Rx68382039601_J3490_1000008_000 — Sodium Benzoate 10 -sodium Phenylacetate 10 Intra
Cite this view
HANK Price Transparency. (n.d.). SODIUM BENZOATE 10 -SODIUM PHENYLACETATE 10 INTRA (OTHER Rx68382039601_J3490_1000008_000) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Rx68382039601_J3490_1000008_000?code_type=OTHER
“SODIUM BENZOATE 10 -SODIUM PHENYLACETATE 10 INTRA (OTHER Rx68382039601_J3490_1000008_000) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Rx68382039601_J3490_1000008_000?code_type=OTHER. Accessed .
“SODIUM BENZOATE 10 -SODIUM PHENYLACETATE 10 INTRA (OTHER Rx68382039601_J3490_1000008_000) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Rx68382039601_J3490_1000008_000?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $60,592–$223,490 (25th–75th percentile) across 1 hospital · 15 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER Rx68382039601_J3490_1000008_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 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $842.53 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $873.18 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $903.81 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $915.98 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $980.10 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Tricare Humana Military | — | $35,774.86 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health First Choice Vip | — | $85,410.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Prisma Health | — | $99,645.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Whole Health Of Sc | — | $136,656.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bcbs Exchange | — | $160,570.80 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Sc Preferred | — | $170,820.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Magellan Behavioral Health | — | $170,820.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Cigna Hmo Ppo | — | $179,645.70 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Whole Health Of Sc | — | $190,749.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna | — | $199,290.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Sc Preferred | — | $199,290.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Carelink By Aetna Exchange | — | $213,525.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Choicecare Ppo | — | $213,525.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bcbs Preferred Ppc | — | $219,219.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Ppo | — | $227,760.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Tricare Humana Military | — | $227,760.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna | — | $233,454.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Multiplan | — | $244,842.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | First Health-Aetna Rental Network | — | $256,230.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Cigna Behavioral Health | — | $256,230.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Ppo | — | $256,230.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |