Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR

Facility

IP

$2.73

Service Code	NDC 6818067801
Hospital Charge Code	6818067801
Hospital Revenue Code	250
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$1.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.36

OSELTAMIVIR PHOSPHATE 75 MG PO CAPS

Facility

IP

$15.46

Service Code	NDC 6818067711
Hospital Charge Code	6818067711
Hospital Revenue Code	250
Min. Negotiated Rate	$7.73
Max. Negotiated Rate	$7.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.73

OSELTAMIVIR PHOSPHATE 75 MG PO CAPS

Facility

IP

$15.46

Service Code	NDC 7220504411
Hospital Charge Code	7220504411
Hospital Revenue Code	250
Min. Negotiated Rate	$7.73
Max. Negotiated Rate	$7.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.73

OSELTAMIVIR PHOSPHATE 75 MG PO CAPS

Facility

OP

$15.46

Service Code	NDC 3334225866
Hospital Charge Code	3334225866
Hospital Revenue Code	250
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$12.37
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.73
Rate for Payer: Aetna Government	$7.73
Rate for Payer: Brighton Health Commercial	$11.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.37
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.51
Rate for Payer: EmblemHealth Commercial	$7.73
Rate for Payer: Group Health Inc Commercial	$7.73
Rate for Payer: Group Health Inc Medicare	$5.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.73
Rate for Payer: Hamaspik Choice Inc Medicare	$7.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.05

OSELTAMIVIR PHOSPHATE 75 MG PO CAPS

Facility

OP

$15.46

Service Code	NDC 6923812661
Hospital Charge Code	6923812661
Hospital Revenue Code	250
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$12.37
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.73
Rate for Payer: Aetna Government	$7.73
Rate for Payer: Brighton Health Commercial	$11.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.37
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.51
Rate for Payer: EmblemHealth Commercial	$7.73
Rate for Payer: Group Health Inc Commercial	$7.73
Rate for Payer: Group Health Inc Medicare	$5.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.73
Rate for Payer: Hamaspik Choice Inc Medicare	$7.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.05

OSELTAMIVIR PHOSPHATE 75 MG PO CAPS

Facility

OP

$15.46

Service Code	NDC 6818067711
Hospital Charge Code	6818067711
Hospital Revenue Code	250
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$12.37
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.73
Rate for Payer: Aetna Government	$7.73
Rate for Payer: Brighton Health Commercial	$11.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.37
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.51
Rate for Payer: EmblemHealth Commercial	$7.73
Rate for Payer: Group Health Inc Commercial	$7.73
Rate for Payer: Group Health Inc Medicare	$5.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.73
Rate for Payer: Hamaspik Choice Inc Medicare	$7.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.05

OSELTAMIVIR PHOSPHATE 75 MG PO CAPS

Facility

IP

$15.46

Service Code	NDC 6923812661
Hospital Charge Code	6923812661
Hospital Revenue Code	250
Min. Negotiated Rate	$7.73
Max. Negotiated Rate	$7.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.73

OSELTAMIVIR PHOSPHATE 75 MG PO CAPS

Facility

OP

$15.46

Service Code	NDC 7220504411
Hospital Charge Code	7220504411
Hospital Revenue Code	250
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$12.37
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.73
Rate for Payer: Aetna Government	$7.73
Rate for Payer: Brighton Health Commercial	$11.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.37
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.51
Rate for Payer: EmblemHealth Commercial	$7.73
Rate for Payer: Group Health Inc Commercial	$7.73
Rate for Payer: Group Health Inc Medicare	$5.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.73
Rate for Payer: Hamaspik Choice Inc Medicare	$7.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.05

OSELTAMIVIR PHOSPHATE 75 MG PO CAPS

Facility

OP

$15.46

Service Code	NDC 6233241510
Hospital Charge Code	6233241510
Hospital Revenue Code	250
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$12.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.73
Rate for Payer: Aetna Government	$7.73
Rate for Payer: Brighton Health Commercial	$11.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.51
Rate for Payer: EmblemHealth Commercial	$7.73
Rate for Payer: Group Health Inc Commercial	$7.73
Rate for Payer: Group Health Inc Medicare	$5.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.73
Rate for Payer: Hamaspik Choice Inc Medicare	$7.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.05

OSELTAMIVIR PHOSPHATE 75 MG PO CAPS

Facility

IP

$18.23

Service Code	NDC 0004080085
Hospital Charge Code	0004080085
Hospital Revenue Code	250
Min. Negotiated Rate	$9.11
Max. Negotiated Rate	$9.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.11

