71904004 — Idarucizumab 2.5 Gm/50 Ml Vial
Cite this view
HANK Price Transparency. (n.d.). IDARUCIZUMAB 2.5 GM/50 ML VIAL (CDM 71904004) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/71904004?code_type=CDM
“IDARUCIZUMAB 2.5 GM/50 ML VIAL (CDM 71904004) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/71904004?code_type=CDM. Accessed .
“IDARUCIZUMAB 2.5 GM/50 ML VIAL (CDM 71904004) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/71904004?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7,637–$13,191 (25th–75th percentile) across 1 hospital · 9 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 71904004 — 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 ANTHONY HOSPITAL Outpatient | Moda Health | Medicare|All Plans | $4,519.79 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Moda Health | Medicaid|All Plans | $5,276.56 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Moda Health | Commercial|All Plans | $5,554.27 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | Cigna | Commercial|All Plans | $7,498.26 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Cigna | Commercial|All Plans | $7,775.97 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | Moda Health | Medicaid|All Plans | $8,886.83 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | Moda Health | Commercial|All Plans | $9,442.25 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | BCBS - Regence | Commercial|All Plans | $11,108.53 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | First Choice | Commercial|All Plans | $11,802.82 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | HealthNet | Commercial|All Plans | $12,497.10 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | Providence | Commercial|PPO | $13,191.38 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | Providence | Commercial|All Other Plans | $13,191.38 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | PacificSource | Commercial|All Plans | $13,191.38 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | Aetna | Commercial|All Plans | $13,191.38 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | United | Commercial|All Plans | $13,191.38 | $13,885.66 | $9,459.52 | 2026-02-28 | MRF ↗ |