St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

RISPERIDONE 1 MG PO TABS

Facility

$4.55

Service Code	NDC 2724100106
Hospital Charge Code	2724100106
Hospital Revenue Code	250
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$2.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.28

RISPERIDONE 1 MG PO TABS

Facility

$4.54

Service Code	NDC 6808427211
Hospital Charge Code	6808427211
Hospital Revenue Code	250
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$3.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.27
Rate for Payer: Aetna Government	$2.27
Rate for Payer: Brighton Health Commercial	$3.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.09
Rate for Payer: EmblemHealth Commercial	$2.27
Rate for Payer: Group Health Inc Commercial	$2.27
Rate for Payer: Group Health Inc Medicare	$1.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.27
Rate for Payer: Hamaspik Choice Inc Medicare	$2.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.95

RISPERIDONE 1 MG PO TABS

Facility

$0.43

Service Code	NDC 0904736261
Hospital Charge Code	0904736261
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.21
Rate for Payer: Aetna Government	$0.21
Rate for Payer: Brighton Health Commercial	$0.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.29
Rate for Payer: EmblemHealth Commercial	$0.21
Rate for Payer: Group Health Inc Commercial	$0.21
Rate for Payer: Group Health Inc Medicare	$0.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.21
Rate for Payer: Hamaspik Choice Inc Medicare	$0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.28

RISPERIDONE 1 MG PO TABS

Facility

$4.55

Service Code	NDC 2724100106
Hospital Charge Code	2724100106
Hospital Revenue Code	250
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$3.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.28
Rate for Payer: Aetna Government	$2.28
Rate for Payer: Brighton Health Commercial	$3.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.10
Rate for Payer: EmblemHealth Commercial	$2.28
Rate for Payer: Group Health Inc Commercial	$2.28
Rate for Payer: Group Health Inc Medicare	$1.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.28
Rate for Payer: Hamaspik Choice Inc Medicare	$2.28
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.96

RISPERIDONE 1 MG PO TABS

Facility

$4.54

Service Code	NDC 6808427211
Hospital Charge Code	6808427211
Hospital Revenue Code	250
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$2.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.27

RISPERIDONE 1 MG PO TABS

Facility

$4.55

Service Code	NDC 4354734106
Hospital Charge Code	4354734106
Hospital Revenue Code	250
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$2.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.27

RISPERIDONE 1 MG PO TABS

Facility

$0.43

Service Code	NDC 0904736261
Hospital Charge Code	0904736261
Hospital Revenue Code	250
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.21

RISPERIDONE 1 MG PO TABS

Facility

$4.55

Service Code	NDC 6838211414
Hospital Charge Code	6838211414
Hospital Revenue Code	250
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$2.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.28

RISPERIDONE 1 MG PO TABS

Facility

$5.88

Service Code	NDC 5045830001
Hospital Charge Code	5045830001
Hospital Revenue Code	250
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$4.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.94
Rate for Payer: Aetna Government	$2.94
Rate for Payer: Brighton Health Commercial	$4.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.00
Rate for Payer: EmblemHealth Commercial	$2.94
Rate for Payer: Group Health Inc Commercial	$2.94
Rate for Payer: Group Health Inc Medicare	$2.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.94
Rate for Payer: Hamaspik Choice Inc Medicare	$2.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.82

RISPERIDONE 1 MG PO TABS

Facility

$5.88

Service Code	NDC 5045830001
Hospital Charge Code	5045830001
Hospital Revenue Code	250
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$2.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.94

RISPERIDONE 1 MG PO TABS

Facility

$4.55

Service Code	NDC 4354734150
Hospital Charge Code	4354734150
Hospital Revenue Code	250
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$3.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.27
Rate for Payer: Aetna Government	$2.27
Rate for Payer: Brighton Health Commercial	$3.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.09
Rate for Payer: EmblemHealth Commercial	$2.27
Rate for Payer: Group Health Inc Commercial	$2.27
Rate for Payer: Group Health Inc Medicare	$1.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.27
Rate for Payer: Hamaspik Choice Inc Medicare	$2.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.96

RISPERIDONE 1 MG PO TABS

Facility

$4.55

Service Code	NDC 4354734150
Hospital Charge Code	4354734150
Hospital Revenue Code	250
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$2.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.27

RISPERIDONE 1 MG PO TABS

Facility

$4.55

Service Code	NDC 6838211414
Hospital Charge Code	6838211414
Hospital Revenue Code	250
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$3.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.28
Rate for Payer: Aetna Government	$2.28
Rate for Payer: Brighton Health Commercial	$3.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.10
Rate for Payer: EmblemHealth Commercial	$2.28
Rate for Payer: Group Health Inc Commercial	$2.28
Rate for Payer: Group Health Inc Medicare	$1.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.28
Rate for Payer: Hamaspik Choice Inc Medicare	$2.28
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.96