OSELTAMIVIR PHOSPHATE 75 MG PO CAPS

Facility

IP

$15.46

Service Code	NDC 6233241510
Hospital Charge Code	6233241510
Hospital Revenue Code	250
Min. Negotiated Rate	$7.73
Max. Negotiated Rate	$7.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.73

OSELTAMIVIR PHOSPHATE 75 MG PO CAPS

Facility

IP

$15.46

Service Code	NDC 4778147013
Hospital Charge Code	4778147013
Hospital Revenue Code	250
Min. Negotiated Rate	$7.73
Max. Negotiated Rate	$7.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.73

OSELTAMIVIR PHOSPHATE 75 MG PO CAPS

Facility

IP

$15.46

Service Code	NDC 3334225866
Hospital Charge Code	3334225866
Hospital Revenue Code	250
Min. Negotiated Rate	$7.73
Max. Negotiated Rate	$7.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.73

OSELTAMIVIR PHOSPHATE 75 MG PO CAPS

Facility

OP

$15.46

Service Code	NDC 4778147013
Hospital Charge Code	4778147013
Hospital Revenue Code	250
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$12.37
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.73
Rate for Payer: Aetna Government	$7.73
Rate for Payer: Brighton Health Commercial	$11.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.37
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.51
Rate for Payer: EmblemHealth Commercial	$7.73
Rate for Payer: Group Health Inc Commercial	$7.73
Rate for Payer: Group Health Inc Medicare	$5.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.73
Rate for Payer: Hamaspik Choice Inc Medicare	$7.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.05

OSELTAMIVIR PHOSPHATE 75 MG PO CAPS

Facility

OP

$18.23

Service Code	NDC 0004080085
Hospital Charge Code	0004080085
Hospital Revenue Code	250
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$14.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$9.11
Rate for Payer: Aetna Government	$9.11
Rate for Payer: Brighton Health Commercial	$13.67
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$14.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$12.39
Rate for Payer: EmblemHealth Commercial	$9.11
Rate for Payer: Group Health Inc Commercial	$9.11
Rate for Payer: Group Health Inc Medicare	$6.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.11
Rate for Payer: Hamaspik Choice Inc Medicare	$9.11
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$11.85

OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

OP

$262.87

Service Code	EAPG 00654
Min. Negotiated Rate	$189.77
Max. Negotiated Rate	$262.87
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$189.77
Rate for Payer: Healthfirst Commercial	$262.87

Osteomyelitis, septic arthritis & other musculoskeletal infections

Facility

IP

$92,390.92

Service Code	APR-DRG 3444
Min. Negotiated Rate	$35,869.00
Max. Negotiated Rate	$92,390.92
Rate for Payer: Affinity Essential Plan 1&2	$92,390.92
Rate for Payer: Affinity Essential Plan 3&4	$92,390.92
Rate for Payer: Affinity Medicaid/CHP/HARP	$41,062.63
Rate for Payer: Amida Care Medicaid	$41,062.63
Rate for Payer: EmblemHealth Essential Plan 1&2	$92,390.92
Rate for Payer: EmblemHealth Essential Plan 3&4	$41,062.63
Rate for Payer: Fidelis CHP/HARP/Medicaid	$41,062.63
Rate for Payer: Fidelis Qualified Health Plan	$49,275.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$41,062.63
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$41,062.63
Rate for Payer: Healthfirst Commercial	$58,078.00
Rate for Payer: Healthfirst Essential Plan	$92,390.92
Rate for Payer: Healthfirst QHP	$35,869.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$41,062.63
Rate for Payer: SOMOS Essential	$92,390.92
Rate for Payer: United Healthcare Essential Plan 1&2	$92,390.92
Rate for Payer: United Healthcare Essential Plan 3&4	$92,390.92
Rate for Payer: United Healthcare Medicaid	$41,062.63
Rate for Payer: Wellcare CHP/FHP/Medicaid	$41,062.63

