RX-1001972 — Human Prothrombin Complex-lans 500 Unit IV Solr
Cite this view
HANK Price Transparency. (n.d.). HUMAN PROTHROMBIN COMPLEX-LANS 500 UNIT IV SOLR (OTHER RX-1001972) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/RX-1001972?code_type=OTHER
“HUMAN PROTHROMBIN COMPLEX-LANS 500 UNIT IV SOLR (OTHER RX-1001972) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/RX-1001972?code_type=OTHER. Accessed .
“HUMAN PROTHROMBIN COMPLEX-LANS 500 UNIT IV SOLR (OTHER RX-1001972) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/RX-1001972?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,118–$352,318 (25th–75th percentile) across 1 hospital · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER RX-1001972 — 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 |
|---|---|---|---|---|---|---|---|
| Utmb Galveston Transplant Both | United Healthcare | Ppo Hmo | $1,039.50 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Ppo Hmo | $1,039.50 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Advantage Hmo | $2,051.10 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Advantage Hmo | $2,051.10 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Essentials Hmo | $3,736.50 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Essentials Hmo | $3,736.50 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ut Select | $4,054.50 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ut Select | $4,054.50 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ppo Pos | $4,118.10 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ppo Pos | $4,118.10 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $198,420.46 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $198,420.46 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $198,420.46 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $198,420.46 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $198,420.46 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $198,420.46 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $198,420.46 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $198,420.46 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $198,460.80 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $198,460.80 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $234,167.13 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $234,167.13 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $234,167.13 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $234,167.13 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Wellpoint | Medicaid | $260,976.54 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Wellpoint | Medicaid | $260,976.54 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $352,318.33 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $352,318.33 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Utmb Multi-Share | All Contracted Plans | $510,090.51 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Utmb Multi-Share | All Contracted Plans | $510,090.51 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Cigna | Hmo Ppo Pos | $652,441.35 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Cigna | Hmo Ppo Pos | $652,441.35 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Multiplan | Ppo | $949,005.60 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Multiplan | Ppo | $949,005.60 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Healthsmart | All Contracted Plans | $1,008,318.45 | $1,186,257.00 | $4,529.91 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Healthsmart | All Contracted Plans | $1,008,318.45 | $1,186,257.00 | $1,186,257.00 | 2026-05-24 | MRF ↗ |