PREDNISOLONE ACETATE 0.12 % EYE DROPS,SUSPENSION [27038]
|
Facility
OP
|
$38.50
|
|
Service Code
|
NDC 11980-174-05
|
Hospital Charge Code |
1740164
|
Hospital Revenue Code
|
259
|
Min. Negotiated Rate |
$9.24 |
Max. Negotiated Rate |
$32.72 |
Rate for Payer: Aetna of CA HMO/PPO |
$25.25
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$32.72
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$21.18
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$21.18
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22.94
|
Rate for Payer: BCBS Transplant Transplant |
$23.10
|
Rate for Payer: Blue Shield of California Commercial |
$28.37
|
Rate for Payer: Blue Shield of California EPN |
$22.48
|
Rate for Payer: Cash Price |
$17.33
|
Rate for Payer: Cigna of CA HMO |
$26.95
|
Rate for Payer: Cigna of CA PPO |
$26.95
|
Rate for Payer: Dignity Health Commercial/Exchange |
$32.72
|
Rate for Payer: Dignity Health Media |
$32.72
|
Rate for Payer: Dignity Health Medi-Cal |
$32.72
|
Rate for Payer: EPIC Health Plan Commercial |
$15.40
|
Rate for Payer: EPIC Health Plan Transplant |
$15.40
|
Rate for Payer: Galaxy Health WC |
$32.72
|
Rate for Payer: Global Benefits Group Commercial |
$23.10
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$28.88
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$25.68
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$14.67
|
Rate for Payer: LLUH Dept of Risk Management WC |
$9.24
|
Rate for Payer: Multiplan Commercial |
$30.80
|
Rate for Payer: Networks By Design Commercial |
$25.02
|
Rate for Payer: Prime Health Services Commercial |
$32.72
|
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$23.10
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$23.10
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$23.10
|
Rate for Payer: United Healthcare All Other Commercial |
$19.25
|
Rate for Payer: United Healthcare All Other HMO |
$19.25
|
Rate for Payer: United Healthcare HMO Rider |
$19.25
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$19.25
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$32.72
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$32.72
|
Rate for Payer: Vantage Medical Group Senior |
$32.72
|
|
PREDNISOLONE ACETATE 0.12 % EYE DROPS,SUSPENSION [27038]
|
Facility
IP
|
$38.50
|
|
Service Code
|
NDC 11980-174-05
|
Hospital Charge Code |
1740164
|
Hospital Revenue Code
|
259
|
Min. Negotiated Rate |
$9.24 |
Max. Negotiated Rate |
$32.72 |
Rate for Payer: Blue Shield of California Commercial |
$27.41
|
Rate for Payer: Blue Shield of California EPN |
$19.71
|
Rate for Payer: Cash Price |
$17.33
|
Rate for Payer: Cigna of CA HMO |
$26.95
|
Rate for Payer: Cigna of CA PPO |
$26.95
|
Rate for Payer: EPIC Health Plan Commercial |
$15.40
|
Rate for Payer: Galaxy Health WC |
$32.72
|
Rate for Payer: Global Benefits Group Commercial |
$23.10
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$25.68
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$14.67
|
Rate for Payer: LLUH Dept of Risk Management WC |
$9.24
|
Rate for Payer: Multiplan Commercial |
$30.80
|
Rate for Payer: Networks By Design Commercial |
$25.02
|
Rate for Payer: Prime Health Services Commercial |
$32.72
|
|
PREDNISOLONE ACETATE 0.12 % EYE DROPS,SUSPENSION [27038]
|
Facility
OP
|
$38.50
|
|
Service Code
|
NDC 11980-174-10
|
Hospital Charge Code |
1740165
|
Hospital Revenue Code
|
259
|
Min. Negotiated Rate |
$9.24 |
Max. Negotiated Rate |
$32.72 |
Rate for Payer: BCBS Transplant Transplant |
$23.10
|
Rate for Payer: Aetna of CA HMO/PPO |
$25.25
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$32.72
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$21.18
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$21.18
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22.94
|
Rate for Payer: Blue Shield of California Commercial |
$28.37
|
Rate for Payer: Blue Shield of California EPN |
$22.48
|
Rate for Payer: Cash Price |
$17.33
|
Rate for Payer: Cigna of CA HMO |
$26.95
|
Rate for Payer: Cigna of CA PPO |
$26.95
|
Rate for Payer: Dignity Health Commercial/Exchange |
$32.72
|
Rate for Payer: Dignity Health Media |
$32.72
|
Rate for Payer: Dignity Health Medi-Cal |
$32.72
|
Rate for Payer: EPIC Health Plan Commercial |
$15.40
|
Rate for Payer: EPIC Health Plan Transplant |
$15.40
|
Rate for Payer: Galaxy Health WC |
$32.72
|
Rate for Payer: Global Benefits Group Commercial |
$23.10
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$28.88
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$25.68
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$14.67
|
Rate for Payer: LLUH Dept of Risk Management WC |
$9.24
|
Rate for Payer: Multiplan Commercial |
$30.80
|
Rate for Payer: Networks By Design Commercial |
$25.02
|
Rate for Payer: Prime Health Services Commercial |
$32.72
|
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$23.10
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$23.10
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$23.10
|
Rate for Payer: United Healthcare All Other Commercial |
$19.25
|
Rate for Payer: United Healthcare All Other HMO |
$19.25
|
Rate for Payer: United Healthcare HMO Rider |
$19.25
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$19.25
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$32.72
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$32.72
|
Rate for Payer: Vantage Medical Group Senior |
$32.72
|
|
PREDNISOLONE ACETATE 0.12 % EYE DROPS,SUSPENSION [27038]
|
Facility
IP
|
$38.50
|
|
Service Code
|
NDC 11980-174-10
|
Hospital Charge Code |
1740165
|
Hospital Revenue Code
|
259
|
Min. Negotiated Rate |
$9.24 |
Max. Negotiated Rate |
$32.72 |
Rate for Payer: Blue Shield of California Commercial |
$27.41
|
Rate for Payer: Blue Shield of California EPN |
$19.71
|
Rate for Payer: Cash Price |
$17.33
|
Rate for Payer: Cigna of CA HMO |
$26.95
|
Rate for Payer: Cigna of CA PPO |
$26.95
|
Rate for Payer: EPIC Health Plan Commercial |
$15.40
|
Rate for Payer: Galaxy Health WC |
$32.72
|
Rate for Payer: Global Benefits Group Commercial |
$23.10
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$25.68
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$14.67
|
Rate for Payer: LLUH Dept of Risk Management WC |
$9.24
|
Rate for Payer: Multiplan Commercial |
$30.80
|
Rate for Payer: Networks By Design Commercial |
$25.02
|
Rate for Payer: Prime Health Services Commercial |
$32.72
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]
|
Facility
IP
|
$10.62
|
|
Service Code
|
NDC 61314-637-05
|
Hospital Charge Code |
1740162
|
Hospital Revenue Code
|
259
|
Min. Negotiated Rate |
$2.55 |
Max. Negotiated Rate |
$9.03 |
Rate for Payer: Blue Shield of California Commercial |
$7.56
|
Rate for Payer: Blue Shield of California EPN |
$5.44
|
Rate for Payer: Cash Price |
$4.78
|
Rate for Payer: Cigna of CA HMO |
$7.43
|
Rate for Payer: Cigna of CA PPO |
$7.43
|
Rate for Payer: EPIC Health Plan Commercial |
$4.25
|
Rate for Payer: Galaxy Health WC |
$9.03
|
Rate for Payer: Global Benefits Group Commercial |
$6.37
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7.08
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.05
|
Rate for Payer: LLUH Dept of Risk Management WC |
$2.55
|
Rate for Payer: Multiplan Commercial |
$8.50
|
Rate for Payer: Networks By Design Commercial |
$6.90
|
Rate for Payer: Prime Health Services Commercial |
$9.03
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]
|
Facility
OP
|
$10.62
|
|
Service Code
|
NDC 61314-637-05
|
Hospital Charge Code |
1740162
|
Hospital Revenue Code
|
259
|
Min. Negotiated Rate |
$2.55 |
Max. Negotiated Rate |
$9.03 |
Rate for Payer: Aetna of CA HMO/PPO |
$6.97
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$9.03
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$5.84
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$5.84
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6.33
|
Rate for Payer: BCBS Transplant Transplant |
$6.37
|
Rate for Payer: Blue Shield of California Commercial |
$7.83
|
Rate for Payer: Blue Shield of California EPN |
$6.20
|
Rate for Payer: Cash Price |
$4.78
|
Rate for Payer: Cigna of CA HMO |
$7.43
|
Rate for Payer: Cigna of CA PPO |
$7.43
|