Osteomyelitis, septic arthritis & other musculoskeletal infections

Facility

IP

$46,158.75

Service Code	APR-DRG 3441
Min. Negotiated Rate	$8,873.00
Max. Negotiated Rate	$46,158.75
Rate for Payer: Affinity Essential Plan 1&2	$46,158.75
Rate for Payer: Affinity Essential Plan 3&4	$46,158.75
Rate for Payer: Affinity Medicaid/CHP/HARP	$20,515.00
Rate for Payer: Amida Care Medicaid	$20,515.00
Rate for Payer: EmblemHealth Essential Plan 1&2	$46,158.75
Rate for Payer: EmblemHealth Essential Plan 3&4	$20,515.00
Rate for Payer: Fidelis CHP/HARP/Medicaid	$20,515.00
Rate for Payer: Fidelis Qualified Health Plan	$24,618.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$20,515.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$20,515.00
Rate for Payer: Healthfirst Commercial	$15,630.00
Rate for Payer: Healthfirst Essential Plan	$46,158.75
Rate for Payer: Healthfirst QHP	$8,873.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$20,515.00
Rate for Payer: SOMOS Essential	$46,158.75
Rate for Payer: United Healthcare Essential Plan 1&2	$46,158.75
Rate for Payer: United Healthcare Essential Plan 3&4	$46,158.75
Rate for Payer: United Healthcare Medicaid	$20,515.00
Rate for Payer: Wellcare CHP/FHP/Medicaid	$20,515.00

Osteomyelitis, septic arthritis & other musculoskeletal infections

Facility

IP

$52,238.72

Service Code	APR-DRG 3442
Min. Negotiated Rate	$12,070.00
Max. Negotiated Rate	$52,238.72
Rate for Payer: Affinity Essential Plan 1&2	$52,238.72
Rate for Payer: Affinity Essential Plan 3&4	$52,238.72
Rate for Payer: Affinity Medicaid/CHP/HARP	$23,217.21
Rate for Payer: Amida Care Medicaid	$23,217.21
Rate for Payer: EmblemHealth Essential Plan 1&2	$52,238.72
Rate for Payer: EmblemHealth Essential Plan 3&4	$23,217.21
Rate for Payer: Fidelis CHP/HARP/Medicaid	$23,217.21
Rate for Payer: Fidelis Qualified Health Plan	$27,860.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$23,217.21
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$23,217.21
Rate for Payer: Healthfirst Commercial	$20,527.00
Rate for Payer: Healthfirst Essential Plan	$52,238.72
Rate for Payer: Healthfirst QHP	$12,070.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$23,217.21
Rate for Payer: SOMOS Essential	$52,238.72
Rate for Payer: United Healthcare Essential Plan 1&2	$52,238.72
Rate for Payer: United Healthcare Essential Plan 3&4	$52,238.72
Rate for Payer: United Healthcare Medicaid	$23,217.21
Rate for Payer: Wellcare CHP/FHP/Medicaid	$23,217.21

Osteomyelitis, septic arthritis & other musculoskeletal infections

Facility

IP

$63,382.14

Service Code	APR-DRG 3443
Min. Negotiated Rate	$17,838.00
Max. Negotiated Rate	$63,382.14
Rate for Payer: Affinity Essential Plan 1&2	$63,382.14
Rate for Payer: Affinity Essential Plan 3&4	$63,382.14
Rate for Payer: Affinity Medicaid/CHP/HARP	$28,169.84
Rate for Payer: Amida Care Medicaid	$28,169.84
Rate for Payer: EmblemHealth Essential Plan 1&2	$63,382.14
Rate for Payer: EmblemHealth Essential Plan 3&4	$28,169.84
Rate for Payer: Fidelis CHP/HARP/Medicaid	$28,169.84
Rate for Payer: Fidelis Qualified Health Plan	$33,803.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$28,169.84
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$28,169.84
Rate for Payer: Healthfirst Commercial	$29,889.00
Rate for Payer: Healthfirst Essential Plan	$63,382.14
Rate for Payer: Healthfirst QHP	$17,838.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$28,169.84
Rate for Payer: SOMOS Essential	$63,382.14
Rate for Payer: United Healthcare Essential Plan 1&2	$63,382.14
Rate for Payer: United Healthcare Essential Plan 3&4	$63,382.14
Rate for Payer: United Healthcare Medicaid	$28,169.84
Rate for Payer: Wellcare CHP/FHP/Medicaid	$28,169.84

OSTEOPOROSIS

Facility

OP

$183.10

Service Code	EAPG 00662
Min. Negotiated Rate	$131.92
Max. Negotiated Rate	$183.10
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$131.92
Rate for Payer: Healthfirst Commercial	$183.10

