St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

METHYLPREDNISOLONE SODIUM SUCCINATE 125

Facility

$5.35

Service Code	HCPCS J2930
Hospital Charge Code	41643268
Hospital Revenue Code	636
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$2.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.68
Rate for Payer: Hamaspik Choice Inc Medicare	$2.68

METHYLPREDNISOLONE SODIUM SUCCINATE 2000

Facility

$5.78

Hospital Charge Code	41643089
Hospital Revenue Code	636
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$3.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.89
Rate for Payer: Aetna Government	$2.89
Rate for Payer: Brighton Health Commercial	$3.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.89
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.32
Rate for Payer: Group Health Inc Commercial	$2.89
Rate for Payer: Group Health Inc Medicare	$2.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.89
Rate for Payer: Hamaspik Choice Inc Medicare	$2.89
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.76

METHYLPREDNISOLONE SODIUM SUCCINATE 2000

Facility

$5.78

Hospital Charge Code	41653089
Hospital Revenue Code	636
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.89
Rate for Payer: Hamaspik Choice Inc Medicare	$2.89

METHYLPREDNISOLONE SODIUM SUCCINATE 2000

Facility

$5.78

Hospital Charge Code	41643089
Hospital Revenue Code	636
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.89
Rate for Payer: Hamaspik Choice Inc Medicare	$2.89

METHYLPREDNISOLONE SODIUM SUCCINATE 2000

Facility

$5.78

Hospital Charge Code	41653089
Hospital Revenue Code	636
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$3.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.89
Rate for Payer: Aetna Government	$2.89
Rate for Payer: Brighton Health Commercial	$3.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.89
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.32
Rate for Payer: Group Health Inc Commercial	$2.89
Rate for Payer: Group Health Inc Medicare	$2.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.89
Rate for Payer: Hamaspik Choice Inc Medicare	$2.89
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.76

METHYLPREDNISOLONE SODIUM SUCCINATE 40 M

Facility

$4.00

Service Code	HCPCS J2920
Hospital Charge Code	41640058
Hospital Revenue Code	636
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$4.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.11
Rate for Payer: Aetna Government	$4.11
Rate for Payer: Brighton Health Commercial	$2.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.30
Rate for Payer: Group Health Inc Commercial	$2.00
Rate for Payer: Group Health Inc Medicare	$1.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.60

METHYLPREDNISOLONE SODIUM SUCCINATE 40 M

Facility

$4.00

Service Code	HCPCS J2920
Hospital Charge Code	41650058
Hospital Revenue Code	636
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$2.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2.00

METHYLPREDNISOLONE SODIUM SUCCINATE 40 M

Facility

$4.00

Service Code	HCPCS J2920
Hospital Charge Code	41640058
Hospital Revenue Code	636
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$2.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2.00

METHYLPREDNISOLONE SODIUM SUCCINATE 40 M

Facility

$4.00

Service Code	HCPCS J2920
Hospital Charge Code	41650058
Hospital Revenue Code	636
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$4.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.11
Rate for Payer: Aetna Government	$4.11
Rate for Payer: Brighton Health Commercial	$2.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.30
Rate for Payer: Group Health Inc Commercial	$2.00
Rate for Payer: Group Health Inc Medicare	$1.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.60

METHYLPREDNISOLONE SODIUM SUCCINATE 500

Facility

$5.57

Service Code	HCPCS J2930
Hospital Charge Code	41650451
Hospital Revenue Code	636
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$5.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.57
Rate for Payer: Aetna Government	$5.57
Rate for Payer: Brighton Health Commercial	$3.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.20
Rate for Payer: Group Health Inc Commercial	$2.78
Rate for Payer: Group Health Inc Medicare	$1.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.78
Rate for Payer: Hamaspik Choice Inc Medicare	$2.78
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.62

METHYLPREDNISOLONE SODIUM SUCCINATE 500

Facility

$5.57

Hospital Charge Code	41640451
Hospital Revenue Code	636
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$3.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.78
Rate for Payer: Aetna Government	$2.78
Rate for Payer: Brighton Health Commercial	$3.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.20
Rate for Payer: Group Health Inc Commercial	$2.78
Rate for Payer: Group Health Inc Medicare	$1.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.78
Rate for Payer: Hamaspik Choice Inc Medicare	$2.78
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.62

METHYLPREDNISOLONE SODIUM SUCCINATE 500

Facility

$5.57

Hospital Charge Code	41640451
Hospital Revenue Code	636
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$2.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.78
Rate for Payer: Hamaspik Choice Inc Medicare	$2.78