Rate for Payer: Dignity Health Commercial/Exchange |
$9.03
|
Rate for Payer: Dignity Health Media |
$9.03
|
Rate for Payer: Dignity Health Medi-Cal |
$9.03
|
Rate for Payer: EPIC Health Plan Commercial |
$4.25
|
Rate for Payer: EPIC Health Plan Transplant |
$4.25
|
Rate for Payer: Galaxy Health WC |
$9.03
|
Rate for Payer: Global Benefits Group Commercial |
$6.37
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$7.96
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7.08
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.05
|
Rate for Payer: LLUH Dept of Risk Management WC |
$2.55
|
Rate for Payer: Multiplan Commercial |
$8.50
|
Rate for Payer: Networks By Design Commercial |
$6.90
|
Rate for Payer: Prime Health Services Commercial |
$9.03
|
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$6.37
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6.37
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$6.37
|
Rate for Payer: United Healthcare All Other Commercial |
$5.31
|
Rate for Payer: United Healthcare All Other HMO |
$5.31
|
Rate for Payer: United Healthcare HMO Rider |
$5.31
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$5.31
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$9.03
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$9.03
|
Rate for Payer: Vantage Medical Group Senior |
$9.03
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]
|
Facility
IP
|
$38.50
|
|
Service Code
|
NDC 11980-180-05
|
Hospital Charge Code |
1740162
|
Hospital Revenue Code
|
259
|
Min. Negotiated Rate |
$9.24 |
Max. Negotiated Rate |
$32.72 |
Rate for Payer: Blue Shield of California Commercial |
$27.41
|
Rate for Payer: Blue Shield of California EPN |
$19.71
|
Rate for Payer: Cash Price |
$17.33
|
Rate for Payer: Cigna of CA HMO |
$26.95
|
Rate for Payer: Cigna of CA PPO |
$26.95
|
Rate for Payer: EPIC Health Plan Commercial |
$15.40
|
Rate for Payer: Galaxy Health WC |
$32.72
|
Rate for Payer: Global Benefits Group Commercial |
$23.10
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$25.68
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$14.67
|
Rate for Payer: LLUH Dept of Risk Management WC |
$9.24
|
Rate for Payer: Multiplan Commercial |
$30.80
|
Rate for Payer: Networks By Design Commercial |
$25.02
|
Rate for Payer: Prime Health Services Commercial |
$32.72
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]
|
Facility
IP
|
$10.56
|
|
Service Code
|
NDC 60758-119-05
|
Hospital Charge Code |
1740162
|
Hospital Revenue Code
|
259
|
Min. Negotiated Rate |
$2.53 |
Max. Negotiated Rate |
$8.98 |
Rate for Payer: Blue Shield of California Commercial |
$7.52
|
Rate for Payer: Blue Shield of California EPN |
$5.41
|
Rate for Payer: Cash Price |
$4.75
|
Rate for Payer: Cigna of CA HMO |
$7.39
|
Rate for Payer: Cigna of CA PPO |
$7.39
|
Rate for Payer: EPIC Health Plan Commercial |
$4.22
|
Rate for Payer: Galaxy Health WC |
$8.98
|
Rate for Payer: Global Benefits Group Commercial |
$6.34
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7.04
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.02
|
Rate for Payer: LLUH Dept of Risk Management WC |
$2.53
|
Rate for Payer: Multiplan Commercial |
$8.45
|
Rate for Payer: Networks By Design Commercial |
$6.86
|
Rate for Payer: Prime Health Services Commercial |
$8.98
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]
|
Facility
OP
|
$10.56
|
|
Service Code
|
NDC 60758-119-05
|
Hospital Charge Code |
1740162
|
Hospital Revenue Code
|
259
|
Min. Negotiated Rate |
$2.53 |
Max. Negotiated Rate |
$8.98 |
Rate for Payer: Aetna of CA HMO/PPO |
$6.93
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$8.98
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$5.81
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$5.81
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6.29
|
Rate for Payer: BCBS Transplant Transplant |
$6.34
|
Rate for Payer: Blue Shield of California Commercial |
$7.78
|
Rate for Payer: Blue Shield of California EPN |
$6.17
|
Rate for Payer: Cash Price |
$4.75
|
Rate for Payer: Cigna of CA HMO |
$7.39
|
Rate for Payer: Cigna of CA PPO |
$7.39
|
Rate for Payer: Dignity Health Commercial/Exchange |
$8.98
|
Rate for Payer: Dignity Health Media |
$8.98
|
Rate for Payer: Dignity Health Medi-Cal |
$8.98
|
Rate for Payer: EPIC Health Plan Commercial |
$4.22
|
Rate for Payer: EPIC Health Plan Transplant |
$4.22
|
Rate for Payer: Galaxy Health WC |
$8.98
|
Rate for Payer: Global Benefits Group Commercial |
$6.34
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$7.92
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7.04
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.02
|
Rate for Payer: LLUH Dept of Risk Management WC |
$2.53
|
Rate for Payer: Multiplan Commercial |
$8.45
|
Rate for Payer: Networks By Design Commercial |
$6.86
|
Rate for Payer: Prime Health Services Commercial |
$8.98
|
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$6.34
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6.34
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$6.34
|
Rate for Payer: United Healthcare All Other Commercial |
$5.28
|
Rate for Payer: United Healthcare All Other HMO |
$5.28
|
Rate for Payer: United Healthcare HMO Rider |
$5.28
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$5.28
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$8.98
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$8.98
|
Rate for Payer: Vantage Medical Group Senior |
$8.98
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [6487]
|
Facility
OP
|
$38.50
|
|
Service Code
|
NDC 11980-180-05
|
Hospital Charge Code |
1740162
|
Hospital Revenue Code
|
259
|
Min. Negotiated Rate |
$9.24 |
Max. Negotiated Rate |
$32.72 |
Rate for Payer: Aetna of CA HMO/PPO |
$25.25
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$32.72
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$21.18
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$21.18
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22.94
|
Rate for Payer: BCBS Transplant Transplant |
$23.10
|
Rate for Payer: Blue Shield of California Commercial |
$28.37
|
Rate for Payer: Blue Shield of California EPN |
$22.48
|
Rate for Payer: Cash Price |
$17.33
|
Rate for Payer: Cigna of CA HMO |
$26.95
|
Rate for Payer: Cigna of CA PPO |
$26.95
|
Rate for Payer: Dignity Health Commercial/Exchange |
$32.72
|
Rate for Payer: Dignity Health Media |
$32.72
|
Rate for Payer: Dignity Health Medi-Cal |
$32.72
|
Rate for Payer: EPIC Health Plan Commercial |
$15.40
|
Rate for Payer: EPIC Health Plan Transplant |
$15.40
|
Rate for Payer: Galaxy Health WC |
$32.72
|
Rate for Payer: Global Benefits Group Commercial |
$23.10
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$28.88
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$25.68
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$14.67
|
Rate for Payer: LLUH Dept of Risk Management WC |
$9.24
|
Rate for Payer: Multiplan Commercial |
$30.80
|
Rate for Payer: Networks By Design Commercial |
$25.02
|
Rate for Payer: Prime Health Services Commercial |
$32.72
|
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$23.10
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$23.10
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$23.10
|
Rate for Payer: United Healthcare All Other Commercial |
$19.25
|
Rate for Payer: United Healthcare All Other HMO |
$19.25
|
Rate for Payer: United Healthcare HMO Rider |
$19.25
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$19.25
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$32.72
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$32.72
|
Rate for Payer: Vantage Medical Group Senior |
$32.72
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302]
|
Facility
IP
|
$0.26
|
|
Service Code
|
CPT J7510
|
Hospital Charge Code |
1715180
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.06 |
Max. Negotiated Rate |
$0.22 |
Rate for Payer: Blue Shield of California Commercial |
$0.19
|
Rate for Payer: Blue Shield of California Commercial |
$0.11
|
Rate for Payer: Blue Shield of California EPN |
$0.08
|
Rate for Payer: Blue Shield of California EPN |
$0.13
|
Rate for Payer: Cash Price |
$0.07
|
Rate for Payer: Cash Price |
$0.12
|
