St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

THORACENTESIS, RELATED BIOPSY AND PLEURAL DRAINAGE PROCEDURES

Facility

$761.40

Service Code	EAPG 00068
Min. Negotiated Rate	$761.40
Max. Negotiated Rate	$761.40
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$761.40

THROMBIN 5000 UNITS EX SOLR

Facility

$86.56

Service Code	NDC 6079321505
Hospital Charge Code	6079321505
Hospital Revenue Code	250
Min. Negotiated Rate	$30.30
Max. Negotiated Rate	$69.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$47.61
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$43.28
Rate for Payer: Aetna Government	$43.28
Rate for Payer: Brighton Health Commercial	$64.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$69.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$58.86
Rate for Payer: EmblemHealth Commercial	$43.28
Rate for Payer: Group Health Inc Commercial	$43.28
Rate for Payer: Group Health Inc Medicare	$30.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.28
Rate for Payer: Hamaspik Choice Inc Medicare	$43.28
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$56.26

THROMBIN 5000 UNITS EX SOLR

Facility

$86.56

Service Code	NDC 6079321505
Hospital Charge Code	6079321505
Hospital Revenue Code	250
Min. Negotiated Rate	$43.28
Max. Negotiated Rate	$43.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.28

THROMBIN (RECOMBINANT) 5000 UNITS EX SOLR

Facility

$103.20

Service Code	NDC 0338032201
Hospital Charge Code	0338032201
Hospital Revenue Code	250
Min. Negotiated Rate	$51.60
Max. Negotiated Rate	$51.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$51.60

THROMBIN (RECOMBINANT) 5000 UNITS EX SOLR

Facility

$103.20

Service Code	NDC 0338032201
Hospital Charge Code	0338032201
Hospital Revenue Code	250
Min. Negotiated Rate	$36.12
Max. Negotiated Rate	$82.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$56.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$51.60
Rate for Payer: Aetna Government	$51.60
Rate for Payer: Brighton Health Commercial	$77.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$82.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$70.18
Rate for Payer: EmblemHealth Commercial	$51.60
Rate for Payer: Group Health Inc Commercial	$51.60
Rate for Payer: Group Health Inc Medicare	$36.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$51.60
Rate for Payer: Hamaspik Choice Inc Medicare	$51.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$67.08

THROMBOLYSIS

Facility

$365.02

Service Code	EAPG 00095
Min. Negotiated Rate	$266.14
Max. Negotiated Rate	$365.02
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$266.14
Rate for Payer: Healthfirst Commercial	$365.02

THYROID 15 MG PO TABS

Facility

$0.98

Service Code	NDC 0456045701
Hospital Charge Code	0456045701
Hospital Revenue Code	250
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$0.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.49
Rate for Payer: Aetna Government	$0.49
Rate for Payer: Brighton Health Commercial	$0.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.67
Rate for Payer: EmblemHealth Commercial	$0.49
Rate for Payer: Group Health Inc Commercial	$0.49
Rate for Payer: Group Health Inc Medicare	$0.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.49
Rate for Payer: Hamaspik Choice Inc Medicare	$0.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.64

THYROID 15 MG PO TABS

Facility

$0.98

Service Code	NDC 0456045701
Hospital Charge Code	0456045701
Hospital Revenue Code	250
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$0.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.49

THYROID AND PARATHYROID DIAGNOSES

Facility

$157.37

Service Code	EAPG 00696
Min. Negotiated Rate	$157.37
Max. Negotiated Rate	$157.37
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$157.37

THYROID AND PARATHYROID PROCEDURES

Facility

$3,688.99

Service Code	EAPG 00263
Min. Negotiated Rate	$3,688.99
Max. Negotiated Rate	$3,688.99
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,688.99

Thyroid, parathyroid & thyroglossal procedures

Facility

$43,772.13

Service Code	APR-DRG 4041
Min. Negotiated Rate	$7,470.00
Max. Negotiated Rate	$43,772.13
Rate for Payer: Affinity Essential Plan 1&2	$43,772.13
Rate for Payer: Affinity Essential Plan 3&4	$43,772.13
Rate for Payer: Affinity Medicaid/CHP/HARP	$19,454.28
Rate for Payer: Amida Care Medicaid	$19,454.28
Rate for Payer: EmblemHealth Essential Plan 1&2	$43,772.13
Rate for Payer: EmblemHealth Essential Plan 3&4	$19,454.28
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,454.28
Rate for Payer: Fidelis Qualified Health Plan	$23,345.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,454.28
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,454.28
Rate for Payer: Healthfirst Commercial	$12,566.00
Rate for Payer: Healthfirst Essential Plan	$43,772.13
Rate for Payer: Healthfirst QHP	$7,470.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,454.28
Rate for Payer: SOMOS Essential	$43,772.13
Rate for Payer: United Healthcare Essential Plan 1&2	$43,772.13
Rate for Payer: United Healthcare Essential Plan 3&4	$43,772.13
Rate for Payer: United Healthcare Medicaid	$19,454.28
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,454.28

