Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

PROPRANOLOL 40 MG TABLET [6658]

Facility

OP

$1.30

Service Code	NDC 60687-295-01
Hospital Charge Code	1710310
Hospital Revenue Code	259
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$0.98
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.78
Rate for Payer: Aetna of CA Government/Medicare	$0.78
Rate for Payer: Cash Price	$0.59
Rate for Payer: Health Smart Auto/Commercial	$0.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.78
Rate for Payer: LLUH Dept of Risk Management WC	$0.72
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.98

PROPRANOLOL 40 MG TABLET [6658]

Facility

OP

$0.31

Service Code	NDC 23155-112-10
Hospital Charge Code	1710310
Hospital Revenue Code	259
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

PROPRANOLOL 40 MG TABLET [6658]

Facility

IP

$1.30

Service Code	NDC 60687-295-01
Hospital Charge Code	1710310
Hospital Revenue Code	259
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$1.04
Rate for Payer: Cash Price	$0.59
Rate for Payer: Cigna of CA HMO/PPO	$1.04
Rate for Payer: Health Smart Auto/Commercial	$0.78
Rate for Payer: LLUH Dept of Risk Management WC	$0.72
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.98

PROPRANOLOL 40 MG TABLET [6658]

Facility

OP

$0.65

Service Code	NDC 50268-702-15
Hospital Charge Code	1710310
Hospital Revenue Code	259
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.49
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.39
Rate for Payer: Aetna of CA Government/Medicare	$0.39
Rate for Payer: Cash Price	$0.29
Rate for Payer: Health Smart Auto/Commercial	$0.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.39
Rate for Payer: LLUH Dept of Risk Management WC	$0.36
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.49

PROPRANOLOL 40 MG TABLET [6658]

Facility

IP

$0.58

Service Code	NDC 0591-5556-01
Hospital Charge Code	1710310
Hospital Revenue Code	259
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$0.46
Rate for Payer: Cash Price	$0.26
Rate for Payer: Cigna of CA HMO/PPO	$0.46
Rate for Payer: Health Smart Auto/Commercial	$0.35
Rate for Payer: LLUH Dept of Risk Management WC	$0.32
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.44

PROPRANOLOL 40 MG TABLET [6658]

Facility

IP

$0.65

Service Code	NDC 50268-702-11
Hospital Charge Code	1710310
Hospital Revenue Code	259
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.52
Rate for Payer: Cash Price	$0.29
Rate for Payer: Cigna of CA HMO/PPO	$0.52
Rate for Payer: Health Smart Auto/Commercial	$0.39
Rate for Payer: LLUH Dept of Risk Management WC	$0.36
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.49

PROPRANOLOL 40 MG TABLET [6658]

Facility

IP

$0.31

Service Code	NDC 0603-5484-32
Hospital Charge Code	1710310
Hospital Revenue Code	259
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

PROPRANOLOL 40 MG TABLET [6658]

Facility

IP

$0.31

Service Code	NDC 23155-112-10
Hospital Charge Code	1710310
Hospital Revenue Code	259
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

PROPRANOLOL 40 MG TABLET [6658]

Facility

IP

$0.31

Service Code	NDC 0603-5484-21
Hospital Charge Code	1710310
Hospital Revenue Code	259
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

PROPRANOLOL 40 MG TABLET [6658]

Facility

OP

$0.31

Service Code	NDC 0603-5484-21
Hospital Charge Code	1710310
Hospital Revenue Code	259
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

PROPRANOLOL 40 MG TABLET [6658]

Facility

IP

$0.60

Service Code	NDC 0378-0184-01
Hospital Charge Code	1710310
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

PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]

Facility

IP

$2.39

Service Code	NDC 60687-215-11
Hospital Charge Code	1712116
Hospital Revenue Code	259
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.91
Rate for Payer: Cash Price	$1.08
Rate for Payer: Cigna of CA HMO/PPO	$1.91
Rate for Payer: Health Smart Auto/Commercial	$1.43
Rate for Payer: LLUH Dept of Risk Management WC	$1.31
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.79

PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]

Facility

IP

$0.24

Service Code	NDC 0527-4116-37
Hospital Charge Code	1712116
Hospital Revenue Code	259
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.19
Rate for Payer: Cash Price	$0.11
Rate for Payer: Cigna of CA HMO/PPO	$0.19
Rate for Payer: Health Smart Auto/Commercial	$0.14
Rate for Payer: LLUH Dept of Risk Management WC	$0.13
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.18

PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]

