5400011 — Drug Administration
Cite this view
HANK Price Transparency. (n.d.). DRUG ADMINISTRATION (OTHER 5400011) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5400011?code_type=OTHER
“DRUG ADMINISTRATION (OTHER 5400011) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5400011?code_type=OTHER. Accessed .
“DRUG ADMINISTRATION (OTHER 5400011) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5400011?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16–$315 (25th–75th percentile) across 5 hospitals · 39 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5400011 — 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 |
|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL Outpatient | Humana Employers Health | Commercial | $8.10 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Inpatient | Medica | Laborcare Ppo | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Inpatient | Medica | Selectcare Ppo | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Inpatient | Medica | Selectcare Pcp | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Inpatient | Medica | Commercial | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Inpatient | Medica | Laborcare Pcp | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Outpatient | Triwest | General | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Inpatient | Bcbs | Blue Plus | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Inpatient | Bcbs | Minnesota Health Care Programs | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Outpatient | Media | Medicare Advantage | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Inpatient | Healthpartners | General | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Inpatient | Aetna | First Health Network | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Inpatient | Unitedhealthcare | General | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Outpatient | Ucare | Medicare Select | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Outpatient | Ucare | Medical Assistance | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Outpatient | Ucare | Minnesota Senior Care Plus | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Outpatient | Ucare | Medicare Advantage | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Outpatient | Ucare | Minnesota Senior Health Options | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Outpatient | Ucare | Individual And Family Plans | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Outpatient | Ucare | Minnesotacare | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| NORTH SHORE HEALTH Outpatient | Ucare | Minnesota Special Needs Basic Care | — | $25.00 | $23.00 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Tricare Wps Vac3 | Medicare | $15.66 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Tricare West Region | Medicare | $15.66 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Tricare East | Medicare | $15.66 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Tricare North Region | Medicare | $15.66 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Medicare | Medicare | $15.66 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana Medicare Gold Choice | Medicare | $15.82 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcare Medicare | Medicare | $15.82 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana Medicare Advantage | Medicare | $15.82 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana Gold Plus Medicare | Medicare | $15.82 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcarevrr Medicare | Medicare | $15.82 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $29.70 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Cigna Health Care Tx | Commercial | $29.70 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Cigna Healthsmart | Commercial | $29.70 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Bcbs Hmo Bav Advantage | Commercial | $37.80 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Collective Health | Commercial | $38.54 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Insurance Management Service | Commercial | $40.50 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Hmo | Commercial | $40.50 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Allied Group Insurance | Commercial | $40.50 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Ppo | Commercial | $40.50 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Care Hmo | Commercial | $43.20 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Bcbs Of Texas | Commercial | $43.20 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Health | Commercial | $45.90 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Allied Benefit Mchd Employee | Commercial | $45.90 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Umr | Commercial | $48.60 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $48.60 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Tml Iebp | Commercial | $48.60 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ntca Benefit Ppo | Commercial | $48.60 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Golden Rule Insurance In | Commercial | $48.60 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Care Ppo | Commercial | $48.60 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Geha | Commercial | $48.60 | $54.00 | $43.20 | 2026-05-08 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | United Healthcare Insurance | United Healthcare Commercial | $189.00 | $270.00 | $189.00 | 2026-05-15 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | United Healthcare Insurance | United Healthcare Commercial | $189.00 | $270.00 | $189.00 | 2026-05-21 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Wellcare Insurance | Wellcare Medicare Advantage | $207.90 | $270.00 | $189.00 | 2026-05-21 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Humana Insurance | Humana Medicare Advantage | $207.90 | $270.00 | $189.00 | 2026-05-21 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Aetna Insurance | Aetna Medicare Advantage | $207.90 | $270.00 | $189.00 | 2026-05-21 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Wellmark Insurance | Wellmark Medicare Advantage | $207.90 | $270.00 | $189.00 | 2026-05-15 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Wellpoint Insurance | Wellpoint Medicare Advantage | $207.90 | $270.00 | $189.00 | 2026-05-21 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | United Healthcare Insurance | United Healthcare Medicare Advantage | $207.90 | $270.00 | $189.00 | 2026-05-21 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Wellmark Insurance | Wellmark Medicare Advantage | $207.90 | $270.00 | $189.00 | 2026-05-21 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Wellpoint Insurance | Wellpoint Medicare Advantage | $207.90 | $270.00 | $189.00 | 2026-05-15 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Wellcare Insurance | Wellcare Medicare Advantage | $207.90 | $270.00 | $189.00 | 2026-05-15 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Humana Insurance | Humana Medicare Advantage | $207.90 | $270.00 | $189.00 | 2026-05-15 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Aetna Insurance | Aetna Medicare Advantage | $207.90 | $270.00 | $189.00 | 2026-05-15 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | United Healthcare Insurance | United Healthcare Medicare Advantage | $207.90 | $270.00 | $189.00 | 2026-05-15 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Wellpoint Insurance | Medicaid Hmo | $216.00 | $270.00 | $189.00 | 2026-05-21 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Molina Insurance | Medicaid Hmo | $216.00 | $270.00 | $189.00 | 2026-05-21 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Wellpoint Insurance | Medicaid Hmo | $216.00 | $270.00 | $189.00 | 2026-05-15 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Molina Insurance | Medicaid Hmo | $216.00 | $270.00 | $189.00 | 2026-05-15 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Iowa Total Care Insurance | Medicaid Hmo | $216.00 | $270.00 | $189.00 | 2026-05-15 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Iowa Total Care Insurance | Medicaid Hmo | $216.00 | $270.00 | $189.00 | 2026-05-21 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medica Msho | Commercial | $221.26 | $563.00 | $281.50 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medica Choice Care | Commercial | $226.33 | $563.00 | $281.50 | 2026-05-14 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Aetna Insurance | Aetna Commercial | $229.50 | $270.00 | $189.00 | 2026-05-21 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Aetna Insurance | Aetna Commercial | $229.50 | $270.00 | $189.00 | 2026-05-15 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Wellmark Insurance | Hmo | $315.23 | $270.00 | $189.00 | 2026-05-15 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Wellmark Insurance | Hmo | $315.23 | $270.00 | $189.00 | 2026-05-21 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Wellmark Insurance | Ppo | $346.46 | $270.00 | $189.00 | 2026-05-15 | MRF ↗ |
| KEOKUK COUNTY HEALTH CENTER Outpatient | Wellmark Insurance | Ppo | $346.46 | $270.00 | $189.00 | 2026-05-21 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Bcbs | Commercial | $388.65 | $563.00 | $281.50 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medica Accessibility Solution | Commercial | $412.12 | $563.00 | $281.50 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medica Selectcare | Commercial | $412.12 | $563.00 | $281.50 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medica | Commercial | $412.12 | $563.00 | $281.50 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medicare And Medicare Adv | Medicare | $427.89 | $563.00 | $281.50 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medica Medicare Adv | Medicare | $427.89 | $563.00 | $281.50 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Uhc | Commercial | $466.16 | $563.00 | $281.50 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Avera | Commercial | $506.70 | $563.00 | $281.50 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Humana | Commercial | $506.70 | $563.00 | $281.50 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Sanford Bhcag | Commercial | $534.85 | $563.00 | $281.50 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Multiplan | Commercial | $546.11 | $563.00 | $281.50 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medicaid | Medicaid | $563.00 | $563.00 | $281.50 | 2026-05-14 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Outpatient | Cigna | Benefit Plans | — | $1,805.28 | $992.90 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Outpatient | Novasys Health | Hospital Provider Agreement - Select Rates | — | $1,805.28 | $992.90 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $1,805.28 | $992.90 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Outpatient | Novasys Health | Commercial Exchange Product | — | $1,805.28 | $992.90 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Outpatient | Arkansas Blue Cross Blue Shield Health Advantage | Hmo Network | $1,444.22 | $1,805.28 | $992.90 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Novasys Health | Hospital Provider Agreement - Preferred And Choice Rates | — | $1,805.28 | $992.90 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Outpatient | Arkansas First Source | Ppo Network | $1,624.75 | $1,805.28 | $992.90 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Aetna | Ppo | — | $1,805.28 | $992.90 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Aetna | Full Risk And Plan For Plan Sponsors | — | $1,805.28 | $992.90 | 2026-05-09 | MRF ↗ |
| JOHNSON REGIONAL MEDICAL CENTER Inpatient | Novasys Health | Hospital Provider Agreement - Select Rates | — | $1,805.28 | $992.90 | 2026-05-09 | MRF ↗ |