54 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Commercial Plans | $10,840.54 | $11,327.63 | $11,327.63 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Pos | $11,043.81 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Ppo | $11,043.81 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Hmo | $11,043.81 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Blue Cross Blue Shield Of Michigan | Blue Care Network | $12,459.68 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Emergis | $12,742.85 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Multiplan Commercial Plans | $12,742.85 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Integrated Health Plan Commercial Plans | $13,026.03 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Three Rivers Provider Network Trpn | All Plans | $13,026.03 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Viant | $13,096.82 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Great West Healthcare | $13,167.61 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Connecticut Life | $13,549.90 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Commercial Plans | $13,549.90 | $14,158.73 | $14,158.73 | 2026-07-15 | MRF ↗ |