RX-92869 — Pegaspargase 750 Unit/ml Injection Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION (CDM RX-92869) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/RX-92869?code_type=CDM
MLA (9th ed.)
“PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION (CDM RX-92869) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/RX-92869?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION (CDM RX-92869) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/RX-92869?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $49,834–$73,257 (25th–75th percentile) across 2 hospitals · 24 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM RX-92869 — 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 Both | GENERIC HOSPICE [85998] | MI CURO / SOUTHERNCARE HOSPICE | $14,238.43 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | MI AETNA | $46,274.89 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | MERITAIN HEALTH [85229] | MI AETNA | $46,274.89 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | MI AETNA | $46,274.89 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | AETNA COMMERCIAL [85189] | MI AETNA | $46,274.89 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | GENERIC COMMERCIAL [85995] | MI FIRST HEALTH COMMERCIAL | $49,834.50 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| Infirmary Ltac Hospital Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $49,834.50 | $71,192.14 | $71,192.14 | 2025-11-02 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $49,834.50 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | FIRST HEALTH NETWORK [85081] | MI FIRST HEALTH COMMERCIAL | $49,834.50 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HEALTH CHOICE [85751] | MI Health Choice | $49,834.50 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HUMANA COMMERCIAL [85368] | MI HUMANA | $49,834.50 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $49,834.50 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | MAIL HANDLERS [85221] | MI FIRST HEALTH COMMERCIAL | $49,834.50 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | FIRST HEALTH NETWORK [85081] | MI FIRST HEALTH COMMERCIAL | $49,834.50 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | HUMANA COMMERCIAL [85368] | MI HUMANA | $49,834.50 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HEALTH CHOICE [85751] | MI Health Choice | $49,834.50 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HUMANA COMMERCIAL [85368] | MI HUMANA | $49,834.50 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | HEALTH CHOICE [85751] | MI Health Choice | $49,834.50 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | CIGNA COMMERCIAL [85040] | CIGNA | $49,834.50 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | GENERIC COMMERCIAL [85995] | MI Health Choice | $49,834.50 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $53,394.11 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | PHCS NETWORK [85240] | MI Private Healthcare Systems (PHCS) | $53,394.11 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | OTHER ARRANGED [85999] | BAY POINTE EAST POINTE ALTAPOINTE | $53,394.11 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $53,394.11 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | GLOBAL EXCEL MANAGEMENT [85585] | MI Private Healthcare Systems (PHCS) | $53,394.11 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $53,394.11 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | GENERIC COMMERCIAL [85995] | MI Private Healthcare Systems (PHCS) | $53,394.11 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA COMMERCIAL [85130] | MI VIVA | $56,953.71 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | MULTIPLAN NETWORK [85552] | MI MULTI PLAN | $56,953.71 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| Infirmary Ltac Hospital Both | AETNA COMMERCIAL [85189] | LTCH AETNA | $56,953.71 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | WC PMA COMPANIES [5642] | MI MULTI PLAN | $56,953.71 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA COMMERCIAL [85130] | MI VIVA | $56,953.71 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | GENERIC WORKERS' COMP [85992] | MI MULTI PLAN | $56,953.71 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | VIVA COMMERCIAL [85130] | MI VIVA | $56,953.71 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| Infirmary Ltac Hospital Outpatient | AETNA COMMERCIAL [85189] | LTCH AETNA | $56,953.71 | $71,192.14 | $71,192.14 | 2025-11-02 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MULTIPLAN NETWORK [85552] | MI MULTI PLAN | $56,953.71 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MULTIPLAN NETWORK [85552] | MI MULTI PLAN | $56,953.71 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| Infirmary Ltac Hospital Both | WC CONSTRUCTION CLAIMS MANAGEMENT INC [5454] | LTCH DEPT. OF LABOR WC - MEDICARE | $71,192.14 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| Infirmary Ltac Hospital Outpatient | BLUE ADVANTAGE [85293] | LTCH BLUE ADVANTAGE - MEDICARE ADVANTAGE | $71,192.14 | $71,192.14 | $71,192.14 | 2025-11-02 | MRF ↗ |
| Infirmary Ltac Hospital Both | BLUE ADVANTAGE [85293] | LTCH BLUE ADVANTAGE - MEDICARE ADVANTAGE | $71,192.14 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| Infirmary Ltac Hospital Both | BLUE ADVANTAGE VACCINE [85295] | LTCH BLUE ADVANTAGE - MEDICARE ADVANTAGE | $71,192.14 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| Infirmary Ltac Hospital Both | BLUE CROSS [85294] | LTCH BLUE ADVANTAGE - MEDICARE ADVANTAGE | $71,192.14 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| Infirmary Ltac Hospital Both | GENERIC WORKERS' COMP [85992] | LTCH DEPT. OF LABOR WC - MEDICARE | $71,192.14 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| Infirmary Ltac Hospital Both | US DEPARTMENT OF LABOR [5361] | LTCH DEPT. OF LABOR WC - MEDICARE | $71,192.14 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| Infirmary Ltac Hospital Both | CIGNA HEALTHSPRING MEDICARE ADVANTAGE VACCINE [85204] | LTCH HEALTHSPRING - MEDICARE ADVANTAGE | $73,256.71 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| Infirmary Ltac Hospital Outpatient | CIGNA HEALTHSPRING MEDICARE ADVANTAGE [85203] | LTCH HEALTHSPRING - MEDICARE ADVANTAGE | $73,256.71 | $71,192.14 | $71,192.14 | 2025-11-02 | MRF ↗ |
| Infirmary Ltac Hospital Both | CIGNA HEALTHSPRING MEDICARE ADVANTAGE [85203] | LTCH HEALTHSPRING - MEDICARE ADVANTAGE | $73,256.71 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | BLUE CROSS [85294] | MI Blue Cross (BCBS) | $117,885.05 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | BLUE CROSS [85294] | MI Blue Cross (BCBS) | $117,885.05 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Both | BLUE CROSS [85294] | MI Blue Cross (BCBS) | $117,885.05 | $71,192.14 | $71,192.14 | 2026-08-28 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE VACCINE [85099] | MI UHC MEDICARE ADVANTAGE | $142,120.30 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA MEDICARE ADVANTAGE [85132] | MI VIVA MEDICARE ADVANTAGE | $142,120.30 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | US DEPARTMENT OF LABOR [5361] | MI DEPT OF LABOR WC - MEDICARE | $142,120.30 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | BLUE ADVANTAGE [85293] | MI BLUE ADVANTAGE - MEDICARE ADVANTAGE | $142,120.30 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | BLUE ADVANTAGE [85293] | MI BLUE ADVANTAGE - MEDICARE ADVANTAGE | $142,120.30 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOSPICE [85998] | MI COMFORTCARE MERCY HOSPICE 90% - MEDICARE OUTPT | $142,120.30 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | US DEPARTMENT OF LABOR [5361] | MI DEPT OF LABOR WC - MEDICARE | $142,120.30 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA MEDICARE ADVANTAGE [85132] | MI VIVA MEDICARE ADVANTAGE | $142,120.30 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE VACCINE [85099] | MI UHC MEDICARE ADVANTAGE | $142,120.30 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOSPICE [85998] | MI COMFORTCARE MERCY HOSPICE 90% - MEDICARE OUTPT | $142,120.30 | $71,192.14 | $71,192.14 | 2025-10-30 | MRF ↗ |