Rx-173899 (CDM) — raw rate rows

CDM · raw rates

Rx-173899 — Ryanodex 250 Mg Vial

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

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Typical negotiated price $4,000

Usually $3,153–$4,295 (25th–75th percentile) across 1 hospital · 5 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM Rx-173899 — 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
VAN BUREN COUNTY HOSPITAL Outpatient	UHC MCR ADV	UHC MCR ADV	$2,682.64	$4,706.39	$3,294.47	2026-04-06	MRF ↗
VAN BUREN COUNTY HOSPITAL Outpatient	AETNA MCARE	AETNA MCARE	$3,012.09	$4,706.39	$3,294.47	2026-04-06	MRF ↗
VAN BUREN COUNTY HOSPITAL Outpatient	HEALTH PARTNERS - ALL PLANS	HEALTH PARTNERS - ALL PLANS	$3,294.47	$4,706.39	$3,294.47	2026-04-06	MRF ↗
VAN BUREN COUNTY HOSPITAL Outpatient	AETNA COMM - ALL OTHER PLANS	AETNA COMM - ALL OTHER PLANS	$4,000.43	$4,706.39	$3,294.47	2026-04-06	MRF ↗
VAN BUREN COUNTY HOSPITAL Outpatient	OSCAR - ALL PLANS	OSCAR - ALL PLANS	$4,023.96	$4,706.39	$3,294.47	2026-04-06	MRF ↗
VAN BUREN COUNTY HOSPITAL Outpatient	CIGNA - ALL PLANS	CIGNA - ALL PLANS	$4,565.20	$4,706.39	$3,294.47	2026-04-06	MRF ↗
VAN BUREN COUNTY HOSPITAL Outpatient	UHC COMM - ALL OTHER PLANS	UHC COMM - ALL OTHER PLANS	$4,612.26	$4,706.39	$3,294.47	2026-04-06	MRF ↗