Rx68382039601_J3490_100095_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_100095_000) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Rx68382039601_J3490_100095_000?code_type=OTHER
“SODIUM BENZOATE 10 -SODIUM PHENYLACETATE 10 INTRA (OTHER Rx68382039601_J3490_100095_000) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Rx68382039601_J3490_100095_000?code_type=OTHER. Accessed .
“SODIUM BENZOATE 10 -SODIUM PHENYLACETATE 10 INTRA (OTHER Rx68382039601_J3490_100095_000) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Rx68382039601_J3490_100095_000?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $27,022–$215,376 (25th–75th percentile) across 1 hospital · 19 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER Rx68382039601_J3490_100095_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 HILLCREST HOSPITAL | Medicaid Other | — | $629.77 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $649.85 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Bluechoice Medicaid | — | $691.33 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Medicaid | — | $700.72 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Molina Medicaid | — | $712.07 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Select Health Medicaid | — | $712.07 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Absolute Total Care Medicaid | — | $725.90 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Humana Healthy Horizons Medicaid | — | $749.77 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Tricare Humana Military | — | $35,779.80 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Tricare | — | $35,779.80 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Medicare | — | $47,960.21 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Medicare Advantage Non Contracted | — | $48,585.65 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna Medicare | — | $49,038.07 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Select Health First Choice Vip | — | $99,645.00 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna Prisma Health | — | $99,645.00 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $104,484.90 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Bcbs Exchange | — | $107,616.60 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna Whole Health Of Sc | — | $145,197.00 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Cigna Local Plus | — | $150,606.30 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna Sc Preferred | — | $170,820.00 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Cigna Hmo Ppo | — | $184,200.90 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Bcbs Preferred Ppc | — | $200,713.50 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Aetna | — | $210,678.00 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | United Healthcare | — | $211,247.40 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Tricare Humana Military | — | $227,760.00 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Cigna Behavioral Health | — | $227,760.00 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | First Health-Aetna Rental Network | — | $227,760.00 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Tricare | — | $227,760.00 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Multiplan | — | $241,995.00 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Humana Choicecare Ppo | — | $241,995.00 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Cigna Local Plus | — | $284,700.00 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL | Cigna Hmo Ppo | — | $284,700.00 | $284,700.00 | $185,055.00 | 2026-10-02 | MRF ↗ |