Thyroid, parathyroid & thyroglossal procedures

Facility

$47,286.11

Service Code	APR-DRG 4042
Min. Negotiated Rate	$9,274.00
Max. Negotiated Rate	$47,286.11
Rate for Payer: Affinity Essential Plan 1&2	$47,286.11
Rate for Payer: Affinity Essential Plan 3&4	$47,286.11
Rate for Payer: Affinity Medicaid/CHP/HARP	$21,016.05
Rate for Payer: Amida Care Medicaid	$21,016.05
Rate for Payer: EmblemHealth Essential Plan 1&2	$47,286.11
Rate for Payer: EmblemHealth Essential Plan 3&4	$21,016.05
Rate for Payer: Fidelis CHP/HARP/Medicaid	$21,016.05
Rate for Payer: Fidelis Qualified Health Plan	$25,219.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,016.05
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$21,016.05
Rate for Payer: Healthfirst Commercial	$15,353.00
Rate for Payer: Healthfirst Essential Plan	$47,286.11
Rate for Payer: Healthfirst QHP	$9,274.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$21,016.05
Rate for Payer: SOMOS Essential	$47,286.11
Rate for Payer: United Healthcare Essential Plan 1&2	$47,286.11
Rate for Payer: United Healthcare Essential Plan 3&4	$47,286.11
Rate for Payer: United Healthcare Medicaid	$21,016.05
Rate for Payer: Wellcare CHP/FHP/Medicaid	$21,016.05

Thyroid, parathyroid & thyroglossal procedures

Facility

$71,227.91

Service Code	APR-DRG 4043
Min. Negotiated Rate	$22,762.00
Max. Negotiated Rate	$71,227.91
Rate for Payer: Affinity Essential Plan 1&2	$71,227.91
Rate for Payer: Affinity Essential Plan 3&4	$71,227.91
Rate for Payer: Affinity Medicaid/CHP/HARP	$31,656.85
Rate for Payer: Amida Care Medicaid	$31,656.85
Rate for Payer: EmblemHealth Essential Plan 1&2	$71,227.91
Rate for Payer: EmblemHealth Essential Plan 3&4	$31,656.85
Rate for Payer: Fidelis CHP/HARP/Medicaid	$31,656.85
Rate for Payer: Fidelis Qualified Health Plan	$37,988.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$31,656.85
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$31,656.85
Rate for Payer: Healthfirst Commercial	$43,447.00
Rate for Payer: Healthfirst Essential Plan	$71,227.91
Rate for Payer: Healthfirst QHP	$22,762.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$31,656.85
Rate for Payer: SOMOS Essential	$71,227.91
Rate for Payer: United Healthcare Essential Plan 1&2	$71,227.91
Rate for Payer: United Healthcare Essential Plan 3&4	$71,227.91
Rate for Payer: United Healthcare Medicaid	$31,656.85
Rate for Payer: Wellcare CHP/FHP/Medicaid	$31,656.85

Thyroid, parathyroid & thyroglossal procedures

Facility

$78,917.15

Service Code	APR-DRG 4044
Min. Negotiated Rate	$25,866.00
Max. Negotiated Rate	$78,917.15
Rate for Payer: Affinity Essential Plan 1&2	$78,917.15
Rate for Payer: Affinity Essential Plan 3&4	$78,917.15
Rate for Payer: Affinity Medicaid/CHP/HARP	$35,074.29
Rate for Payer: Amida Care Medicaid	$35,074.29
Rate for Payer: EmblemHealth Essential Plan 1&2	$78,917.15
Rate for Payer: EmblemHealth Essential Plan 3&4	$35,074.29
Rate for Payer: Fidelis CHP/HARP/Medicaid	$35,074.29
Rate for Payer: Fidelis Qualified Health Plan	$42,089.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$35,074.29
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$35,074.29
Rate for Payer: Healthfirst Commercial	$48,730.00
Rate for Payer: Healthfirst Essential Plan	$78,917.15
Rate for Payer: Healthfirst QHP	$25,866.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$35,074.29
Rate for Payer: SOMOS Essential	$78,917.15
Rate for Payer: United Healthcare Essential Plan 1&2	$78,917.15
Rate for Payer: United Healthcare Essential Plan 3&4	$78,917.15
Rate for Payer: United Healthcare Medicaid	$35,074.29
Rate for Payer: Wellcare CHP/FHP/Medicaid	$35,074.29

