PHA17672 — Nirsevimab (Cvx 306) Alip Preservative-free 50 Mg/0.5 Ml Soln
Cite this view
HANK Price Transparency. (n.d.). Nirsevimab (Cvx 306) Alip Preservative-free 50 Mg/0.5 Ml Soln (CDM PHA17672) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PHA17672?code_type=CDM
“Nirsevimab (Cvx 306) Alip Preservative-free 50 Mg/0.5 Ml Soln (CDM PHA17672) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PHA17672?code_type=CDM. Accessed .
“Nirsevimab (Cvx 306) Alip Preservative-free 50 Mg/0.5 Ml Soln (CDM PHA17672) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PHA17672?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,341–$4,232 (25th–75th percentile) across 1 hospital · 9 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PHA17672 — 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 |
|---|---|---|---|---|---|---|---|
| MOUNTRAIL COUNTY MEDICAL CENTER INC Both | NextBlue | Medicare Advantage | $2,049.00 | $4,455.00 | $4,010.00 | 2025-08-27 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Both | United Healthcare | Medicare Advantage | $2,049.00 | $4,455.00 | $4,010.00 | 2025-08-27 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Both | Aetna | Commercial | $3,341.00 | $4,455.00 | $4,010.00 | 2025-08-27 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Both | Provider Network of America | Commercial | $3,564.00 | $4,455.00 | $4,010.00 | 2025-08-27 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Both | First Choice Health | Commercial | $4,010.00 | $4,455.00 | $4,010.00 | 2025-08-27 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Both | Humana | Choice Care | $4,232.00 | $4,455.00 | $4,010.00 | 2025-08-27 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Both | Health Partners | Commercial | $4,232.00 | $4,455.00 | $4,010.00 | 2025-08-27 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Both | Sanford Health Plan | Commercial | $4,232.00 | $4,455.00 | $4,010.00 | 2025-08-27 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Both | Blue Cross Blue Shield | PPO | $4,455.00 | $4,455.00 | $4,010.00 | 2025-08-27 | MRF ↗ |