Rx24338005008_C9399_1000010_000 — Carmustine In Polifeprosan 77 Mg Wafer For Implant
Cite this view
HANK Price Transparency. (n.d.). CARMUSTINE IN POLIFEPROSAN 77 MG WAFER FOR IMPLANT (OTHER Rx24338005008_C9399_1000010_000) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Rx24338005008_C9399_1000010_000?code_type=OTHER
“CARMUSTINE IN POLIFEPROSAN 77 MG WAFER FOR IMPLANT (OTHER Rx24338005008_C9399_1000010_000) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Rx24338005008_C9399_1000010_000?code_type=OTHER. Accessed .
“CARMUSTINE IN POLIFEPROSAN 77 MG WAFER FOR IMPLANT (OTHER Rx24338005008_C9399_1000010_000) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Rx24338005008_C9399_1000010_000?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $570,702–$1,464,803 (25th–75th percentile) across 1 hospital · 15 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER Rx24338005008_C9399_1000010_000 — 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 |
|---|---|---|---|---|---|---|---|
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $819.56 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $842.53 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $873.17 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $903.81 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $915.98 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $980.09 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Tricare Humana Military | — | $358,656.01 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health First Choice Vip | — | $570,702.30 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Prisma Health | — | $665,819.35 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Whole Health Of Sc | — | $913,123.68 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bcbs Exchange | — | $970,193.91 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bcbs Exchange | — | $1,072,920.32 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Sc Preferred | — | $1,141,404.60 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Magellan Behavioral Health | — | $1,141,404.60 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Cigna Hmo Ppo | — | $1,200,377.17 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Whole Health Of Sc | — | $1,274,568.47 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna | — | $1,331,638.70 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Sc Preferred | — | $1,331,638.70 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Carelink By Aetna Exchange | — | $1,426,755.75 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Choicecare Ppo | — | $1,426,755.75 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bcbs Preferred Ppc | — | $1,462,900.26 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bcbs Preferred Ppc | — | $1,464,802.57 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Tricare Humana Military | — | $1,521,872.80 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Ppo | — | $1,521,872.80 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna | — | $1,559,919.62 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Multiplan | — | $1,636,013.26 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | First Health-Aetna Rental Network | — | $1,712,106.90 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Ppo | — | $1,712,106.90 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Cigna Behavioral Health | — | $1,712,106.90 | $1,902,341.00 | $1,236,521.65 | 2026-07-05 | MRF ↗ |