St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SIMPLE WOUND REPAIR AND TREATMENT

Facility

$578.58

Service Code	EAPG 00016
Min. Negotiated Rate	$578.58
Max. Negotiated Rate	$578.58
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$578.58

SIMVASTATIN 10 MG PO TABS

Facility

$2.81

Service Code	NDC 1672900415
Hospital Charge Code	1672900415
Hospital Revenue Code	250
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$1.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.41

SIMVASTATIN 10 MG PO TABS

Facility

$2.81

Service Code	NDC 1672900415
Hospital Charge Code	1672900415
Hospital Revenue Code	250
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$2.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.41
Rate for Payer: Aetna Government	$1.41
Rate for Payer: Brighton Health Commercial	$2.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.91
Rate for Payer: EmblemHealth Commercial	$1.41
Rate for Payer: Group Health Inc Commercial	$1.41
Rate for Payer: Group Health Inc Medicare	$0.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.41
Rate for Payer: Hamaspik Choice Inc Medicare	$1.41
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.83

SIMVASTATIN 10 MG PO TABS

Facility

$0.18

Service Code	NDC 6373957110
Hospital Charge Code	6373957110
Hospital Revenue Code	250
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$0.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.09

SIMVASTATIN 10 MG PO TABS

Facility

$0.18

Service Code	NDC 6373957110
Hospital Charge Code	6373957110
Hospital Revenue Code	250
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$0.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.09
Rate for Payer: Aetna Government	$0.09
Rate for Payer: Brighton Health Commercial	$0.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.12
Rate for Payer: EmblemHealth Commercial	$0.09
Rate for Payer: Group Health Inc Commercial	$0.09
Rate for Payer: Group Health Inc Medicare	$0.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.09
Rate for Payer: Hamaspik Choice Inc Medicare	$0.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.12

SIMVASTATIN 20 MG PO TABS

Facility

$0.21

Service Code	NDC 6373957210
Hospital Charge Code	6373957210
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$0.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.10
Rate for Payer: Aetna Government	$0.10
Rate for Payer: Brighton Health Commercial	$0.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.14
Rate for Payer: EmblemHealth Commercial	$0.10
Rate for Payer: Group Health Inc Commercial	$0.10
Rate for Payer: Group Health Inc Medicare	$0.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.10
Rate for Payer: Hamaspik Choice Inc Medicare	$0.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.13

SIMVASTATIN 20 MG PO TABS

Facility

$0.21

Service Code	NDC 6373957210
Hospital Charge Code	6373957210
Hospital Revenue Code	250
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.10

SIMVASTATIN 20 MG PO TABS

Facility

$4.92

Service Code	NDC 1672900517
Hospital Charge Code	1672900517
Hospital Revenue Code	250
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$3.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.46
Rate for Payer: Aetna Government	$2.46
Rate for Payer: Brighton Health Commercial	$3.69
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.93
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.34
Rate for Payer: EmblemHealth Commercial	$2.46
Rate for Payer: Group Health Inc Commercial	$2.46
Rate for Payer: Group Health Inc Medicare	$1.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.46
Rate for Payer: Hamaspik Choice Inc Medicare	$2.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.20

SIMVASTATIN 20 MG PO TABS

Facility

$4.92

Service Code	NDC 1672900517
Hospital Charge Code	1672900517
Hospital Revenue Code	250
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.46

SIMVASTATIN 20 MG PO TABS

Facility

$4.92

Service Code	NDC 6808451211
Hospital Charge Code	6808451211
Hospital Revenue Code	250
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.46

SIMVASTATIN 20 MG PO TABS

Facility

$4.92

Service Code	NDC 6808451211
Hospital Charge Code	6808451211
Hospital Revenue Code	250
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$3.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.46
Rate for Payer: Aetna Government	$2.46
Rate for Payer: Brighton Health Commercial	$3.69
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.35
Rate for Payer: EmblemHealth Commercial	$2.46
Rate for Payer: Group Health Inc Commercial	$2.46
Rate for Payer: Group Health Inc Medicare	$1.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.46
Rate for Payer: Hamaspik Choice Inc Medicare	$2.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.20

