RX-69676 — Anti-inhibitor Coagulant Cmplx 1,750-3,250 Unit IV Solr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ANTI-INHIBITOR COAGULANT CMPLX 1,750-3,250 UNIT IV SOLR (OTHER RX-69676) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/RX-69676?code_type=OTHER
MLA (9th ed.)
“ANTI-INHIBITOR COAGULANT CMPLX 1,750-3,250 UNIT IV SOLR (OTHER RX-69676) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/RX-69676?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“ANTI-INHIBITOR COAGULANT CMPLX 1,750-3,250 UNIT IV SOLR (OTHER RX-69676) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/RX-69676?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,282–$162,456 (25th–75th percentile) across 1 hospital · 12 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER RX-69676 — 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 | Wellpoint | Medicaid | $10,001,507.07 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $8,974,079.52 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Wellpoint | Medicaid | $10,001,507.07 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Advantage Hmo | $5,676.00 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Utmb Multi-Share | All Contracted Plans | $19,548,400.17 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $7,604,145.82 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $7,605,691.51 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $7,605,691.51 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $7,604,145.82 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $7,604,145.82 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $7,604,145.82 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $7,604,145.82 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $13,502,034.54 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $7,604,145.82 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $7,604,145.82 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $13,502,034.54 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Healthsmart | All Contracted Plans | $38,642,186.39 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Healthsmart | All Contracted Plans | $38,642,186.39 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $7,604,145.82 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Multiplan | Ppo | $36,369,116.60 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $8,974,079.52 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Multiplan | Ppo | $36,369,116.60 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Advantage Hmo | $5,676.00 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $8,974,079.52 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $8,974,079.52 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Utmb Multi-Share | All Contracted Plans | $19,548,400.17 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Cigna | Hmo Ppo Pos | $5,750.00 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Cigna | Hmo Ppo Pos | $5,750.00 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Aetna | Ppo | $9,440.00 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Aetna | Hmo | $9,440.00 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Aetna | Hmo | $9,440.00 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Aetna | Ppo | $9,440.00 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Ppo Hmo | $10,106.25 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Ppo Hmo | $10,106.25 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Essentials Hmo | $10,340.00 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Blue Essentials Hmo | $10,340.00 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ut Select | $11,220.00 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ut Select | $11,220.00 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ppo Pos | $11,396.00 | $45,461,395.75 | $45,461,395.75 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Blue Cross | Ppo Pos | $11,396.00 | $45,461,395.75 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $133,825.70 | $800,077.13 | $800,077.13 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $133,825.70 | $800,077.13 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $133,825.70 | $800,077.13 | $800,077.13 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $133,825.70 | $800,077.13 | $800,077.13 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $133,825.70 | $800,077.13 | $800,077.13 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $133,825.70 | $800,077.13 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $133,825.70 | $800,077.13 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $133,825.70 | $800,077.13 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $133,852.90 | $800,077.13 | $800,077.13 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $133,852.90 | $800,077.13 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $157,935.23 | $800,077.13 | $800,077.13 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $157,935.23 | $800,077.13 | $800,077.13 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $157,935.23 | $800,077.13 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $157,935.23 | $800,077.13 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Wellpoint | Medicaid | $176,016.97 | $800,077.13 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Wellpoint | Medicaid | $176,016.97 | $800,077.13 | $800,077.13 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $237,622.91 | $800,077.13 | $800,077.13 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $237,622.91 | $800,077.13 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Utmb Multi-Share | All Contracted Plans | $344,033.17 | $800,077.13 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Utmb Multi-Share | All Contracted Plans | $344,033.17 | $800,077.13 | $800,077.13 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Multiplan | Ppo | $640,061.70 | $800,077.13 | $800,077.13 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Multiplan | Ppo | $640,061.70 | $800,077.13 | $12,535.60 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Healthsmart | All Contracted Plans | $680,065.56 | $800,077.13 | $800,077.13 | 2026-05-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Healthsmart | All Contracted Plans | $680,065.56 | $800,077.13 | $12,535.60 | 2026-05-24 | MRF ↗ |