RX_151229_1 (OTHER) — raw rate rows

OTHER · raw rates

RX_151229_1 — Injection, Ipilimumab, 1 Mg

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

View state-by-state → View hospital-by-hospital →

Typical negotiated price $106,320

Usually $105,467–$106,888 (25th–75th percentile) across 1 hospital · 4 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER RX_151229_1 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

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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
GREAT PLAINS HEALTH	Ntc_Commercial__Ambetter_-All_Plans	—	$104,613.84	$113,710.70	$68,226.42	2026-07-17	MRF ↗
GREAT PLAINS HEALTH	Oscar_Health_Midlands_Choice_Premier-All_Plans	—	$105,750.95	$113,710.70	$68,226.42	2026-07-17	MRF ↗
GREAT PLAINS HEALTH	Geha-All_Plans	—	$106,888.06	$113,710.70	$68,226.42	2026-07-17	MRF ↗
GREAT PLAINS HEALTH	Mutual_Of_Omaha__Aetna_-All_Plans	—	$106,888.06	$113,710.70	$68,226.42	2026-07-17	MRF ↗