8613520 — Pharmacy Added From Trans - Tildrakizumab 100 Mg / 1 Ml Soln Subcutaneous On Call Prn Other
Cite this view
HANK Price Transparency. (n.d.). Pharmacy added from Trans - tildrakizumab 100 mg / 1 mL Soln Subcutaneous On Call PRN other (CDM 8613520) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/8613520?code_type=CDM
“Pharmacy added from Trans - tildrakizumab 100 mg / 1 mL Soln Subcutaneous On Call PRN other (CDM 8613520) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/8613520?code_type=CDM. Accessed .
“Pharmacy added from Trans - tildrakizumab 100 mg / 1 mL Soln Subcutaneous On Call PRN other (CDM 8613520) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/8613520?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,863–$23,960 (25th–75th percentile) across 1 hospital · 13 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 8613520 — 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 |
|---|---|---|---|---|---|---|---|
| HANSEN FAMILY HOSPITAL Outpatient | IOWA TOTAL CARE MCAID | IOWA TOTAL CARE MCAID | $15,711.02 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | AETNA MCR | AETNA MCR | $15,745.25 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | IOWA CARE FOR YOURSELF OP ONLY - ALL PLANS | IOWA CARE FOR YOURSELF OP ONLY - ALL PLANS | $15,745.25 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | HUMANA MCARE ADV - ALL PLANS | HUMANA MCARE ADV - ALL PLANS | $15,745.25 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | WELLMARK TRIWEST | WELLMARK TRIWEST | $15,902.70 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | AMERIGROUP MCAID - ALL OTHER PLANS | AMERIGROUP MCAID - ALL OTHER PLANS | $16,019.08 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | AMERIGROUP MCARE | AMERIGROUP MCARE | $16,060.15 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | IOWA TOTAL CARE MCARE | IOWA TOTAL CARE MCARE | $16,532.51 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | CEDAR VALLEY HOSPICE MCAID IP/OP ONLY | CEDAR VALLEY HOSPICE MCAID IP/OP ONLY | $20,537.28 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER | CEDAR VALLEY HOSPICE MCARE IP/OP ONLY - ALL OTHER | $20,537.28 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | CENTIVO HMO - ALL PLANS | CENTIVO HMO - ALL PLANS | $21,776.36 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $23,960.16 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $23,960.16 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $23,960.16 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | IOWA TOTAL CARE EXCH - ALL OTHER PLANS | IOWA TOTAL CARE EXCH - ALL OTHER PLANS | $25,192.40 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Outpatient | COVENTRY HMO - ALL PLANS | COVENTRY HMO - ALL PLANS | $34,228.80 | $34,228.80 | $34,228.80 | 2026-07-10 | MRF ↗ |