SIMVASTATIN 40 MG PO TABS

Facility

$4.90

Service Code	NDC 6586205399
Hospital Charge Code	6586205399
Hospital Revenue Code	250
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$2.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.45

SIMVASTATIN 40 MG PO TABS

Facility

$4.92

Service Code	NDC 7037700415
Hospital Charge Code	7037700415
Hospital Revenue Code	250
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.46

SIMVASTATIN 40 MG PO TABS

Facility

$4.90

Service Code	NDC 6586205390
Hospital Charge Code	6586205390
Hospital Revenue Code	250
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$2.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.45

SIMVASTATIN 40 MG PO TABS

Facility

$4.90

Service Code	NDC 6586205399
Hospital Charge Code	6586205399
Hospital Revenue Code	250
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$3.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.45
Rate for Payer: Aetna Government	$2.45
Rate for Payer: Brighton Health Commercial	$3.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.33
Rate for Payer: EmblemHealth Commercial	$2.45
Rate for Payer: Group Health Inc Commercial	$2.45
Rate for Payer: Group Health Inc Medicare	$1.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.45
Rate for Payer: Hamaspik Choice Inc Medicare	$2.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.19

SIMVASTATIN 40 MG PO TABS

Facility

$4.92

Service Code	NDC 6068721011
Hospital Charge Code	6068721011
Hospital Revenue Code	250
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.46

SIMVASTATIN 40 MG PO TABS

Facility

$4.90

Service Code	NDC 6586205390
Hospital Charge Code	6586205390
Hospital Revenue Code	250
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$3.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.45
Rate for Payer: Aetna Government	$2.45
Rate for Payer: Brighton Health Commercial	$3.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.33
Rate for Payer: EmblemHealth Commercial	$2.45
Rate for Payer: Group Health Inc Commercial	$2.45
Rate for Payer: Group Health Inc Medicare	$1.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.45
Rate for Payer: Hamaspik Choice Inc Medicare	$2.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.19

SIMVASTATIN 40 MG PO TABS

Facility

$4.92

Service Code	NDC 7037700415
Hospital Charge Code	7037700415
Hospital Revenue Code	250
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$3.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.46
Rate for Payer: Aetna Government	$2.46
Rate for Payer: Brighton Health Commercial	$3.69
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.93
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.34
Rate for Payer: EmblemHealth Commercial	$2.46
Rate for Payer: Group Health Inc Commercial	$2.46
Rate for Payer: Group Health Inc Medicare	$1.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.46
Rate for Payer: Hamaspik Choice Inc Medicare	$2.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.20

SIMVASTATIN 40 MG PO TABS

Facility

$0.21

Service Code	NDC 6373957310
Hospital Charge Code	6373957310
Hospital Revenue Code	250
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.10

SIMVASTATIN 40 MG PO TABS

Facility

$4.92

Service Code	NDC 6068721011
Hospital Charge Code	6068721011
Hospital Revenue Code	250
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$3.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.46
Rate for Payer: Aetna Government	$2.46
Rate for Payer: Brighton Health Commercial	$3.69
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.35
Rate for Payer: EmblemHealth Commercial	$2.46
Rate for Payer: Group Health Inc Commercial	$2.46
Rate for Payer: Group Health Inc Medicare	$1.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.46
Rate for Payer: Hamaspik Choice Inc Medicare	$2.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.20

SIMVASTATIN 40 MG PO TABS

Facility

$0.21

Service Code	NDC 6373957310
Hospital Charge Code	6373957310
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$0.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.10
Rate for Payer: Aetna Government	$0.10
Rate for Payer: Brighton Health Commercial	$0.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.17
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.14
Rate for Payer: EmblemHealth Commercial	$0.10
Rate for Payer: Group Health Inc Commercial	$0.10
Rate for Payer: Group Health Inc Medicare	$0.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.10
Rate for Payer: Hamaspik Choice Inc Medicare	$0.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.14

