Rx24338005008_C9399_100094_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_100094_000) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Rx24338005008_C9399_100094_000?code_type=OTHER
“CARMUSTINE IN POLIFEPROSAN 77 MG WAFER FOR IMPLANT (OTHER Rx24338005008_C9399_100094_000) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Rx24338005008_C9399_100094_000?code_type=OTHER. Accessed .
“CARMUSTINE IN POLIFEPROSAN 77 MG WAFER FOR IMPLANT (OTHER Rx24338005008_C9399_100094_000) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Rx24338005008_C9399_100094_000?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $534,585–$1,521,873 (25th–75th percentile) across 1 hospital · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER Rx24338005008_C9399_100094_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 North Greenville Ltach | Bcbs Upstate Reedy (Greenville Co Only) | — | $10.04 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bcbs Exchange | — | $10.34 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bcbs Preferred Ppc | — | $21.40 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $2,045.05 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Tricare | — | $358,659.09 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | First Health-Wc | — | $525,202.10 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Gold Plus Medicare Advantage Hmo | — | $530,576.86 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare | — | $530,576.86 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare Prime Hmo | — | $535,920.51 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bcbs Medicare Advantage | — | $535,920.51 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Wellcare Medicare | — | $535,920.51 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Prisma Health | — | $665,819.35 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health First Choice Vip | — | $665,819.35 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | United Healthcare | — | $951,170.50 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Whole Health Of Sc | — | $970,193.91 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Cigna Local Plus | — | $1,006,338.39 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Sc Preferred | — | $1,141,404.60 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Cigna Hmo Ppo | — | $1,230,814.63 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna | — | $1,407,732.34 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare | — | $1,407,732.34 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Tricare Humana Military | — | $1,426,755.75 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Tricare Humana Military | — | $1,521,872.80 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Tricare | — | $1,521,872.80 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | First Health-Aetna Rental Network | — | $1,521,872.80 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Cigna Behavioral Health | — | $1,521,872.80 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Multiplan | — | $1,616,989.85 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Choicecare Ppo | — | $1,616,989.85 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Cigna Hmo Ppo | — | $1,902,341.00 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bcbs Exchange | — | $1,902,341.00 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bcbs Preferred Ppc | — | $1,902,341.00 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Cigna Local Plus | — | $1,902,341.00 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bcbs Upstate Reedy (Greenville Co Only) | — | $1,902,341.00 | $1,902,341.00 | $1,236,522.00 | 2026-07-05 | MRF ↗ |