St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SUSP [28810]

Facility

$10.07

Service Code	NDC 24208063562
Hospital Charge Code	24208063562
Hospital Revenue Code	250
Min. Negotiated Rate	$3.52
Max. Negotiated Rate	$8.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.03
Rate for Payer: Aetna Government	$5.03
Rate for Payer: Brighton Health Commercial	$7.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.85
Rate for Payer: Group Health Inc Commercial	$5.03
Rate for Payer: Group Health Inc Medicare	$3.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.03
Rate for Payer: Hamaspik Choice Inc Medicare	$5.03
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.54

NEOMYCIN SULFATE 500 MG PO TABS [5472]

Facility

$1.98

Service Code	NDC 51079001520
Hospital Charge Code	51079001520
Hospital Revenue Code	250
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$1.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.99
Rate for Payer: Aetna Government	$0.99
Rate for Payer: Brighton Health Commercial	$1.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.34
Rate for Payer: Group Health Inc Commercial	$0.99
Rate for Payer: Group Health Inc Medicare	$0.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.99
Rate for Payer: Hamaspik Choice Inc Medicare	$0.99
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.28

NEONATAL LEADS

Facility

$14.61

Hospital Charge Code	64903700
Hospital Revenue Code	270
Min. Negotiated Rate	$5.11
Max. Negotiated Rate	$11.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.30
Rate for Payer: Aetna Government	$7.30
Rate for Payer: Brighton Health Commercial	$10.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.93
Rate for Payer: Group Health Inc Commercial	$7.30
Rate for Payer: Group Health Inc Medicare	$5.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.30
Rate for Payer: Hamaspik Choice Inc Medicare	$7.30

NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY

Facility

$44,767.47

Service Code	MSDRG 789
Min. Negotiated Rate	$3,163.00
Max. Negotiated Rate	$44,767.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26,827.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$32,558.16
Rate for Payer: Aetna Government	$32,558.16
Rate for Payer: Brighton Health Commercial	$26,381.30
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$33,209.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$31,419.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$25,928.49
Rate for Payer: Elderplan Medicare Advantage	$30,930.25
Rate for Payer: EmblemHealth Commercial	$15,601.40
Rate for Payer: Fidelis Medicare Advantage	$32,558.16
Rate for Payer: Group Health Inc Commercial	$32,558.16
Rate for Payer: Group Health Inc Medicare	$32,558.16
Rate for Payer: Hamaspik Choice Inc Medicare	$32,558.16
Rate for Payer: Healthfirst Medicare Advantage	$15,139.54
Rate for Payer: Humana Medicare	$44,767.47
Rate for Payer: Senior Whole Health Medicare Advantage	$32,558.16
Rate for Payer: United Healthcare Commercial	$3,163.00
Rate for Payer: United Healthcare Medicare Advantage	$32,558.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$32,558.16
Rate for Payer: Wellcare Medicare	$30,930.25

NEONATE TYPE

Facility

$330.23

Service Code	HCPCS 86900
Hospital Charge Code	40701117
Hospital Revenue Code	300
Min. Negotiated Rate	$3.78
Max. Negotiated Rate	$247.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$181.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$147.72
Rate for Payer: Aetna Government	$147.72
Rate for Payer: Affinity Essential Plan 1&2	$103.40
Rate for Payer: Affinity Essential Plan 3&4	$103.40
Rate for Payer: Affinity Medicaid/CHP/HARP	$103.40
Rate for Payer: Brighton Health Commercial	$247.67
Rate for Payer: Cash Price	$147.72
Rate for Payer: Cash Price	$147.72
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$147.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.02
Rate for Payer: Elderplan Medicare Advantage	$147.72
Rate for Payer: EmblemHealth Commercial	$147.72
Rate for Payer: Fidelis Essential Plan Aliesa	$125.56
Rate for Payer: Fidelis Essential Plan QHP	$131.47
Rate for Payer: Fidelis Medicare Advantage	$147.72
Rate for Payer: Fidelis Qualified Health Plan	$131.47
Rate for Payer: Group Health Inc Commercial	$147.72
Rate for Payer: Group Health Inc Medicare	$147.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$165.12
Rate for Payer: Hamaspik Choice Inc Medicare	$147.72
Rate for Payer: Healthfirst Medicare Advantage	$147.72
Rate for Payer: Healthfirst QHP	$147.72
Rate for Payer: Humana Medicare	$150.67
Rate for Payer: Senior Whole Health Medicare Advantage	$147.72
Rate for Payer: United Healthcare Commercial	$3.78
Rate for Payer: United Healthcare Medicare Advantage	$147.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$147.72
Rate for Payer: Wellcare CHP/FHP/Medicaid	$118.18
Rate for Payer: Wellcare Medicare	$132.95

NEONATE TYPE

Facility

$330.23

Service Code	HCPCS 86900
Hospital Charge Code	40701117
Hospital Revenue Code	300
Rate for Payer: Cash Price	$147.72