METHYLPREDNISOLONE SODIUM SUCCINATE 500

Facility

$5.57

Service Code	HCPCS J2930
Hospital Charge Code	41650451
Hospital Revenue Code	636
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$2.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.78
Rate for Payer: Hamaspik Choice Inc Medicare	$2.78

METHYL SALICYLATE-MENTHOL OINT 30 GRAMS

Facility

$2.00

Hospital Charge Code	41644086
Hospital Revenue Code	250
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$1.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.00
Rate for Payer: Aetna Government	$1.00
Rate for Payer: Brighton Health Commercial	$1.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.36
Rate for Payer: Group Health Inc Commercial	$1.00
Rate for Payer: Group Health Inc Medicare	$0.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.30

METHYL SALICYLATE-MENTHOL OINT 30 GRAMS

Facility

$2.00

Hospital Charge Code	41654086
Hospital Revenue Code	250
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$1.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.00
Rate for Payer: Aetna Government	$1.00
Rate for Payer: Brighton Health Commercial	$1.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.36
Rate for Payer: Group Health Inc Commercial	$1.00
Rate for Payer: Group Health Inc Medicare	$0.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.30

METHYPREDNSON SODUM SUCINAT1000MG

Facility

$22.37

Service Code	HCPCS J2930
Hospital Charge Code	41650374
Hospital Revenue Code	636
Min. Negotiated Rate	$11.18
Max. Negotiated Rate	$11.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.18
Rate for Payer: Hamaspik Choice Inc Medicare	$11.18

METHYPREDNSON SODUM SUCINAT1000MG

Facility

$22.37

Service Code	HCPCS J2930
Hospital Charge Code	41640374
Hospital Revenue Code	636
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$14.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.57
Rate for Payer: Aetna Government	$5.57
Rate for Payer: Brighton Health Commercial	$13.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$12.86
Rate for Payer: Group Health Inc Commercial	$11.18
Rate for Payer: Group Health Inc Medicare	$7.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.18
Rate for Payer: Hamaspik Choice Inc Medicare	$11.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$14.54

METHYPREDNSON SODUM SUCINAT1000MG

Facility

$22.37

Service Code	HCPCS J2930
Hospital Charge Code	41640374
Hospital Revenue Code	636
Min. Negotiated Rate	$11.18
Max. Negotiated Rate	$11.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.18
Rate for Payer: Hamaspik Choice Inc Medicare	$11.18

METHYPREDNSON SODUM SUCINAT1000MG

Facility

$22.37

Service Code	HCPCS J2930
Hospital Charge Code	41650374
Hospital Revenue Code	636
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$14.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.57
Rate for Payer: Aetna Government	$5.57
Rate for Payer: Brighton Health Commercial	$13.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$12.86
Rate for Payer: Group Health Inc Commercial	$11.18
Rate for Payer: Group Health Inc Medicare	$7.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.18
Rate for Payer: Hamaspik Choice Inc Medicare	$11.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$14.54

METOCLOPRAMIDE 0.1 MG/ML INJ PEDIATRIC

Facility

$1.00

Hospital Charge Code	41643591
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
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: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

METOCLOPRAMIDE 0.1 MG/ML INJ PEDIATRIC

Facility

$1.00

Hospital Charge Code	41653591
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
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: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

METOCLOPRAMIDE 0.1 MG/ML SYRUP PEDIATRIC

Facility

$1.00

Hospital Charge Code	41652516
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
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: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

METOCLOPRAMIDE 0.1 MG/ML SYRUP PEDIATRIC

Facility

$1.00

Hospital Charge Code	41642516
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
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: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

METOCLOPRAMIDE 10 MG/10 ML SYRUP UDC

Facility

$0.77

Hospital Charge Code	41644143
Hospital Revenue Code	250
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$0.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.39
Rate for Payer: Aetna Government	$0.39
Rate for Payer: Brighton Health Commercial	$0.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.52
Rate for Payer: Group Health Inc Commercial	$0.39
Rate for Payer: Group Health Inc Medicare	$0.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.39
Rate for Payer: Hamaspik Choice Inc Medicare	$0.39
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.50

METOCLOPRAMIDE 10 MG/10 ML SYRUP UDC

Facility

$0.77

Hospital Charge Code	41654143
Hospital Revenue Code	250
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$0.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.39
Rate for Payer: Aetna Government	$0.39
Rate for Payer: Brighton Health Commercial	$0.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.52
Rate for Payer: Group Health Inc Commercial	$0.39
Rate for Payer: Group Health Inc Medicare	$0.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.39
Rate for Payer: Hamaspik Choice Inc Medicare	$0.39
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.50

Know your out-of-pocket cost for care.

All Charges