Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [1743]

Facility

OP

$1.27

Service Code	CPT J0736
Hospital Charge Code	1720473
Hospital Revenue Code	636
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$0.95
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.76
Rate for Payer: Aetna of CA Government/Medicare	$0.76
Rate for Payer: Cash Price	$0.57
Rate for Payer: Health Smart Auto/Commercial	$0.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.76
Rate for Payer: LLUH Dept of Risk Management WC	$0.70
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.95

CLINDAMYCIN 1 % LOTION [19711]

Facility

IP

$2.31

Service Code	NDC 0168-0203-60
Hospital Charge Code	1743742
Hospital Revenue Code	259
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$1.85
Rate for Payer: Cash Price	$1.04
Rate for Payer: Cigna of CA HMO/PPO	$1.85
Rate for Payer: Health Smart Auto/Commercial	$1.39
Rate for Payer: LLUH Dept of Risk Management WC	$1.27
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.73

CLINDAMYCIN 1 % LOTION [19711]

Facility

IP

$1.92

Service Code	NDC 59762-3744-1
Hospital Charge Code	1743742
Hospital Revenue Code	259
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$1.54
Rate for Payer: Cash Price	$0.86
Rate for Payer: Cigna of CA HMO/PPO	$1.54
Rate for Payer: Health Smart Auto/Commercial	$1.15
Rate for Payer: LLUH Dept of Risk Management WC	$1.06
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.44

CLINDAMYCIN 1 % LOTION [19711]

Facility

OP

$2.34

Service Code	NDC 0009-3329-01
Hospital Charge Code	1743742
Hospital Revenue Code	259
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.76
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.40
Rate for Payer: Aetna of CA Government/Medicare	$1.40
Rate for Payer: Cash Price	$1.05
Rate for Payer: Health Smart Auto/Commercial	$1.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.40
Rate for Payer: LLUH Dept of Risk Management WC	$1.29
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.76

CLINDAMYCIN 1 % LOTION [19711]

Facility

IP

$2.34

Service Code	NDC 0009-3329-01
Hospital Charge Code	1743742
Hospital Revenue Code	259
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.87
Rate for Payer: Cash Price	$1.05
Rate for Payer: Cigna of CA HMO/PPO	$1.87
Rate for Payer: Health Smart Auto/Commercial	$1.40
Rate for Payer: LLUH Dept of Risk Management WC	$1.29
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.76

CLINDAMYCIN 1 % LOTION [19711]

Facility

OP

$2.31

Service Code	NDC 0168-0203-60
Hospital Charge Code	1743742
Hospital Revenue Code	259
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$1.73
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.39
Rate for Payer: Aetna of CA Government/Medicare	$1.39
Rate for Payer: Cash Price	$1.04
Rate for Payer: Health Smart Auto/Commercial	$1.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.39
Rate for Payer: LLUH Dept of Risk Management WC	$1.27
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.73

CLINDAMYCIN 1 % LOTION [19711]

Facility

OP

$1.92

Service Code	NDC 59762-3744-1
Hospital Charge Code	1743742
Hospital Revenue Code	259
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$1.44
Rate for Payer: Health Smart Auto/Commercial	$1.15
Rate for Payer: Cash Price	$0.86
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.15
Rate for Payer: Aetna of CA Government/Medicare	$1.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.15
Rate for Payer: LLUH Dept of Risk Management WC	$1.06
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.44

CLINDAMYCIN 1 % TOPICAL GEL [9623]

Facility

IP

$2.76

Service Code	NDC 59762-3743-1
Hospital Charge Code	1743537
Hospital Revenue Code	259
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$2.21
Rate for Payer: Cash Price	$1.24
Rate for Payer: Cigna of CA HMO/PPO	$2.21
Rate for Payer: Health Smart Auto/Commercial	$1.66
Rate for Payer: LLUH Dept of Risk Management WC	$1.52
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.07

CLINDAMYCIN 1 % TOPICAL GEL [9623]

Facility

IP

$3.32

Service Code	NDC 0168-0202-30
Hospital Charge Code	1743537
Hospital Revenue Code	259
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$2.66
Rate for Payer: Cash Price	$1.49
Rate for Payer: Cigna of CA HMO/PPO	$2.66
Rate for Payer: Health Smart Auto/Commercial	$1.99
Rate for Payer: LLUH Dept of Risk Management WC	$1.83
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.49

