99090561-4119659 — 72694-0954-01 - Pegaspargase 3,750 IntlUnit(s) / 5
Cite this view
HANK Price Transparency. (n.d.). 72694-0954-01 - pegaspargase 3,750 IntlUnit(s) / 5 (OTHER 99090561-4119659) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99090561-4119659?code_type=OTHER
“72694-0954-01 - pegaspargase 3,750 IntlUnit(s) / 5 (OTHER 99090561-4119659) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99090561-4119659?code_type=OTHER. Accessed .
“72694-0954-01 - pegaspargase 3,750 IntlUnit(s) / 5 (OTHER 99090561-4119659) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99090561-4119659?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $68,490–$107,452 (25th–75th percentile) across 1 hospital · 17 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 99090561-4119659 — 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 |
|---|---|---|---|---|---|---|---|
| EASTERN NEW MEXICO MEDICAL CENTER Outpatient | Self Pay | Self Pay | $26,815.15 | $127,691.20 | $26,815.15 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Nm Work Comp | Nm Work Comp | $45,968.83 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Self Pay | Self Pay | $49,799.57 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Outpatient | Capstar | Capstar | $51,076.48 | $127,691.20 | $26,815.15 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Capstar | Capstar | $57,461.04 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $66,910.19 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Outpatient | Bcbs Nm All | Bcbs Nm All | $73,230.90 | $127,691.20 | $26,815.15 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Uhc Apa | Uhc Apa | $79,807.00 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Zelis Nmmip | Zelis Nmmip | $80,445.46 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Outpatient | Presbyterian Commercial | Presbyterian Commercial | $85,961.72 | $127,691.20 | $26,815.15 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Outpatient | Bcbs Nm | Bcbs Nm Exchange | $89,358.30 | $127,691.20 | $26,815.15 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Outpatient | Cigna | Cigna All | $90,660.75 | $127,691.20 | $26,815.15 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Firstcare Tx | Firstcare Tx | $95,768.40 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Omni | Omni | $102,152.96 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Admar | Admar | $102,152.96 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Multiplan Primary | Multiplan Primary | $107,260.61 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Aetna | Aetna All | $107,515.99 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Healthsmart | Healthsmart | $108,537.52 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Multiplan Complementary | Multiplan Complementary | $111,091.34 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Zelis | Zelis | $112,368.26 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Affordable | Affordable | $118,752.82 | $127,691.20 | $49,799.57 | 2026-05-27 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Outpatient | Omni | Omni | $121,306.64 | $127,691.20 | $26,815.15 | 2026-05-27 | MRF ↗ |