57894-515-01 (NDC) — raw rate rows

NDC · raw rates

57894-515-01 — Amivantamab 2,400 Mg-hyaluronidase-lpuj 30,000 Unit/15 Ml Subcut 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 $22,617

Usually $22,617–$22,617 (25th–75th percentile) across 1 hospital · 1 payer.

“Negotiated” is the hospital’s negotiated facility rate for this NDC 57894-515-01 — 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.

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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
GREATER BALTIMORE MEDICAL CENTER BothFacility	ALL PAYERS	ALL PLANS	$22,617.28	$22,617.28	$22,164.93	2026-07-01	MRF ↗