CLINDAMYCIN 1 % TOPICAL GEL [9623]

Facility

OP

$2.76

Service Code	NDC 59762-3743-1
Hospital Charge Code	1743537
Hospital Revenue Code	259
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$2.07
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.66
Rate for Payer: Aetna of CA Government/Medicare	$1.66
Rate for Payer: Cash Price	$1.24
Rate for Payer: Health Smart Auto/Commercial	$1.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.66
Rate for Payer: LLUH Dept of Risk Management WC	$1.52
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.07

CLINDAMYCIN 1 % TOPICAL GEL [9623]

Facility

OP

$3.32

Service Code	NDC 0168-0202-30
Hospital Charge Code	1743537
Hospital Revenue Code	259
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$2.49
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.99
Rate for Payer: Aetna of CA Government/Medicare	$1.99
Rate for Payer: Cash Price	$1.49
Rate for Payer: Health Smart Auto/Commercial	$1.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.99
Rate for Payer: LLUH Dept of Risk Management WC	$1.83
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.49

CLINDAMYCIN 2 % VAGINAL CREAM [9624]

Facility

OP

$3.13

Service Code	NDC 0168-0277-40
Hospital Charge Code	1749025
Hospital Revenue Code	259
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$2.35
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.88
Rate for Payer: Aetna of CA Government/Medicare	$1.88
Rate for Payer: Cash Price	$1.41
Rate for Payer: Health Smart Auto/Commercial	$1.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.88
Rate for Payer: LLUH Dept of Risk Management WC	$1.72
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.35

CLINDAMYCIN 2 % VAGINAL CREAM [9624]

Facility

IP

$3.13

Service Code	NDC 0168-0277-40
Hospital Charge Code	1749025
Hospital Revenue Code	259
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$2.50
Rate for Payer: Cash Price	$1.41
Rate for Payer: Cigna of CA HMO/PPO	$2.50
Rate for Payer: Health Smart Auto/Commercial	$1.88
Rate for Payer: LLUH Dept of Risk Management WC	$1.72
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.35

CLINDAMYCIN 600 MG/50 ML D5W PHARMACY COMPOUND [4080739]

Facility

OP

$0.26

Service Code	CPT J0736
Hospital Charge Code	1722034
Hospital Revenue Code	636
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$0.20
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.16
Rate for Payer: Aetna of CA Government/Medicare	$0.16
Rate for Payer: Cash Price	$0.12
Rate for Payer: Health Smart Auto/Commercial	$0.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.16
Rate for Payer: LLUH Dept of Risk Management WC	$0.14
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.20

CLINDAMYCIN 600 MG/50 ML D5W PHARMACY COMPOUND [4080739]

Facility

IP

$0.26

Service Code	CPT J0736
Hospital Charge Code	1722034
Hospital Revenue Code	636
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$0.21
Rate for Payer: Cash Price	$0.12
Rate for Payer: Cigna of CA HMO/PPO	$0.21
Rate for Payer: Health Smart Auto/Commercial	$0.16
Rate for Payer: LLUH Dept of Risk Management WC	$0.14
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.20

CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626]

Facility

OP

$0.26

Service Code	CPT J0736
Hospital Charge Code	1753488
Hospital Revenue Code	636
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$0.20
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.16
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.17
Rate for Payer: Aetna of CA Government/Medicare	$0.17
Rate for Payer: Aetna of CA Government/Medicare	$0.16
Rate for Payer: Cash Price	$0.12
Rate for Payer: Cash Price	$0.13
Rate for Payer: Health Smart Auto/Commercial	$0.16
Rate for Payer: Health Smart Auto/Commercial	$0.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.16
Rate for Payer: LLUH Dept of Risk Management WC	$0.16
Rate for Payer: LLUH Dept of Risk Management WC	$0.14
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.20
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.22

CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [9626]