Rate for Payer: Cigna of CA HMO |
$0.18
|
Rate for Payer: Cigna of CA HMO |
$0.11
|
Rate for Payer: Cigna of CA PPO |
$0.11
|
Rate for Payer: Cigna of CA PPO |
$0.18
|
Rate for Payer: EPIC Health Plan Commercial |
$0.06
|
Rate for Payer: EPIC Health Plan Commercial |
$0.10
|
Rate for Payer: EPIC Health Plan Transplant |
$0.06
|
Rate for Payer: EPIC Health Plan Transplant |
$0.10
|
Rate for Payer: Galaxy Health WC |
$0.22
|
Rate for Payer: Galaxy Health WC |
$0.13
|
Rate for Payer: Global Benefits Group Commercial |
$0.16
|
Rate for Payer: Global Benefits Group Commercial |
$0.09
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.10
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.17
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.10
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.04
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: Multiplan Commercial |
$0.12
|
Rate for Payer: Multiplan Commercial |
$0.21
|
Rate for Payer: Networks By Design Commercial |
$0.08
|
Rate for Payer: Networks By Design Commercial |
$0.13
|
Rate for Payer: Prime Health Services Commercial |
$0.13
|
Rate for Payer: Prime Health Services Commercial |
$0.22
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [29302]
|
Facility
OP
|
$0.26
|
|
Service Code
|
CPT J7510
|
Hospital Charge Code |
1715180
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.06 |
Max. Negotiated Rate |
$5.92 |
Rate for Payer: EPIC Health Plan Commercial |
$0.10
|
Rate for Payer: EPIC Health Plan Transplant |
$0.10
|
Rate for Payer: EPIC Health Plan Transplant |
$0.06
|
Rate for Payer: Galaxy Health WC |
$0.13
|
Rate for Payer: Galaxy Health WC |
$0.22
|
Rate for Payer: Aetna of CA HMO/PPO |
$2.62
|
Rate for Payer: Aetna of CA HMO/PPO |
$2.62
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.22
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.13
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.14
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.08
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.08
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.14
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.97
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.97
|
Rate for Payer: BCBS Transplant Transplant |
$0.16
|
Rate for Payer: BCBS Transplant Transplant |
$0.09
|
Rate for Payer: Blue Shield of California Commercial |
$0.19
|
Rate for Payer: Blue Shield of California Commercial |
$0.11
|
Rate for Payer: Blue Shield of California EPN |
$5.92
|
Rate for Payer: Blue Shield of California EPN |
$5.92
|
Rate for Payer: Cash Price |
$0.12
|
Rate for Payer: Cash Price |
$0.12
|
Rate for Payer: Cash Price |
$0.07
|
Rate for Payer: Cash Price |
$0.07
|
Rate for Payer: Cigna of CA HMO |
$0.18
|
Rate for Payer: Cigna of CA HMO |
$0.11
|
Rate for Payer: Cigna of CA PPO |
$0.18
|
Rate for Payer: Cigna of CA PPO |
$0.11
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.13
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.22
|
Rate for Payer: Dignity Health Media |
$0.22
|
Rate for Payer: Dignity Health Media |
$0.13
|
Rate for Payer: Dignity Health Medi-Cal |
$0.13
|
Rate for Payer: Dignity Health Medi-Cal |
$0.22
|
Rate for Payer: EPIC Health Plan Commercial |
$0.06
|
Rate for Payer: Global Benefits Group Commercial |
$0.16
|
Rate for Payer: Global Benefits Group Commercial |
$0.09
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.20
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.11
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.10
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.17
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.10
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.04
|
Rate for Payer: Multiplan Commercial |
$0.21
|
Rate for Payer: Multiplan Commercial |
$0.12
|
Rate for Payer: Networks By Design Commercial |
$0.08
|
Rate for Payer: Networks By Design Commercial |
$0.13
|
Rate for Payer: Prime Health Services Commercial |
$0.13
|
Rate for Payer: Prime Health Services Commercial |
$0.22
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.09
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.16
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.09
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.16
|
Rate for Payer: United Healthcare All Other Commercial |
$0.13
|
Rate for Payer: United Healthcare All Other Commercial |
$0.08
|
Rate for Payer: United Healthcare All Other HMO |
$0.13
|
Rate for Payer: United Healthcare All Other HMO |
$0.08
|
Rate for Payer: United Healthcare HMO Rider |
$0.08
|
Rate for Payer: United Healthcare HMO Rider |
$0.13
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.13
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.08
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.13
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.22
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.13
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.22
|
Rate for Payer: Vantage Medical Group Senior |
$0.13
|
Rate for Payer: Vantage Medical Group Senior |
$0.22
|
|
PREDNISOLONE SODIUM PHOSPHATE 1 % EYE DROPS [6489]
|
Facility
OP
|
$6.33
|
|
Service Code
|
NDC 24208-715-10
|
Hospital Charge Code |
1740150
|
Hospital Revenue Code
|
259
|
Min. Negotiated Rate |
$1.52 |
Max. Negotiated Rate |
$5.38 |
Rate for Payer: Aetna of CA HMO/PPO |
$4.15
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$5.38
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$3.48
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$3.48
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$3.77
|
Rate for Payer: BCBS Transplant Transplant |
$3.80
|
Rate for Payer: Blue Shield of California Commercial |
$4.67
|
Rate for Payer: Blue Shield of California EPN |
$3.70
|
Rate for Payer: Cash Price |
$2.85
|
Rate for Payer: Cigna of CA HMO |
$4.43
|
Rate for Payer: Cigna of CA PPO |
$4.43
|
Rate for Payer: Dignity Health Commercial/Exchange |
$5.38
|
Rate for Payer: Dignity Health Media |
$5.38
|
Rate for Payer: Dignity Health Medi-Cal |
$5.38
|
Rate for Payer: EPIC Health Plan Commercial |
$2.53
|
Rate for Payer: EPIC Health Plan Transplant |
$2.53
|
Rate for Payer: Galaxy Health WC |
$5.38
|
Rate for Payer: Global Benefits Group Commercial |
$3.80
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$4.75
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4.22
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2.41
|
Rate for Payer: LLUH Dept of Risk Management WC |
$1.52
|
Rate for Payer: Multiplan Commercial |
$5.06
|
Rate for Payer: Networks By Design Commercial |
$4.11
|
Rate for Payer: Prime Health Services Commercial |
$5.38
|
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$3.80
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3.80
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$3.80
|
Rate for Payer: United Healthcare All Other Commercial |
$3.16
|
Rate for Payer: United Healthcare All Other HMO |
$3.16
|
Rate for Payer: United Healthcare HMO Rider |
$3.16
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$3.16
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5.38
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$5.38
|
Rate for Payer: Vantage Medical Group Senior |
$5.38
|
|
PREDNISOLONE SODIUM PHOSPHATE 1 % EYE DROPS [6489]
|
Facility
IP
|
$6.33
|
|
Service Code
|
NDC 24208-715-10
|
Hospital Charge Code |
1740150
|
Hospital Revenue Code
|
259
|
Min. Negotiated Rate |
$1.52 |
Max. Negotiated Rate |
$5.38 |
Rate for Payer: Blue Shield of California Commercial |
$4.51
|
Rate for Payer: Blue Shield of California EPN |
$3.24
|
Rate for Payer: Cash Price |
$2.85
|
Rate for Payer: Cigna of CA HMO |
$4.43
|
Rate for Payer: Cigna of CA PPO |
$4.43
|
Rate for Payer: EPIC Health Plan Commercial |
$2.53
|
Rate for Payer: Galaxy Health WC |
$5.38
|
Rate for Payer: Global Benefits Group Commercial |
$3.80
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4.22
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2.41
|
Rate for Payer: LLUH Dept of Risk Management WC |
$1.52
|
Rate for Payer: Multiplan Commercial |
$5.06
|
Rate for Payer: Networks By Design Commercial |
$4.11
|
Rate for Payer: Prime Health Services Commercial |
$5.38
|
|
PREDNISONE 10 MG TABLET [6494]
|
Facility
