RX-163983 — Hum Prothrombin Cplx, 4-factor 500 Unit (400-620 Unit) IV Solr
Cite this view
HANK Price Transparency. (n.d.). HUM PROTHROMBIN CPLX, 4-FACTOR 500 UNIT (400-620 UNIT) IV SOLR (OTHER RX-163983) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/RX-163983?code_type=OTHER
“HUM PROTHROMBIN CPLX, 4-FACTOR 500 UNIT (400-620 UNIT) IV SOLR (OTHER RX-163983) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/RX-163983?code_type=OTHER. Accessed .
“HUM PROTHROMBIN CPLX, 4-FACTOR 500 UNIT (400-620 UNIT) IV SOLR (OTHER RX-163983) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/RX-163983?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,380–$506,069 (25th–75th percentile) across 1 hospital · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER RX-163983 — 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 | Blue Cross | Blue Advantage Hmo | $1,683.45 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Advantage Hmo | $1,683.45 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Ppo Hmo | $1,765.50 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Ppo Hmo | $1,765.50 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Essentials Hmo | $3,066.75 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Essentials Hmo | $3,066.75 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ut Select | $3,327.75 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ut Select | $3,327.75 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ppo Pos | $3,379.95 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ppo Pos | $3,379.95 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $285,010.64 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $285,010.64 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $285,010.64 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $285,010.64 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $285,010.64 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $285,010.64 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $285,010.64 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $285,010.64 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $285,068.58 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $285,068.58 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $336,357.07 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $336,357.07 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $336,357.07 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $336,357.07 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Wellpoint | Medicaid | $374,866.03 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Wellpoint | Medicaid | $374,866.03 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $506,069.14 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $506,069.14 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Utmb Multi-Share | All Contracted Plans | $732,692.70 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Utmb Multi-Share | All Contracted Plans | $732,692.70 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Cigna | Hmo Ppo Pos | $937,165.08 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Cigna | Hmo Ppo Pos | $937,165.08 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Multiplan | Ppo | $1,363,149.20 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Multiplan | Ppo | $1,363,149.20 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Healthsmart | All Contracted Plans | $1,448,346.03 | $1,703,936.50 | $3,717.95 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Healthsmart | All Contracted Plans | $1,448,346.03 | $1,703,936.50 | $1,703,936.50 | 2026-05-24 | MRF ↗ |