RX-167491 — Antihemoph.fviii,b-dom Truncat 1,500 (+/-) Unit IV Solr
Cite this view
HANK Price Transparency. (n.d.). ANTIHEMOPH.FVIII,B-DOM TRUNCAT 1,500 (+/-) UNIT IV SOLR (OTHER RX-167491) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/RX-167491?code_type=OTHER
“ANTIHEMOPH.FVIII,B-DOM TRUNCAT 1,500 (+/-) UNIT IV SOLR (OTHER RX-167491) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/RX-167491?code_type=OTHER. Accessed .
“ANTIHEMOPH.FVIII,B-DOM TRUNCAT 1,500 (+/-) UNIT IV SOLR (OTHER RX-167491) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/RX-167491?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,762–$1,633,275 (25th–75th percentile) across 1 hospital · 10 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER RX-167491 — 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 | $2,190.00 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Healthsmart | All Contracted Plans | $7,032,846.03 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Multiplan | Ppo | $6,619,149.20 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Healthsmart | All Contracted Plans | $7,032,846.03 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Multiplan | Ppo | $6,619,149.20 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Cigna | Hmo Ppo Pos | $2,190.00 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Advantage Hmo | $2,360.70 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Advantage Hmo | $2,360.70 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Aetna | Hmo | $3,432.00 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Aetna | Ppo | $3,432.00 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Aetna | Hmo | $3,432.00 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Aetna | Ppo | $3,432.00 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Ppo Hmo | $3,762.00 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Ppo Hmo | $3,762.00 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Essentials Hmo | $4,300.50 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Essentials Hmo | $4,300.50 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ut Select | $4,666.50 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ut Select | $4,666.50 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ppo Pos | $4,739.70 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ppo Pos | $4,739.70 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $1,383,948.26 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $1,383,948.26 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $1,383,948.26 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $1,383,948.26 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $1,383,948.26 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $1,383,948.26 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $1,383,948.26 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $1,383,948.26 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $1,384,229.58 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $1,384,229.58 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $1,633,275.07 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $1,633,275.07 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $1,633,275.07 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $1,633,275.07 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Wellpoint | Medicaid | $1,820,266.03 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Wellpoint | Medicaid | $1,820,266.03 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $2,457,359.14 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $2,457,359.14 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Utmb Multi-Share | All Contracted Plans | $3,557,792.70 | $8,273,936.50 | $5,213.67 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Utmb Multi-Share | All Contracted Plans | $3,557,792.70 | $8,273,936.50 | $8,273,936.50 | 2026-05-24 | MRF ↗ |