IP
|
$0.21
|
|
Service Code
|
CPT J7512
|
Hospital Charge Code |
1710075
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.05 |
Max. Negotiated Rate |
$0.18 |
Rate for Payer: Blue Shield of California Commercial |
$0.15
|
Rate for Payer: Blue Shield of California Commercial |
$0.16
|
Rate for Payer: Blue Shield of California Commercial |
$0.19
|
Rate for Payer: Blue Shield of California EPN |
$0.11
|
Rate for Payer: Blue Shield of California EPN |
$0.13
|
Rate for Payer: Blue Shield of California EPN |
$0.12
|
Rate for Payer: Cash Price |
$0.09
|
Rate for Payer: Cash Price |
$0.10
|
Rate for Payer: Cash Price |
$0.12
|
Rate for Payer: Cigna of CA HMO |
$0.16
|
Rate for Payer: Cigna of CA HMO |
$0.18
|
Rate for Payer: Cigna of CA HMO |
$0.15
|
Rate for Payer: Cigna of CA PPO |
$0.15
|
Rate for Payer: Cigna of CA PPO |
$0.16
|
Rate for Payer: Cigna of CA PPO |
$0.18
|
Rate for Payer: EPIC Health Plan Commercial |
$0.08
|
Rate for Payer: EPIC Health Plan Commercial |
$0.09
|
Rate for Payer: EPIC Health Plan Commercial |
$0.10
|
Rate for Payer: EPIC Health Plan Transplant |
$0.10
|
Rate for Payer: EPIC Health Plan Transplant |
$0.08
|
Rate for Payer: EPIC Health Plan Transplant |
$0.09
|
Rate for Payer: Galaxy Health WC |
$0.22
|
Rate for Payer: Galaxy Health WC |
$0.18
|
Rate for Payer: Galaxy Health WC |
$0.20
|
Rate for Payer: Global Benefits Group Commercial |
$0.13
|
Rate for Payer: Global Benefits Group Commercial |
$0.14
|
Rate for Payer: Global Benefits Group Commercial |
$0.16
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.14
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.15
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.17
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.08
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.10
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.09
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.05
|
Rate for Payer: Multiplan Commercial |
$0.18
|
Rate for Payer: Multiplan Commercial |
$0.17
|
Rate for Payer: Multiplan Commercial |
$0.21
|
Rate for Payer: Networks By Design Commercial |
$0.12
|
Rate for Payer: Networks By Design Commercial |
$0.11
|
Rate for Payer: Networks By Design Commercial |
$0.13
|
Rate for Payer: Prime Health Services Commercial |
$0.18
|
Rate for Payer: Prime Health Services Commercial |
$0.22
|
Rate for Payer: Prime Health Services Commercial |
$0.20
|
|
PREDNISONE 10 MG TABLET [6494]
|
Facility
OP
|
$0.21
|
|
Service Code
|
CPT J7512
|
Hospital Charge Code |
1710075
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.05 |
Max. Negotiated Rate |
$0.41 |
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.22
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.20
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.18
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.13
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.14
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.12
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.14
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.12
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.13
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: BCBS Transplant Transplant |
$0.16
|
Rate for Payer: BCBS Transplant Transplant |
$0.14
|
Rate for Payer: BCBS Transplant Transplant |
$0.13
|
Rate for Payer: Blue Shield of California Commercial |
$0.17
|
Rate for Payer: Blue Shield of California Commercial |
$0.19
|
Rate for Payer: Blue Shield of California Commercial |
$0.15
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Cash Price |
$0.10
|
Rate for Payer: Cash Price |
$0.09
|
Rate for Payer: Cash Price |
$0.10
|
Rate for Payer: Cash Price |
$0.12
|
Rate for Payer: Cash Price |
$0.09
|
Rate for Payer: Cash Price |
$0.12
|
Rate for Payer: Cigna of CA HMO |
$0.18
|
Rate for Payer: Cigna of CA HMO |
$0.16
|
Rate for Payer: Cigna of CA HMO |
$0.15
|
Rate for Payer: Cigna of CA PPO |
$0.18
|
Rate for Payer: Cigna of CA PPO |
$0.16
|
Rate for Payer: Cigna of CA PPO |
$0.15
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.20
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.18
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.22
|
Rate for Payer: Dignity Health Media |
$0.20
|
Rate for Payer: Dignity Health Media |
$0.18
|
Rate for Payer: Dignity Health Media |
$0.22
|
Rate for Payer: Dignity Health Medi-Cal |
$0.22
|
Rate for Payer: Dignity Health Medi-Cal |
$0.20
|
Rate for Payer: Dignity Health Medi-Cal |
$0.18
|
Rate for Payer: EPIC Health Plan Commercial |
$0.09
|
Rate for Payer: EPIC Health Plan Commercial |
$0.08
|
Rate for Payer: EPIC Health Plan Commercial |
$0.10
|
Rate for Payer: EPIC Health Plan Transplant |
$0.10
|
Rate for Payer: EPIC Health Plan Transplant |
$0.08
|
Rate for Payer: EPIC Health Plan Transplant |
$0.09
|
Rate for Payer: Galaxy Health WC |
$0.20
|
Rate for Payer: Galaxy Health WC |
$0.22
|
Rate for Payer: Galaxy Health WC |
$0.18
|
Rate for Payer: Global Benefits Group Commercial |
$0.13
|
Rate for Payer: Global Benefits Group Commercial |
$0.14
|
Rate for Payer: Global Benefits Group Commercial |
$0.16
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.16
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.17
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.20
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.14
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.15
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.17
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.09
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.10
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.08
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.05
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: Multiplan Commercial |
$0.18
|
Rate for Payer: Multiplan Commercial |
$0.21
|
Rate for Payer: Multiplan Commercial |
$0.17
|
Rate for Payer: Networks By Design Commercial |
$0.12
|
Rate for Payer: Networks By Design Commercial |
$0.11
|
Rate for Payer: Networks By Design Commercial |
$0.13
|
Rate for Payer: Prime Health Services Commercial |
$0.22
|
Rate for Payer: Prime Health Services Commercial |
$0.20
|
Rate for Payer: Prime Health Services Commercial |
$0.18
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.14
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.16
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.13
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.14
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.13
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.16
|
Rate for Payer: United Healthcare All Other Commercial |
$0.13
|
Rate for Payer: United Healthcare All Other Commercial |
$0.12
|
Rate for Payer: United Healthcare All Other Commercial |
$0.11
|
Rate for Payer: United Healthcare All Other HMO |
$0.11
|
Rate for Payer: United Healthcare All Other HMO |
$0.13
|
Rate for Payer: United Healthcare All Other HMO |
$0.12
|
Rate for Payer: United Healthcare HMO Rider |
$0.12
|
Rate for Payer: United Healthcare HMO Rider |
$0.11
|
Rate for Payer: United Healthcare HMO Rider |
$0.13
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.13
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.12
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.11
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.18
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.22
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.20
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.20
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.22
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.18
|
Rate for Payer: Vantage Medical Group Senior |
$0.18
|
Rate for Payer: Vantage Medical Group Senior |
$0.20
|
Rate for Payer: Vantage Medical Group Senior |
$0.22
|
|
PREDNISONE 1 MG TABLET [6493]
|
Facility
OP
|
$0.27
|
|
Service Code
|
CPT J7512
|
Hospital Charge Code |
1710450
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.06 |
Max. Negotiated Rate |
$0.41 |
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.20
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.23
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.20
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.15
