87696 (OTHER) by hospital — Price Transparency

OTHER · across hospitals

87696 — Antithrombin Iii (human) 500 (+/-) Unit Intravenous Solution

Hospital-by-hospital median negotiated rates. Hospitals are ranked by their typical (median) negotiated rate (highest first by default; click a column to re-sort). Outliers are flagged where a hospital's median is more than 2× or less than 0.5× the cohort median (red = high, green = low).

$2,633 National median

$3,361 Cohort median

5 hospitals

2 states (national)

View state-by-state → Raw rate rows →

Estimate your cost

What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $520,506.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

Loading estimate…

Outliers ↑ 2 high ↓ 1 low out of 5 hospitals

Median negotiated rate, by hospital

Ranked by typical (median) negotiated price. Red = high outlier, green = low outlier, slate = in-range. Hover for IQR.

Median negotiated rate by hospital for 87696 (OTHER)
Hospital	State	Median	p25	p75	Outlier flag
FRANCISCAN HEALTH LAFAYETTE	IN	$1,718,274	$578	$2,009,678	high
FRANCISCAN HEALTH CROWN POINT	IN	$1,080,202	$951	$2,009,678	high
FRANCISCAN HEALTH RENSSELAER, INC	IN	$3,361	$1,254	$3,361	in range
NEW LONDON HOSPITAL	NH	$1,798	$1,341	$2,178	in range
FRANCISCAN HEALTH INDIANAPOLIS	IN	$951	$317	$1,567,915	low

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Hospital	State	City	Median	p25	p75	Min	Max	Cash $	Payers	Rates	Outlier

FRANCISCAN HEALTH LAFAYETTE	IN	Lafayette	$1,718,274	$578	$2,009,678	$317	$2,009,678	$520,506	57	84	↑ 511.2× high
FRANCISCAN HEALTH CROWN POINT	IN	Crown Point	$1,080,202	$951	$2,009,678	$317	$2,009,678	$600,894	38	78	↑ 321.4× high
FRANCISCAN HEALTH RENSSELAER, INC	IN	Rensselaer	$3,361	$1,254	$3,361	$951	$3,361	$1,200	56	89	in range
NEW LONDON HOSPITAL	NH	New London	$1,798	$1,341	$2,178	$1,224	$2,895	$1,393	12	32	in range
FRANCISCAN HEALTH INDIANAPOLIS	IN	Indianapolis	$951	$317	$1,567,915	$317	$2,250,166	$616,545	31	62	↓ 0.28× low