Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]

Facility

OP

$1.48

Service Code	NDC 68084-158-01
Hospital Charge Code	1730076
Hospital Revenue Code	259
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$1.11
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.89
Rate for Payer: Aetna of CA Government/Medicare	$0.89
Rate for Payer: Cash Price	$0.67
Rate for Payer: Health Smart Auto/Commercial	$0.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.89
Rate for Payer: LLUH Dept of Risk Management WC	$0.81
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.11

MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]

Facility

OP

$1.91

Service Code	NDC 0406-8330-23
Hospital Charge Code	1730076
Hospital Revenue Code	259
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.43
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: Cash Price	$0.86
Rate for Payer: Health Smart Auto/Commercial	$1.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.15
Rate for Payer: LLUH Dept of Risk Management WC	$1.05
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.43

MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]

Facility

IP

$1.48

Service Code	NDC 68084-158-11
Hospital Charge Code	1730076
Hospital Revenue Code	259
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$1.18
Rate for Payer: Cash Price	$0.67
Rate for Payer: Cigna of CA HMO/PPO	$1.18
Rate for Payer: Health Smart Auto/Commercial	$0.89
Rate for Payer: LLUH Dept of Risk Management WC	$0.81
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.11

MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [20921]

Facility

OP

$1.48

Service Code	NDC 68084-158-11
Hospital Charge Code	1730076
Hospital Revenue Code	259
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$1.11
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.89
Rate for Payer: Aetna of CA Government/Medicare	$0.89
Rate for Payer: Cash Price	$0.67
Rate for Payer: Health Smart Auto/Commercial	$0.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.89
Rate for Payer: LLUH Dept of Risk Management WC	$0.81
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.11

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [20922]

Facility

IP

$3.72

Service Code	NDC 0406-8380-23
Hospital Charge Code	1730073
Hospital Revenue Code	259
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.98
Rate for Payer: Cash Price	$1.67
Rate for Payer: Cigna of CA HMO/PPO	$2.98
Rate for Payer: Health Smart Auto/Commercial	$2.23
Rate for Payer: LLUH Dept of Risk Management WC	$2.05
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.79

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [20922]

Facility

IP

$3.73

Service Code	NDC 0406-8380-62
Hospital Charge Code	1730073
Hospital Revenue Code	259
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.98
Rate for Payer: Cash Price	$1.68
Rate for Payer: Cigna of CA HMO/PPO	$2.98
Rate for Payer: Health Smart Auto/Commercial	$2.24
Rate for Payer: LLUH Dept of Risk Management WC	$2.05
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.80

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [20922]

Facility

OP

$2.98

Service Code	NDC 0406-8380-01
Hospital Charge Code	1730073
Hospital Revenue Code	259
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$2.24
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.79
Rate for Payer: Aetna of CA Government/Medicare	$1.79
Rate for Payer: Cash Price	$1.34
Rate for Payer: Health Smart Auto/Commercial	$1.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.79
Rate for Payer: LLUH Dept of Risk Management WC	$1.64
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.24

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [20922]

Facility

IP

$2.98

Service Code	NDC 0406-8380-01
Hospital Charge Code	1730073
Hospital Revenue Code	259
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$2.38
Rate for Payer: Cash Price	$1.34
Rate for Payer: Cigna of CA HMO/PPO	$2.38
Rate for Payer: Health Smart Auto/Commercial	$1.79
Rate for Payer: LLUH Dept of Risk Management WC	$1.64
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.24

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [20922]

Facility

OP

$3.72

Service Code	NDC 0406-8380-23
Hospital Charge Code	1730073
Hospital Revenue Code	259
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.79
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$2.23
Rate for Payer: Aetna of CA Government/Medicare	$2.23
Rate for Payer: Cash Price	$1.67
Rate for Payer: Health Smart Auto/Commercial	$2.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$2.23
Rate for Payer: LLUH Dept of Risk Management WC	$2.05
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.79

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE [20922]

Facility

OP

$3.73

Service Code	NDC 0406-8380-62
Hospital Charge Code	1730073
Hospital Revenue Code	259
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.80
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$2.24
Rate for Payer: Aetna of CA Government/Medicare	$2.24
Rate for Payer: Cash Price	$1.68
Rate for Payer: Health Smart Auto/Commercial	$2.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$2.24
Rate for Payer: LLUH Dept of Risk Management WC	$2.05
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.80

MORPHINE (PF) 10 MG/ML INJECTION SOLUTION [77009]

