Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

NIFEDIPINE 10 MG CAPSULE [5558]

Facility

IP

$1.29

Service Code	NDC 42192-615-01
Hospital Charge Code	1710588
Hospital Revenue Code	259
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$1.03
Rate for Payer: Cash Price	$0.58
Rate for Payer: Cigna of CA HMO/PPO	$1.03
Rate for Payer: Health Smart Auto/Commercial	$0.77
Rate for Payer: LLUH Dept of Risk Management WC	$0.71
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.97

NIFEDIPINE 10 MG CAPSULE [5558]

Facility

OP

$1.03

Service Code	NDC 69315-211-01
Hospital Charge Code	1710588
Hospital Revenue Code	259
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$0.77
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.62
Rate for Payer: Aetna of CA Government/Medicare	$0.62
Rate for Payer: Cash Price	$0.46
Rate for Payer: Health Smart Auto/Commercial	$0.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.62
Rate for Payer: LLUH Dept of Risk Management WC	$0.57
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.77

NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE [10719]

Facility

IP

$0.41

Service Code	NDC 68682-105-30
Hospital Charge Code	ERX10719
Hospital Revenue Code	259
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.33
Rate for Payer: Cash Price	$0.18
Rate for Payer: Cigna of CA HMO/PPO	$0.33
Rate for Payer: Health Smart Auto/Commercial	$0.25
Rate for Payer: LLUH Dept of Risk Management WC	$0.23
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.31

NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE [10719]

Facility

OP

$0.41

Service Code	NDC 68682-105-30
Hospital Charge Code	ERX10719
Hospital Revenue Code	259
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.31
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.25
Rate for Payer: Aetna of CA Government/Medicare	$0.25
Rate for Payer: Cash Price	$0.18
Rate for Payer: Health Smart Auto/Commercial	$0.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.25
Rate for Payer: LLUH Dept of Risk Management WC	$0.23
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.31

NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [27333]

Facility

OP

$1.79

Service Code	NDC 68084-597-01
Hospital Charge Code	1711652
Hospital Revenue Code	259
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$1.34
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.07
Rate for Payer: Aetna of CA Government/Medicare	$1.07
Rate for Payer: Cash Price	$0.81
Rate for Payer: Health Smart Auto/Commercial	$1.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.07
Rate for Payer: LLUH Dept of Risk Management WC	$0.98
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.34

NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [27333]

Facility

IP

$1.38

Service Code	NDC 50268-597-15
Hospital Charge Code	1711652
Hospital Revenue Code	259
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$1.10
Rate for Payer: Cash Price	$0.62
Rate for Payer: Cigna of CA HMO/PPO	$1.10
Rate for Payer: Health Smart Auto/Commercial	$0.83
Rate for Payer: LLUH Dept of Risk Management WC	$0.76
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.04

NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [27333]

Facility

IP

$1.79

Service Code	NDC 68084-597-11
Hospital Charge Code	1711652
Hospital Revenue Code	259
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$1.43
Rate for Payer: Cash Price	$0.81
Rate for Payer: Cigna of CA HMO/PPO	$1.43
Rate for Payer: Health Smart Auto/Commercial	$1.07
Rate for Payer: LLUH Dept of Risk Management WC	$0.98
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.34

NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [27333]

Facility

OP

$1.79

Service Code	NDC 68084-597-11
Hospital Charge Code	1711652
Hospital Revenue Code	259
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$1.34
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.07
Rate for Payer: Aetna of CA Government/Medicare	$1.07
Rate for Payer: Cash Price	$0.81
Rate for Payer: Health Smart Auto/Commercial	$1.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.07
Rate for Payer: LLUH Dept of Risk Management WC	$0.98
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.34

NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [27333]

Facility

IP

$1.38

Service Code	NDC 50268-597-11
Hospital Charge Code	1711652
Hospital Revenue Code	259
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$1.10
Rate for Payer: Cash Price	$0.62
Rate for Payer: Cigna of CA HMO/PPO	$1.10
Rate for Payer: Health Smart Auto/Commercial	$0.83
Rate for Payer: LLUH Dept of Risk Management WC	$0.76
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.04

NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [27333]

Facility

IP

$1.79

Service Code	NDC 68084-597-01
Hospital Charge Code	1711652
Hospital Revenue Code	259
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$1.43
Rate for Payer: Cash Price	$0.81
Rate for Payer: Cigna of CA HMO/PPO	$1.43
Rate for Payer: Health Smart Auto/Commercial	$1.07
Rate for Payer: LLUH Dept of Risk Management WC	$0.98
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.34

NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [27333]

Facility

IP

$1.38

Service Code	NDC 68084-597-65
Hospital Charge Code	1711652
Hospital Revenue Code	259
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$1.10
Rate for Payer: Cash Price	$0.62
Rate for Payer: Cigna of CA HMO/PPO	$1.10
Rate for Payer: Health Smart Auto/Commercial	$0.83
Rate for Payer: LLUH Dept of Risk Management WC	$0.76
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.04

NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [27333]

Facility

OP

$1.38

Service Code	NDC 50268-597-11
Hospital Charge Code	1711652
Hospital Revenue Code	259
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$1.04
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.83
Rate for Payer: Aetna of CA Government/Medicare	$0.83
Rate for Payer: Cash Price	$0.62
Rate for Payer: Health Smart Auto/Commercial	$0.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.83
Rate for Payer: LLUH Dept of Risk Management WC	$0.76
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.04

NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [27333]

