Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

INJ MORPHINE PRESERV FREE, 10MG

Facility

IP

$3.00

Service Code	HCPCS J2274
Hospital Charge Code	41657077
Hospital Revenue Code	636
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1.50

INJ MORPHINE PRESERV FREE, 10MG

Facility

IP

$14.31

Service Code	HCPCS J2274
Hospital Charge Code	41647074
Hospital Revenue Code	636
Min. Negotiated Rate	$7.16
Max. Negotiated Rate	$7.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.16
Rate for Payer: Hamaspik Choice Inc Medicare	$7.16

INJ MORPHINE PRESERV FREE, 10MG

Facility

IP

$21.00

Service Code	HCPCS J2274
Hospital Charge Code	41646025
Hospital Revenue Code	636
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.50
Rate for Payer: Hamaspik Choice Inc Medicare	$10.50

INJ MORPHINE PRESERV FREE, 10MG

Facility

IP

$0.08

Service Code	HCPCS J2274
Hospital Charge Code	41655450
Hospital Revenue Code	636
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.04
Rate for Payer: Hamaspik Choice Inc Medicare	$0.04

INJ MORPHINE PRESERV FREE, 10MG

Facility

OP

$3.00

Service Code	HCPCS J2274
Hospital Charge Code	41657077
Hospital Revenue Code	636
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$15.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.08
Rate for Payer: Aetna Government	$11.08
Rate for Payer: Brighton Health Commercial	$1.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.73
Rate for Payer: Group Health Inc Commercial	$1.50
Rate for Payer: Group Health Inc Medicare	$1.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$15.30
Rate for Payer: SOMOS Essential	$15.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.95

INJ MORPHINE PRESERV FREE, 10MG

Facility

IP

$43.00

Service Code	HCPCS J2274
Hospital Charge Code	41642671
Hospital Revenue Code	636
Min. Negotiated Rate	$21.50
Max. Negotiated Rate	$21.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.50
Rate for Payer: Hamaspik Choice Inc Medicare	$21.50

INJ MORPHINE PRESERV FREE, 10MG

Facility

OP

$21.00

Service Code	HCPCS J2274
Hospital Charge Code	41646025
Hospital Revenue Code	636
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$15.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.08
Rate for Payer: Aetna Government	$11.08
Rate for Payer: Brighton Health Commercial	$12.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$12.07
Rate for Payer: Group Health Inc Commercial	$10.50
Rate for Payer: Group Health Inc Medicare	$7.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.50
Rate for Payer: Hamaspik Choice Inc Medicare	$10.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$15.30
Rate for Payer: SOMOS Essential	$15.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.65

INJ MORPHINE PRESERV FREE, 10MG

Facility

OP

$43.00

Service Code	HCPCS J2274
Hospital Charge Code	41642671
Hospital Revenue Code	636
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$27.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.08
Rate for Payer: Aetna Government	$11.08
Rate for Payer: Brighton Health Commercial	$25.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.73
Rate for Payer: Group Health Inc Commercial	$21.50
Rate for Payer: Group Health Inc Medicare	$15.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.50
Rate for Payer: Hamaspik Choice Inc Medicare	$21.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$15.30
Rate for Payer: SOMOS Essential	$15.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$27.95

INJ MORPHINE PRESERV FREE, 10MG

Facility

OP

$253.00

Service Code	HCPCS J2274
Hospital Charge Code	41654966
Hospital Revenue Code	636
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$164.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$139.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.08
Rate for Payer: Aetna Government	$11.08
Rate for Payer: Brighton Health Commercial	$151.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$126.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$145.47
Rate for Payer: Group Health Inc Commercial	$126.50
Rate for Payer: Group Health Inc Medicare	$88.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$126.50
Rate for Payer: Hamaspik Choice Inc Medicare	$126.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$15.30
Rate for Payer: SOMOS Essential	$15.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$164.45

INJ MORPHINE PRESERV FREE, 10MG

Facility

IP

$21.00

Service Code	HCPCS J2274
Hospital Charge Code	41656025
Hospital Revenue Code	636
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.50
Rate for Payer: Hamaspik Choice Inc Medicare	$10.50

INJ MORPHINE PRESERV FREE, 10MG

Facility

OP

$0.50

Service Code	HCPCS J2274
Hospital Charge Code	41658456
Hospital Revenue Code	636
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$15.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.08
Rate for Payer: Aetna Government	$11.08
Rate for Payer: Brighton Health Commercial	$0.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.29
Rate for Payer: Group Health Inc Commercial	$0.25
Rate for Payer: Group Health Inc Medicare	$0.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.25
Rate for Payer: Hamaspik Choice Inc Medicare	$0.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$15.30
Rate for Payer: SOMOS Essential	$15.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.33

INJ MORPHINE PRESERV FREE, 10MG

Facility

IP

$15.40

Service Code	HCPCS J2274
Hospital Charge Code	41645586
Hospital Revenue Code	636
Min. Negotiated Rate	$7.70
Max. Negotiated Rate	$7.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.70
Rate for Payer: Hamaspik Choice Inc Medicare	$7.70

INJ MORPHINE PRESERV FREE, 10MG

Facility

IP

$253.00

Service Code	HCPCS J2274
Hospital Charge Code	41654966
Hospital Revenue Code	636
Min. Negotiated Rate	$126.50
Max. Negotiated Rate	$126.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$126.50
Rate for Payer: Hamaspik Choice Inc Medicare	$126.50