Facility

IP

$12.48

Service Code	CPT J2270
Hospital Charge Code	1737060
Hospital Revenue Code	636
Min. Negotiated Rate	$6.86
Max. Negotiated Rate	$9.98
Rate for Payer: Cash Price	$5.62
Rate for Payer: Cash Price	$5.62
Rate for Payer: Cigna of CA HMO/PPO	$9.99
Rate for Payer: Cigna of CA HMO/PPO	$9.98
Rate for Payer: Health Smart Auto/Commercial	$7.49
Rate for Payer: Health Smart Auto/Commercial	$7.49
Rate for Payer: LLUH Dept of Risk Management WC	$6.86
Rate for Payer: LLUH Dept of Risk Management WC	$6.87
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$9.37
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$9.36

MORPHINE (PF) 10 MG/ML INJECTION SOLUTION [77009]

Facility

OP

$12.48

Service Code	CPT J2270
Hospital Charge Code	1737060
Hospital Revenue Code	636
Min. Negotiated Rate	$6.86
Max. Negotiated Rate	$9.36
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$7.49
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$7.49
Rate for Payer: Aetna of CA Government/Medicare	$7.49
Rate for Payer: Aetna of CA Government/Medicare	$7.49
Rate for Payer: Cash Price	$5.62
Rate for Payer: Cash Price	$5.62
Rate for Payer: Health Smart Auto/Commercial	$7.49
Rate for Payer: Health Smart Auto/Commercial	$7.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$7.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$7.49
Rate for Payer: LLUH Dept of Risk Management WC	$6.86
Rate for Payer: LLUH Dept of Risk Management WC	$6.87
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$9.37
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$9.36

MORPHINE (PF) 1 MG/2 ML INTRAVENOUS SYRINGE [212745]

Facility

IP

$2.62

Service Code	CPT J2270
Hospital Charge Code	NDG212745
Hospital Revenue Code	636
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$2.10
Rate for Payer: Cash Price	$1.18
Rate for Payer: Cash Price	$1.29
Rate for Payer: Cigna of CA HMO/PPO	$2.30
Rate for Payer: Cigna of CA HMO/PPO	$2.10
Rate for Payer: Health Smart Auto/Commercial	$1.72
Rate for Payer: Health Smart Auto/Commercial	$1.57
Rate for Payer: LLUH Dept of Risk Management WC	$1.44
Rate for Payer: LLUH Dept of Risk Management WC	$1.58
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.96
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.15

MORPHINE (PF) 1 MG/2 ML INTRAVENOUS SYRINGE [212745]

Facility

OP

$2.87

Service Code	CPT J2270
Hospital Charge Code	NDG212745
Hospital Revenue Code	636
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$2.15
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.72
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.57
Rate for Payer: Aetna of CA Government/Medicare	$1.72
Rate for Payer: Aetna of CA Government/Medicare	$1.57
Rate for Payer: Cash Price	$1.18
Rate for Payer: Cash Price	$1.29
Rate for Payer: Health Smart Auto/Commercial	$1.72
Rate for Payer: Health Smart Auto/Commercial	$1.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.57
Rate for Payer: LLUH Dept of Risk Management WC	$1.58
Rate for Payer: LLUH Dept of Risk Management WC	$1.44
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.15
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.96

MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS SOLUTION [154492]

Facility

IP

$0.14

Service Code	CPT J2270
Hospital Charge Code	NDG30851
Hospital Revenue Code	636
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$0.11
Rate for Payer: Cash Price	$0.06
Rate for Payer: Cigna of CA HMO/PPO	$0.11
Rate for Payer: Health Smart Auto/Commercial	$0.08
Rate for Payer: LLUH Dept of Risk Management WC	$0.08
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.11

MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS SOLUTION [154492]

Facility

OP

$0.14

Service Code	CPT J2270
Hospital Charge Code	NDG30851
Hospital Revenue Code	636
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$0.11
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.08
Rate for Payer: Aetna of CA Government/Medicare	$0.08
Rate for Payer: Cash Price	$0.06
Rate for Payer: Health Smart Auto/Commercial	$0.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.08
Rate for Payer: LLUH Dept of Risk Management WC	$0.08
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.11

MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852]

Facility

OP

$1.09

Service Code	CPT J2270
Hospital Charge Code	1737040
Hospital Revenue Code	636
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.82
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.65
Rate for Payer: Aetna of CA Government/Medicare	$0.65
Rate for Payer: Cash Price	$0.49
Rate for Payer: Health Smart Auto/Commercial	$0.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.65
Rate for Payer: LLUH Dept of Risk Management WC	$0.60
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.82

MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [15852]

Facility

IP

$1.09

Service Code	CPT J2270
Hospital Charge Code	1737040
Hospital Revenue Code	636
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.87
Rate for Payer: Cash Price	$0.49
Rate for Payer: Cigna of CA HMO/PPO	$0.87
Rate for Payer: Health Smart Auto/Commercial	$0.65
Rate for Payer: LLUH Dept of Risk Management WC	$0.60
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.82

MORPHINE (PF) 50 MG/50 ML(1 MG/ML) IN 0.9% SOD.CHLORIDE IV PCA SYRINGE [214839]

Facility

OP

$0.17

Service Code	CPT J2270
Hospital Charge Code	1737072
Hospital Revenue Code	636
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$0.13
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.10
Rate for Payer: Aetna of CA Government/Medicare	$0.10
Rate for Payer: Cash Price	$0.08
Rate for Payer: Health Smart Auto/Commercial	$0.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.10
Rate for Payer: LLUH Dept of Risk Management WC	$0.09
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.13

MORPHINE (PF) 50 MG/50 ML(1 MG/ML) IN 0.9% SOD.CHLORIDE IV PCA SYRINGE [214839]

Facility

IP

$0.17

Service Code	CPT J2270
Hospital Charge Code	1737072
Hospital Revenue Code	636
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$0.14
Rate for Payer: Cash Price	$0.08
Rate for Payer: Cigna of CA HMO/PPO	$0.14
Rate for Payer: Health Smart Auto/Commercial	$0.10
Rate for Payer: LLUH Dept of Risk Management WC	$0.09
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.13

MOXIFLOXACIN 0.5 % EYE DROPS [35699]

Facility

OP

$14.00

Service Code	NDC 0781-7135-93
Hospital Charge Code	1740334
Hospital Revenue Code	259
Min. Negotiated Rate	$7.70
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$8.40
Rate for Payer: Aetna of CA Government/Medicare	$8.40
Rate for Payer: Cash Price	$6.30
Rate for Payer: Health Smart Auto/Commercial	$8.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$8.40
Rate for Payer: LLUH Dept of Risk Management WC	$7.70
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$10.50

MOXIFLOXACIN 0.5 % EYE DROPS [35699]

Facility

IP

$14.00

Service Code	NDC 0781-7135-93
Hospital Charge Code	1740334
Hospital Revenue Code	259
Min. Negotiated Rate	$7.70
Max. Negotiated Rate	$11.20
Rate for Payer: Cash Price	$6.30
Rate for Payer: Cigna of CA HMO/PPO	$11.20
Rate for Payer: Health Smart Auto/Commercial	$8.40
Rate for Payer: LLUH Dept of Risk Management WC	$7.70
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$10.50

MOXIFLOXACIN 0.5 % EYE DROPS [35699]

Facility

OP

$6.00

Service Code	NDC 68180-422-01
Hospital Charge Code	1740334
Hospital Revenue Code	259
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$3.60
Rate for Payer: Aetna of CA Government/Medicare	$3.60
Rate for Payer: Cash Price	$2.70
Rate for Payer: Health Smart Auto/Commercial	$3.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$3.60
Rate for Payer: LLUH Dept of Risk Management WC	$3.30
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$4.50

MOXIFLOXACIN 0.5 % EYE DROPS [35699]

Facility

IP

$6.00

Service Code	NDC 68180-422-01
Hospital Charge Code	1740334
Hospital Revenue Code	259
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$4.80
Rate for Payer: Cash Price	$2.70
Rate for Payer: Cigna of CA HMO/PPO	$4.80
Rate for Payer: Health Smart Auto/Commercial	$3.60
Rate for Payer: LLUH Dept of Risk Management WC	$3.30
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$4.50

MOXIFLOXACIN 0.5 % VISCOUS EYE DROPS [108159]

Facility

IP

$67.88

Service Code	NDC 0065-0006-03
Hospital Charge Code	NDG108159
Hospital Revenue Code	259
Min. Negotiated Rate	$37.33
Max. Negotiated Rate	$54.30
Rate for Payer: Cash Price	$30.55
Rate for Payer: Cigna of CA HMO/PPO	$54.30
Rate for Payer: Health Smart Auto/Commercial	$40.73
Rate for Payer: LLUH Dept of Risk Management WC	$37.33
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$50.91

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