RX-167490 — Antihemoph.fviii,b-dom Truncat 1,000 (+/-) Unit IV Solr
Cite this view
HANK Price Transparency. (n.d.). ANTIHEMOPH.FVIII,B-DOM TRUNCAT 1,000 (+/-) UNIT IV SOLR (OTHER RX-167490) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/RX-167490?code_type=OTHER
“ANTIHEMOPH.FVIII,B-DOM TRUNCAT 1,000 (+/-) UNIT IV SOLR (OTHER RX-167490) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/RX-167490?code_type=OTHER. Accessed .
“ANTIHEMOPH.FVIII,B-DOM TRUNCAT 1,000 (+/-) UNIT IV SOLR (OTHER RX-167490) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/RX-167490?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,777–$680,717 (25th–75th percentile) across 1 hospital · 12 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER RX-167490 — 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 | Cigna | Hmo Ppo Pos | $1,460.00 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Cigna | Hmo Ppo Pos | $1,460.00 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Advantage Hmo | $1,573.80 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Advantage Hmo | $1,573.80 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Aetna | Ppo | $2,288.00 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Aetna | Hmo | $2,288.00 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Aetna | Hmo | $2,288.00 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Aetna | Ppo | $2,288.00 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Ppo Hmo | $2,508.00 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Ppo Hmo | $2,508.00 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Essentials Hmo | $2,867.00 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Essentials Hmo | $2,867.00 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ut Select | $3,111.00 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ut Select | $3,111.00 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ppo Pos | $3,159.80 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ppo Pos | $3,159.80 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $560,752.41 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $560,752.41 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $560,752.41 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $560,752.41 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $560,752.41 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $560,752.41 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $560,752.41 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $560,752.41 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $560,866.39 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $560,866.39 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $661,775.41 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $661,775.41 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $661,775.41 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $661,775.41 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Wellpoint | Medicaid | $737,540.98 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Wellpoint | Medicaid | $737,540.98 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $995,680.32 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $995,680.32 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Utmb Multi-Share | All Contracted Plans | $1,441,557.37 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Utmb Multi-Share | All Contracted Plans | $1,441,557.37 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Multiplan | Ppo | $2,681,967.20 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Multiplan | Ppo | $2,681,967.20 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Healthsmart | All Contracted Plans | $2,849,590.15 | $3,352,459.00 | $3,352,459.00 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Healthsmart | All Contracted Plans | $2,849,590.15 | $3,352,459.00 | $3,475.78 | 2026-05-24 | MRF ↗ |