Facility

OP

$2.39

Service Code	NDC 60687-215-11
Hospital Charge Code	1712116
Hospital Revenue Code	259
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.79
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.43
Rate for Payer: Aetna of CA Government/Medicare	$1.43
Rate for Payer: Cash Price	$1.08
Rate for Payer: Health Smart Auto/Commercial	$1.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.43
Rate for Payer: LLUH Dept of Risk Management WC	$1.31
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.79

PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]

Facility

OP

$2.39

Service Code	NDC 60687-215-01
Hospital Charge Code	1712116
Hospital Revenue Code	259
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.79
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.43
Rate for Payer: Aetna of CA Government/Medicare	$1.43
Rate for Payer: Cash Price	$1.08
Rate for Payer: Health Smart Auto/Commercial	$1.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.43
Rate for Payer: LLUH Dept of Risk Management WC	$1.31
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.79

PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]

Facility

IP

$2.39

Service Code	NDC 60687-215-01
Hospital Charge Code	1712116
Hospital Revenue Code	259
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.91
Rate for Payer: Cash Price	$1.08
Rate for Payer: Cigna of CA HMO/PPO	$1.91
Rate for Payer: Health Smart Auto/Commercial	$1.43
Rate for Payer: LLUH Dept of Risk Management WC	$1.31
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$1.79

PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [38224]

Facility

OP

$0.24

Service Code	NDC 0527-4116-37
Hospital Charge Code	1712116
Hospital Revenue Code	259
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.18
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$0.14
Rate for Payer: Aetna of CA Government/Medicare	$0.14
Rate for Payer: Cash Price	$0.11
Rate for Payer: Health Smart Auto/Commercial	$0.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$0.14
Rate for Payer: LLUH Dept of Risk Management WC	$0.13
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.18

PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]

Facility

OP

$2.75

Service Code	NDC 60687-226-01
Hospital Charge Code	1710351
Hospital Revenue Code	259
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$2.06
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.65
Rate for Payer: Aetna of CA Government/Medicare	$1.65
Rate for Payer: Cash Price	$1.24
Rate for Payer: Health Smart Auto/Commercial	$1.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.65
Rate for Payer: LLUH Dept of Risk Management WC	$1.51
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.06

PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]

Facility

OP

$0.27

Service Code	NDC 62559-531-01
Hospital Charge Code	1710351
Hospital Revenue Code	259
Min. Negotiated Rate	$0.15
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	$0.15
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.20

PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]

Facility

IP

$2.75

Service Code	NDC 60687-226-11
Hospital Charge Code	1710351
Hospital Revenue Code	259
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$2.20
Rate for Payer: Cash Price	$1.24
Rate for Payer: Cigna of CA HMO/PPO	$2.20
Rate for Payer: Health Smart Auto/Commercial	$1.65
Rate for Payer: LLUH Dept of Risk Management WC	$1.51
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.06

PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]

Facility

IP

$0.27

Service Code	NDC 0527-4117-37
Hospital Charge Code	1710351
Hospital Revenue Code	259
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.22
Rate for Payer: Cash Price	$0.12
Rate for Payer: Cigna of CA HMO/PPO	$0.22
Rate for Payer: Health Smart Auto/Commercial	$0.16
Rate for Payer: LLUH Dept of Risk Management WC	$0.15
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.20

PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]

Facility

IP

$0.27

Service Code	NDC 62559-531-01
Hospital Charge Code	1710351
Hospital Revenue Code	259
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.22
Rate for Payer: Cash Price	$0.12
Rate for Payer: Cigna of CA HMO/PPO	$0.22
Rate for Payer: Health Smart Auto/Commercial	$0.16
Rate for Payer: LLUH Dept of Risk Management WC	$0.15
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.20

PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]

Facility

IP

$2.75

Service Code	NDC 60687-226-01
Hospital Charge Code	1710351
Hospital Revenue Code	259
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$2.20
Rate for Payer: Cash Price	$1.24
Rate for Payer: Cigna of CA HMO/PPO	$2.20
Rate for Payer: Health Smart Auto/Commercial	$1.65
Rate for Payer: LLUH Dept of Risk Management WC	$1.51
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.06

PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]

Facility

OP

$0.27

Service Code	NDC 0527-4117-37
Hospital Charge Code	1710351
Hospital Revenue Code	259
Min. Negotiated Rate	$0.15
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	$0.15
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$0.20

PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [38225]

Facility

OP

$2.75

Service Code	NDC 60687-226-11
Hospital Charge Code	1710351
Hospital Revenue Code	259
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$2.06
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$1.65
Rate for Payer: Aetna of CA Government/Medicare	$1.65
Rate for Payer: Cash Price	$1.24
Rate for Payer: Health Smart Auto/Commercial	$1.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$1.65
Rate for Payer: LLUH Dept of Risk Management WC	$1.51
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$2.06

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