RISPERIDONE 2 MG PO TABS

Facility

$7.60

Service Code	NDC 4354734250
Hospital Charge Code	4354734250
Hospital Revenue Code	250
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$6.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.80
Rate for Payer: Aetna Government	$3.80
Rate for Payer: Brighton Health Commercial	$5.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.17
Rate for Payer: EmblemHealth Commercial	$3.80
Rate for Payer: Group Health Inc Commercial	$3.80
Rate for Payer: Group Health Inc Medicare	$2.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.80
Rate for Payer: Hamaspik Choice Inc Medicare	$3.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.94

RISPERIDONE 2 MG PO TABS

Facility

$7.60

Service Code	NDC 4354734250
Hospital Charge Code	4354734250
Hospital Revenue Code	250
Min. Negotiated Rate	$3.80
Max. Negotiated Rate	$3.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.80

RISPERIDONE 2 MG PO TABS

Facility

$0.50

Service Code	NDC 0904736361
Hospital Charge Code	0904736361
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.25

RISPERIDONE 2 MG PO TABS

Facility

$7.61

Service Code	NDC 2724100406
Hospital Charge Code	2724100406
Hospital Revenue Code	250
Min. Negotiated Rate	$3.80
Max. Negotiated Rate	$3.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.80

RISPERIDONE 2 MG PO TABS

Facility

$7.61

Service Code	NDC 1366803860
Hospital Charge Code	1366803860
Hospital Revenue Code	250
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$6.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.80
Rate for Payer: Aetna Government	$3.80
Rate for Payer: Brighton Health Commercial	$5.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.17
Rate for Payer: EmblemHealth Commercial	$3.80
Rate for Payer: Group Health Inc Commercial	$3.80
Rate for Payer: Group Health Inc Medicare	$2.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.80
Rate for Payer: Hamaspik Choice Inc Medicare	$3.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.94

RISPERIDONE 2 MG PO TABS

Facility

$7.61

Service Code	NDC 1366803860
Hospital Charge Code	1366803860
Hospital Revenue Code	250
Min. Negotiated Rate	$3.80
Max. Negotiated Rate	$3.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.80

RISPERIDONE 2 MG PO TABS

Facility

$7.61

Service Code	NDC 2724100406
Hospital Charge Code	2724100406
Hospital Revenue Code	250
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$6.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.80
Rate for Payer: Aetna Government	$3.80
Rate for Payer: Brighton Health Commercial	$5.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.17
Rate for Payer: EmblemHealth Commercial	$3.80
Rate for Payer: Group Health Inc Commercial	$3.80
Rate for Payer: Group Health Inc Medicare	$2.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.80
Rate for Payer: Hamaspik Choice Inc Medicare	$3.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.94

RISPERIDONE 2 MG PO TABS

Facility

$0.50

Service Code	NDC 0904736361
Hospital Charge Code	0904736361
Hospital Revenue Code	250
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$0.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.25
Rate for Payer: Aetna Government	$0.25
Rate for Payer: Brighton Health Commercial	$0.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.34
Rate for Payer: EmblemHealth Commercial	$0.25
Rate for Payer: Group Health Inc Commercial	$0.25
Rate for Payer: Group Health Inc Medicare	$0.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.25
Rate for Payer: Hamaspik Choice Inc Medicare	$0.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.32

RISPERIDONE 3 MG PO TABS

Facility

$0.60

Service Code	NDC 0904736461
Hospital Charge Code	0904736461
Hospital Revenue Code	250
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.30
Rate for Payer: Aetna Government	$0.30
Rate for Payer: Brighton Health Commercial	$0.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.41
Rate for Payer: EmblemHealth Commercial	$0.30
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: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.39

RISPERIDONE 3 MG PO TABS

Facility

$8.93

Service Code	NDC 1366803960
Hospital Charge Code	1366803960
Hospital Revenue Code	250
Min. Negotiated Rate	$4.47
Max. Negotiated Rate	$4.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.47

RISPERIDONE 3 MG PO TABS

Facility

$8.93

Service Code	NDC 1366803960
Hospital Charge Code	1366803960
Hospital Revenue Code	250
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$7.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.47
Rate for Payer: Aetna Government	$4.47
Rate for Payer: Brighton Health Commercial	$6.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.07
Rate for Payer: EmblemHealth Commercial	$4.47
Rate for Payer: Group Health Inc Commercial	$4.47
Rate for Payer: Group Health Inc Medicare	$3.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.47
Rate for Payer: Hamaspik Choice Inc Medicare	$4.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.81

RISPERIDONE 3 MG PO TABS

Facility

$0.60

Service Code	NDC 0904736461
Hospital Charge Code	0904736461
Hospital Revenue Code	250
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.30

Know your out-of-pocket cost for care.

All Charges