St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

METHYLPREDNISOLONE 4 MG TAB

Facility

$1.00

Service Code	HCPCS J7509
Hospital Charge Code	41650853
Hospital Revenue Code	636
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50

METHYLPREDNISOLONE 4 MG TAB

Facility

$1.00

Service Code	HCPCS J7509
Hospital Charge Code	41650853
Hospital Revenue Code	636
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.26
Rate for Payer: Aetna Government	$0.26
Rate for Payer: Brighton Health Commercial	$0.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.58
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.26
Rate for Payer: SOMOS Essential	$0.26
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

METHYLPREDNISOLONE 4 MG TAB

Facility

$1.00

Service Code	HCPCS J7509
Hospital Charge Code	41640853
Hospital Revenue Code	636
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50

METHYLPREDNISOLONE 4 MG TAB

Facility

$1.00

Service Code	HCPCS J7509
Hospital Charge Code	41640853
Hospital Revenue Code	636
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.26
Rate for Payer: Aetna Government	$0.26
Rate for Payer: Brighton Health Commercial	$0.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.58
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.26
Rate for Payer: SOMOS Essential	$0.26
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

METHYLPREDNISOLONE 60MG/NS 50ML

Facility

$8.00

Hospital Charge Code	41657110
Hospital Revenue Code	250
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$6.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.00
Rate for Payer: Aetna Government	$4.00
Rate for Payer: Brighton Health Commercial	$6.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.44
Rate for Payer: Group Health Inc Commercial	$4.00
Rate for Payer: Group Health Inc Medicare	$2.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.20

METHYLPREDNISOLONE 60MG/NS 50ML

Facility

$8.00

Hospital Charge Code	41647110
Hospital Revenue Code	250
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$6.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.00
Rate for Payer: Aetna Government	$4.00
Rate for Payer: Brighton Health Commercial	$6.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.44
Rate for Payer: Group Health Inc Commercial	$4.00
Rate for Payer: Group Health Inc Medicare	$2.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.20

METHYLPREDNISOLONE 80MG/NS 50ML

Facility

$9.00

Hospital Charge Code	41647111
Hospital Revenue Code	250
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$7.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.50
Rate for Payer: Aetna Government	$4.50
Rate for Payer: Brighton Health Commercial	$6.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.12
Rate for Payer: Group Health Inc Commercial	$4.50
Rate for Payer: Group Health Inc Medicare	$3.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.50
Rate for Payer: Hamaspik Choice Inc Medicare	$4.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.85

METHYLPREDNISOLONE 80MG/NS 50ML

Facility

$9.00

Hospital Charge Code	41657111
Hospital Revenue Code	250
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$7.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.50
Rate for Payer: Aetna Government	$4.50
Rate for Payer: Brighton Health Commercial	$6.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.12
Rate for Payer: Group Health Inc Commercial	$4.50
Rate for Payer: Group Health Inc Medicare	$3.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.50
Rate for Payer: Hamaspik Choice Inc Medicare	$4.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.85

METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995]

Facility

$13.64

Service Code	HCPCS J1030
Hospital Charge Code	00009307303
Hospital Revenue Code	250
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$10.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.63
Rate for Payer: Aetna Government	$5.63
Rate for Payer: Brighton Health Commercial	$10.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.91
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.28
Rate for Payer: Group Health Inc Commercial	$6.82
Rate for Payer: Group Health Inc Medicare	$4.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.82
Rate for Payer: Hamaspik Choice Inc Medicare	$6.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.87

METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995]

Facility

$11.56

Service Code	HCPCS J1030
Hospital Charge Code	70121157305
Hospital Revenue Code	250
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$9.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.63
Rate for Payer: Aetna Government	$5.63
Rate for Payer: Brighton Health Commercial	$8.67
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.86
Rate for Payer: Group Health Inc Commercial	$5.78
Rate for Payer: Group Health Inc Medicare	$4.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.78
Rate for Payer: Hamaspik Choice Inc Medicare	$5.78
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.52

METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995]

Facility

$11.57

Service Code	HCPCS J1030
Hospital Charge Code	70121157301
Hospital Revenue Code	250
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$9.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.63
Rate for Payer: Aetna Government	$5.63
Rate for Payer: Brighton Health Commercial	$8.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.87
Rate for Payer: Group Health Inc Commercial	$5.78
Rate for Payer: Group Health Inc Medicare	$4.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.78
Rate for Payer: Hamaspik Choice Inc Medicare	$5.78
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.52

METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995]

Facility

$10.44

Service Code	HCPCS J1030
Hospital Charge Code	00703003101
Hospital Revenue Code	250
Min. Negotiated Rate	$3.65
Max. Negotiated Rate	$8.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.63
Rate for Payer: Aetna Government	$5.63
Rate for Payer: Brighton Health Commercial	$7.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.10
Rate for Payer: Group Health Inc Commercial	$5.22
Rate for Payer: Group Health Inc Medicare	$3.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.22
Rate for Payer: Hamaspik Choice Inc Medicare	$5.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.79

METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995]

Facility

$13.63

Service Code	HCPCS J1030
Hospital Charge Code	00009307301
Hospital Revenue Code	250
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$10.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.63
Rate for Payer: Aetna Government	$5.63
Rate for Payer: Brighton Health Commercial	$10.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.27
Rate for Payer: Group Health Inc Commercial	$6.82
Rate for Payer: Group Health Inc Medicare	$4.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.82
Rate for Payer: Hamaspik Choice Inc Medicare	$6.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.86

METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP [4996]

