St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

MEROPENEM 10MG/ML NS

Facility

$0.60

Service Code	HCPCS J2185
Hospital Charge Code	41640286
Hospital Revenue Code	636
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.30
Rate for Payer: Hamaspik Choice Inc Medicare	$0.30

MEROPENEM 10MG/ML NS

Facility

$0.60

Service Code	HCPCS J2185
Hospital Charge Code	41640286
Hospital Revenue Code	636
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$0.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.35
Rate for Payer: Group Health Inc Commercial	$0.30
Rate for Payer: Group Health Inc Medicare	$0.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.30
Rate for Payer: Hamaspik Choice Inc Medicare	$0.30
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.41
Rate for Payer: SOMOS Essential	$0.41
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.39

MEROPENEM 10MG/ML NS

Facility

$0.60

Service Code	HCPCS J2185
Hospital Charge Code	41650286
Hospital Revenue Code	636
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.30
Rate for Payer: Hamaspik Choice Inc Medicare	$0.30

MEROPENEM 10MG/ML NS

Facility

$0.60

Service Code	HCPCS J2185
Hospital Charge Code	41650286
Hospital Revenue Code	636
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$0.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.35
Rate for Payer: Group Health Inc Commercial	$0.30
Rate for Payer: Group Health Inc Medicare	$0.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.30
Rate for Payer: Hamaspik Choice Inc Medicare	$0.30
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.41
Rate for Payer: SOMOS Essential	$0.41
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.39

MEROPENEM 1 G IV SOLR [17380]

Facility

$7.08

Service Code	HCPCS J2185
Hospital Charge Code	63323050845
Hospital Revenue Code	278
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$7.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$4.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.07
Rate for Payer: EmblemHealth Commercial	$3.54
Rate for Payer: Fidelis Medicare Advantage	$7.43
Rate for Payer: Group Health Inc Commercial	$3.54
Rate for Payer: Group Health Inc Medicare	$2.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.54
Rate for Payer: Hamaspik Choice Inc Medicare	$3.54
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.60

MEROPENEM 1 G IV SOLR [17380]

Facility

$13.20

Service Code	HCPCS J2185
Hospital Charge Code	55150020830
Hospital Revenue Code	278
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.60
Rate for Payer: Hamaspik Choice Inc Medicare	$6.60

MEROPENEM 1 G IV SOLR [17380]

Facility

$24.85

Service Code	HCPCS J2185
Hospital Charge Code	00409139121
Hospital Revenue Code	278
Min. Negotiated Rate	$12.42
Max. Negotiated Rate	$12.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.42
Rate for Payer: Hamaspik Choice Inc Medicare	$12.42

MEROPENEM 1 G IV SOLR [17380]

Facility

$24.85

Service Code	HCPCS J2185
Hospital Charge Code	00409139122
Hospital Revenue Code	278
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$26.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$14.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.29
Rate for Payer: EmblemHealth Commercial	$12.42
Rate for Payer: Fidelis Medicare Advantage	$26.09
Rate for Payer: Group Health Inc Commercial	$12.42
Rate for Payer: Group Health Inc Medicare	$8.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.42
Rate for Payer: Hamaspik Choice Inc Medicare	$12.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$16.15

MEROPENEM 1 G IV SOLR [17380]

Facility

$7.08

Service Code	HCPCS J2185
Hospital Charge Code	63323050845
Hospital Revenue Code	278
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$3.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.54
Rate for Payer: Hamaspik Choice Inc Medicare	$3.54

MEROPENEM 1 G IV SOLR [17380]

Facility

$24.00

Service Code	HCPCS J2185
Hospital Charge Code	70594007602
Hospital Revenue Code	278
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.00
Rate for Payer: Hamaspik Choice Inc Medicare	$12.00

MEROPENEM 1 G IV SOLR [17380]

Facility

$13.20

Service Code	HCPCS J2185
Hospital Charge Code	55150020830
Hospital Revenue Code	278
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$13.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$7.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.59
Rate for Payer: EmblemHealth Commercial	$6.60
Rate for Payer: Fidelis Medicare Advantage	$13.86
Rate for Payer: Group Health Inc Commercial	$6.60
Rate for Payer: Group Health Inc Medicare	$4.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.60
Rate for Payer: Hamaspik Choice Inc Medicare	$6.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.58

MEROPENEM 1 G IV SOLR [17380]

Facility

$24.00

Service Code	HCPCS J2185
Hospital Charge Code	70594007602
Hospital Revenue Code	278
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$25.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$14.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.80
Rate for Payer: EmblemHealth Commercial	$12.00
Rate for Payer: Fidelis Medicare Advantage	$25.20
Rate for Payer: Group Health Inc Commercial	$12.00
Rate for Payer: Group Health Inc Medicare	$8.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.00
Rate for Payer: Hamaspik Choice Inc Medicare	$12.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$15.60