NEONATE WITH OTHER SIGNIFICANT PROBLEMS

Facility

$38,484.67

Service Code	MSDRG 794
Min. Negotiated Rate	$3,163.00
Max. Negotiated Rate	$38,484.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$21,968.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$27,988.85
Rate for Payer: Aetna Government	$27,988.85
Rate for Payer: Brighton Health Commercial	$21,603.55
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$28,548.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$25,729.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$21,232.74
Rate for Payer: Elderplan Medicare Advantage	$26,589.41
Rate for Payer: EmblemHealth Commercial	$12,775.90
Rate for Payer: Fidelis Medicare Advantage	$27,988.85
Rate for Payer: Group Health Inc Commercial	$27,988.85
Rate for Payer: Group Health Inc Medicare	$27,988.85
Rate for Payer: Hamaspik Choice Inc Medicare	$27,988.85
Rate for Payer: Healthfirst Medicare Advantage	$13,014.82
Rate for Payer: Humana Medicare	$38,484.67
Rate for Payer: Senior Whole Health Medicare Advantage	$27,988.85
Rate for Payer: United Healthcare Commercial	$3,163.00
Rate for Payer: United Healthcare Medicare Advantage	$27,988.85
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$27,988.85
Rate for Payer: Wellcare Medicare	$26,589.41

NEOSTIGMINE 1 MG/ML INJ

Facility

$1.72

Service Code	HCPCS J2710
Hospital Charge Code	41643949
Hospital Revenue Code	636
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$0.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.86
Rate for Payer: Hamaspik Choice Inc Medicare	$0.86

NEOSTIGMINE 1 MG/ML INJ

Facility

$1.72

Service Code	HCPCS J2710
Hospital Charge Code	41643949
Hospital Revenue Code	636
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$1.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.44
Rate for Payer: Aetna Government	$1.44
Rate for Payer: Brighton Health Commercial	$1.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.99
Rate for Payer: Group Health Inc Commercial	$0.86
Rate for Payer: Group Health Inc Medicare	$0.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.86
Rate for Payer: Hamaspik Choice Inc Medicare	$0.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.12

NEOSTIGMINE 1 MG/ML INJ

Facility

$1.72

Service Code	HCPCS J2710
Hospital Charge Code	41653949
Hospital Revenue Code	636
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$1.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.44
Rate for Payer: Aetna Government	$1.44
Rate for Payer: Brighton Health Commercial	$1.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.99
Rate for Payer: Group Health Inc Commercial	$0.86
Rate for Payer: Group Health Inc Medicare	$0.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.86
Rate for Payer: Hamaspik Choice Inc Medicare	$0.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.12

NEOSTIGMINE 1 MG/ML INJ

Facility

$1.72

Service Code	HCPCS J2710
Hospital Charge Code	41653949
Hospital Revenue Code	636
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$0.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.86
Rate for Payer: Hamaspik Choice Inc Medicare	$0.86

NEOSTIGMINE-GLYCOPYRROLATE 3-0.6 MG/3ML IV SOSY [191008]

Facility

$8.50

Service Code	NDC 42023026905
Hospital Charge Code	42023026905
Hospital Revenue Code	278
Min. Negotiated Rate	$4.25
Max. Negotiated Rate	$4.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.25
Rate for Payer: Hamaspik Choice Inc Medicare	$4.25

NEOSTIGMINE-GLYCOPYRROLATE 3-0.6 MG/3ML IV SOSY [191008]

Facility

$8.50

Service Code	NDC 42023026905
Hospital Charge Code	42023026905
Hospital Revenue Code	278
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$8.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.25
Rate for Payer: Aetna Government	$4.25
Rate for Payer: Brighton Health Commercial	$5.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.89
Rate for Payer: EmblemHealth Commercial	$4.25
Rate for Payer: Fidelis Medicare Advantage	$8.92
Rate for Payer: Group Health Inc Commercial	$4.25
Rate for Payer: Group Health Inc Medicare	$2.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.25
Rate for Payer: Hamaspik Choice Inc Medicare	$4.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.52

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [122267]

Facility

$2.16

Service Code	NDC 00548960200
Hospital Charge Code	00548960200
Hospital Revenue Code	278
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.08
Rate for Payer: Hamaspik Choice Inc Medicare	$1.08

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [122267]

Facility

$1.08

Service Code	NDC 00641614910
Hospital Charge Code	00641614910
Hospital Revenue Code	278
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$0.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.54
Rate for Payer: Hamaspik Choice Inc Medicare	$0.54

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [122267]

Facility

$2.16

Service Code	NDC 43598052936
Hospital Charge Code	43598052936
Hospital Revenue Code	278
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$2.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.08
Rate for Payer: Aetna Government	$1.08
Rate for Payer: Brighton Health Commercial	$1.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.24
Rate for Payer: EmblemHealth Commercial	$1.08
Rate for Payer: Fidelis Medicare Advantage	$2.27
Rate for Payer: Group Health Inc Commercial	$1.08
Rate for Payer: Group Health Inc Medicare	$0.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.08
Rate for Payer: Hamaspik Choice Inc Medicare	$1.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.40

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [122267]

Facility

$2.16

Service Code	NDC 43598052936
Hospital Charge Code	43598052936
Hospital Revenue Code	278
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.08
Rate for Payer: Hamaspik Choice Inc Medicare	$1.08

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [122267]

Facility

$2.16

Service Code	NDC 00548960200
Hospital Charge Code	00548960200
Hospital Revenue Code	278
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$2.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.08
Rate for Payer: Aetna Government	$1.08
Rate for Payer: Brighton Health Commercial	$1.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.24
Rate for Payer: EmblemHealth Commercial	$1.08
Rate for Payer: Fidelis Medicare Advantage	$2.27
Rate for Payer: Group Health Inc Commercial	$1.08
Rate for Payer: Group Health Inc Medicare	$0.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.08
Rate for Payer: Hamaspik Choice Inc Medicare	$1.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.40

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [122267]

Facility

$0.72

Service Code	NDC 42023018910
Hospital Charge Code	42023018910
Hospital Revenue Code	278
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.36
Rate for Payer: Aetna Government	$0.36
Rate for Payer: Brighton Health Commercial	$0.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.42
Rate for Payer: EmblemHealth Commercial	$0.36
Rate for Payer: Fidelis Medicare Advantage	$0.76
Rate for Payer: Group Health Inc Commercial	$0.36
Rate for Payer: Group Health Inc Medicare	$0.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.36
Rate for Payer: Hamaspik Choice Inc Medicare	$0.36
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.47

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [122267]

Facility

$3.36

Service Code	NDC 63323041510
Hospital Charge Code	63323041510
Hospital Revenue Code	278
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$3.53
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.68
Rate for Payer: Aetna Government	$1.68
Rate for Payer: Brighton Health Commercial	$2.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.93
Rate for Payer: EmblemHealth Commercial	$1.68
Rate for Payer: Fidelis Medicare Advantage	$3.53
Rate for Payer: Group Health Inc Commercial	$1.68
Rate for Payer: Group Health Inc Medicare	$1.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.68
Rate for Payer: Hamaspik Choice Inc Medicare	$1.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.18

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [122267]

Facility

$3.12

Service Code	NDC 31722099531
Hospital Charge Code	31722099531
Hospital Revenue Code	278
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$1.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.56
Rate for Payer: Hamaspik Choice Inc Medicare	$1.56

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [122267]

Facility

$3.12

Service Code	NDC 31722099531
Hospital Charge Code	31722099531
Hospital Revenue Code	278
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$3.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.56
Rate for Payer: Aetna Government	$1.56
Rate for Payer: Brighton Health Commercial	$1.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.79
Rate for Payer: EmblemHealth Commercial	$1.56
Rate for Payer: Fidelis Medicare Advantage	$3.28
Rate for Payer: Group Health Inc Commercial	$1.56
Rate for Payer: Group Health Inc Medicare	$1.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.56
Rate for Payer: Hamaspik Choice Inc Medicare	$1.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.03

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [122267]

Facility

$1.08

Service Code	NDC 00641614910
Hospital Charge Code	00641614910
Hospital Revenue Code	278
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$1.13
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.54
Rate for Payer: Aetna Government	$0.54
Rate for Payer: Brighton Health Commercial	$0.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.62
Rate for Payer: EmblemHealth Commercial	$0.54
Rate for Payer: Fidelis Medicare Advantage	$1.13
Rate for Payer: Group Health Inc Commercial	$0.54
Rate for Payer: Group Health Inc Medicare	$0.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.54
Rate for Payer: Hamaspik Choice Inc Medicare	$0.54
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.70

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [122267]

Facility

$2.25

Service Code	NDC 70700017223
Hospital Charge Code	70700017223
Hospital Revenue Code	278
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$2.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.12
Rate for Payer: Aetna Government	$1.12
Rate for Payer: Brighton Health Commercial	$1.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.29
Rate for Payer: EmblemHealth Commercial	$1.12
Rate for Payer: Fidelis Medicare Advantage	$2.36
Rate for Payer: Group Health Inc Commercial	$1.12
Rate for Payer: Group Health Inc Medicare	$0.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.12
Rate for Payer: Hamaspik Choice Inc Medicare	$1.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.46

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [122267]

Facility

$3.36

Service Code	NDC 63323041510
Hospital Charge Code	63323041510
Hospital Revenue Code	278
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$1.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.68
Rate for Payer: Hamaspik Choice Inc Medicare	$1.68

Know your out-of-pocket cost for care.

All Charges