Rx68382039601_J3490_1000009_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_1000009_000) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Rx68382039601_J3490_1000009_000?code_type=OTHER
“SODIUM BENZOATE 10 -SODIUM PHENYLACETATE 10 INTRA (OTHER Rx68382039601_J3490_1000009_000) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Rx68382039601_J3490_1000009_000?code_type=OTHER. Accessed .
“SODIUM BENZOATE 10 -SODIUM PHENYLACETATE 10 INTRA (OTHER Rx68382039601_J3490_1000009_000) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Rx68382039601_J3490_1000009_000?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $41,036–$217,796 (25th–75th percentile) across 1 hospital · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER Rx68382039601_J3490_1000009_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 BAPTIST PARKRIDGE | Medicaid Sc | — | $866.18 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $909.50 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $926.82 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $952.80 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bluechoice Medicaid | — | $987.46 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $1,022.10 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Tricare Humana Military | — | $35,756.71 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Dual Options | — | $56,874.63 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health First Choice Vip | — | $85,410.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Prisma Health | — | $99,645.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | United Healthcare Options Ppo | — | $134,807.75 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Whole Health Of Sc | — | $136,656.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Ambetter-Atc Exchange | — | $136,789.50 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bcbs Exchange | — | $162,279.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Sc Preferred | — | $170,820.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Cigna Hmo Ppo | — | $179,645.70 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna | — | $204,984.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Carelink By Aetna Exchange | — | $213,525.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Choicecare Ppo | — | $213,525.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bcbs Preferred Ppc | — | $219,219.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Ppo | — | $227,760.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna | — | $233,454.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Multiplan | — | $244,842.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Ppo | — | $256,230.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | First Health-Aetna Rental Network | — | $256,230.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Tricare Humana Military | — | $284,700.00 | $284,700.00 | $185,055.00 | 2026-07-05 | MRF ↗ |