Facility

IP

$0.26

Service Code	CPT J0736
Hospital Charge Code	1753488
Hospital Revenue Code	636
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$0.21
Rate for Payer: Cash Price	$0.12
Rate for Payer: Cash Price	$0.13
Rate for Payer: Cigna of CA HMO/PPO	$0.21
Rate for Payer: Cigna of CA HMO/PPO	$0.23
Rate for Payer: Health Smart Auto/Commercial	$0.16
Rate for Payer: Health Smart Auto/Commercial	$0.17
Rate for Payer: LLUH Dept of Risk Management WC	$0.16
Rate for Payer: LLUH Dept of Risk Management WC	$0.14
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.22
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.20

CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642]

Facility

IP

$0.60

Service Code	NDC 64980-511-10
Hospital Charge Code	1715008
Hospital Revenue Code	259
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$0.48
Rate for Payer: Cash Price	$0.27
Rate for Payer: Cigna of CA HMO/PPO	$0.48
Rate for Payer: Health Smart Auto/Commercial	$0.36
Rate for Payer: LLUH Dept of Risk Management WC	$0.33
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.45

CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642]

Facility

OP

$0.56

Service Code	NDC 65862-596-01
Hospital Charge Code	1715008
Hospital Revenue Code	259
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$0.42
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.34
Rate for Payer: Aetna of CA Government/Medicare	$0.34
Rate for Payer: Cash Price	$0.25
Rate for Payer: Health Smart Auto/Commercial	$0.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.34
Rate for Payer: LLUH Dept of Risk Management WC	$0.31
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.42

CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642]

Facility

OP

$0.60

Service Code	NDC 64980-511-10
Hospital Charge Code	1715008
Hospital Revenue Code	259
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$0.45
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.36
Rate for Payer: Aetna of CA Government/Medicare	$0.36
Rate for Payer: Cash Price	$0.27
Rate for Payer: Health Smart Auto/Commercial	$0.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.36
Rate for Payer: LLUH Dept of Risk Management WC	$0.33
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.45

CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642]

Facility

IP

$0.50

Service Code	NDC 59762-0016-1
Hospital Charge Code	1715008
Hospital Revenue Code	259
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.40
Rate for Payer: Cash Price	$0.23
Rate for Payer: Cigna of CA HMO/PPO	$0.40
Rate for Payer: Health Smart Auto/Commercial	$0.30
Rate for Payer: LLUH Dept of Risk Management WC	$0.28
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.38

CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642]

Facility

IP

$0.56

Service Code	NDC 65862-596-01
Hospital Charge Code	1715008
Hospital Revenue Code	259
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$0.45
Rate for Payer: Cash Price	$0.25
Rate for Payer: Cigna of CA HMO/PPO	$0.45
Rate for Payer: Health Smart Auto/Commercial	$0.34
Rate for Payer: LLUH Dept of Risk Management WC	$0.31
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.42

CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION [37642]

Facility

OP

$0.50

Service Code	NDC 59762-0016-1
Hospital Charge Code	1715008
Hospital Revenue Code	259
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.38
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.30
Rate for Payer: Aetna of CA Government/Medicare	$0.30
Rate for Payer: Cash Price	$0.23
Rate for Payer: Health Smart Auto/Commercial	$0.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.30
Rate for Payer: LLUH Dept of Risk Management WC	$0.28
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.38

CLINDAMYCIN 900 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [217050]

Facility

OP

$0.31

Service Code	CPT J0737
Hospital Charge Code	NDG217050
Hospital Revenue Code	636
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$0.23
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.19
Rate for Payer: Aetna of CA Government/Medicare	$0.19
Rate for Payer: Cash Price	$0.14
Rate for Payer: Health Smart Auto/Commercial	$0.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.19
Rate for Payer: LLUH Dept of Risk Management WC	$0.17
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.23

CLINDAMYCIN 900 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK [217050]

Facility

IP

$0.31

Service Code	CPT J0737
Hospital Charge Code	NDG217050
Hospital Revenue Code	636
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$0.25
Rate for Payer: Cash Price	$0.14
Rate for Payer: Cigna of CA HMO/PPO	$0.25
Rate for Payer: Health Smart Auto/Commercial	$0.19
Rate for Payer: LLUH Dept of Risk Management WC	$0.17
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.23

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