Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

TRIAMCINOLONE ACETONIDE 0.1 % EX OINT

Facility

IP

$0.17

Service Code	NDC 0168000680
Hospital Charge Code	0168000680
Hospital Revenue Code	250
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$0.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.09

TRIAMCINOLONE ACETONIDE 0.1 % EX OINT

Facility

IP

$0.07

Service Code	NDC 0168000616
Hospital Charge Code	0168000616
Hospital Revenue Code	250
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.03

TRIAMCINOLONE ACETONIDE 0.1 % EX OINT

Facility

OP

$0.37

Service Code	NDC 0168000615
Hospital Charge Code	0168000615
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.19
Rate for Payer: Aetna Government	$0.19
Rate for Payer: Brighton Health Commercial	$0.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.25
Rate for Payer: EmblemHealth Commercial	$0.19
Rate for Payer: Group Health Inc Commercial	$0.19
Rate for Payer: Group Health Inc Medicare	$0.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.19
Rate for Payer: Hamaspik Choice Inc Medicare	$0.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.24

TRIAMCINOLONE ACETONIDE 0.1 % EX OINT

Facility

IP

$0.37

Service Code	NDC 0168000615
Hospital Charge Code	0168000615
Hospital Revenue Code	250
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$0.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.19

TRIAMCINOLONE ACETONIDE 0.1 % EX OINT

Facility

IP

$0.24

Service Code	NDC 5167212842
Hospital Charge Code	5167212842
Hospital Revenue Code	250
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$0.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.12

TRIAMCINOLONE ACETONIDE 0.1 % EX OINT

Facility

OP

$0.24

Service Code	NDC 5167212842
Hospital Charge Code	5167212842
Hospital Revenue Code	250
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$0.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.12
Rate for Payer: Aetna Government	$0.12
Rate for Payer: Brighton Health Commercial	$0.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.16
Rate for Payer: EmblemHealth Commercial	$0.12
Rate for Payer: Group Health Inc Commercial	$0.12
Rate for Payer: Group Health Inc Medicare	$0.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.12
Rate for Payer: Hamaspik Choice Inc Medicare	$0.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.16

TRIAMCINOLONE ACETONIDE 0.1 % MT PSTE

Facility

IP

$16.12

Service Code	NDC 5167212675
Hospital Charge Code	5167212675
Hospital Revenue Code	250
Min. Negotiated Rate	$8.06
Max. Negotiated Rate	$8.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.06

TRIAMCINOLONE ACETONIDE 0.1 % MT PSTE

Facility

OP

$16.12

Service Code	NDC 5167212675
Hospital Charge Code	5167212675
Hospital Revenue Code	250
Min. Negotiated Rate	$5.64
Max. Negotiated Rate	$12.89
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.06
Rate for Payer: Aetna Government	$8.06
Rate for Payer: Brighton Health Commercial	$12.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.89
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.96
Rate for Payer: EmblemHealth Commercial	$8.06
Rate for Payer: Group Health Inc Commercial	$8.06
Rate for Payer: Group Health Inc Medicare	$5.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.06
Rate for Payer: Hamaspik Choice Inc Medicare	$8.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.48

TRIAMCINOLONE ACETONIDE 0.5 % EX CREA

Facility

IP

$0.76

Service Code	NDC 6787731815
Hospital Charge Code	6787731815
Hospital Revenue Code	250
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$0.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.38

TRIAMCINOLONE ACETONIDE 0.5 % EX CREA

Facility

IP

$0.67

Service Code	NDC 4580206535
Hospital Charge Code	4580206535
Hospital Revenue Code	250
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$0.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.34

TRIAMCINOLONE ACETONIDE 0.5 % EX CREA

Facility

OP

$0.76

Service Code	NDC 6787731815
Hospital Charge Code	6787731815
Hospital Revenue Code	250
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.38
Rate for Payer: Aetna Government	$0.38
Rate for Payer: Brighton Health Commercial	$0.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.51
Rate for Payer: EmblemHealth Commercial	$0.38
Rate for Payer: Group Health Inc Commercial	$0.38
Rate for Payer: Group Health Inc Medicare	$0.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.38
Rate for Payer: Hamaspik Choice Inc Medicare	$0.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.49

TRIAMCINOLONE ACETONIDE 0.5 % EX CREA

Facility

IP

$0.76

Service Code	NDC 3334232815
Hospital Charge Code	3334232815
Hospital Revenue Code	250
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$0.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.38

TRIAMCINOLONE ACETONIDE 0.5 % EX CREA

Facility

OP

$0.67

Service Code	NDC 4580206535
Hospital Charge Code	4580206535
Hospital Revenue Code	250
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.34
Rate for Payer: Aetna Government	$0.34
Rate for Payer: Brighton Health Commercial	$0.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.46
Rate for Payer: EmblemHealth Commercial	$0.34
Rate for Payer: Group Health Inc Commercial	$0.34
Rate for Payer: Group Health Inc Medicare	$0.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.34
Rate for Payer: Hamaspik Choice Inc Medicare	$0.34
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.44