OTHER AFTERCARE AND CONVALESCENCE

Facility

OP

$217.59

Service Code	EAPG 00872
Min. Negotiated Rate	$157.37
Max. Negotiated Rate	$217.59
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$157.37
Rate for Payer: Healthfirst Commercial	$217.59

Other aftercare & convalescence

Facility

IP

$44,918.82

Service Code	APR-DRG 8622
Min. Negotiated Rate	$9,780.00
Max. Negotiated Rate	$44,918.82
Rate for Payer: Affinity Essential Plan 1&2	$44,918.82
Rate for Payer: Affinity Essential Plan 3&4	$44,918.82
Rate for Payer: Affinity Medicaid/CHP/HARP	$19,963.92
Rate for Payer: Amida Care Medicaid	$19,963.92
Rate for Payer: EmblemHealth Essential Plan 1&2	$44,918.82
Rate for Payer: EmblemHealth Essential Plan 3&4	$19,963.92
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,963.92
Rate for Payer: Fidelis Qualified Health Plan	$23,956.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,963.92
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,963.92
Rate for Payer: Healthfirst Commercial	$14,282.00
Rate for Payer: Healthfirst Essential Plan	$44,918.82
Rate for Payer: Healthfirst QHP	$9,780.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,963.92
Rate for Payer: SOMOS Essential	$44,918.82
Rate for Payer: United Healthcare Essential Plan 1&2	$44,918.82
Rate for Payer: United Healthcare Essential Plan 3&4	$44,918.82
Rate for Payer: United Healthcare Medicaid	$19,963.92
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,963.92

Other aftercare & convalescence

Facility

IP

$69,697.80

Service Code	APR-DRG 8624
Min. Negotiated Rate	$23,041.00
Max. Negotiated Rate	$69,697.80
Rate for Payer: Affinity Essential Plan 1&2	$69,697.80
Rate for Payer: Affinity Essential Plan 3&4	$69,697.80
Rate for Payer: Affinity Medicaid/CHP/HARP	$30,976.80
Rate for Payer: Amida Care Medicaid	$30,976.80
Rate for Payer: EmblemHealth Essential Plan 1&2	$69,697.80
Rate for Payer: EmblemHealth Essential Plan 3&4	$30,976.80
Rate for Payer: Fidelis CHP/HARP/Medicaid	$30,976.80
Rate for Payer: Fidelis Qualified Health Plan	$37,172.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$30,976.80
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$30,976.80
Rate for Payer: Healthfirst Commercial	$23,041.00
Rate for Payer: Healthfirst Essential Plan	$69,697.80
Rate for Payer: Healthfirst QHP	$24,956.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$30,976.80
Rate for Payer: SOMOS Essential	$69,697.80
Rate for Payer: United Healthcare Essential Plan 1&2	$69,697.80
Rate for Payer: United Healthcare Essential Plan 3&4	$69,697.80
Rate for Payer: United Healthcare Medicaid	$30,976.80
Rate for Payer: Wellcare CHP/FHP/Medicaid	$30,976.80

Other aftercare & convalescence

Facility

IP

$53,619.35

Service Code	APR-DRG 8623
Min. Negotiated Rate	$15,628.00
Max. Negotiated Rate	$53,619.35
Rate for Payer: Affinity Essential Plan 1&2	$53,619.35
Rate for Payer: Affinity Essential Plan 3&4	$53,619.35
Rate for Payer: Affinity Medicaid/CHP/HARP	$23,830.82
Rate for Payer: Amida Care Medicaid	$23,830.82
Rate for Payer: EmblemHealth Essential Plan 1&2	$53,619.35
Rate for Payer: EmblemHealth Essential Plan 3&4	$23,830.82
Rate for Payer: Fidelis CHP/HARP/Medicaid	$23,830.82
Rate for Payer: Fidelis Qualified Health Plan	$28,596.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$23,830.82
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$23,830.82
Rate for Payer: Healthfirst Commercial	$18,445.00
Rate for Payer: Healthfirst Essential Plan	$53,619.35
Rate for Payer: Healthfirst QHP	$15,628.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$23,830.82
Rate for Payer: SOMOS Essential	$53,619.35
Rate for Payer: United Healthcare Essential Plan 1&2	$53,619.35
Rate for Payer: United Healthcare Essential Plan 3&4	$53,619.35
Rate for Payer: United Healthcare Medicaid	$23,830.82
Rate for Payer: Wellcare CHP/FHP/Medicaid	$23,830.82

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