SINCALIDE 5 MCG IJ SOLR

Facility

$156.56

Service Code	HCPCS J2805
Hospital Charge Code	0270055615
Hospital Revenue Code	250
Min. Negotiated Rate	$54.79
Max. Negotiated Rate	$125.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$121.08
Rate for Payer: Aetna Government	$121.08
Rate for Payer: Brighton Health Commercial	$117.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$125.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$106.46
Rate for Payer: EmblemHealth Commercial	$78.28
Rate for Payer: Group Health Inc Commercial	$78.28
Rate for Payer: Group Health Inc Medicare	$54.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.28
Rate for Payer: Hamaspik Choice Inc Medicare	$78.28
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$123.36
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$101.76

SINCALIDE 5 MCG IJ SOLR

Facility

$156.56

Service Code	HCPCS J2805
Hospital Charge Code	0270055615
Hospital Revenue Code	250
Min. Negotiated Rate	$78.28
Max. Negotiated Rate	$78.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.28

Sinus & mastoid procedures

Facility

$47,792.63

Service Code	APR-DRG 0931
Min. Negotiated Rate	$8,780.00
Max. Negotiated Rate	$47,792.63
Rate for Payer: Affinity Essential Plan 1&2	$47,792.63
Rate for Payer: Affinity Essential Plan 3&4	$47,792.63
Rate for Payer: Affinity Medicaid/CHP/HARP	$21,241.17
Rate for Payer: Amida Care Medicaid	$21,241.17
Rate for Payer: EmblemHealth Essential Plan 1&2	$47,792.63
Rate for Payer: EmblemHealth Essential Plan 3&4	$21,241.17
Rate for Payer: Fidelis CHP/HARP/Medicaid	$21,241.17
Rate for Payer: Fidelis Qualified Health Plan	$25,489.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,241.17
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$21,241.17
Rate for Payer: Healthfirst Commercial	$14,831.00
Rate for Payer: Healthfirst Essential Plan	$47,792.63
Rate for Payer: Healthfirst QHP	$8,780.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$21,241.17
Rate for Payer: SOMOS Essential	$47,792.63
Rate for Payer: United Healthcare Essential Plan 1&2	$47,792.63
Rate for Payer: United Healthcare Essential Plan 3&4	$47,792.63
Rate for Payer: United Healthcare Medicaid	$21,241.17
Rate for Payer: Wellcare CHP/FHP/Medicaid	$21,241.17

Sinus & mastoid procedures

Facility

$53,716.07

Service Code	APR-DRG 0932
Min. Negotiated Rate	$11,493.00
Max. Negotiated Rate	$53,716.07
Rate for Payer: Affinity Essential Plan 1&2	$53,716.07
Rate for Payer: Affinity Essential Plan 3&4	$53,716.07
Rate for Payer: Affinity Medicaid/CHP/HARP	$23,873.81
Rate for Payer: Amida Care Medicaid	$23,873.81
Rate for Payer: EmblemHealth Essential Plan 1&2	$53,716.07
Rate for Payer: EmblemHealth Essential Plan 3&4	$23,873.81
Rate for Payer: Fidelis CHP/HARP/Medicaid	$23,873.81
Rate for Payer: Fidelis Qualified Health Plan	$28,648.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$23,873.81
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$23,873.81
Rate for Payer: Healthfirst Commercial	$20,353.00
Rate for Payer: Healthfirst Essential Plan	$53,716.07
Rate for Payer: Healthfirst QHP	$11,493.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$23,873.81
Rate for Payer: SOMOS Essential	$53,716.07
Rate for Payer: United Healthcare Essential Plan 1&2	$53,716.07
Rate for Payer: United Healthcare Essential Plan 3&4	$53,716.07
Rate for Payer: United Healthcare Medicaid	$23,873.81
Rate for Payer: Wellcare CHP/FHP/Medicaid	$23,873.81

Know your out-of-pocket cost for care.

All Charges