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.13
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.13
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.13
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.15
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.13
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: BCBS Transplant Transplant |
$0.16
|
Rate for Payer: BCBS Transplant Transplant |
$0.14
|
Rate for Payer: BCBS Transplant Transplant |
$0.14
|
Rate for Payer: Blue Shield of California Commercial |
$0.18
|
Rate for Payer: Blue Shield of California Commercial |
$0.17
|
Rate for Payer: Blue Shield of California Commercial |
$0.20
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Cash Price |
$0.10
|
Rate for Payer: Cash Price |
$0.11
|
Rate for Payer: Cash Price |
$0.12
|
Rate for Payer: Cash Price |
$0.10
|
Rate for Payer: Cash Price |
$0.12
|
Rate for Payer: Cash Price |
$0.11
|
Rate for Payer: Cigna of CA HMO |
$0.19
|
Rate for Payer: Cigna of CA HMO |
$0.16
|
Rate for Payer: Cigna of CA HMO |
$0.17
|
Rate for Payer: Cigna of CA PPO |
$0.17
|
Rate for Payer: Cigna of CA PPO |
$0.16
|
Rate for Payer: Cigna of CA PPO |
$0.19
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.20
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.23
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.20
|
Rate for Payer: Dignity Health Media |
$0.20
|
Rate for Payer: Dignity Health Media |
$0.23
|
Rate for Payer: Dignity Health Media |
$0.20
|
Rate for Payer: Dignity Health Medi-Cal |
$0.20
|
Rate for Payer: Dignity Health Medi-Cal |
$0.23
|
Rate for Payer: Dignity Health Medi-Cal |
$0.20
|
Rate for Payer: EPIC Health Plan Commercial |
$0.10
|
Rate for Payer: EPIC Health Plan Commercial |
$0.11
|
Rate for Payer: EPIC Health Plan Commercial |
$0.09
|
Rate for Payer: EPIC Health Plan Transplant |
$0.11
|
Rate for Payer: EPIC Health Plan Transplant |
$0.09
|
Rate for Payer: EPIC Health Plan Transplant |
$0.10
|
Rate for Payer: Galaxy Health WC |
$0.20
|
Rate for Payer: Galaxy Health WC |
$0.23
|
Rate for Payer: Galaxy Health WC |
$0.20
|
Rate for Payer: Global Benefits Group Commercial |
$0.16
|
Rate for Payer: Global Benefits Group Commercial |
$0.14
|
Rate for Payer: Global Benefits Group Commercial |
$0.14
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.20
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.17
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.18
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.16
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.18
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.15
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.09
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.10
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.09
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: Multiplan Commercial |
$0.22
|
Rate for Payer: Multiplan Commercial |
$0.18
|
Rate for Payer: Multiplan Commercial |
$0.19
|
Rate for Payer: Networks By Design Commercial |
$0.12
|
Rate for Payer: Networks By Design Commercial |
$0.14
|
Rate for Payer: Networks By Design Commercial |
$0.12
|
Rate for Payer: Prime Health Services Commercial |
$0.23
|
Rate for Payer: Prime Health Services Commercial |
$0.20
|
Rate for Payer: Prime Health Services Commercial |
$0.20
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.16
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.14
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.14
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.14
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.16
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.14
|
Rate for Payer: United Healthcare All Other Commercial |
$0.14
|
Rate for Payer: United Healthcare All Other Commercial |
$0.12
|
Rate for Payer: United Healthcare All Other Commercial |
$0.12
|
Rate for Payer: United Healthcare All Other HMO |
$0.12
|
Rate for Payer: United Healthcare All Other HMO |
$0.12
|
Rate for Payer: United Healthcare All Other HMO |
$0.14
|
Rate for Payer: United Healthcare HMO Rider |
$0.14
|
Rate for Payer: United Healthcare HMO Rider |
$0.12
|
Rate for Payer: United Healthcare HMO Rider |
$0.12
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.12
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.12
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.14
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.20
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.23
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.20
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.20
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.20
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.23
|
Rate for Payer: Vantage Medical Group Senior |
$0.20
|
Rate for Payer: Vantage Medical Group Senior |
$0.20
|
Rate for Payer: Vantage Medical Group Senior |
$0.23
|
|
PREDNISONE 1 MG TABLET [6493]
|
Facility
IP
|
$0.23
|
|
Service Code
|
CPT J7512
|
Hospital Charge Code |
1710450
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.06 |
Max. Negotiated Rate |
$0.20 |
Rate for Payer: Blue Shield of California Commercial |
$0.16
|
Rate for Payer: Blue Shield of California Commercial |
$0.17
|
Rate for Payer: Blue Shield of California Commercial |
$0.19
|
Rate for Payer: Blue Shield of California EPN |
$0.12
|
Rate for Payer: Blue Shield of California EPN |
$0.14
|
Rate for Payer: Blue Shield of California EPN |
$0.12
|
Rate for Payer: Cash Price |
$0.11
|
Rate for Payer: Cash Price |
$0.10
|
Rate for Payer: Cash Price |
$0.12
|
Rate for Payer: Cigna of CA HMO |
$0.16
|
Rate for Payer: Cigna of CA HMO |
$0.17
|
Rate for Payer: Cigna of CA HMO |
$0.19
|
Rate for Payer: Cigna of CA PPO |
$0.19
|
Rate for Payer: Cigna of CA PPO |
$0.16
|
Rate for Payer: Cigna of CA PPO |
$0.17
|
Rate for Payer: EPIC Health Plan Commercial |
$0.11
|
Rate for Payer: EPIC Health Plan Commercial |
$0.09
|
Rate for Payer: EPIC Health Plan Commercial |
$0.10
|
Rate for Payer: EPIC Health Plan Transplant |
$0.10
|
Rate for Payer: EPIC Health Plan Transplant |
$0.09
|
Rate for Payer: EPIC Health Plan Transplant |
$0.11
|
Rate for Payer: Galaxy Health WC |
$0.20
|
Rate for Payer: Galaxy Health WC |
$0.23
|
Rate for Payer: Galaxy Health WC |
$0.20
|
Rate for Payer: Global Benefits Group Commercial |
$0.16
|
Rate for Payer: Global Benefits Group Commercial |
$0.14
|
Rate for Payer: Global Benefits Group Commercial |
$0.14
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.18
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.16
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.15
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.09
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.09
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.10
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: Multiplan Commercial |
$0.18
|
Rate for Payer: Multiplan Commercial |
$0.19
|
Rate for Payer: Multiplan Commercial |
$0.22
|
Rate for Payer: Networks By Design Commercial |
$0.12
|
Rate for Payer: Networks By Design Commercial |
$0.12
|
Rate for Payer: Networks By Design Commercial |
$0.14
|
Rate for Payer: Prime Health Services Commercial |
$0.20
|
Rate for Payer: Prime Health Services Commercial |
$0.23
|
Rate for Payer: Prime Health Services Commercial |
$0.20
|
|
PREDNISONE 20 MG TABLET [6496]
|
Facility
IP
|
$0.22
|
|
Service Code
|
CPT J7512
|
Hospital Charge Code |
1710090
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.05 |
Max. Negotiated Rate |
$0.19 |
Rate for Payer: Blue Shield of California Commercial |
$0.16
|
Rate for Payer: Blue Shield of California Commercial |
$0.08
|
Rate for Payer: Blue Shield of California Commercial |
$0.19
|
Rate for Payer: Blue Shield of California Commercial |
$0.17
|
Rate for Payer: Blue Shield of California Commercial |
$0.18
|
Rate for Payer: Blue Shield of California EPN |
$0.06
|
Rate for Payer: Blue Shield of California EPN |
$0.14
|
Rate for Payer: Blue Shield of California EPN |
$0.13
|
Rate for Payer: Blue Shield of California EPN |
$0.12
|
Rate for Payer: Blue Shield of California EPN |
$0.11
|
Rate for Payer: Cash Price |
$0.11
|
Rate for Payer: Cash Price |
$0.05
|
Rate for Payer: Cash Price |
$0.11
|
Rate for Payer: Cash Price |
$0.12
