Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

DOXORUBICIN 50 MG INJ

Facility

OP

$4.84

Service Code	HCPCS J9000
Hospital Charge Code	41643586
Hospital Revenue Code	636
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$3.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.17
Rate for Payer: Aetna Government	$2.17
Rate for Payer: Brighton Health Commercial	$2.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.78
Rate for Payer: Group Health Inc Commercial	$2.42
Rate for Payer: Group Health Inc Medicare	$1.69
Rate for Payer: Hamaspik Choice Inc Medicare	$2.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.15

DOXORUBICIN 50 MG INJ

Facility

OP

$4.84

Service Code	HCPCS J9000
Hospital Charge Code	41653586
Hospital Revenue Code	636
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$3.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.17
Rate for Payer: Aetna Government	$2.17
Rate for Payer: Brighton Health Commercial	$2.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.78
Rate for Payer: Group Health Inc Commercial	$2.42
Rate for Payer: Group Health Inc Medicare	$1.69
Rate for Payer: Hamaspik Choice Inc Medicare	$2.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.15

DOXORUBICIN 50 MG INJ

Facility

IP

$4.84

Service Code	HCPCS J9000
Hospital Charge Code	41653586
Hospital Revenue Code	636
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$2.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.42
Rate for Payer: Hamaspik Choice Inc Medicare	$2.42

DOXORUBICIN HCL 2 MG/ML IV SOLN [2616]

Facility

OP

$1.60

Service Code	HCPCS J9000
Hospital Charge Code	63323088330
Hospital Revenue Code	278
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$2.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.17
Rate for Payer: Aetna Government	$2.17
Rate for Payer: Brighton Health Commercial	$0.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.92
Rate for Payer: EmblemHealth Commercial	$0.80
Rate for Payer: Fidelis Medicare Advantage	$1.68
Rate for Payer: Group Health Inc Commercial	$0.80
Rate for Payer: Group Health Inc Medicare	$0.56
Rate for Payer: Hamaspik Choice Inc Medicare	$0.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.04

DOXORUBICIN HCL 2 MG/ML IV SOLN [2616]

Facility

OP

$1.68

Service Code	HCPCS J9000
Hospital Charge Code	00143908601
Hospital Revenue Code	278
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$2.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.17
Rate for Payer: Aetna Government	$2.17
Rate for Payer: Brighton Health Commercial	$1.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.97
Rate for Payer: EmblemHealth Commercial	$0.84
Rate for Payer: Fidelis Medicare Advantage	$1.76
Rate for Payer: Group Health Inc Commercial	$0.84
Rate for Payer: Group Health Inc Medicare	$0.59
Rate for Payer: Hamaspik Choice Inc Medicare	$0.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.09

DOXORUBICIN HCL 2 MG/ML IV SOLN [2616]

Facility

IP

$2.16

Service Code	HCPCS J9000
Hospital Charge Code	63323088305
Hospital Revenue Code	278
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.08
Rate for Payer: Hamaspik Choice Inc Medicare	$1.08

DOXORUBICIN HCL 2 MG/ML IV SOLN [2616]

Facility

IP

$1.18

Service Code	HCPCS J9000
Hospital Charge Code	00069303220
Hospital Revenue Code	278
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$0.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.59
Rate for Payer: Hamaspik Choice Inc Medicare	$0.59

DOXORUBICIN HCL 2 MG/ML IV SOLN [2616]

Facility

IP

$1.68

Service Code	HCPCS J9000
Hospital Charge Code	00143908601
Hospital Revenue Code	278
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$0.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.84
Rate for Payer: Hamaspik Choice Inc Medicare	$0.84

DOXORUBICIN HCL 2 MG/ML IV SOLN [2616]

Facility

IP

$2.44

Service Code	HCPCS J9000
Hospital Charge Code	00069303020
Hospital Revenue Code	278
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$1.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.22
Rate for Payer: Hamaspik Choice Inc Medicare	$1.22

DOXORUBICIN HCL 2 MG/ML IV SOLN [2616]

Facility

OP

$1.18

Service Code	HCPCS J9000
Hospital Charge Code	00069303220
Hospital Revenue Code	278
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$2.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.17
Rate for Payer: Aetna Government	$2.17
Rate for Payer: Brighton Health Commercial	$0.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
Rate for Payer: EmblemHealth Commercial	$0.59
Rate for Payer: Fidelis Medicare Advantage	$1.24
Rate for Payer: Group Health Inc Commercial	$0.59
Rate for Payer: Group Health Inc Medicare	$0.41
Rate for Payer: Hamaspik Choice Inc Medicare	$0.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.77

