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All Charges

Charge

Type

Setting

Price

NIACIN 100 MG PO TABS

Facility

IP

$0.45

Service Code	NDC 5026858215
Hospital Charge Code	5026858215
Hospital Revenue Code	250
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.23

NIACIN 100 MG PO TABS

Facility

OP

$0.45

Service Code	NDC 5026858215
Hospital Charge Code	5026858215
Hospital Revenue Code	250
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$0.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.23
Rate for Payer: Aetna Government	$0.23
Rate for Payer: Brighton Health Commercial	$0.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.31
Rate for Payer: EmblemHealth Commercial	$0.23
Rate for Payer: Group Health Inc Commercial	$0.23
Rate for Payer: Group Health Inc Medicare	$0.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.23
Rate for Payer: Hamaspik Choice Inc Medicare	$0.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.29

NIACIN 500 MG PO TABS

Facility

OP

$0.03

Service Code	NDC 0904227260
Hospital Charge Code	0904227260
Hospital Revenue Code	250
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.02
Rate for Payer: Aetna Government	$0.02
Rate for Payer: Brighton Health Commercial	$0.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.02
Rate for Payer: EmblemHealth Commercial	$0.02
Rate for Payer: Group Health Inc Commercial	$0.02
Rate for Payer: Group Health Inc Medicare	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.02
Rate for Payer: Hamaspik Choice Inc Medicare	$0.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.02

NIACIN 500 MG PO TABS

Facility

IP

$0.03

Service Code	NDC 0904227260
Hospital Charge Code	0904227260
Hospital Revenue Code	250
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.02

NIACIN ER 250 MG PO TBCR

Facility

IP

$0.03

Service Code	NDC 4098522849
Hospital Charge Code	4098522849
Hospital Revenue Code	250
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01

NIACIN ER 250 MG PO TBCR

Facility

OP

$0.03

Service Code	NDC 4098522849
Hospital Charge Code	4098522849
Hospital Revenue Code	250
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Brighton Health Commercial	$0.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.02
Rate for Payer: EmblemHealth Commercial	$0.01
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.02

NICARDIPINE HCL 2.5 MG/ML IV SOLN

Facility

IP

$2.10

Service Code	NDC 4733588244
Hospital Charge Code	4733588244
Hospital Revenue Code	258
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.05

NICARDIPINE HCL 2.5 MG/ML IV SOLN

Facility

OP

$3.69

Service Code	NDC 0517073501
Hospital Charge Code	0517073501
Hospital Revenue Code	258
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$2.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.84
Rate for Payer: Aetna Government	$1.84
Rate for Payer: Brighton Health Commercial	$2.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.51
Rate for Payer: EmblemHealth Commercial	$1.84
Rate for Payer: Group Health Inc Commercial	$1.84
Rate for Payer: Group Health Inc Medicare	$1.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.84
Rate for Payer: Hamaspik Choice Inc Medicare	$1.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.40

NICARDIPINE HCL 2.5 MG/ML IV SOLN

Facility

IP

$3.69

Service Code	NDC 0517073501
Hospital Charge Code	0517073501
Hospital Revenue Code	258
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$1.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.84

NICARDIPINE HCL 2.5 MG/ML IV SOLN

Facility

OP

$3.06

Service Code	NDC 0143968910
Hospital Charge Code	0143968910
Hospital Revenue Code	258
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$2.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.53
Rate for Payer: Aetna Government	$1.53
Rate for Payer: Brighton Health Commercial	$2.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.08
Rate for Payer: EmblemHealth Commercial	$1.53
Rate for Payer: Group Health Inc Commercial	$1.53
Rate for Payer: Group Health Inc Medicare	$1.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.53
Rate for Payer: Hamaspik Choice Inc Medicare	$1.53
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.99

NICARDIPINE HCL 2.5 MG/ML IV SOLN

Facility

OP

$2.10

Service Code	NDC 4733588244
Hospital Charge Code	4733588244
Hospital Revenue Code	258
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$1.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.05
Rate for Payer: Aetna Government	$1.05
Rate for Payer: Brighton Health Commercial	$1.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.43
Rate for Payer: EmblemHealth Commercial	$1.05
Rate for Payer: Group Health Inc Commercial	$1.05
Rate for Payer: Group Health Inc Medicare	$0.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.05
Rate for Payer: Hamaspik Choice Inc Medicare	$1.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.36

NICARDIPINE HCL 2.5 MG/ML IV SOLN

Facility

IP

$2.55

Service Code	NDC 5515018301
Hospital Charge Code	5515018301
Hospital Revenue Code	258
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$1.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.27

NICARDIPINE HCL 2.5 MG/ML IV SOLN

Facility

OP

$2.55

Service Code	NDC 5515018301
Hospital Charge Code	5515018301
Hospital Revenue Code	258
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$2.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.27
Rate for Payer: Aetna Government	$1.27
Rate for Payer: Brighton Health Commercial	$1.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.73
Rate for Payer: EmblemHealth Commercial	$1.27
Rate for Payer: Group Health Inc Commercial	$1.27
Rate for Payer: Group Health Inc Medicare	$0.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.66

