A954300 — Y90 Ibritumomab, Rx
Cite this view
HANK Price Transparency. (n.d.). Y90 ibritumomab, rx (HCPCS A954300) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A954300?code_type=HCPCS
“Y90 ibritumomab, rx (HCPCS A954300) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A954300?code_type=HCPCS. Accessed .
“Y90 ibritumomab, rx (HCPCS A954300) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A954300?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $71,875–$193,837 (25th–75th percentile) across 8 hospitals · 3 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A954300 — 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 |
|---|---|---|---|---|---|---|---|
| LAKESIDE MEDICAL CENTER OutpatientFacility | Aetna | All Products | $61,523.28 | — | $56,824.55 | 2025-12-02 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | UNITED HEALTH CARE | Managed Medicare | $70,390.05 | — | — | 2025-07-01 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products Non MD | $71,875.11 | — | — | 2026-03-27 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products MD | $71,875.11 | — | — | 2026-03-27 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products MD | $71,875.11 | — | — | 2026-03-27 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products Non MD | $71,875.11 | — | — | 2026-03-27 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Aetna | Enhanced | $193,837.26 | — | — | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Aetna | Enhanced | $193,837.26 | — | — | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Aetna | Enhanced | $193,837.26 | — | — | 2025-11-21 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Aetna Health | PPO_HMO_EPO | $208,684.63 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Health | PPO_HMO_EPO | $208,684.63 | — | — | 2026-03-27 | MRF ↗ |