Madison Medical Center

All Charges

Charge

Type

Setting

Price

PREDNISOLONE 1% OP SOL 10ML EMP

Facility

$147.00

Service Code	NDC 6.1314E+10
Hospital Charge Code	2622366
Hospital Revenue Code	250
Min. Negotiated Rate	$52.92
Max. Negotiated Rate	$104.96
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$87.02
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$104.96
Rate for Payer: Cash Price	$132.30
Rate for Payer: UnitedHealthcare Commercial	$98.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$52.92

PREDNISOLONE 1% OP SOL 10ML EMP

Facility

$147.00

Service Code	NDC 6.1314E+10
Hospital Charge Code	2622366
Hospital Revenue Code	250
Rate for Payer: Cash Price	$132.30

PREDNISOLONE 1% OP SUSP 10ML EMP

Facility

$147.00

Service Code	NDC 1.198E+10
Hospital Charge Code	2624298
Hospital Revenue Code	250
Min. Negotiated Rate	$52.92
Max. Negotiated Rate	$104.96
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$87.02
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$104.96
Rate for Payer: Cash Price	$132.30
Rate for Payer: UnitedHealthcare Commercial	$98.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$52.92

PREDNISOLONE 1% OP SUSP 10ML EMP

Facility

$147.00

Service Code	NDC 1.198E+10
Hospital Charge Code	2624298
Hospital Revenue Code	250
Rate for Payer: Cash Price	$132.30

PREDNISOLONE 1% OP SUSP 5ML

Facility

$147.00

Service Code	NDC 6.0758E+10
Hospital Charge Code	2659102
Hospital Revenue Code	250
Rate for Payer: Cash Price	$132.30

PREDNISOLONE 1% OP SUSP 5ML

Facility

$147.00

Service Code	NDC 6.0758E+10
Hospital Charge Code	2659102
Hospital Revenue Code	250
Min. Negotiated Rate	$52.92
Max. Negotiated Rate	$104.96
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$87.02
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$104.96
Rate for Payer: Cash Price	$132.30
Rate for Payer: UnitedHealthcare Commercial	$98.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$52.92

PREDNISOLONE 1% OP SUSP 5ML EMP

Facility

$147.00

Service Code	NDC 1.198E+10
Hospital Charge Code	2623773
Hospital Revenue Code	250
Min. Negotiated Rate	$52.92
Max. Negotiated Rate	$104.96
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$87.02
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$104.96
Rate for Payer: Cash Price	$132.30
Rate for Payer: UnitedHealthcare Commercial	$98.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$52.92

PREDNISOLONE 1% OP SUSP 5ML EMP

Facility

$147.00

Service Code	NDC 1.198E+10
Hospital Charge Code	2623773
Hospital Revenue Code	250
Rate for Payer: Cash Price	$132.30

PREDNISOLONE (ORAPRED) 15MG SYR 5ML

Facility

$22.00

Service Code	HCPCS J7510
Hospital Charge Code	2626416
Hospital Revenue Code	250
Min. Negotiated Rate	$7.92
Max. Negotiated Rate	$15.71
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$13.02
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$15.71
Rate for Payer: Cash Price	$19.80
Rate for Payer: UnitedHealthcare Commercial	$14.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.92

PREDNISOLONE (ORAPRED) 15MG SYR 5ML

Facility

$22.00

Service Code	HCPCS J7510
Hospital Charge Code	2626416
Hospital Revenue Code	250
Rate for Payer: Cash Price	$19.80

PREDNISOLONE (PEDIAPRED) 1MG/ML LIQ

Facility

$21.00

Service Code	NDC 5.0383E+10
Hospital Charge Code	2655994
Hospital Revenue Code	250
Rate for Payer: Cash Price	$18.90

