RX-166350 — Factor Xiii A-subunitrecombinant 2500 Unit Intravenous Solution
Cite this view
HANK Price Transparency. (n.d.). FACTOR XIII A-SUBUNITRECOMBINANT 2500 UNIT INTRAVENOUS SOLUTION (CDM RX-166350) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/RX-166350?code_type=CDM
“FACTOR XIII A-SUBUNITRECOMBINANT 2500 UNIT INTRAVENOUS SOLUTION (CDM RX-166350) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/RX-166350?code_type=CDM. Accessed .
“FACTOR XIII A-SUBUNITRECOMBINANT 2500 UNIT INTRAVENOUS SOLUTION (CDM RX-166350) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/RX-166350?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $45,735–$115,349 (25th–75th percentile) across 2 hospitals · 13 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM RX-166350 — 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 |
|---|---|---|---|---|---|---|---|
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA MEDICARE ADVANTAGE [85132] | MI VIVA MEDICARE ADVANTAGE | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | BLUE ADVANTAGE [85293] | MI BLUE ADVANTAGE - MEDICARE ADVANTAGE | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA MEDICARE ADVANTAGE [85132] | MI VIVA MEDICARE ADVANTAGE | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | US DEPARTMENT OF LABOR [5361] | MI DEPT OF LABOR WC - MEDICARE | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOSPICE [85998] | MI COMFORTCARE MERCY HOSPICE 90% - MEDICARE OUTPT | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | US DEPARTMENT OF LABOR [5361] | MI DEPT OF LABOR WC - MEDICARE | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOSPICE [85998] | MI COMFORTCARE MERCY HOSPICE 90% - MEDICARE OUTPT | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA MEDICARE ADVANTAGE [85132] | MI VIVA MEDICARE ADVANTAGE | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE VACCINE [85099] | MI UHC MEDICARE ADVANTAGE | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | BLUE ADVANTAGE [85293] | MI BLUE ADVANTAGE - MEDICARE ADVANTAGE | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE VACCINE [85099] | MI UHC MEDICARE ADVANTAGE | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOSPICE [85998] | MI COMFORTCARE MERCY HOSPICE 90% - MEDICARE OUTPT | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | US DEPARTMENT OF LABOR [5361] | MI DEPT OF LABOR WC - MEDICARE | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | BLUE ADVANTAGE [85293] | MI BLUE ADVANTAGE - MEDICARE ADVANTAGE | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE VACCINE [85099] | MI UHC MEDICARE ADVANTAGE | $45,735.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | MI AETNA | $96,744.38 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | MI AETNA | $96,744.38 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | MI AETNA | $96,744.38 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | FIRST HEALTH NETWORK [85081] | MI FIRST HEALTH COMMERCIAL | $104,186.25 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HEALTH CHOICE [85751] | MI Health Choice | $104,186.25 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | FIRST HEALTH NETWORK [85081] | MI FIRST HEALTH COMMERCIAL | $104,186.25 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $104,186.25 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HUMANA COMMERCIAL [85368] | MI HUMANA | $104,186.25 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $104,186.25 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | FIRST HEALTH NETWORK [85081] | MI FIRST HEALTH COMMERCIAL | $104,186.25 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HEALTH CHOICE [85751] | MI Health Choice | $104,186.25 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HUMANA COMMERCIAL [85368] | MI HUMANA | $104,186.25 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| Infirmary Ltac Hospital Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $104,186.25 | $148,837.50 | $148,837.50 | 2025-11-02 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HEALTH CHOICE [85751] | MI Health Choice | $104,186.25 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| Infirmary Ltac Hospital Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $104,186.25 | $148,837.50 | $148,837.50 | 2025-11-02 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $104,186.25 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HUMANA COMMERCIAL [85368] | MI HUMANA | $104,186.25 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $111,628.13 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $111,628.13 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $111,628.13 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MULTIPLAN NETWORK [85552] | MI MULTI PLAN | $119,070.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA COMMERCIAL [85130] | MI VIVA | $119,070.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MULTIPLAN NETWORK [85552] | MI MULTI PLAN | $119,070.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA COMMERCIAL [85130] | MI VIVA | $119,070.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MULTIPLAN NETWORK [85552] | MI MULTI PLAN | $119,070.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA COMMERCIAL [85130] | MI VIVA | $119,070.00 | $148,837.50 | $148,837.50 | 2025-10-30 | MRF ↗ |
| Infirmary Ltac Hospital Outpatient | AETNA COMMERCIAL [85189] | LTCH AETNA | $119,070.00 | $148,837.50 | $148,837.50 | 2025-11-02 | MRF ↗ |
| Infirmary Ltac Hospital Outpatient | AETNA COMMERCIAL [85189] | LTCH AETNA | $119,070.00 | $148,837.50 | $148,837.50 | 2025-11-02 | MRF ↗ |
| Infirmary Ltac Hospital Outpatient | BLUE ADVANTAGE [85293] | LTCH BLUE ADVANTAGE - MEDICARE ADVANTAGE | $148,837.50 | $148,837.50 | $148,837.50 | 2025-11-02 | MRF ↗ |
| Infirmary Ltac Hospital Outpatient | BLUE ADVANTAGE [85293] | LTCH BLUE ADVANTAGE - MEDICARE ADVANTAGE | $148,837.50 | $148,837.50 | $148,837.50 | 2025-11-02 | MRF ↗ |
| Infirmary Ltac Hospital Outpatient | CIGNA HEALTHSPRING MEDICARE ADVANTAGE [85203] | LTCH HEALTHSPRING - MEDICARE ADVANTAGE | $153,153.79 | $148,837.50 | $148,837.50 | 2025-11-02 | MRF ↗ |
| Infirmary Ltac Hospital Outpatient | CIGNA HEALTHSPRING MEDICARE ADVANTAGE [85203] | LTCH HEALTHSPRING - MEDICARE ADVANTAGE | $153,153.79 | $148,837.50 | $148,837.50 | 2025-11-02 | MRF ↗ |