|
Rate for Payer: Cash Price |
$0.10
|
Rate for Payer: Cigna of CA HMO |
$0.18
|
Rate for Payer: Cigna of CA HMO |
$0.17
|
Rate for Payer: Cigna of CA HMO |
$0.15
|
Rate for Payer: Cigna of CA HMO |
$0.08
|
Rate for Payer: Cigna of CA HMO |
$0.19
|
Rate for Payer: Cigna of CA PPO |
$0.08
|
Rate for Payer: Cigna of CA PPO |
$0.18
|
Rate for Payer: Cigna of CA PPO |
$0.19
|
Rate for Payer: Cigna of CA PPO |
$0.17
|
Rate for Payer: Cigna of CA PPO |
$0.15
|
Rate for Payer: EPIC Health Plan Commercial |
$0.04
|
Rate for Payer: EPIC Health Plan Commercial |
$0.09
|
Rate for Payer: EPIC Health Plan Commercial |
$0.11
|
Rate for Payer: EPIC Health Plan Commercial |
$0.10
|
Rate for Payer: EPIC Health Plan Commercial |
$0.10
|
Rate for Payer: EPIC Health Plan Transplant |
$0.04
|
Rate for Payer: EPIC Health Plan Transplant |
$0.09
|
Rate for Payer: EPIC Health Plan Transplant |
$0.10
|
Rate for Payer: EPIC Health Plan Transplant |
$0.11
|
Rate for Payer: EPIC Health Plan Transplant |
$0.10
|
Rate for Payer: Galaxy Health WC |
$0.09
|
Rate for Payer: Galaxy Health WC |
$0.19
|
Rate for Payer: Galaxy Health WC |
$0.20
|
Rate for Payer: Galaxy Health WC |
$0.23
|
Rate for Payer: Galaxy Health WC |
$0.21
|
Rate for Payer: Global Benefits Group Commercial |
$0.07
|
Rate for Payer: Global Benefits Group Commercial |
$0.13
|
Rate for Payer: Global Benefits Group Commercial |
$0.14
|
Rate for Payer: Global Benefits Group Commercial |
$0.16
|
Rate for Payer: Global Benefits Group Commercial |
$0.15
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.17
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.07
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.16
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.15
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.18
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.09
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.10
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.10
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.04
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.08
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.03
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.05
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: Multiplan Commercial |
$0.09
|
Rate for Payer: Multiplan Commercial |
$0.20
|
Rate for Payer: Multiplan Commercial |
$0.18
|
Rate for Payer: Multiplan Commercial |
$0.22
|
Rate for Payer: Multiplan Commercial |
$0.19
|
Rate for Payer: Networks By Design Commercial |
$0.13
|
Rate for Payer: Networks By Design Commercial |
$0.12
|
Rate for Payer: Networks By Design Commercial |
$0.11
|
Rate for Payer: Networks By Design Commercial |
$0.06
|
Rate for Payer: Networks By Design Commercial |
$0.14
|
Rate for Payer: Prime Health Services Commercial |
$0.19
|
Rate for Payer: Prime Health Services Commercial |
$0.21
|
Rate for Payer: Prime Health Services Commercial |
$0.20
|
Rate for Payer: Prime Health Services Commercial |
$0.09
|
Rate for Payer: Prime Health Services Commercial |
$0.23
|
|
PREDNISONE 20 MG TABLET [6496]
|
Facility
OP
|
$0.11
|
|
Service Code
|
CPT J7512
|
Hospital Charge Code |
1710090
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.03 |
Max. Negotiated Rate |
$0.41 |
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.09
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.23
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.20
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.21
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.19
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.06
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.12
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.14
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.13
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.15
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.06
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.12
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.14
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.13
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.15
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: BCBS Transplant Transplant |
$0.07
|
Rate for Payer: BCBS Transplant Transplant |
$0.13
|
Rate for Payer: BCBS Transplant Transplant |
$0.15
|
Rate for Payer: BCBS Transplant Transplant |
$0.14
|
Rate for Payer: BCBS Transplant Transplant |
$0.16
|
Rate for Payer: Blue Shield of California Commercial |
$0.18
|
Rate for Payer: Blue Shield of California Commercial |
$0.08
|
Rate for Payer: Blue Shield of California Commercial |
$0.20
|
Rate for Payer: Blue Shield of California Commercial |
$0.16
|
Rate for Payer: Blue Shield of California Commercial |
$0.18
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Cash Price |
$0.11
|
Rate for Payer: Cash Price |
$0.05
|
Rate for Payer: Cash Price |
$0.05
|
Rate for Payer: Cash Price |
$0.10
|
Rate for Payer: Cash Price |
$0.10
|
Rate for Payer: Cash Price |
$0.12
|
Rate for Payer: Cash Price |
$0.12
|
Rate for Payer: Cash Price |
$0.11
|
Rate for Payer: Cash Price |
$0.11
|
Rate for Payer: Cash Price |
$0.11
|
Rate for Payer: Cigna of CA HMO |
$0.08
|
Rate for Payer: Cigna of CA HMO |
$0.18
|
Rate for Payer: Cigna of CA HMO |
$0.17
|
Rate for Payer: Cigna of CA HMO |
$0.19
|
Rate for Payer: Cigna of CA HMO |
$0.15
|
Rate for Payer: Cigna of CA PPO |
$0.17
|
Rate for Payer: Cigna of CA PPO |
$0.08
|
Rate for Payer: Cigna of CA PPO |
$0.15
|
Rate for Payer: Cigna of CA PPO |
$0.19
|
Rate for Payer: Cigna of CA PPO |
$0.18
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.23
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.19
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.21
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.09
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.20
|
Rate for Payer: Dignity Health Media |
$0.09
|
Rate for Payer: Dignity Health Media |
$0.23
|
Rate for Payer: Dignity Health Media |
$0.19
|
Rate for Payer: Dignity Health Media |
$0.21
|
Rate for Payer: Dignity Health Media |
$0.20
|
Rate for Payer: Dignity Health Medi-Cal |
$0.19
|
Rate for Payer: Dignity Health Medi-Cal |
$0.23
|
Rate for Payer: Dignity Health Medi-Cal |
$0.20
|
Rate for Payer: Dignity Health Medi-Cal |
$0.09
|
Rate for Payer: Dignity Health Medi-Cal |
$0.21
|
Rate for Payer: EPIC Health Plan Commercial |
$0.10
|
Rate for Payer: EPIC Health Plan Commercial |
$0.11
|
Rate for Payer: EPIC Health Plan Commercial |
$0.09
|
Rate for Payer: EPIC Health Plan Commercial |
$0.10
|
Rate for Payer: EPIC Health Plan Commercial |
$0.04
|
Rate for Payer: EPIC Health Plan Transplant |
$0.04
|
Rate for Payer: EPIC Health Plan Transplant |
$0.10
|
Rate for Payer: EPIC Health Plan Transplant |
$0.10
|
Rate for Payer: EPIC Health Plan Transplant |
$0.11
|
Rate for Payer: EPIC Health Plan Transplant |
$0.09
|
Rate for Payer: Galaxy Health WC |
$0.19
|
Rate for Payer: Galaxy Health WC |
$0.20
|
Rate for Payer: Galaxy Health WC |
$0.09
|
Rate for Payer: Galaxy Health WC |
$0.21
|
Rate for Payer: Galaxy Health WC |
$0.23
|
Rate for Payer: Global Benefits Group Commercial |
$0.16
|
Rate for Payer: Global Benefits Group Commercial |
$0.15
|
Rate for Payer: Global Benefits Group Commercial |
$0.13
|
Rate for Payer: Global Benefits Group Commercial |
$0.14
|
Rate for Payer: Global Benefits Group Commercial |
$0.07
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.08
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.20
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.18
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.19
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.17
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.17
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.16
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.15
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.07
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.18
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.10
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.09
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.10
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.08
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.04
