62991220408 — Hchg Rx 250 Pharmacy
Cite this view
HANK Price Transparency. (n.d.). HCHG RX 250 PHARMACY (NDC 62991220408) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/62991220408?code_type=NDC
“HCHG RX 250 PHARMACY (NDC 62991220408) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/62991220408?code_type=NDC. Accessed .
“HCHG RX 250 PHARMACY (NDC 62991220408) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/62991220408?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,641–$12,668 (25th–75th percentile) across 1 hospital · 8 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 62991220408 — 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 |
|---|---|---|---|---|---|---|---|
| Mary Free Bed Rehabilitation Hospital Inpatient | Mclaren Health Plan Inc | Commercial Plans | $8,888.36 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Amish Church Of Michigan | — | $9,289.50 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | All Other Commercial Plans | $9,782.13 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Medicare Advantage | $9,782.13 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Dow Chemical Employee Plans | $9,908.80 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Commercial Plans | $10,640.70 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Managed Choice Pos | $10,640.70 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Choice Pos Ii | $10,640.70 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Select | $10,640.70 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Open Choice Ppo | $10,640.70 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | National Advantage | $10,640.70 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Hmo | $10,640.70 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Qpos | $10,640.70 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Elect Choice | $10,640.70 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Ppo | $10,978.50 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Hmo | $10,978.50 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Pos | $10,978.50 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Blue Cross Blue Shield Of Michigan | Blue Care Network | $12,386.00 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Emergis | $12,667.50 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Multiplan Commercial Plans | $12,667.50 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Three Rivers Provider Network Trpn | All Plans | $12,949.00 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Integrated Health Plan Commercial Plans | $12,949.00 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Viant | $13,019.38 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Great West Healthcare | $13,089.75 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Connecticut Life | $13,469.77 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Commercial Plans | $13,469.77 | $14,075.00 | $14,075.00 | 2026-07-15 | MRF ↗ |