809881 — 00173-0696-00 - Fluticasone-salmeterol 250 Mcg-50
Cite this view
HANK Price Transparency. (n.d.). 00173-0696-00 - fluticasone-salmeterol 250 mcg-50 (OTHER 809881) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/809881?code_type=OTHER
“00173-0696-00 - fluticasone-salmeterol 250 mcg-50 (OTHER 809881) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/809881?code_type=OTHER. Accessed .
“00173-0696-00 - fluticasone-salmeterol 250 mcg-50 (OTHER 809881) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/809881?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $76,947–$102,556 (25th–75th percentile) across 1 hospital · 15 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 809881 — 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 |
|---|---|---|---|---|---|---|---|
| Shirley Ryan Abilitylab Inpatient | Uic Physician Group-Campuscare | Uic Physician Group-Campuscare | $60,327.12 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Uic Physician Group-Campuscare | Uic Physician Group-Campuscare | $60,327.12 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co | Aetna Wc | $64,188.06 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co | Aetna Wc | $64,188.06 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | State Of Illinois | State Of Illinois Wc | $64,188.06 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | State Of Illinois | State Of Illinois Wc | $64,188.06 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Affordable Health Care Concepts | First Health | $72,513.20 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Affordable Health Care Concepts | First Health | $72,513.20 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | University Of Chicago Practice Plan | University Of Chicago Practice Plan | $78,425.26 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | University Of Chicago Practice Plan | University Of Chicago Practice Plan | $78,425.26 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Health Care Services Corporation Dba Managed Care Network Preferred | Bc Pos | $82,165.54 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Health Care Services Corporation Dba Managed Care Network Preferred | Bc Pos | $82,165.54 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Gallagher Benefit Administrators | Gallagher Benefit Administrators | $90,490.69 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Gallagher Benefit Administrators | Gallagher Benefit Administrators | $90,490.69 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Unicare Life And Health Insurance | Health Link | $94,110.32 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Unicare Life And Health Insurance | Health Link | $94,110.32 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Private Healthcare Systems | Phcs | $96,523.40 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Resurrection Health Care Preferred | Resurrection Health Care Preferred | $96,523.40 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Private Healthcare Systems | Phcs | $96,523.40 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Resurrection Health Care Preferred | Resurrection Health Care Preferred | $96,523.40 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Uic Physician Group | Uic Physician Group | $97,729.94 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Uic Physician Group | Uic Physician Group | $97,729.94 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Cofinity Aka Ppom | Cofinity Aka Ppom | $102,556.11 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co | First Health And Ccn Rental | $102,556.11 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co | First Health And Ccn Rental | $102,556.11 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Cofinity Aka Ppom | Cofinity Aka Ppom | $102,556.11 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Health Payors Organization | Hpo | $102,556.11 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Health Payors Organization | Hpo | $102,556.11 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Healthnetwork | Multiplan | $106,175.74 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Healthnetwork | Multiplan | $106,175.74 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Hfn | Hfn-Group Health | $108,588.82 | $120,654.25 | $72,392.55 | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Hfn | Hfn-Group Health | $108,588.82 | $120,654.25 | $72,392.55 | 2026-05-14 | MRF ↗ |