Price of Chlorothiazide Sodium IV 500 mg at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Chlorothiazide Sodium IV 500 mg
Service Codes: LOCAL 5010003, HCPCS J1205
This procedure involves administering a 500 mg dose of Chlorothiazide Sodium intravenously. It is used to help reduce fluid retention and lower blood pressure in patients.
Pricing Overview
Cash Price
$116.39
Median Price
$177.65
Price Range
$61.26 - $447.18
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| Cigna | PPO | $196.02 |
| EmblemHealth | HIP VIP Medicare Reserve | $177.65 |
| UnitedHealthcare | HMO | $61.26 |
| EmblemHealth | HIP VIP Medicare Bold | $177.65 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $245.03 |
| Aetna | Signature Administrators PPO | $183.77 |
| EmblemHealth | CMO Essential Plan 2 | $177.65 |
| MetroPlus | Essential Plan 1-2, 200-250 | $116.39 |
| EmblemHealth | Select Care Basic Exchange | $177.65 |
| MultiPlan | Humana Health Plan | $447.18 |
| MultiPlan | Screen Actors Guild | $447.18 |
| MultiPlan | Meritain Health | $447.18 |
| EmblemHealth | HIP PPO | $177.65 |
| MultiPlan | Principal Financial Group | $447.18 |
| MagnaCare | Direct Plus | $147.02 |
| MultiPlan | QualCare Inc | $447.18 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $177.65 |
| Aetna | Student Health | $183.77 |
| EmblemHealth | Essential Plan 2 | $177.65 |
| UnitedHealthcare - Oxford | Optum Health | $61.26 |
| EmblemHealth | HIP compre health epo | $177.65 |
| MagnaCare | Independent Care Plus | $147.02 |
| MultiPlan | Paramount Insurance | $447.18 |
| UnitedHealthcare - Oxford | Liberty | $61.26 |
| Cigna | HMO | $196.02 |
| MultiPlan | Guardian Life Insurance Co | $447.18 |
| EmblemHealth | HIP Access II | $177.65 |
| Aetna | Global National Transplant | $183.77 |
| MagnaCare | Capital District Physicians Health Plan | $147.02 |
| EmblemHealth | GHI PPO | $245.03 |
| EmblemHealth | CMO Essential Plan 3 | $177.65 |
| MetroPlus | Child Health Plus (CHP) | $79.63 |
| EmblemHealth | Bridge | $177.65 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $177.65 |
| Cigna | Great West HMO | $196.02 |
| EmblemHealth | HIP POS | $177.65 |
| Humana | All Commercial Plans | $447.18 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $177.65 |
| EmblemHealth | HIP SmartStart | $177.65 |
| Cigna | Wellfleet Student | $196.02 |
| MetroPlus | Essential Plan 3-4 | $79.63 |
| MagnaCare | National Health Plan | $147.02 |
| MultiPlan | Diversified Admin Corp | $447.18 |
| MagnaCare | Direct Plus Preferred | $147.02 |
| MultiPlan | Global Excel Management | $447.18 |
| UnitedHealthcare - Oxford | Freedom | $61.26 |
| EmblemHealth | GHI HMO | $245.03 |
| EmblemHealth | Vytra HMO | $177.65 |
| UnitedHealthcare | POS | $61.26 |
| Aetna | Indemnity | $183.77 |
| Cigna | Great West PPO | $196.02 |
| Aetna | Starmark ASA PPO | $183.77 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $245.03 |
| EmblemHealth | IUOE Local 14-14B | $245.03 |
| EmblemHealth | American Plan Administrators | $245.03 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $177.65 |
| EmblemHealth | CMO Essential Plan 4 | $177.65 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $177.65 |
| MultiPlan | Healthnet of California | $447.18 |
| MultiPlan | PHCS | $447.18 |
| UnitedHealthcare - Oxford | Metro | $61.26 |
| UnitedHealthcare | Choice | $61.26 |
| Aetna | Coresource ASA PPO | $183.77 |
| EmblemHealth | HIP Healthcare Partners HMO | $177.65 |
| MultiPlan | Teamsters Allied Benefits | $447.18 |
| EmblemHealth | Prime Gold | $177.65 |
| MetroPlus | SilverPlus | $189.90 |
| MetroPlus | Gold | $122.51 |
| MagnaCare | Cement & Concrete Workers District Council | $147.02 |
| EmblemHealth | Select Care Bronze Small Group | $177.65 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $177.65 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $177.65 |
| MultiPlan | Fiserv Health | $447.18 |
| EmblemHealth | Healthcare Partners Essential Plans | $177.65 |
| EmblemHealth | Essential Plan 4 | $177.65 |
| MetroPlus | Essential Plan 2 | $116.39 |
| Aetna | POS | $183.77 |
| MultiPlan | Nippon Life | $447.18 |
| Cigna | NALC PPO | $196.02 |
| MetroPlus | GoldCare 2 | $122.51 |
| Cigna | Open Access | $196.02 |
| EmblemHealth | HIP Medicare Supplement | $177.65 |
| Cigna | Open Access PPO | $196.02 |
| MultiPlan | Global Health Management | $447.18 |
| MagnaCare | PPO | $147.02 |
| MagnaCare | American Plan Administrators | $147.02 |
