63323026929A — Diprivan
Cite this view
HANK Price Transparency. (n.d.). Diprivan (NDC 63323026929A) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/63323026929A?code_type=NDC
“Diprivan (NDC 63323026929A) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/63323026929A?code_type=NDC. Accessed .
“Diprivan (NDC 63323026929A) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/63323026929A?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,834–$5,834 (25th–75th percentile) across 2 hospitals · 25 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 63323026929A — 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 |
|---|---|---|---|---|---|---|---|
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Village Caremax | Village Caremax | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Fidelis Essential Plans | Fidelis Essential Plans | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Hip Health Plan | Medicare Advantage | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Hip Health Plan | Medicaid | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Metroplus Gold | Metroplus Gold | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Metroplus Medicare Advantage | Metroplus Medicare Advantage | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Mvp Bhs | Medicare | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | United Behavioral Health Of Ny Ipa | United Behavioral Health Of Ny Ipa | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Wellcare | Wellcare | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Fidelis | Medicare | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Oscar | Commercial | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Oscar | Medicare | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Mvp | Medicare | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Aetna | Medicare | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Emblem Health | Hip | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Healthfirst | Essential Plans | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Healthfirst | Medicaid | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Healthfirst | Medicare | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Magnacare | Medicaid Advantage | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Magnacare | Medicare Advantage | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Partners Health Plan | Medicaid | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Partners Health Plan | Dually Enrolled | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Fidelis Medicaid | Fidelis Medicaid | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Metroplus | Essential Plans | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Carelon Medicaid | Carelon Medicaid | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Vns Choice | Vns Choice | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Mvp Health Plan | Essential Plans | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Molina Healthcare Of New York | Essential Plans | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Molina Healthcare Of New York | Medicaid | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Molina Healthcare Of New York | Exchange | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Centers Plan For Healthy Living | Centers Plan For Healthy Living | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Fidelis Health Benefit Exchange | Fidelis Health Benefit Exchange | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Empire Blue Cross Blue Shield Medicaid Essential | Empire Blue Cross Blue Shield Medicaid Essential | — | $4.24 | $3.60 | 2026-08-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | United Healthcare | Commercial/Medicare Advantage | — | $57.75 | $32.92 | 2026-07-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | Cigna | Commercial | — | $57.75 | $32.92 | 2026-07-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | Medica | Commercial | — | $57.75 | $32.92 | 2026-07-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | First Choice | Commercial | — | $57.75 | $32.92 | 2026-07-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | Blue Cross Blue Shield Wy Ppo | Commercial | — | $57.75 | $32.92 | 2026-07-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | Mountain Health Co | Op | — | $57.75 | $32.92 | 2026-07-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | First Health | Commercial | — | $57.75 | $32.92 | 2026-07-31 | MRF ↗ |