72205004601 — Thiotepa 100 Mg Solution For Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). THIOTEPA 100 MG SOLUTION FOR INJECTION (NDC 72205004601) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/72205004601?code_type=NDC
MLA (9th ed.)
“THIOTEPA 100 MG SOLUTION FOR INJECTION (NDC 72205004601) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/72205004601?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“THIOTEPA 100 MG SOLUTION FOR INJECTION (NDC 72205004601) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/72205004601?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,452–$13,573 (25th–75th percentile) across 3 hospitals · 29 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 72205004601 — 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 |
|---|---|---|---|---|---|---|---|
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $12.24 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Commercial | $251.21 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $251.21 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Rp | $282.35 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | $282.35 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Medicaid | $3,378.39 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | $3,839.08 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | MOLINA | MARKETPLACE | $3,840.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $3,840.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $3,840.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $3,840.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $3,865.60 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Fidelis Wellcare | Medicaid | $3,913.08 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Better Health Medicaid | $3,913.08 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet Federal | Ppo Pc3 | $4,037.50 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Hmo | $4,452.30 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Pos, Epo, Ppo | $4,452.30 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | WellCare | Medicare Advantage | $4,590.08 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerigroup | Wellcare Medicaid | $5,153.13 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Nj | Commercial | $5,359.25 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | VitalCore Physicians Group of MI | All Products | $6,400.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | VitalCore Physicians Group of MI | All Products | $6,400.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Fully Insured | $6,634.24 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | NFL Health Services - Cigna | ALL PRODUCTS | $6,656.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | NFL Health Services - Cigna | ALL PRODUCTS | $6,656.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | Priority Health | HMO/PPO | $6,867.20 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | Fully Insured | $7,006.72 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | Priority Health | HMO/PPO | $7,031.04 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | McLaren Health | Health Advantage PPO | $7,385.60 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | McLaren Health | Commercial HMO | $7,385.60 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Cigna Transplants | ALL PRODUCTS | $7,552.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | Ontario Ministry of Health and Long-Term Care | ALL PRODUCTS | $7,680.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | McLaren Health | Commercial HMO | $7,777.28 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | McLaren Health | Health Advantage PPO | $7,777.28 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $8,000.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | AETNA | ALL PRODUCTS | $8,115.20 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Humana Transplants | ALL PRODUCTS | $8,320.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Humana Transplants | MEDICARE ADVANTAGE | $8,320.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | MULTIPLAN, INC. | Complementary Network | $8,576.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | MULTIPLAN, INC. | Complementary Network | $8,576.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | Priority Cigna | ALL PRODUCTS | $8,628.48 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | Self Insured | $9,111.04 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | University of Michigan | ALL PRODUCTS | $10,240.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | University of Michigan | ALL PRODUCTS | $10,240.00 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | Priority Cigna | ALL PRODUCTS | $10,405.12 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | Cofinity Group Health | ALL PRODUCTS | $11,033.60 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $11,033.60 | $12,800.00 | — | 2025-06-28 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Brighton | Commercial | $11,336.88 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Liberty Mutual | Commercial | $12,515.91 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Omnia | $12,579.81 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | State Health Benefit Plan | $13,573.32 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Indemnity | $14,575.10 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Ppo Hmo | $14,575.10 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet | Tricare | $15,459.38 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | First Mco | Workers Comp | $15,459.38 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Municiple Joint Insurance Fund | $15,459.38 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Of Nj Humana | Workers' Comp | $15,459.38 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Workers Compensation | $16,490.00 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Workers' Compensation | $17,520.63 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Commercial | $17,520.63 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | First Mco | Group Health | $17,520.63 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Auto Personal Injury Protection No Fault | $17,520.63 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Mulitplan | Commercial | $17,520.63 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Commercial | $17,520.63 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Automobile/Pip | $18,551.25 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Galaxy | Commercial | $18,551.25 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Galaxy | Workers Comp | $19,581.88 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Multiplan | Auto Workers' Compensation | $20,612.50 | $20,612.50 | $20,612.50 | 2026-07-15 | MRF ↗ |