DOXORUBICIN HCL 2 MG/ML IV SOLN [2616]

Facility

IP

$1.60

Service Code	HCPCS J9000
Hospital Charge Code	63323088330
Hospital Revenue Code	278
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$0.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.80
Rate for Payer: Hamaspik Choice Inc Medicare	$0.80

DOXORUBICIN HCL 2 MG/ML IV SOLN [2616]

Facility

OP

$2.16

Service Code	HCPCS J9000
Hospital Charge Code	63323088305
Hospital Revenue Code	278
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$2.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.17
Rate for Payer: Aetna Government	$2.17
Rate for Payer: Brighton Health Commercial	$1.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.24
Rate for Payer: EmblemHealth Commercial	$1.08
Rate for Payer: Fidelis Medicare Advantage	$2.27
Rate for Payer: Group Health Inc Commercial	$1.08
Rate for Payer: Group Health Inc Medicare	$0.76
Rate for Payer: Hamaspik Choice Inc Medicare	$1.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.40

DOXORUBICIN HCL 2 MG/ML IV SOLN [2616]

Facility

OP

$2.44

Service Code	HCPCS J9000
Hospital Charge Code	00069303020
Hospital Revenue Code	278
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$2.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.17
Rate for Payer: Aetna Government	$2.17
Rate for Payer: Brighton Health Commercial	$1.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.40
Rate for Payer: EmblemHealth Commercial	$1.22
Rate for Payer: Fidelis Medicare Advantage	$2.56
Rate for Payer: Group Health Inc Commercial	$1.22
Rate for Payer: Group Health Inc Medicare	$0.85
Rate for Payer: Hamaspik Choice Inc Medicare	$1.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.58

DOXORUBICIN HCL 50 MG IV SOLR [2619]

Facility

OP

$315.64

Service Code	HCPCS J9000
Hospital Charge Code	00143909301
Hospital Revenue Code	278
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$331.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$173.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.17
Rate for Payer: Aetna Government	$2.17
Rate for Payer: Brighton Health Commercial	$189.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$157.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$181.49
Rate for Payer: EmblemHealth Commercial	$157.82
Rate for Payer: Fidelis Medicare Advantage	$331.42
Rate for Payer: Group Health Inc Commercial	$157.82
Rate for Payer: Group Health Inc Medicare	$110.47
Rate for Payer: Hamaspik Choice Inc Medicare	$157.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$205.17

DOXORUBICIN HCL 50 MG IV SOLR [2619]

Facility

IP

$315.64

Service Code	HCPCS J9000
Hospital Charge Code	00143909301
Hospital Revenue Code	278
Min. Negotiated Rate	$157.82
Max. Negotiated Rate	$157.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$157.82
Rate for Payer: Hamaspik Choice Inc Medicare	$157.82

DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ [27431]

Facility

OP

$79.56

Service Code	HCPCS Q2050
Hospital Charge Code	00338006301
Hospital Revenue Code	278
Min. Negotiated Rate	$39.78
Max. Negotiated Rate	$87.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$43.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$85.48
Rate for Payer: Aetna Government	$85.48
Rate for Payer: Brighton Health Commercial	$47.74
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$85.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$39.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$45.75
Rate for Payer: Elderplan Medicare Advantage	$85.48
Rate for Payer: EmblemHealth Commercial	$39.78
Rate for Payer: Fidelis Medicare Advantage	$85.48
Rate for Payer: Group Health Inc Commercial	$85.48
Rate for Payer: Group Health Inc Medicare	$85.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$39.78
Rate for Payer: Hamaspik Choice Inc Medicare	$39.78
Rate for Payer: Healthfirst Medicare Advantage	$72.66
Rate for Payer: Healthfirst QHP	$85.48
Rate for Payer: Humana Medicare	$87.19
Rate for Payer: Senior Whole Health Medicare Advantage	$85.48
Rate for Payer: United Healthcare Medicare Advantage	$85.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$51.71
Rate for Payer: Wellcare CHP/FHP/Medicaid	$68.39

DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ [27431]

Facility

IP

$79.56

Service Code	HCPCS Q2050
Hospital Charge Code	00338006301
Hospital Revenue Code	278
Min. Negotiated Rate	$39.78
Max. Negotiated Rate	$39.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$39.78
Rate for Payer: Hamaspik Choice Inc Medicare	$39.78

