Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

CEFAZOLIN SODIUM 500 MG IJ SOLR

Facility

IP

$1.68

Service Code	HCPCS J0690
Hospital Charge Code	2502110010
Hospital Revenue Code	250
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$0.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.84

CEFAZOLIN SODIUM 500 MG IJ SOLR

Facility

OP

$1.92

Service Code	HCPCS J0690
Hospital Charge Code	4456770625
Hospital Revenue Code	250
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$1.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.75
Rate for Payer: Aetna Government	$0.75
Rate for Payer: Brighton Health Commercial	$1.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.31
Rate for Payer: EmblemHealth Commercial	$0.96
Rate for Payer: Group Health Inc Commercial	$0.96
Rate for Payer: Group Health Inc Medicare	$0.67
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.96
Rate for Payer: Hamaspik Choice Inc Medicare	$0.96
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.25

CEFAZOLIN SODIUM 500 MG IJ SOLR

Facility

IP

$9.74

Service Code	HCPCS J0690
Hospital Charge Code	0781345095
Hospital Revenue Code	250
Min. Negotiated Rate	$4.87
Max. Negotiated Rate	$4.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.87

CEFAZOLIN SODIUM 500 MG IJ SOLR

Facility

IP

$1.92

Service Code	HCPCS J0690
Hospital Charge Code	4456770625
Hospital Revenue Code	250
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$0.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.96

CEFAZOLIN SODIUM 500 MG IJ SOLR

Facility

IP

$9.74

Service Code	HCPCS J0690
Hospital Charge Code	9999123474
Hospital Revenue Code	250
Min. Negotiated Rate	$4.87
Max. Negotiated Rate	$4.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.87

CEFAZOLIN SODIUM 500 MG IJ SOLR

Facility

OP

$9.74

Service Code	HCPCS J0690
Hospital Charge Code	0781345095
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$7.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.75
Rate for Payer: Aetna Government	$0.75
Rate for Payer: Brighton Health Commercial	$7.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.62
Rate for Payer: EmblemHealth Commercial	$4.87
Rate for Payer: Group Health Inc Commercial	$4.87
Rate for Payer: Group Health Inc Medicare	$3.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.87
Rate for Payer: Hamaspik Choice Inc Medicare	$4.87
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.33

CEFAZOLIN SODIUM 500 MG IJ SOLR

Facility

OP

$1.68

Service Code	HCPCS J0690
Hospital Charge Code	2502110010
Hospital Revenue Code	250
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$1.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.75
Rate for Payer: Aetna Government	$0.75
Rate for Payer: Brighton Health Commercial	$1.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.14
Rate for Payer: EmblemHealth Commercial	$0.84
Rate for Payer: Group Health Inc Commercial	$0.84
Rate for Payer: Group Health Inc Medicare	$0.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.84
Rate for Payer: Hamaspik Choice Inc Medicare	$0.84
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.09

CEFAZOLIN SODIUM 500 MG IJ SOLR

Facility

OP

$9.74

Service Code	HCPCS J0690
Hospital Charge Code	9999123474
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$7.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.75
Rate for Payer: Aetna Government	$0.75
Rate for Payer: Brighton Health Commercial	$7.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.62
Rate for Payer: EmblemHealth Commercial	$4.87
Rate for Payer: Group Health Inc Commercial	$4.87
Rate for Payer: Group Health Inc Medicare	$3.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.87
Rate for Payer: Hamaspik Choice Inc Medicare	$4.87
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.33

CEFAZOLIN SODIUM-DEXTROSE 2-3 GM-%(50ML) IV SOLR

Facility

IP

$17.71

Service Code	HCPCS J0690
Hospital Charge Code	0264310511
Hospital Revenue Code	258
Min. Negotiated Rate	$8.86
Max. Negotiated Rate	$8.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.86

CEFAZOLIN SODIUM-DEXTROSE 2-3 GM-%(50ML) IV SOLR

Facility

OP

$17.71

Service Code	HCPCS J0690
Hospital Charge Code	0264310511
Hospital Revenue Code	258
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$14.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.75
Rate for Payer: Aetna Government	$0.75
Rate for Payer: Brighton Health Commercial	$13.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$14.17
Rate for Payer: Cigna LocalPlus Benefit Plan	$12.04
Rate for Payer: EmblemHealth Commercial	$8.86
Rate for Payer: Group Health Inc Commercial	$8.86
Rate for Payer: Group Health Inc Medicare	$6.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.86
Rate for Payer: Hamaspik Choice Inc Medicare	$8.86
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$11.51

CEFDINIR 300 MG PO CAPS

Facility

IP

$5.11

Service Code	NDC 6586217760
Hospital Charge Code	6586217760
Hospital Revenue Code	250
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$2.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.55

CEFDINIR 300 MG PO CAPS

Facility

OP

$5.11

Service Code	NDC 6586217760
Hospital Charge Code	6586217760
Hospital Revenue Code	250
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$4.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.55
Rate for Payer: Aetna Government	$2.55
Rate for Payer: Brighton Health Commercial	$3.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.47
Rate for Payer: EmblemHealth Commercial	$2.55
Rate for Payer: Group Health Inc Commercial	$2.55
Rate for Payer: Group Health Inc Medicare	$1.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.55
Rate for Payer: Hamaspik Choice Inc Medicare	$2.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.32

