61958-2201-01 — Nf-epclusa Oral Tablet 400mg-100mg
Cite this view
HANK Price Transparency. (n.d.). NF-Epclusa Oral Tablet 400MG-100MG (OTHER 61958-2201-01) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/61958-2201-01?code_type=OTHER
“NF-Epclusa Oral Tablet 400MG-100MG (OTHER 61958-2201-01) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/61958-2201-01?code_type=OTHER. Accessed .
“NF-Epclusa Oral Tablet 400MG-100MG (OTHER 61958-2201-01) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/61958-2201-01?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,558–$2,504 (25th–75th percentile) across 1 hospital · 6 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 61958-2201-01 — 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 |
|---|---|---|---|---|---|---|---|
| HOOD MEMORIAL HOSPITAL Both | Humana Gold Insurance | Ppo | $1,464.00 | $3,852.00 | $2,697.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Peoples Health Insurance | Ppo | $1,464.00 | $3,852.00 | $2,697.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Bcbs La Insurance | Hmo | $1,653.00 | $3,852.00 | $2,697.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Bcbs La Insurance | Ppo | $1,826.00 | $3,852.00 | $2,697.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | United Healthcare Insurance | Ppo | $2,312.00 | $3,852.00 | $2,697.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Aetna Insurance | Ppo | $2,697.00 | $3,852.00 | $2,697.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Cigna Insurance | Ppo | $3,244.00 | $3,852.00 | $2,697.00 | 2026-05-08 | MRF ↗ |