INJ MORPHINE PRSERV FREE, 10MG

Facility

IP

$0.08

Service Code	HCPCS J2274
Hospital Charge Code	41645450
Hospital Revenue Code	636
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.04
Rate for Payer: Hamaspik Choice Inc Medicare	$0.04

INJ MORPHINE PRSERV FREE, 10MG

Facility

IP

$253.00

Service Code	HCPCS J2274
Hospital Charge Code	41644966
Hospital Revenue Code	636
Min. Negotiated Rate	$126.50
Max. Negotiated Rate	$126.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$126.50
Rate for Payer: Hamaspik Choice Inc Medicare	$126.50

INJ MORPHINE PRSERV FREE, 10MG

Facility

OP

$253.00

Service Code	HCPCS J2274
Hospital Charge Code	41644966
Hospital Revenue Code	636
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$164.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$139.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.08
Rate for Payer: Aetna Government	$11.08
Rate for Payer: Brighton Health Commercial	$151.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$126.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$145.47
Rate for Payer: Group Health Inc Commercial	$126.50
Rate for Payer: Group Health Inc Medicare	$88.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$126.50
Rate for Payer: Hamaspik Choice Inc Medicare	$126.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$15.30
Rate for Payer: SOMOS Essential	$15.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$164.45

INJ MORPHINE PRSERV FREE, 10MG

Facility

OP

$0.08

Service Code	HCPCS J2274
Hospital Charge Code	41645450
Hospital Revenue Code	636
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$15.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.08
Rate for Payer: Aetna Government	$11.08
Rate for Payer: Brighton Health Commercial	$0.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.05
Rate for Payer: Group Health Inc Commercial	$0.04
Rate for Payer: Group Health Inc Medicare	$0.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.04
Rate for Payer: Hamaspik Choice Inc Medicare	$0.04
Rate for Payer: SOMOS CHP/HARP/Medicaid	$15.30
Rate for Payer: SOMOS Essential	$15.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.05

INJ MORPHINE SULFATE, UP TO 10MG

Facility

OP

$15.00

Service Code	HCPCS J2270
Hospital Charge Code	41655603
Hospital Revenue Code	636
Min. Negotiated Rate	$3.39
Max. Negotiated Rate	$9.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.39
Rate for Payer: Aetna Government	$3.39
Rate for Payer: Brighton Health Commercial	$9.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.62
Rate for Payer: Group Health Inc Commercial	$7.50
Rate for Payer: Group Health Inc Medicare	$5.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.50
Rate for Payer: Hamaspik Choice Inc Medicare	$7.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4.72
Rate for Payer: SOMOS Essential	$4.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9.75

INJ MORPHINE SULFATE, UP TO 10MG

Facility

IP

$15.00

Service Code	HCPCS J2270
Hospital Charge Code	41655603
Hospital Revenue Code	636
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.50
Rate for Payer: Hamaspik Choice Inc Medicare	$7.50

INJ MORPHINE SULFATE, UP TO 10MG

Facility

OP

$11.75

Service Code	HCPCS J2270
Hospital Charge Code	41647002
Hospital Revenue Code	636
Min. Negotiated Rate	$3.39
Max. Negotiated Rate	$7.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.39
Rate for Payer: Aetna Government	$3.39
Rate for Payer: Brighton Health Commercial	$7.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.76
Rate for Payer: Group Health Inc Commercial	$5.88
Rate for Payer: Group Health Inc Medicare	$4.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.88
Rate for Payer: Hamaspik Choice Inc Medicare	$5.88
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4.72
Rate for Payer: SOMOS Essential	$4.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.64

INJ MORPHINE SULFATE, UP TO 10MG

Facility

OP

$15.00

Service Code	HCPCS J2270
Hospital Charge Code	41645603
Hospital Revenue Code	636
Min. Negotiated Rate	$3.39
Max. Negotiated Rate	$9.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.39
Rate for Payer: Aetna Government	$3.39
Rate for Payer: Brighton Health Commercial	$9.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.62
Rate for Payer: Group Health Inc Commercial	$7.50
Rate for Payer: Group Health Inc Medicare	$5.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.50
Rate for Payer: Hamaspik Choice Inc Medicare	$7.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4.72
Rate for Payer: SOMOS Essential	$4.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9.75

INJ MORPHINE SULFATE, UP TO 10MG

Facility

IP

$15.00

Service Code	HCPCS J2270
Hospital Charge Code	41645603
Hospital Revenue Code	636
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.50
Rate for Payer: Hamaspik Choice Inc Medicare	$7.50

INJ MORPHINE SULFATE, UP TO 10MG

Facility

IP

$11.75

Service Code	HCPCS J2270
Hospital Charge Code	41647002
Hospital Revenue Code	636
Min. Negotiated Rate	$5.88
Max. Negotiated Rate	$5.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.88
Rate for Payer: Hamaspik Choice Inc Medicare	$5.88

INJ PACLITAXEL, 1 MG

Facility

OP

$9.73

Service Code	HCPCS J9267
Hospital Charge Code	41642882
Hospital Revenue Code	636
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$6.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.13
Rate for Payer: Aetna Government	$0.13
Rate for Payer: Brighton Health Commercial	$5.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.87
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.59
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: SOMOS CHP/HARP/Medicaid	$0.11
Rate for Payer: SOMOS Essential	$0.11
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.32

INJ PACLITAXEL, 1 MG

Facility

IP

$9.73

Service Code	HCPCS J9267
Hospital Charge Code	41642882
Hospital Revenue Code	636
Min. Negotiated Rate	$4.87
Max. Negotiated Rate	$4.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.87
Rate for Payer: Hamaspik Choice Inc Medicare	$4.87

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