Facility

OP

$1.38

Service Code	NDC 50268-597-15
Hospital Charge Code	1711652
Hospital Revenue Code	259
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$1.04
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.83
Rate for Payer: Aetna of CA Government/Medicare	$0.83
Rate for Payer: Cash Price	$0.62
Rate for Payer: Health Smart Auto/Commercial	$0.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.83
Rate for Payer: LLUH Dept of Risk Management WC	$0.76
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.04

NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [27333]

Facility

OP

$1.38

Service Code	NDC 68084-597-65
Hospital Charge Code	1711652
Hospital Revenue Code	259
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$1.04
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.83
Rate for Payer: Aetna of CA Government/Medicare	$0.83
Rate for Payer: Cash Price	$0.62
Rate for Payer: Health Smart Auto/Commercial	$0.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.83
Rate for Payer: LLUH Dept of Risk Management WC	$0.76
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.04

NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE [10720]

Facility

IP

$0.38

Service Code	NDC 50742-621-01
Hospital Charge Code	ERX10720
Hospital Revenue Code	259
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.30
Rate for Payer: Cash Price	$0.17
Rate for Payer: Cigna of CA HMO/PPO	$0.30
Rate for Payer: Health Smart Auto/Commercial	$0.23
Rate for Payer: LLUH Dept of Risk Management WC	$0.21
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.29

NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE [10720]

Facility

OP

$0.38

Service Code	NDC 50742-621-01
Hospital Charge Code	ERX10720
Hospital Revenue Code	259
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.29
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.23
Rate for Payer: Aetna of CA Government/Medicare	$0.23
Rate for Payer: Cash Price	$0.17
Rate for Payer: Health Smart Auto/Commercial	$0.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.23
Rate for Payer: LLUH Dept of Risk Management WC	$0.21
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.29

NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [27334]

Facility

IP

$2.36

Service Code	NDC 50268-598-11
Hospital Charge Code	1711653
Hospital Revenue Code	259
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.89
Rate for Payer: Cash Price	$1.06
Rate for Payer: Cigna of CA HMO/PPO	$1.89
Rate for Payer: Health Smart Auto/Commercial	$1.42
Rate for Payer: LLUH Dept of Risk Management WC	$1.30
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.77

NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [27334]

Facility

OP

$2.36

Service Code	NDC 50268-598-11
Hospital Charge Code	1711653
Hospital Revenue Code	259
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.77
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.42
Rate for Payer: Aetna of CA Government/Medicare	$1.42
Rate for Payer: Cash Price	$1.06
Rate for Payer: Health Smart Auto/Commercial	$1.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.42
Rate for Payer: LLUH Dept of Risk Management WC	$1.30
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.77

NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [27334]

Facility

IP

$2.36

Service Code	NDC 50268-598-15
Hospital Charge Code	1711653
Hospital Revenue Code	259
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.89
Rate for Payer: Cash Price	$1.06
Rate for Payer: Cigna of CA HMO/PPO	$1.89
Rate for Payer: Health Smart Auto/Commercial	$1.42
Rate for Payer: LLUH Dept of Risk Management WC	$1.30
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.77

NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [27334]

Facility

OP

$2.97

Service Code	NDC 68084-598-11
Hospital Charge Code	1711653
Hospital Revenue Code	259
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$2.23
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.78
Rate for Payer: Aetna of CA Government/Medicare	$1.78
Rate for Payer: Cash Price	$1.34
Rate for Payer: Health Smart Auto/Commercial	$1.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.78
Rate for Payer: LLUH Dept of Risk Management WC	$1.63
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.23

NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [27334]

Facility

IP

$2.97

Service Code	NDC 68084-598-01
Hospital Charge Code	1711653
Hospital Revenue Code	259
Min. Negotiated Rate	$1.63
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	$1.78
Rate for Payer: LLUH Dept of Risk Management WC	$1.63
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.23

NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [27334]

Facility

OP

$2.97

Service Code	NDC 68084-598-01
Hospital Charge Code	1711653
Hospital Revenue Code	259
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$2.23
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.78
Rate for Payer: Aetna of CA Government/Medicare	$1.78
Rate for Payer: Cash Price	$1.34
Rate for Payer: Health Smart Auto/Commercial	$1.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.78
Rate for Payer: LLUH Dept of Risk Management WC	$1.63
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.23

NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [27334]

Facility

OP

$2.36

Service Code	NDC 50268-598-15
Hospital Charge Code	1711653
Hospital Revenue Code	259
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.77
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.42
Rate for Payer: Aetna of CA Government/Medicare	$1.42
Rate for Payer: Cash Price	$1.06
Rate for Payer: Health Smart Auto/Commercial	$1.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.42
Rate for Payer: LLUH Dept of Risk Management WC	$1.30
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.77

NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [27334]

Facility

IP

$2.97

Service Code	NDC 68084-598-11
Hospital Charge Code	1711653
Hospital Revenue Code	259
Min. Negotiated Rate	$1.63
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	$1.78
Rate for Payer: LLUH Dept of Risk Management WC	$1.63
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.23

NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR [27335]

Facility

OP

$0.78

Service Code	NDC 24979-009-01
Hospital Charge Code	1712601
Hospital Revenue Code	259
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.59
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.47
Rate for Payer: Aetna of CA Government/Medicare	$0.47
Rate for Payer: Cash Price	$0.35
Rate for Payer: Health Smart Auto/Commercial	$0.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.47
Rate for Payer: LLUH Dept of Risk Management WC	$0.43
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.59

<<
<
573
574
575
576
577
578
579
580
581
582
>
>>