NICARDIPINE HCL 2.5 MG/ML IV SOLN

Facility

IP

$3.06

Service Code	NDC 0143968910
Hospital Charge Code	0143968910
Hospital Revenue Code	258
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$1.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.53

NICARDIPINE HCL 2.5 MG/ML IV SOLN

Facility

IP

$2.55

Service Code	NDC 5515018310
Hospital Charge Code	5515018310
Hospital Revenue Code	258
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$1.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.27

NICARDIPINE HCL 2.5 MG/ML IV SOLN

Facility

OP

$2.55

Service Code	NDC 5515018310
Hospital Charge Code	5515018310
Hospital Revenue Code	258
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$2.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.27
Rate for Payer: Aetna Government	$1.27
Rate for Payer: Brighton Health Commercial	$1.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.73
Rate for Payer: EmblemHealth Commercial	$1.27
Rate for Payer: Group Health Inc Commercial	$1.27
Rate for Payer: Group Health Inc Medicare	$0.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.66

NICARDIPINE HCL IN NACL 20-0.86 MG/200ML-% IV SOLN

Facility

IP

$0.61

Service Code	NDC 4306600910
Hospital Charge Code	4306600910
Hospital Revenue Code	258
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$0.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.31

NICARDIPINE HCL IN NACL 20-0.86 MG/200ML-% IV SOLN

Facility

OP

$0.61

Service Code	NDC 4306600910
Hospital Charge Code	4306600910
Hospital Revenue Code	258
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.31
Rate for Payer: Aetna Government	$0.31
Rate for Payer: Brighton Health Commercial	$0.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.41
Rate for Payer: EmblemHealth Commercial	$0.31
Rate for Payer: Group Health Inc Commercial	$0.31
Rate for Payer: Group Health Inc Medicare	$0.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.31
Rate for Payer: Hamaspik Choice Inc Medicare	$0.31
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.40

NICARDIPINE HCL IN NACL 20-0.9 MG/200ML-% IV SOLN

Facility

OP

$0.49

Service Code	NDC 0143963410
Hospital Charge Code	0143963410
Hospital Revenue Code	258
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$0.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.24
Rate for Payer: Aetna Government	$0.24
Rate for Payer: Brighton Health Commercial	$0.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.33
Rate for Payer: EmblemHealth Commercial	$0.24
Rate for Payer: Group Health Inc Commercial	$0.24
Rate for Payer: Group Health Inc Medicare	$0.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.24
Rate for Payer: Hamaspik Choice Inc Medicare	$0.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.32

NICARDIPINE HCL IN NACL 20-0.9 MG/200ML-% IV SOLN

Facility

IP

$0.49

Service Code	NDC 0143963401
Hospital Charge Code	0143963401
Hospital Revenue Code	258
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.24

NICARDIPINE HCL IN NACL 20-0.9 MG/200ML-% IV SOLN

Facility

IP

$0.49

Service Code	NDC 0143963410
Hospital Charge Code	0143963410
Hospital Revenue Code	258
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.24

NICARDIPINE HCL IN NACL 20-0.9 MG/200ML-% IV SOLN

Facility

OP

$0.49

Service Code	NDC 0143963401
Hospital Charge Code	0143963401
Hospital Revenue Code	258
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$0.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.24
Rate for Payer: Aetna Government	$0.24
Rate for Payer: Brighton Health Commercial	$0.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.33
Rate for Payer: EmblemHealth Commercial	$0.24
Rate for Payer: Group Health Inc Commercial	$0.24
Rate for Payer: Group Health Inc Medicare	$0.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.24
Rate for Payer: Hamaspik Choice Inc Medicare	$0.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.32

NICARDIPINE HCL IN NACL 20-0.9 MG/200ML-% IV SOLN

Facility

OP

$0.21

Service Code	NDC 6909700745
Hospital Charge Code	6909700745
Hospital Revenue Code	258
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$0.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.10
Rate for Payer: Aetna Government	$0.10
Rate for Payer: Brighton Health Commercial	$0.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.14
Rate for Payer: EmblemHealth Commercial	$0.10
Rate for Payer: Group Health Inc Commercial	$0.10
Rate for Payer: Group Health Inc Medicare	$0.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.10
Rate for Payer: Hamaspik Choice Inc Medicare	$0.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.13

NICARDIPINE HCL IN NACL 20-0.9 MG/200ML-% IV SOLN

Facility

IP

$0.21

Service Code	NDC 6909700745
Hospital Charge Code	6909700745
Hospital Revenue Code	258
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.10

NICOTINE 14 MG/24HR TD PT24

Facility

IP

$2.29

Service Code	NDC 6050570620
Hospital Charge Code	6050570620
Hospital Revenue Code	250
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.14

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