MEROPENEM 1 G IV SOLR [17380]

Facility

$24.85

Service Code	HCPCS J2185
Hospital Charge Code	00409139122
Hospital Revenue Code	278
Min. Negotiated Rate	$12.42
Max. Negotiated Rate	$12.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.42
Rate for Payer: Hamaspik Choice Inc Medicare	$12.42

MEROPENEM 1 G IV SOLR [17380]

Facility

$24.85

Service Code	HCPCS J2185
Hospital Charge Code	00409139121
Hospital Revenue Code	278
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$26.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$14.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.29
Rate for Payer: EmblemHealth Commercial	$12.42
Rate for Payer: Fidelis Medicare Advantage	$26.09
Rate for Payer: Group Health Inc Commercial	$12.42
Rate for Payer: Group Health Inc Medicare	$8.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.42
Rate for Payer: Hamaspik Choice Inc Medicare	$12.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$16.15

MEROPENEM 500 MG INJ

Facility

$2.38

Service Code	HCPCS J2185
Hospital Charge Code	41641681
Hospital Revenue Code	636
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.19
Rate for Payer: Hamaspik Choice Inc Medicare	$1.19

MEROPENEM 500 MG INJ

Facility

$2.38

Service Code	HCPCS J2185
Hospital Charge Code	41641681
Hospital Revenue Code	636
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$1.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$1.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.37
Rate for Payer: Group Health Inc Commercial	$1.19
Rate for Payer: Group Health Inc Medicare	$0.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.19
Rate for Payer: Hamaspik Choice Inc Medicare	$1.19
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.41
Rate for Payer: SOMOS Essential	$0.41
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.55

MEROPENEM 500 MG INJ

Facility

$2.38

Service Code	HCPCS J2185
Hospital Charge Code	41651681
Hospital Revenue Code	636
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.19
Rate for Payer: Hamaspik Choice Inc Medicare	$1.19

MEROPENEM 500 MG INJ

Facility

$2.38

Service Code	HCPCS J2185
Hospital Charge Code	41651681
Hospital Revenue Code	636
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$1.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$1.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.37
Rate for Payer: Group Health Inc Commercial	$1.19
Rate for Payer: Group Health Inc Medicare	$0.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.19
Rate for Payer: Hamaspik Choice Inc Medicare	$1.19
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.41
Rate for Payer: SOMOS Essential	$0.41
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.55

MEROPENEM 500 MG IV SOLR [17379]

Facility

$18.21

Service Code	HCPCS J2185
Hospital Charge Code	00781300095
Hospital Revenue Code	278
Min. Negotiated Rate	$9.11
Max. Negotiated Rate	$9.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.11
Rate for Payer: Hamaspik Choice Inc Medicare	$9.11

MEROPENEM 500 MG IV SOLR [17379]

Facility

$18.21

Service Code	HCPCS J2185
Hospital Charge Code	00781300095
Hospital Revenue Code	278
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$19.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$10.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.47
Rate for Payer: EmblemHealth Commercial	$9.11
Rate for Payer: Fidelis Medicare Advantage	$19.12
Rate for Payer: Group Health Inc Commercial	$9.11
Rate for Payer: Group Health Inc Medicare	$6.37
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	$11.84

MEROPENEM 500 MG IV SOLR [17379]

Facility

$7.20

Service Code	HCPCS J2185
Hospital Charge Code	55150020720
Hospital Revenue Code	278
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.60
Rate for Payer: Hamaspik Choice Inc Medicare	$3.60

MEROPENEM 500 MG IV SOLR [17379]

Facility

$7.20

Service Code	HCPCS J2185
Hospital Charge Code	70121145401
Hospital Revenue Code	278
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.60
Rate for Payer: Hamaspik Choice Inc Medicare	$3.60

MEROPENEM 500 MG IV SOLR [17379]

Facility

$7.20

Service Code	HCPCS J2185
Hospital Charge Code	70121145401
Hospital Revenue Code	278
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$7.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$4.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.14
Rate for Payer: EmblemHealth Commercial	$3.60
Rate for Payer: Fidelis Medicare Advantage	$7.56
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: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.68

MEROPENEM 500 MG IV SOLR [17379]

Facility

$7.20

Service Code	HCPCS J2185
Hospital Charge Code	70121145407
Hospital Revenue Code	278
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$7.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$4.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.14
Rate for Payer: EmblemHealth Commercial	$3.60
Rate for Payer: Fidelis Medicare Advantage	$7.56
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: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.68

MEROPENEM 500 MG IV SOLR [17379]

Facility

$7.20

Service Code	HCPCS J2185
Hospital Charge Code	70121145407
Hospital Revenue Code	278
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.60
Rate for Payer: Hamaspik Choice Inc Medicare	$3.60

Know your out-of-pocket cost for care.

All Charges