TRIAMCINOLONE ACETONIDE 0.5 % EX CREA

Facility

OP

$0.76

Service Code	NDC 3334232815
Hospital Charge Code	3334232815
Hospital Revenue Code	250
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.38
Rate for Payer: Aetna Government	$0.38
Rate for Payer: Brighton Health Commercial	$0.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.51
Rate for Payer: EmblemHealth Commercial	$0.38
Rate for Payer: Group Health Inc Commercial	$0.38
Rate for Payer: Group Health Inc Medicare	$0.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.38
Rate for Payer: Hamaspik Choice Inc Medicare	$0.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.49

TRIAMCINOLONE ACETONIDE 0.5 % EX OINT

Facility

OP

$0.67

Service Code	NDC 6846279817
Hospital Charge Code	6846279817
Hospital Revenue Code	250
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.34
Rate for Payer: Aetna Government	$0.34
Rate for Payer: Brighton Health Commercial	$0.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.46
Rate for Payer: EmblemHealth Commercial	$0.34
Rate for Payer: Group Health Inc Commercial	$0.34
Rate for Payer: Group Health Inc Medicare	$0.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.34
Rate for Payer: Hamaspik Choice Inc Medicare	$0.34
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.44

TRIAMCINOLONE ACETONIDE 0.5 % EX OINT

Facility

IP

$0.67

Service Code	NDC 4580204935
Hospital Charge Code	4580204935
Hospital Revenue Code	250
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$0.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.34

TRIAMCINOLONE ACETONIDE 0.5 % EX OINT

Facility

IP

$0.67

Service Code	NDC 6846279817
Hospital Charge Code	6846279817
Hospital Revenue Code	250
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$0.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.34

TRIAMCINOLONE ACETONIDE 0.5 % EX OINT

Facility

OP

$0.67

Service Code	NDC 4580204935
Hospital Charge Code	4580204935
Hospital Revenue Code	250
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.34
Rate for Payer: Aetna Government	$0.34
Rate for Payer: Brighton Health Commercial	$0.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.46
Rate for Payer: EmblemHealth Commercial	$0.34
Rate for Payer: Group Health Inc Commercial	$0.34
Rate for Payer: Group Health Inc Medicare	$0.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.34
Rate for Payer: Hamaspik Choice Inc Medicare	$0.34
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.44

TRIAMCINOLONE ACETONIDE 10 MG/ML IJ SUSP

Facility

IP

$2.90

Service Code	HCPCS J3301
Hospital Charge Code	0003049420
Hospital Revenue Code	250
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.45

TRIAMCINOLONE ACETONIDE 10 MG/ML IJ SUSP

Facility

OP

$2.90

Service Code	HCPCS J3301
Hospital Charge Code	0003049420
Hospital Revenue Code	250
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$2.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.20
Rate for Payer: Aetna Government	$1.20
Rate for Payer: Brighton Health Commercial	$2.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.97
Rate for Payer: EmblemHealth Commercial	$1.45
Rate for Payer: Group Health Inc Commercial	$1.45
Rate for Payer: Group Health Inc Medicare	$1.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.45
Rate for Payer: Hamaspik Choice Inc Medicare	$1.45
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.89

TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP

Facility

OP

$11.23

Service Code	HCPCS J3301
Hospital Charge Code	0003029305
Hospital Revenue Code	250
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$8.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.20
Rate for Payer: Aetna Government	$1.20
Rate for Payer: Brighton Health Commercial	$8.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.64
Rate for Payer: EmblemHealth Commercial	$5.62
Rate for Payer: Group Health Inc Commercial	$5.62
Rate for Payer: Group Health Inc Medicare	$3.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.62
Rate for Payer: Hamaspik Choice Inc Medicare	$5.62
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.30

TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP

Facility

IP

$11.40

Service Code	HCPCS J3301
Hospital Charge Code	0003029320
Hospital Revenue Code	250
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.70

TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP

Facility

IP

$11.23

Service Code	HCPCS J3301
Hospital Charge Code	0003029305
Hospital Revenue Code	250
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$5.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.62

TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP

Facility

OP

$10.20

Service Code	HCPCS J3301
Hospital Charge Code	7012110495
Hospital Revenue Code	250
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$8.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.61
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.20
Rate for Payer: Aetna Government	$1.20
Rate for Payer: Brighton Health Commercial	$7.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.94
Rate for Payer: EmblemHealth Commercial	$5.10
Rate for Payer: Group Health Inc Commercial	$5.10
Rate for Payer: Group Health Inc Medicare	$3.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.10
Rate for Payer: Hamaspik Choice Inc Medicare	$5.10
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.63

TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP

Facility

OP

$11.40

Service Code	HCPCS J3301
Hospital Charge Code	0003029320
Hospital Revenue Code	250
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$9.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.20
Rate for Payer: Aetna Government	$1.20
Rate for Payer: Brighton Health Commercial	$8.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.75
Rate for Payer: EmblemHealth Commercial	$5.70
Rate for Payer: Group Health Inc Commercial	$5.70
Rate for Payer: Group Health Inc Medicare	$3.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.70
Rate for Payer: Hamaspik Choice Inc Medicare	$5.70
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.41