66215060214 — Uptravi
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Uptravi (NDC 66215060214) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/66215060214?code_type=NDC
MLA (9th ed.)
“Uptravi (NDC 66215060214) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/66215060214?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“Uptravi (NDC 66215060214) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/66215060214?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $448–$87,518 (25th–75th percentile) across 5 hospitals · 31 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 66215060214 — 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 |
|---|---|---|---|---|---|---|---|
| O U MEDICAL CENTER OutpatientFacility | — | — | — | $1,090.50 | $109.05 | 2026-03-25 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Managed Choice Pos And Elect Choice | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Medicare Advantage | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid Transplant Agre | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Wellpath | Governmental | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Hmo | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | National Advantage Program | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Ameri-Plus Preferred Care Inc | Medicare Advantage | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Nativeblue | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Blue Plan65 Select | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Cigna Health | All Products Except Ppo | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Cigna Health | Ppo Payor Solutions/Strategic Allia | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Cigna Health | All Other Ppo | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Cigna Health - C | 20 New Business Network | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Communitycare | Communitycare Plus | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Communitycare | Hmo Commercial | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 6 | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 2 | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 5 | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 4 | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Managed Medicaid | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Medicare Advantage | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Quiktrip | Commercial | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $1,090.50 | $109.05 | 2026-07-18 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | INTEL | ALL PRODUCTS | $470.00 | $1,175.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | HEALTHCOMP | ALL PRODUCTS | $470.00 | $1,175.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA SELECT | ALL PRODUCTS | $489.98 | $1,175.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA | SUREFIT | $493.50 | $1,175.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NAVIGATE | $511.13 | $1,175.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $538.15 | $1,175.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $554.60 | $1,175.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NON OPTIONS | $555.78 | $1,175.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | ANTIDOTE | ALL PRODUCTS | $763.75 | $1,175.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | CIGNA | TXP LIFESOURCE TRANSPLANT | $817.80 | $1,175.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | AETNA | HEALTHEZ | $861.28 | $1,175.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL InpatientFacility | CIGNA | TXP LIFESOURCE TRANSPLANT | $891.83 | $1,175.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | CIGNA | BEHAVIORAL HEALTH | $940.00 | $1,175.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | MULTIPLAN | ALL PRODUCTS | $940.00 | $1,175.00 | — | 2026-01-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Medicare Partner Health Plan | Medicare | $9,745.57 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Carolina Complete Health | Managed Medicaid | $44,402.64 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Non Contracted Commercial | Non Contracted Commercial | $45,870.65 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Compass | $56,411.55 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Troy | Medicare Advantage | $60,232.77 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | First Carolina Care | Medicare Advantage | $60,232.77 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Wellcare | Managed Medicaid | $60,232.77 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Wellcare | Medicare Advantage | $60,232.77 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Optum Veterans Affairs Community Care Network | Optum Veterans Affairs Community Care Network | $60,232.77 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | New Hanover | Medicare Advantage | $60,232.77 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Humana Choicecare | Medicare Advantage | $60,232.77 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Liberty Advantage | Medicare Advantage | $60,232.77 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Healthy Blue | Managed Medicaid | $60,232.77 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $60,232.77 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $60,232.77 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Longevity | Medicare Advantage | $60,232.77 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $60,232.77 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna Qualified Health Plan | Commercial | $61,218.57 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Ambetter Of Nc Individual Market | Commercial | $64,178.39 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | $77,364.42 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | $77,364.42 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna Nc State Health Plan | Commercial | $77,364.42 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | United Healthcare | Compass | $78,976.18 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | United Healthcare | Compass | $78,976.18 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Medcost | Commercial | $82,199.69 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Cigna | Commercial | $87,196.15 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | United Healthcare | Commercial | $87,840.85 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Aetna New Business | Commerical | $90,258.49 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | $91,547.89 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Aetna | Commercial | $93,482.00 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $93,482.00 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Aetna | Commercial | $93,482.00 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna New Business | Commerical | $93,482.00 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Aetna New Business | Commerical | $93,482.00 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Cigna | Commercial | $96,705.52 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Cigna | Commercial | $96,705.52 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Medcost | Commercial | $96,705.52 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Medcost | Commercial | $96,705.52 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | United Healthcare | Commercial | $100,896.09 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | $100,896.09 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Nc | Commercial | $102,991.38 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Multiplan | Commercial | $116,046.63 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Humana | Commercial | $120,881.90 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Humana | Commercial | $120,881.90 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Humana Choicecare | Commercial | $120,881.90 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Humana Choicecare | Commercial | $120,881.90 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Humana | Commercial | $120,881.90 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Humana Choicecare | Commercial | $120,881.90 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Commercial | $123,944.24 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Multiplan | Commercial | $132,164.21 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Multiplan | Commercial | $132,164.21 | $161,175.87 | $96,705.52 | 2026-08-01 | MRF ↗ |