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.03
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.05
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.06
|
Rate for Payer: Multiplan Commercial |
$0.22
|
Rate for Payer: Multiplan Commercial |
$0.19
|
Rate for Payer: Multiplan Commercial |
$0.20
|
Rate for Payer: Multiplan Commercial |
$0.09
|
Rate for Payer: Multiplan Commercial |
$0.18
|
Rate for Payer: Networks By Design Commercial |
$0.11
|
Rate for Payer: Networks By Design Commercial |
$0.14
|
Rate for Payer: Networks By Design Commercial |
$0.12
|
Rate for Payer: Networks By Design Commercial |
$0.13
|
Rate for Payer: Networks By Design Commercial |
$0.06
|
Rate for Payer: Prime Health Services Commercial |
$0.19
|
Rate for Payer: Prime Health Services Commercial |
$0.20
|
Rate for Payer: Prime Health Services Commercial |
$0.21
|
Rate for Payer: Prime Health Services Commercial |
$0.23
|
Rate for Payer: Prime Health Services Commercial |
$0.09
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.16
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.07
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.14
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.15
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.13
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.07
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.16
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.13
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.15
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.14
|
Rate for Payer: United Healthcare All Other Commercial |
$0.06
|
Rate for Payer: United Healthcare All Other Commercial |
$0.12
|
Rate for Payer: United Healthcare All Other Commercial |
$0.13
|
Rate for Payer: United Healthcare All Other Commercial |
$0.11
|
Rate for Payer: United Healthcare All Other Commercial |
$0.14
|
Rate for Payer: United Healthcare All Other HMO |
$0.14
|
Rate for Payer: United Healthcare All Other HMO |
$0.06
|
Rate for Payer: United Healthcare All Other HMO |
$0.13
|
Rate for Payer: United Healthcare All Other HMO |
$0.12
|
Rate for Payer: United Healthcare All Other HMO |
$0.11
|
Rate for Payer: United Healthcare HMO Rider |
$0.11
|
Rate for Payer: United Healthcare HMO Rider |
$0.06
|
Rate for Payer: United Healthcare HMO Rider |
$0.14
|
Rate for Payer: United Healthcare HMO Rider |
$0.13
|
Rate for Payer: United Healthcare HMO Rider |
$0.12
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.14
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.12
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.13
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.11
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.06
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.20
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.23
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.09
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.21
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.19
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.20
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.09
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.23
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.19
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.21
|
Rate for Payer: Vantage Medical Group Senior |
$0.21
|
Rate for Payer: Vantage Medical Group Senior |
$0.19
|
Rate for Payer: Vantage Medical Group Senior |
$0.09
|
Rate for Payer: Vantage Medical Group Senior |
$0.23
|
Rate for Payer: Vantage Medical Group Senior |
$0.20
|
|
PREDNISONE 2.5 MG TABLET [6495]
|
Facility
OP
|
$0.16
|
|
Service Code
|
CPT J7512
|
Hospital Charge Code |
1710095
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.04 |
Max. Negotiated Rate |
$0.41 |
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.14
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.14
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.09
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.09
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.09
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.09
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: BCBS Transplant Transplant |
$0.10
|
Rate for Payer: BCBS Transplant Transplant |
$0.10
|
Rate for Payer: Blue Shield of California Commercial |
$0.13
|
Rate for Payer: Blue Shield of California Commercial |
$0.12
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Cash Price |
$0.07
|
Rate for Payer: Cash Price |
$0.08
|
Rate for Payer: Cash Price |
$0.07
|
Rate for Payer: Cash Price |
$0.08
|
Rate for Payer: Cigna of CA HMO |
$0.12
|
Rate for Payer: Cigna of CA HMO |
$0.11
|
Rate for Payer: Cigna of CA PPO |
$0.11
|
Rate for Payer: Cigna of CA PPO |
$0.12
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.14
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.14
|
Rate for Payer: Dignity Health Media |
$0.14
|
Rate for Payer: Dignity Health Media |
$0.14
|
Rate for Payer: Dignity Health Medi-Cal |
$0.14
|
Rate for Payer: Dignity Health Medi-Cal |
$0.14
|
Rate for Payer: EPIC Health Plan Commercial |
$0.07
|
Rate for Payer: EPIC Health Plan Commercial |
$0.06
|
Rate for Payer: EPIC Health Plan Transplant |
$0.07
|
Rate for Payer: EPIC Health Plan Transplant |
$0.06
|
Rate for Payer: Galaxy Health WC |
$0.14
|
Rate for Payer: Galaxy Health WC |
$0.14
|
Rate for Payer: Global Benefits Group Commercial |
$0.10
|
Rate for Payer: Global Benefits Group Commercial |
$0.10
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.13
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.12
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.11
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.11
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.06
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.04
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.04
|
Rate for Payer: Multiplan Commercial |
$0.14
|
Rate for Payer: Multiplan Commercial |
$0.13
|
Rate for Payer: Networks By Design Commercial |
$0.08
|
Rate for Payer: Networks By Design Commercial |
$0.09
|
Rate for Payer: Prime Health Services Commercial |
$0.14
|
Rate for Payer: Prime Health Services Commercial |
$0.14
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.10
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.10
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.10
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.10
|
Rate for Payer: United Healthcare All Other Commercial |
$0.09
|
Rate for Payer: United Healthcare All Other Commercial |
$0.08
|
Rate for Payer: United Healthcare All Other HMO |
$0.09
|
Rate for Payer: United Healthcare All Other HMO |
$0.08
|
Rate for Payer: United Healthcare HMO Rider |
$0.09
|
Rate for Payer: United Healthcare HMO Rider |
$0.08
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.09
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.08
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.14
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.14
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.14
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.14
|
Rate for Payer: Vantage Medical Group Senior |
$0.14
|
Rate for Payer: Vantage Medical Group Senior |
$0.14
|
|
PREDNISONE 2.5 MG TABLET [6495]
|
Facility
IP
|
$0.16
|
|
Service Code
|
CPT J7512
|
Hospital Charge Code |
1710095
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.04 |
Max. Negotiated Rate |
$0.14 |
Rate for Payer: Blue Shield of California Commercial |
$0.11
|
Rate for Payer: Blue Shield of California Commercial |
$0.12
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Blue Shield of California EPN |
$0.08
|
Rate for Payer: Cash Price |
$0.08
|
Rate for Payer: Cash Price |
$0.07
|
Rate for Payer: Cigna of CA HMO |
$0.12
|
Rate for Payer: Cigna of CA HMO |
$0.11
|
Rate for Payer: Cigna of CA PPO |
$0.12
|
Rate for Payer: Cigna of CA PPO |
$0.11
|
Rate for Payer: EPIC Health Plan Commercial |
$0.07
|
Rate for Payer: EPIC Health Plan Commercial |
$0.06
|
Rate for Payer: EPIC Health Plan Transplant |
$0.07
|
Rate for Payer: EPIC Health Plan Transplant |
$0.06
|
Rate for Payer: Galaxy Health WC |
$0.14
|
Rate for Payer: Galaxy Health WC |
$0.14