DOXYCYCLINE 100 MG CAP

Facility

OP

$0.14

Hospital Charge Code	41654706
Hospital Revenue Code	250
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.07
Rate for Payer: Aetna Government	$0.07
Rate for Payer: Brighton Health Commercial	$0.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.10
Rate for Payer: Group Health Inc Commercial	$0.07
Rate for Payer: Group Health Inc Medicare	$0.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.07
Rate for Payer: Hamaspik Choice Inc Medicare	$0.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.09

DOXYCYCLINE 100 MG CAP

Facility

OP

$0.14

Hospital Charge Code	41644706
Hospital Revenue Code	250
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.07
Rate for Payer: Aetna Government	$0.07
Rate for Payer: Brighton Health Commercial	$0.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.10
Rate for Payer: Group Health Inc Commercial	$0.07
Rate for Payer: Group Health Inc Medicare	$0.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.07
Rate for Payer: Hamaspik Choice Inc Medicare	$0.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.09

DOXYCYCLINE 100 MG INJ

Facility

OP

$38.00

Hospital Charge Code	41643434
Hospital Revenue Code	250
Min. Negotiated Rate	$13.30
Max. Negotiated Rate	$30.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.00
Rate for Payer: Aetna Government	$19.00
Rate for Payer: Brighton Health Commercial	$28.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.84
Rate for Payer: Group Health Inc Commercial	$19.00
Rate for Payer: Group Health Inc Medicare	$13.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.00
Rate for Payer: Hamaspik Choice Inc Medicare	$19.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$24.70

DOXYCYCLINE 100 MG INJ

Facility

OP

$38.00

Hospital Charge Code	41653434
Hospital Revenue Code	250
Min. Negotiated Rate	$13.30
Max. Negotiated Rate	$30.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.00
Rate for Payer: Aetna Government	$19.00
Rate for Payer: Brighton Health Commercial	$28.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.84
Rate for Payer: Group Health Inc Commercial	$19.00
Rate for Payer: Group Health Inc Medicare	$13.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.00
Rate for Payer: Hamaspik Choice Inc Medicare	$19.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$24.70

DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622]

Facility

OP

$25.27

Service Code	NDC 00143938110
Hospital Charge Code	00143938110
Hospital Revenue Code	278
Min. Negotiated Rate	$8.85
Max. Negotiated Rate	$26.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.64
Rate for Payer: Aetna Government	$12.64
Rate for Payer: Brighton Health Commercial	$15.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.53
Rate for Payer: EmblemHealth Commercial	$12.64
Rate for Payer: Fidelis Medicare Advantage	$26.54
Rate for Payer: Group Health Inc Commercial	$12.64
Rate for Payer: Group Health Inc Medicare	$8.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.64
Rate for Payer: Hamaspik Choice Inc Medicare	$12.64
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$16.43

DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622]

Facility

OP

$31.60

Service Code	NDC 63323013002
Hospital Charge Code	63323013002
Hospital Revenue Code	278
Min. Negotiated Rate	$11.06
Max. Negotiated Rate	$33.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.80
Rate for Payer: Aetna Government	$15.80
Rate for Payer: Brighton Health Commercial	$18.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$15.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.17
Rate for Payer: EmblemHealth Commercial	$15.80
Rate for Payer: Fidelis Medicare Advantage	$33.18
Rate for Payer: Group Health Inc Commercial	$15.80
Rate for Payer: Group Health Inc Medicare	$11.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.80
Rate for Payer: Hamaspik Choice Inc Medicare	$15.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$20.54

DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622]

Facility

IP

$31.60

Service Code	NDC 63323013011
Hospital Charge Code	63323013011
Hospital Revenue Code	278
Min. Negotiated Rate	$15.80
Max. Negotiated Rate	$15.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.80
Rate for Payer: Hamaspik Choice Inc Medicare	$15.80

DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622]

Facility

OP

$31.60

Service Code	NDC 63323013011
Hospital Charge Code	63323013011
Hospital Revenue Code	278
Min. Negotiated Rate	$11.06
Max. Negotiated Rate	$33.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.80
Rate for Payer: Aetna Government	$15.80
Rate for Payer: Brighton Health Commercial	$18.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$15.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.17
Rate for Payer: EmblemHealth Commercial	$15.80
Rate for Payer: Fidelis Medicare Advantage	$33.18
Rate for Payer: Group Health Inc Commercial	$15.80
Rate for Payer: Group Health Inc Medicare	$11.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.80
Rate for Payer: Hamaspik Choice Inc Medicare	$15.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$20.54

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