65757-0404-03 (NDC) — raw rate rows

NDC · raw rates

65757-0404-03 — ARIPiprazole (Aristada ER Depot) 1,064 Mg/3.9 Ml Inj Susp

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 $13,358

Usually $13,358–$13,358 (25th–75th percentile) across 1 hospital · 1 payer.

“Negotiated” is the hospital’s negotiated facility rate for this NDC 65757-0404-03 — 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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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
ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER Both	All Payers	All Plans	$13,358.36	$13,358.36	$13,091.19	2025-12-31	MRF ↗