74204 — Skyrizi Inj 150dose
Cite this view
HANK Price Transparency. (n.d.). Skyrizi Inj 150dose (CPT 74204) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74204?code_type=CPT
“Skyrizi Inj 150dose (CPT 74204) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74204?code_type=CPT. Accessed .
“Skyrizi Inj 150dose (CPT 74204) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74204?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,788–$17,762 (25th–75th percentile) across 1 hospital · 3 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 74204 — 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 Lawrence Rehabilitation Center Outpatient | Amerihealth | HMO | $15,788.00 | $19,735.00 | $19,735.00 | 2026-03-31 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Independence Keystone Health Plan | Commercial | $15,788.00 | $19,735.00 | $19,735.00 | 2026-03-31 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Aetna | Commercial | $19,735.00 | $19,735.00 | $19,735.00 | 2026-03-31 | MRF ↗ |