5071121 — Nf-nystatin Powder
Cite this view
HANK Price Transparency. (n.d.). NF-NYSTATIN POWDER (OTHER 5071121) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5071121?code_type=OTHER
“NF-NYSTATIN POWDER (OTHER 5071121) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5071121?code_type=OTHER. Accessed .
“NF-NYSTATIN POWDER (OTHER 5071121) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5071121?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,065–$9,747 (25th–75th percentile) across 1 hospital · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5071121 — 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 |
|---|---|---|---|---|---|---|---|
| GRAFTON CITY HOSPITAL, INC Outpatient | Healthplan Peia | Commercial | $6,064.80 | $10,830.00 | $5,415.00 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Aetna Medicaid | Medicaid | $6,064.80 | $10,830.00 | $5,415.00 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Healthplan Medicaid | Medicaid | $6,064.80 | $10,830.00 | $5,415.00 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Peia | Commercial | $6,064.80 | $10,830.00 | $5,415.00 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Highmark Bcbs Wv Aca | Commercial | $7,220.36 | $10,830.00 | $5,415.00 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Highmark Bcbs Wv Ppo Pos | Commercial | $8,242.71 | $10,830.00 | $5,415.00 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Highmark Bcbs Wv Traditional | Commercial | $8,242.71 | $10,830.00 | $5,415.00 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Healthplan | Commercial | $9,205.50 | $10,830.00 | $5,415.00 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Humana Choicecare Network | Commercial | $9,747.00 | $10,830.00 | $5,415.00 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Aetna | Commercial | $9,747.00 | $10,830.00 | $5,415.00 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | United Healthcare | Commercial | $9,747.00 | $10,830.00 | $5,415.00 | 2026-05-08 | MRF ↗ |
| GRAFTON CITY HOSPITAL, INC Outpatient | Cigna | Commercial | $9,963.60 | $10,830.00 | $5,415.00 | 2026-05-08 | MRF ↗ |