| EmblemHealth | Select Care Silver Small Group | $177.65 |
| EmblemHealth | Prime Platinum | $177.65 |
| First Health | PPO | $447.18 |
| Aetna | Chesterfield Resources ASA PPO | $183.77 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $177.65 |
| EmblemHealth | Select Care HMO | $177.65 |
| MetroPlus | BronzePlus | $189.90 |
| EmblemHealth | HIP Optum Health | $177.65 |
| MetroPlus | Essential Plan 1 | $116.39 |
| EmblemHealth | Select Care PPOu00a0 | $177.65 |
| MetroPlus | Essential Plan 3 | $79.63 |
| Cigna | Open Access HMO | $196.02 |
| Cigna | Indemnity | $196.02 |
| UnitedHealthcare | Independent | $61.26 |
| EmblemHealth | HIP | $177.65 |
| Aetna | Open Access HMO | $183.77 |
| MultiPlan | Mutual of Omaha | $447.18 |
| UnitedHealthcare | PPO | $61.26 |
| Cigna | LifeSOURCE | $196.02 |
| EmblemHealth | Essential Plan 1, 200-250 | $177.65 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $177.65 |
| Aetna | Wellnet ASA PPO | $183.77 |
| MultiPlan | PHCS Director Guild | $447.18 |
| EmblemHealth | Select Care EPO | $177.65 |
| EmblemHealth | Select Care Bronze Exchange | $177.65 |
| UnitedHealthcare | Optum Health | $61.26 |
| MultiPlan | AXA Global Insurance | $447.18 |
| UnitedHealthcare | Student Resources | $61.26 |
| EmblemHealth | Select Care Platinum Small Group | $177.65 |
| Aetna | HMO | $183.77 |
| Aetna | Open Access Elect Choice EPO | $183.77 |
| MultiPlan | Capital District Physicians Health Plan | $447.18 |
| Cigna | Cigna Managed Care/POS | $196.02 |
| EmblemHealth | HIP Child Health Plus | $177.65 |
| EmblemHealth | CMO Essential Plan 1 | $177.65 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $177.65 |
| EmblemHealth | Select Care Gold Small Group | $177.65 |
| MetroPlus | PlatinumPlus | $189.90 |
| UnitedHealthcare | Choice (NY Power Authority) | $61.26 |
| EmblemHealth | WLNY-TV | $245.03 |
| EmblemHealth | Select Care Platinum Exchange | $177.65 |
| EmblemHealth | GHI Medicare HMO | $245.03 |
| GEHA | All Plans | $183.77 |
| MetroPlus | GoldPlus | $189.90 |
| UnitedHealthcare | Navigate | $61.26 |
| EmblemHealth | HIP Prime Basic | $177.65 |
| EmblemHealth | HIP Access I | $177.65 |
| Health Net | PPO | $447.18 |
| MultiPlan | PHCS Savility | $447.18 |
| UnitedHealthcare | Charter | $61.26 |
| Aetna | PPO | $183.77 |
| UnitedHealthcare | Golden Rule Insurance | $61.26 |
| Cigna | Tufts Health Plan | $196.02 |
| EmblemHealth | Prime Bronze | $177.65 |
| MultiPlan | PHP Healthcare (Champus) | $447.18 |
| EmblemHealth | HIP VIP Medicare Affinity | $177.65 |
| Cigna | Premier Plus | $196.02 |
| EmblemHealth | Select Care Healthcare Partners | $177.65 |
| UnitedHealthcare | POMCO (UMR) | $61.26 |
| MagnaCare | JIB Employees Security Fund | $147.02 |
| Aetna | Nippon Life ASA PPO | $183.77 |
| EmblemHealth | HIP Montefiore | $177.65 |
| MultiPlan | Administrative Concepts | $447.18 |
| Aetna | Healthscope ASA PPO | $183.77 |
| Cigna | Evernorth Behavioral Health | $196.02 |
| EmblemHealth | Select Care Gold Exchange | $177.65 |
| MetroPlus | Medicaid Managed Care | $79.63 |
| MetroPlus | MedPlus | $189.90 |
| EmblemHealth | GHI EPO | $245.03 |
| EmblemHealth | HIP EPO | $177.65 |
| EmblemHealth | GHI Behavioral Management Program | $245.03 |
| EmblemHealth | GHI Medicare Supplement | $245.03 |
| EmblemHealth | GHI Medicare PPO | $245.03 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $61.26 |
| UnitedHealthcare | POMCO (UMR) | $447.18 |
| EmblemHealth | HIP HMO | $177.65 |
| MultiPlan | PPO | $447.18 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $177.65 |
| MetroPlus | Essential Plan 4 | $79.63 |
| EmblemHealth | HIP compre health | $177.65 |
| UnitedHealthcare | Core | $61.26 |
| MagnaCare | JIB Members | $147.02 |
| Aetna | Meritain Health | $183.77 |
| Aetna | Christian Brothers ASA PPO | $183.77 |
| EmblemHealth | Prime Silver | $177.65 |
| Cigna | MVP-Cigna Network | $196.02 |
| MultiPlan | Kaiser Permanente | $447.18 |
| UnitedHealthcare | EPO | $61.26 |
| Aetna | Allied ASA PPO | $183.77 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $196.02 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $177.65 |
| EmblemHealth | HIP VIP Medicare Montefiore | $177.65 |
| EmblemHealth | Enhanced Care (Medicaid) | $177.65 |
| EmblemHealth | Select Care Silver Exchange | $177.65 |
| EmblemHealth | GHI composite | $245.03 |
| MultiPlan | US Life Insurance Co | $447.18 |
| EmblemHealth | Essential Plan 3 | $177.65 |