50458-0564-01 — Paliperidone Palmitate ER 234 Mg/1.5ml Susy 1.5 Ml Syringe
Cite this view
HANK Price Transparency. (n.d.). paliperidone palmitate ER 234 MG/1.5ML Susy 1.5 mL Syringe (NDC 50458-0564-01) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/50458-0564-01?code_type=NDC
“paliperidone palmitate ER 234 MG/1.5ML Susy 1.5 mL Syringe (NDC 50458-0564-01) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/50458-0564-01?code_type=NDC. Accessed .
“paliperidone palmitate ER 234 MG/1.5ML Susy 1.5 mL Syringe (NDC 50458-0564-01) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/50458-0564-01?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,994–$19,184 (25th–75th percentile) across 5 hospitals · 23 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 50458-0564-01 — 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 |
|---|---|---|---|---|---|---|---|
| LITTLETON REGIONAL HEALTHCARE Inpatient | Ambetter | Exchange | $1,447.43 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | New Hampshire Healthy Families | Medicaid | $1,937.10 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Boston Medical Center Health Plan Dba Well Sense | Boston Medical Center Health Plan Dba Well Sense | $3,841.25 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Amerihealth | Amerihealth | $3,841.25 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | United Healthcare Va Ccn | United Healthcare Va Ccn | $3,841.25 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Humana | Humana | $3,841.25 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Wellcare Medicare | Wellcare Medicare | $3,841.25 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Cigna Health And Life | Cigna Health And Life | $4,319.01 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim Health Care | Marketplace | $5,364.99 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim | Littleton Options | $5,803.56 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Blue Cross Blue Shield | Highmark - Special Care | $6,208.00 | $38,368.36 | $23,788.38 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Blue Cross Blue Shield | Capital - Special Network Rates | $6,234.86 | $38,368.36 | $23,788.38 | 2026-04-01 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | United Healthcare Freedom Plan | Epo Ppo | $6,386.90 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim Health Care | Elevate Health | $6,897.85 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Blue Cross Blue Shield | Tvhp | $7,025.58 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Blue Cross Blue Shield Vt | Managed | $7,110.74 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Hmo Pos | $7,111.59 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Ppo | $7,111.59 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Blue Cross Blue Shield Vt | Non Managed | $7,281.06 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Fep | $7,456.49 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim Health Care | All Other | $7,587.63 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Indemnity | $7,612.33 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Aetna | Aetna | $7,749.43 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Multiplan | Multiplan | $8,090.07 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | United Healthcare | All Payer | $8,217.80 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Coventry First Health | Coventry First Health | $8,345.54 | $8,515.86 | $4,939.20 | 2026-07-15 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Blue Cross Blue Shield | Highmark | $8,866.93 | $38,368.36 | $23,788.38 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Blue Cross Blue Shield | Capital - Enhanced Network Rates | $8,905.30 | $38,368.36 | $23,788.38 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER Both | All Payers | All Plans | $9,399.59 | $9,399.59 | $9,211.60 | 2025-12-31 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Capital - Special Network Rates | $9,507.68 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER Both | All Payers | All Plans | $12,105.88 | $12,105.88 | $11,863.76 | 2025-12-31 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Capital - Enhanced Network Rates | $13,582.40 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | North Central Secure Treatment Unit | North Central Secure Treatment Unit | $13,812.61 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Capital - Basic Network Rates | $16,172.26 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Cigna | Cigna | $16,613.50 | $38,368.36 | $23,788.38 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Cigna | Cigna | $17,227.39 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Cigna | Cigna | $17,380.87 | $38,368.36 | $23,788.38 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Aetna | Aetna | $17,833.61 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Aetna | Aetna | $17,864.31 | $38,368.36 | $23,788.38 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Shepard International Health Care | Shepard International Health Care - Allegheny International | $19,184.18 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | $19,184.18 | $38,368.36 | $23,788.38 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | $19,184.18 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Cigna | Cigna | $19,184.18 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | $19,414.39 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Integrated Health Plan | Integrated Health Plan | $23,021.02 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Aetna | First Health Network | $25,553.33 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Aetna | First Health Network | $25,630.06 | $38,368.36 | $23,788.38 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Wyoming Seminary | Wyoming Seminary | $26,857.85 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Wyoming Seminary | Wyoming Seminary | $26,857.85 | $38,368.36 | $23,788.38 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Multiplan | Multiplan/Private Health Care System | $32,613.11 | $38,368.36 | $23,788.38 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Beech Street | $32,613.11 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Multiplan/Private Health Care System | $32,613.11 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Intergroup Services | Intergroup Services | $32,613.11 | $38,368.36 | $23,788.38 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Congregation of the Sister Servants | Congregation of the Sister Servants | $32,613.11 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Intergroup Services | Intergroup Services | $32,613.11 | $38,368.36 | $23,788.38 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Multiplan | Beech Street | $32,613.11 | $38,368.36 | $23,788.38 | 2026-04-01 | MRF ↗ |