CEFDINIR 300 MG PO CAPS

Facility

IP

$4.05

Service Code	NDC 6068769921
Hospital Charge Code	6068769921
Hospital Revenue Code	250
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.02

CEFDINIR 300 MG PO CAPS

Facility

IP

$5.11

Service Code	NDC 0093316006
Hospital Charge Code	0093316006
Hospital Revenue Code	250
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$2.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.56

CEFDINIR 300 MG PO CAPS

Facility

OP

$4.05

Service Code	NDC 6068769921
Hospital Charge Code	6068769921
Hospital Revenue Code	250
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$3.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.02
Rate for Payer: Aetna Government	$2.02
Rate for Payer: Brighton Health Commercial	$3.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.75
Rate for Payer: EmblemHealth Commercial	$2.02
Rate for Payer: Group Health Inc Commercial	$2.02
Rate for Payer: Group Health Inc Medicare	$1.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.02
Rate for Payer: Hamaspik Choice Inc Medicare	$2.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.63

CEFDINIR 300 MG PO CAPS

Facility

OP

$5.11

Service Code	NDC 0093316006
Hospital Charge Code	0093316006
Hospital Revenue Code	250
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$4.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.56
Rate for Payer: Aetna Government	$2.56
Rate for Payer: Brighton Health Commercial	$3.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.48
Rate for Payer: EmblemHealth Commercial	$2.56
Rate for Payer: Group Health Inc Commercial	$2.56
Rate for Payer: Group Health Inc Medicare	$1.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.56
Rate for Payer: Hamaspik Choice Inc Medicare	$2.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.32

CEFEPIME HCL 1 G IJ SOLR

Facility

IP

$20.33

Service Code	HCPCS J0692
Hospital Charge Code	6050561460
Hospital Revenue Code	250
Min. Negotiated Rate	$10.16
Max. Negotiated Rate	$10.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.16

CEFEPIME HCL 1 G IJ SOLR

Facility

IP

$6.84

Service Code	HCPCS J0692
Hospital Charge Code	4456724010
Hospital Revenue Code	250
Min. Negotiated Rate	$3.42
Max. Negotiated Rate	$3.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.42

CEFEPIME HCL 1 G IJ SOLR

Facility

OP

$20.33

Service Code	HCPCS J0692
Hospital Charge Code	6050561460
Hospital Revenue Code	250
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$16.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.85
Rate for Payer: Aetna Government	$1.85
Rate for Payer: Brighton Health Commercial	$15.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.82
Rate for Payer: EmblemHealth Commercial	$10.16
Rate for Payer: Group Health Inc Commercial	$10.16
Rate for Payer: Group Health Inc Medicare	$7.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.16
Rate for Payer: Hamaspik Choice Inc Medicare	$10.16
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.21

CEFEPIME HCL 1 G IJ SOLR

Facility

IP

$7.20

Service Code	HCPCS J0692
Hospital Charge Code	2502112120
Hospital Revenue Code	250
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.60

CEFEPIME HCL 1 G IJ SOLR

Facility

OP

$6.84

Service Code	HCPCS J0692
Hospital Charge Code	4456724010
Hospital Revenue Code	250
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$5.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.85
Rate for Payer: Aetna Government	$1.85
Rate for Payer: Brighton Health Commercial	$5.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.47
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.65
Rate for Payer: EmblemHealth Commercial	$3.42
Rate for Payer: Group Health Inc Commercial	$3.42
Rate for Payer: Group Health Inc Medicare	$2.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.42
Rate for Payer: Hamaspik Choice Inc Medicare	$3.42
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.45

CEFEPIME HCL 1 G IJ SOLR

Facility

IP

$6.90

Service Code	HCPCS J0692
Hospital Charge Code	7059408902
Hospital Revenue Code	250
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.45

CEFEPIME HCL 1 G IJ SOLR

Facility

OP

$7.20

Service Code	HCPCS J0692
Hospital Charge Code	2502112120
Hospital Revenue Code	250
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$5.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.85
Rate for Payer: Aetna Government	$1.85
Rate for Payer: Brighton Health Commercial	$5.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.90
Rate for Payer: EmblemHealth Commercial	$3.60
Rate for Payer: Group Health Inc Commercial	$3.60
Rate for Payer: Group Health Inc Medicare	$2.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.60
Rate for Payer: Hamaspik Choice Inc Medicare	$3.60
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.68

CEFEPIME HCL 1 G IJ SOLR

Facility

OP

$6.90

Service Code	HCPCS J0692
Hospital Charge Code	7059408902
Hospital Revenue Code	250
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$5.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.85
Rate for Payer: Aetna Government	$1.85
Rate for Payer: Brighton Health Commercial	$5.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.69
Rate for Payer: EmblemHealth Commercial	$3.45
Rate for Payer: Group Health Inc Commercial	$3.45
Rate for Payer: Group Health Inc Medicare	$2.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.45
Rate for Payer: Hamaspik Choice Inc Medicare	$3.45
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.49

CEFEPIME HCL 2 G SOLR (WRAPPED)

Facility

IP

$11.64

Service Code	HCPCS J0692
Hospital Charge Code	7128800920
Hospital Revenue Code	250
Min. Negotiated Rate	$5.82
Max. Negotiated Rate	$5.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.82

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