|
Rate for Payer: Global Benefits Group Commercial |
$0.10
|
Rate for Payer: Global Benefits Group Commercial |
$0.10
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.11
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.11
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.06
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.06
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.04
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.04
|
Rate for Payer: Multiplan Commercial |
$0.13
|
Rate for Payer: Multiplan Commercial |
$0.14
|
Rate for Payer: Networks By Design Commercial |
$0.09
|
Rate for Payer: Networks By Design Commercial |
$0.08
|
Rate for Payer: Prime Health Services Commercial |
$0.14
|
Rate for Payer: Prime Health Services Commercial |
$0.14
|
|
PREDNISONE 50 MG TABLET [6498]
|
Facility
OP
|
$0.40
|
|
Service Code
|
CPT J7512
|
Hospital Charge Code |
1710048
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.06 |
Max. Negotiated Rate |
$0.41 |
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.34
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.33
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.22
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.21
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.21
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.22
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: BCBS Transplant Transplant |
$0.24
|
Rate for Payer: BCBS Transplant Transplant |
$0.23
|
Rate for Payer: Blue Shield of California Commercial |
$0.29
|
Rate for Payer: Blue Shield of California Commercial |
$0.29
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cigna of CA HMO |
$0.27
|
Rate for Payer: Cigna of CA HMO |
$0.28
|
Rate for Payer: Cigna of CA PPO |
$0.28
|
Rate for Payer: Cigna of CA PPO |
$0.27
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.33
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.34
|
Rate for Payer: Dignity Health Media |
$0.34
|
Rate for Payer: Dignity Health Media |
$0.33
|
Rate for Payer: Dignity Health Medi-Cal |
$0.33
|
Rate for Payer: Dignity Health Medi-Cal |
$0.34
|
Rate for Payer: EPIC Health Plan Commercial |
$0.16
|
Rate for Payer: EPIC Health Plan Commercial |
$0.16
|
Rate for Payer: EPIC Health Plan Transplant |
$0.16
|
Rate for Payer: EPIC Health Plan Transplant |
$0.16
|
Rate for Payer: Galaxy Health WC |
$0.34
|
Rate for Payer: Galaxy Health WC |
$0.33
|
Rate for Payer: Global Benefits Group Commercial |
$0.24
|
Rate for Payer: Global Benefits Group Commercial |
$0.23
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.29
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.30
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.27
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.26
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.15
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.15
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.10
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.09
|
Rate for Payer: Multiplan Commercial |
$0.31
|
Rate for Payer: Multiplan Commercial |
$0.32
|
Rate for Payer: Networks By Design Commercial |
$0.20
|
Rate for Payer: Networks By Design Commercial |
$0.20
|
Rate for Payer: Prime Health Services Commercial |
$0.34
|
Rate for Payer: Prime Health Services Commercial |
$0.33
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.23
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.24
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.24
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.23
|
Rate for Payer: United Healthcare All Other Commercial |
$0.20
|
Rate for Payer: United Healthcare All Other Commercial |
$0.20
|
Rate for Payer: United Healthcare All Other HMO |
$0.20
|
Rate for Payer: United Healthcare All Other HMO |
$0.20
|
Rate for Payer: United Healthcare HMO Rider |
$0.20
|
Rate for Payer: United Healthcare HMO Rider |
$0.20
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.20
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.20
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.34
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.33
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.34
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.33
|
Rate for Payer: Vantage Medical Group Senior |
$0.33
|
Rate for Payer: Vantage Medical Group Senior |
$0.34
|
|
PREDNISONE 50 MG TABLET [6498]
|
Facility
IP
|
$0.39
|
|
Service Code
|
CPT J7512
|
Hospital Charge Code |
1710048
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.09 |
Max. Negotiated Rate |
$0.33 |
Rate for Payer: Blue Shield of California Commercial |
$0.28
|
Rate for Payer: Blue Shield of California Commercial |
$0.28
|
Rate for Payer: Blue Shield of California EPN |
$0.20
|
Rate for Payer: Blue Shield of California EPN |
$0.20
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cigna of CA HMO |
$0.27
|
Rate for Payer: Cigna of CA HMO |
$0.28
|
Rate for Payer: Cigna of CA PPO |
$0.27
|
Rate for Payer: Cigna of CA PPO |
$0.28
|
Rate for Payer: EPIC Health Plan Commercial |
$0.16
|
Rate for Payer: EPIC Health Plan Commercial |
$0.16
|
Rate for Payer: EPIC Health Plan Transplant |
$0.16
|
Rate for Payer: EPIC Health Plan Transplant |
$0.16
|
Rate for Payer: Galaxy Health WC |
$0.34
|
Rate for Payer: Galaxy Health WC |
$0.33
|
Rate for Payer: Global Benefits Group Commercial |
$0.24
|
Rate for Payer: Global Benefits Group Commercial |
$0.23
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.26
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.27
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.15
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.15
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.10
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.09
|
Rate for Payer: Multiplan Commercial |
$0.31
|
Rate for Payer: Multiplan Commercial |
$0.32
|
Rate for Payer: Networks By Design Commercial |
$0.20
|
Rate for Payer: Networks By Design Commercial |
$0.20
|
Rate for Payer: Prime Health Services Commercial |
$0.34
|
Rate for Payer: Prime Health Services Commercial |
$0.33
|
|
PREDNISONE 5 MG/ML ORAL CONCENTRATE [110852]
|
Facility
OP
|
$5.20
|
|
Service Code
|
CPT J7512
|
Hospital Charge Code |
1715989
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.06 |
Max. Negotiated Rate |
$4.42 |
Rate for Payer: Aetna of CA HMO/PPO |
$0.06
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$4.42
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$2.86
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$2.86
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.41
|
Rate for Payer: BCBS Transplant Transplant |
$3.12
|
Rate for Payer: Blue Shield of California Commercial |
$3.83
|
Rate for Payer: Blue Shield of California EPN |
$0.09
|
Rate for Payer: Cash Price |
$2.34
|
Rate for Payer: Cash Price |
$2.34
|
Rate for Payer: Cigna of CA HMO |
$3.64
|
Rate for Payer: Cigna of CA PPO |
$3.64
|
Rate for Payer: Dignity Health Commercial/Exchange |
$4.42
|
Rate for Payer: Dignity Health Media |
$4.42
|
Rate for Payer: Dignity Health Medi-Cal |
$4.42
|
Rate for Payer: EPIC Health Plan Commercial |
$2.08
|
Rate for Payer: EPIC Health Plan Transplant |
$2.08
|
Rate for Payer: Galaxy Health WC |
$4.42
|
Rate for Payer: Global Benefits Group Commercial |
$3.12
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$3.90
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3.47
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1.98
|
Rate for Payer: LLUH Dept of Risk Management WC |
$1.25
|
Rate for Payer: Multiplan Commercial |
$4.16
|
Rate for Payer: Networks By Design Commercial |
$2.60
|
Rate for Payer: Prime Health Services Commercial |
$4.42
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3.12
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$3.12
|
Rate for Payer: United Healthcare All Other Commercial |
$2.60
|
Rate for Payer: United Healthcare All Other HMO |
$2.60
|
Rate for Payer: United Healthcare HMO Rider |
$2.60
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$2.60
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$4.42
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$4.42
|
Rate for Payer: Vantage Medical Group Senior |
$4.42
|
|