50881-006-03 (NDC) — raw rate rows

NDC · raw rates

50881-006-03 — Retifanlimab-dlwr 500 Mg/20ml IV Soln

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

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Typical negotiated price $5,175

Usually $4,983–$5,942 (25th–75th percentile) across 2 hospitals · 3 payers.

“Negotiated” is the hospital’s negotiated facility rate for this NDC 50881-006-03 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $3,067.

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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
Adventhealth Connerton Both	Aetna	ASA_PPO	$4,830.00	$7,666.47	$3,066.59	2024-12-15	MRF ↗
Adventhealth Connerton Both	Aetna	International_PPO	$4,983.00	$7,666.47	$3,066.59	2024-12-15	MRF ↗
Adventhealth Connerton Both	Aetna_Whole_Health	HMO_PPO	$4,983.00	$7,666.47	$3,066.59	2024-12-15	MRF ↗
Adventhealth Connerton Both	First_Health_Network	PPO	$5,367.00	$7,666.47	$3,066.59	2024-12-15	MRF ↗
Adventhealth Connerton Both	Beech_Street	HMO	$6,133.00	$7,666.47	$3,066.59	2024-12-15	MRF ↗
GREATER BALTIMORE MEDICAL CENTER BothFacility	ALL PAYERS	ALL PLANS	$35,865.26	$35,865.26	$35,147.95	2026-07-01	MRF ↗