PREDNISOLONE (PEDIAPRED) 1MG/ML LIQ

Facility

$21.00

Service Code	NDC 5.0383E+10
Hospital Charge Code	2655994
Hospital Revenue Code	250
Min. Negotiated Rate	$7.56
Max. Negotiated Rate	$14.99
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$12.43
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$14.99
Rate for Payer: Cash Price	$18.90
Rate for Payer: UnitedHealthcare Commercial	$14.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.56

PREDNISONE 10MG TAB EMP

Facility

$18.00

Service Code	NDC 6.3739E+10
Hospital Charge Code	2621430
Hospital Revenue Code	250
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$12.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$10.66
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$12.85
Rate for Payer: Cash Price	$16.20
Rate for Payer: UnitedHealthcare Commercial	$12.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48

PREDNISONE 10MG TAB EMP

Facility

$18.00

Service Code	NDC 6.3739E+10
Hospital Charge Code	2621430
Hospital Revenue Code	250
Rate for Payer: Cash Price	$16.20

PREDNISONE 1MG TAB EMP

Facility

$18.00

Service Code	NDC 5.9746E+10
Hospital Charge Code	2622947
Hospital Revenue Code	250
Rate for Payer: Cash Price	$16.20

PREDNISONE 1MG TAB EMP

Facility

$18.00

Service Code	NDC 5.9746E+10
Hospital Charge Code	2622947
Hospital Revenue Code	250
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$12.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$10.66
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$12.85
Rate for Payer: Cash Price	$16.20
Rate for Payer: UnitedHealthcare Commercial	$12.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48

PREDNISONE 1MG TAB UD

Facility

$18.00

Service Code	NDC 54873925
Hospital Charge Code	2621711
Hospital Revenue Code	250
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$12.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$10.66
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$12.85
Rate for Payer: Cash Price	$16.20
Rate for Payer: UnitedHealthcare Commercial	$12.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48

PREDNISONE 1MG TAB UD

Facility

$18.00

Service Code	NDC 54873925
Hospital Charge Code	2621711
Hospital Revenue Code	250
Rate for Payer: Cash Price	$16.20

PREDNISONE 20MG TAB EMP

Facility

$18.00

Service Code	NDC 54001825
Hospital Charge Code	2623508
Hospital Revenue Code	250
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$12.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$10.66
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$12.85
Rate for Payer: Cash Price	$16.20
Rate for Payer: UnitedHealthcare Commercial	$12.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48

PREDNISONE 20MG TAB EMP

Facility

$18.00

Service Code	NDC 54001825
Hospital Charge Code	2623508
Hospital Revenue Code	250
Rate for Payer: Cash Price	$16.20

PREDNISONE 2.5MG TAB EMP

Facility

$18.00

Service Code	NDC 54474225
Hospital Charge Code	2622410
Hospital Revenue Code	250
Rate for Payer: Cash Price	$16.20

PREDNISONE 2.5MG TAB EMP

Facility

$18.00

Service Code	NDC 54474225
Hospital Charge Code	2622410
Hospital Revenue Code	250
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$12.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$10.66
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$12.85
Rate for Payer: Cash Price	$16.20
Rate for Payer: UnitedHealthcare Commercial	$12.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48

PREDNISONE 5MG TAB EMP

Facility

$18.00

Service Code	NDC 364021801
Hospital Charge Code	2621912
Hospital Revenue Code	250
Rate for Payer: Cash Price	$16.20

PREDNISONE 5MG TAB EMP

Facility

$18.00

Service Code	NDC 364021801
Hospital Charge Code	2621912
Hospital Revenue Code	250
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$12.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$10.66
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$12.85
Rate for Payer: Cash Price	$16.20
Rate for Payer: UnitedHealthcare Commercial	$12.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48

PREDNISONE (DELTASONE) 10MG TAB UD

Facility

$18.00

Service Code	NDC 6.3739E+10
Hospital Charge Code	2655997
Hospital Revenue Code	250
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$12.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$10.66
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$12.85
Rate for Payer: Cash Price	$16.20
Rate for Payer: UnitedHealthcare Commercial	$12.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48

Know your out-of-pocket cost for care.

All Charges