64406-0008-01 — Tysabri
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TYSABRI (NDC 64406-0008-01) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64406-0008-01?code_type=NDC
MLA (9th ed.)
“TYSABRI (NDC 64406-0008-01) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64406-0008-01?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“TYSABRI (NDC 64406-0008-01) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64406-0008-01?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,352–$29,862 (25th–75th percentile) across 3 hospitals · 29 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 64406-0008-01 — 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 |
|---|---|---|---|---|---|---|---|
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Medicaid | $21.13 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Medicaid | $21.13 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Ambetter | Exchange | $3,415.79 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | New Hampshire Healthy Families | Medicaid | $4,571.34 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | New Hampshire Healthy Families | Medicaid | $4,571.35 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | $7,103.67 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | $7,103.67 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Medicare Advantage | $7,244.78 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Fidelis Wellcare | Medicaid | $7,558.67 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Better Health Medicaid | $7,558.67 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Fidelis Wellcare | Medicaid | $7,558.67 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Better Health Medicaid | $7,558.67 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet Federal | Ppo Pc3 | $7,799.01 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet Federal | Ppo Pc3 | $7,799.01 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Pos, Epo, Ppo | $8,600.26 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Hmo | $8,600.26 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Pos, Epo, Ppo | $8,600.26 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Hmo | $8,600.26 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Amerihealth | Amerihealth | $9,064.92 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Wellcare Medicare | Wellcare Medicare | $9,064.95 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | United Healthcare Va Ccn | United Healthcare Va Ccn | $9,064.95 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Boston Medical Center Health Plan Dba Well Sense | Boston Medical Center Health Plan Dba Well Sense | $9,064.95 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Humana | Humana | $9,064.95 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Amerihealth | Amerihealth | $9,064.95 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerigroup | Wellcare Medicaid | $9,954.00 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerigroup | Wellcare Medicaid | $9,954.00 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Cigna Health And Life | Cigna Health And Life | $10,192.42 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Nj | Commercial | $10,352.16 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Nj | Commercial | $10,352.16 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Harvard Pilgrim Health Care | Marketplace | $10,852.10 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim Health Care | Marketplace | $12,660.83 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Harvard Pilgrim | Littleton Options | $13,597.29 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim | Littleton Options | $13,695.80 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | United Healthcare Freedom Plan | Epo Ppo | $15,072.37 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | United Healthcare Freedom Plan | Epo Ppo | $15,072.41 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Hmo Pos | $15,701.39 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Harvard Pilgrim Health Care | Elevate Health | $16,278.16 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim Health Care | Elevate Health | $16,278.21 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Blue Cross Blue Shield | Tvhp | $16,378.64 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Ppo | $16,416.82 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Blue Cross Blue Shield Vt | Managed | $16,579.60 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Blue Cross Blue Shield | Tvhp | $16,579.65 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Blue Cross Blue Shield Vt | Managed | $16,780.62 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Hmo Pos | $16,782.63 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Ppo | $16,782.63 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Blue Cross Blue Shield Vt | Non Managed | $16,981.53 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Blue Cross Blue Shield Vt | Non Managed | $17,182.55 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Fep | $17,212.64 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Indemnity | $17,574.38 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Fep | $17,596.54 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $17,697.77 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $17,697.77 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Harvard Pilgrim Health Care | All Other | $17,905.97 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim Health Care | All Other | $17,906.03 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Indemnity | $17,964.31 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Aetna | Aetna | $18,287.81 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Aetna | Aetna | $18,287.86 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Multiplan | Multiplan | $19,091.67 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Multiplan | Multiplan | $19,091.72 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | United Healthcare | All Payer | $19,393.11 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | United Healthcare | All Payer | $19,393.17 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Coventry First Health | Coventry First Health | $19,694.56 | $20,096.49 | $11,655.96 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Coventry First Health | Coventry First Health | $19,694.62 | $20,096.55 | $11,656.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Brighton | Commercial | $21,898.80 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Brighton | Commercial | $21,898.80 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | $23,889.60 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | $23,889.60 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Liberty Mutual | Commercial | $24,176.28 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Liberty Mutual | Commercial | $24,176.28 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Omnia | $24,299.70 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Omnia | $24,299.70 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | State Health Benefit Plan | $26,218.80 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | State Health Benefit Plan | $26,218.80 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Commercial | $26,545.33 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Commercial | $26,545.33 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Ppo Hmo | $28,153.89 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Indemnity | $28,153.89 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Ppo Hmo | $28,153.89 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Indemnity | $28,153.89 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Municiple Joint Insurance Fund | $29,862.00 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Rp | $29,862.00 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | First Mco | Workers Comp | $29,862.00 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | First Mco | Workers Comp | $29,862.00 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Municiple Joint Insurance Fund | $29,862.00 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet | Tricare | $29,862.00 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet | Tricare | $29,862.00 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Rp | $29,862.00 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Of Nj Humana | Workers' Comp | $29,862.00 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Of Nj Humana | Workers' Comp | $29,862.00 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER Both | All Payers | All Plans | $30,899.69 | $30,899.69 | $30,281.70 | 2025-12-31 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Workers Compensation | $31,852.80 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Workers Compensation | $31,852.80 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Commercial | $33,843.60 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Auto Personal Injury Protection No Fault | $33,843.60 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Workers' Compensation | $33,843.60 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Workers' Compensation | $33,843.60 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | First Mco | Group Health | $33,843.60 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Mulitplan | Commercial | $33,843.60 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Mulitplan | Commercial | $33,843.60 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Commercial | $33,843.60 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | First Mco | Group Health | $33,843.60 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Auto Personal Injury Protection No Fault | $33,843.60 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Commercial | $33,843.60 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Commercial | $33,843.60 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Automobile/Pip | $35,834.40 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Galaxy | Commercial | $35,834.40 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Galaxy | Commercial | $35,834.40 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Automobile/Pip | $35,834.40 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Galaxy | Workers Comp | $37,825.20 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Galaxy | Workers Comp | $37,825.20 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Multiplan | Auto Workers' Compensation | $39,816.00 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Multiplan | Auto Workers' Compensation | $39,816.00 | $39,816.00 | $39,816.00 | 2026-07-15 | MRF ↗ |