Facility

$23.66

Service Code	HCPCS J1040
Hospital Charge Code	00009347501
Hospital Revenue Code	250
Min. Negotiated Rate	$8.28
Max. Negotiated Rate	$18.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.68
Rate for Payer: Aetna Government	$10.68
Rate for Payer: Brighton Health Commercial	$17.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$18.93
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.09
Rate for Payer: Group Health Inc Commercial	$11.83
Rate for Payer: Group Health Inc Medicare	$8.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.83
Rate for Payer: Hamaspik Choice Inc Medicare	$11.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$15.38

METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP [4996]

Facility

$19.58

Service Code	HCPCS J1040
Hospital Charge Code	70121157401
Hospital Revenue Code	250
Min. Negotiated Rate	$6.85
Max. Negotiated Rate	$15.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.68
Rate for Payer: Aetna Government	$10.68
Rate for Payer: Brighton Health Commercial	$14.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$15.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.31
Rate for Payer: Group Health Inc Commercial	$9.79
Rate for Payer: Group Health Inc Medicare	$6.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.79
Rate for Payer: Hamaspik Choice Inc Medicare	$9.79
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$12.73

METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP [4996]

Facility

$19.58

Service Code	HCPCS J1040
Hospital Charge Code	70121157405
Hospital Revenue Code	250
Min. Negotiated Rate	$6.85
Max. Negotiated Rate	$15.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.68
Rate for Payer: Aetna Government	$10.68
Rate for Payer: Brighton Health Commercial	$14.69
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$15.67
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.32
Rate for Payer: Group Health Inc Commercial	$9.79
Rate for Payer: Group Health Inc Medicare	$6.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.79
Rate for Payer: Hamaspik Choice Inc Medicare	$9.79
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$12.73

METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP [4996]

Facility

$23.67

Service Code	HCPCS J1040
Hospital Charge Code	00009347503
Hospital Revenue Code	250
Min. Negotiated Rate	$8.28
Max. Negotiated Rate	$18.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.68
Rate for Payer: Aetna Government	$10.68
Rate for Payer: Brighton Health Commercial	$17.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$18.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.09
Rate for Payer: Group Health Inc Commercial	$11.83
Rate for Payer: Group Health Inc Medicare	$8.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.83
Rate for Payer: Hamaspik Choice Inc Medicare	$11.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$15.38

METHYLPREDNISOLONE ACETATE DEPO 40 MG/ML

Facility

$4.85

Service Code	HCPCS J1020
Hospital Charge Code	41644055
Hospital Revenue Code	636
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$2.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.42
Rate for Payer: Hamaspik Choice Inc Medicare	$2.42

METHYLPREDNISOLONE ACETATE DEPO 40 MG/ML

Facility

$4.85

Service Code	HCPCS J1020
Hospital Charge Code	41654055
Hospital Revenue Code	636
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$2.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.42
Rate for Payer: Hamaspik Choice Inc Medicare	$2.42

METHYLPREDNISOLONE ACETATE DEPO 40 MG/ML

Facility

$4.85

Service Code	HCPCS J1020
Hospital Charge Code	41654055
Hospital Revenue Code	636
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$3.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.17
Rate for Payer: Aetna Government	$3.17
Rate for Payer: Brighton Health Commercial	$2.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.79
Rate for Payer: Group Health Inc Commercial	$2.42
Rate for Payer: Group Health Inc Medicare	$1.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.42
Rate for Payer: Hamaspik Choice Inc Medicare	$2.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.15

METHYLPREDNISOLONE ACETATE DEPO 40 MG/ML

Facility

$4.85

Service Code	HCPCS J1020
Hospital Charge Code	41644055
Hospital Revenue Code	636
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$3.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.17
Rate for Payer: Aetna Government	$3.17
Rate for Payer: Brighton Health Commercial	$2.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.79
Rate for Payer: Group Health Inc Commercial	$2.42
Rate for Payer: Group Health Inc Medicare	$1.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.42
Rate for Payer: Hamaspik Choice Inc Medicare	$2.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.15

METHYLPREDNISOLONE ACETATE DEPO 80 MG/ML

Facility

$9.08

Service Code	HCPCS J1040
Hospital Charge Code	41654056
Hospital Revenue Code	636
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$10.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.68
Rate for Payer: Aetna Government	$10.68
Rate for Payer: Brighton Health Commercial	$5.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.22
Rate for Payer: Group Health Inc Commercial	$4.54
Rate for Payer: Group Health Inc Medicare	$3.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.54
Rate for Payer: Hamaspik Choice Inc Medicare	$4.54
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.90

METHYLPREDNISOLONE ACETATE DEPO 80 MG/ML

Facility

$9.08

Service Code	HCPCS J1040
Hospital Charge Code	41644056
Hospital Revenue Code	636
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$10.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.68
Rate for Payer: Aetna Government	$10.68
Rate for Payer: Brighton Health Commercial	$5.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.22
Rate for Payer: Group Health Inc Commercial	$4.54
Rate for Payer: Group Health Inc Medicare	$3.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.54
Rate for Payer: Hamaspik Choice Inc Medicare	$4.54
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.90

METHYLPREDNISOLONE ACETATE DEPO 80 MG/ML

Facility

$9.08

Service Code	HCPCS J1040
Hospital Charge Code	41654056
Hospital Revenue Code	636
Min. Negotiated Rate	$4.54
Max. Negotiated Rate	$4.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.54
Rate for Payer: Hamaspik Choice Inc Medicare	$4.54

METHYLPREDNISOLONE ACETATE DEPO 80 MG/ML

Facility

$9.08

Service Code	HCPCS J1040
Hospital Charge Code	41644056
Hospital Revenue Code	636
Min. Negotiated Rate	$4.54
Max. Negotiated Rate	$4.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.54
Rate for Payer: Hamaspik Choice Inc Medicare	$4.54

Know your out-of-pocket cost for care.

All Charges