Paired Kidney Exchange: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Paired Kidney Exchange appears in disclosed negotiated rates across 1 hospital and 11 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

11 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ALTEPLASE TPA 1 MG ML SYRINGE EVD CLEARANCE Outpatient	The Hospital of the University of Pennsylvania	J2997 HCPCS	$255	$255	$44.83 – $255	—
AMINOCAPROIC ACID IVPB 10G 100ML NSS CNR Outpatient	The Hospital of the University of Pennsylvania	J0290 HCPCS	$75.00	$75.00	$0.49 – $75.00	—
CEFAZOLIN 100 MG ML ANESTHESIA PPMC Outpatient	The Hospital of the University of Pennsylvania	J0690 HCPCS	$2.00	$2.00	$0.22 – $2.00	—
CIDOFOVIR 15 MG ML IV SOLN Outpatient	The Hospital of the University of Pennsylvania	J0740 HCPCS	$533	$533	$93.70 – $1,213	—
DEXAMETHASONE IVPB 10MG 50ML NSS CNR Outpatient	The Hospital of the University of Pennsylvania	J1100 HCPCS	$23.00	$23.00	$0.09 – $23.00	—
DEXAMETHASONE IVPB 12MG 50ML NSS CNR Outpatient	The Hospital of the University of Pennsylvania	J1100 HCPCS	$24.00	$24.00	$0.09 – $24.00	—
DEXAMETHASONE IVPB 8MG 50ML NSS CNR Outpatient	The Hospital of the University of Pennsylvania	J1100 HCPCS	$22.00	$22.00	$0.09 – $22.00	—
EPOPROSTENOL FLOLAN 1 5 MG IN 50 ML INHALATION S Outpatient	The Hospital of the University of Pennsylvania	J1325 HCPCS	$170	$170	$15.39 – $170	—
FENTANYL PCA 250 MCG 25ML CNR Outpatient	The Hospital of the University of Pennsylvania	J3010 HCPCS	$1,080	$1,080	$0.85 – $1,080	—
HYDROMORPHONE PCA HIGH CONCENTRATION 150 MG 30ML Outpatient	The Hospital of the University of Pennsylvania	J1171 HCPCS	$204	$204	$0.09 – $204	—
SUCCINYLCHOLINE CHLORIDE 20 MG ML IV SOSY WRAPPER Outpatient	The Hospital of the University of Pennsylvania	J0330 HCPCS	$49.00	$49.00	$0.81 – $49.00	—