THYROTROPIN ALFA 0.9 MG IM SOLR

Facility

$2.00

Service Code	HCPCS J3240
Hospital Charge Code	5846800302
Hospital Revenue Code	250
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$2,158.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,116.32
Rate for Payer: Aetna Government	$2,116.32
Rate for Payer: Affinity Essential Plan 1&2	$1,481.42
Rate for Payer: Affinity Essential Plan 3&4	$1,481.42
Rate for Payer: Affinity Medicaid/CHP/HARP	$1,481.42
Rate for Payer: Brighton Health Commercial	$1.50
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$2,116.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.36
Rate for Payer: Elderplan Medicare Advantage	$2,116.32
Rate for Payer: EmblemHealth Commercial	$2,116.32
Rate for Payer: Fidelis CHP/HARP/Medicaid	$1,904.69
Rate for Payer: Fidelis Essential Plan Aliesa	$1,798.87
Rate for Payer: Fidelis Essential Plan QHP	$1,883.52
Rate for Payer: Fidelis Medicare Advantage	$2,116.32
Rate for Payer: Fidelis Qualified Health Plan	$1,883.52
Rate for Payer: Group Health Inc Commercial	$2,116.32
Rate for Payer: Group Health Inc Medicare	$2,116.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.32
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.32
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,116.32
Rate for Payer: Healthfirst Medicare Advantage	$1,798.87
Rate for Payer: Healthfirst QHP	$2,116.32
Rate for Payer: Humana Medicare	$2,158.65
Rate for Payer: Senior Whole Health Medicare Advantage	$2,116.32
Rate for Payer: United Healthcare Medicare Advantage	$2,116.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.30
Rate for Payer: Wellcare CHP/FHP/Medicaid	$2,010.50
Rate for Payer: Wellcare Medicare	$2,010.50

THYROTROPIN ALFA 0.9 MG IM SOLR

Facility

$2.00

Service Code	HCPCS J3240
Hospital Charge Code	5846800302
Hospital Revenue Code	250
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.00

TIAGABINE HCL 2 MG PO TABS

Facility

$7.94

Service Code	NDC 0093503056
Hospital Charge Code	0093503056
Hospital Revenue Code	250
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$6.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.97
Rate for Payer: Aetna Government	$3.97
Rate for Payer: Brighton Health Commercial	$5.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.40
Rate for Payer: EmblemHealth Commercial	$3.97
Rate for Payer: Group Health Inc Commercial	$3.97
Rate for Payer: Group Health Inc Medicare	$2.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.97
Rate for Payer: Hamaspik Choice Inc Medicare	$3.97
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.16

TIAGABINE HCL 2 MG PO TABS

Facility

$7.94

Service Code	NDC 0093503056
Hospital Charge Code	0093503056
Hospital Revenue Code	250
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.97

TIAGABINE HCL 4 MG PO TABS

Facility

$7.94

Service Code	NDC 0093503156
Hospital Charge Code	0093503156
Hospital Revenue Code	250
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$6.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.97
Rate for Payer: Aetna Government	$3.97
Rate for Payer: Brighton Health Commercial	$5.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.40
Rate for Payer: EmblemHealth Commercial	$3.97
Rate for Payer: Group Health Inc Commercial	$3.97
Rate for Payer: Group Health Inc Medicare	$2.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.97
Rate for Payer: Hamaspik Choice Inc Medicare	$3.97
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.16

TIAGABINE HCL 4 MG PO TABS

Facility

$7.94

Service Code	NDC 0093503156
Hospital Charge Code	0093503156
Hospital Revenue Code	250
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.97

TICAGRELOR 60 MG PO TABS

Facility

$9.02

Service Code	NDC 0186077660
Hospital Charge Code	0186077660
Hospital Revenue Code	250
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$7.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.51
Rate for Payer: Aetna Government	$4.51
Rate for Payer: Brighton Health Commercial	$6.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.14
Rate for Payer: EmblemHealth Commercial	$4.51
Rate for Payer: Group Health Inc Commercial	$4.51
Rate for Payer: Group Health Inc Medicare	$3.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.51
Rate for Payer: Hamaspik Choice Inc Medicare	$4.51
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.87

TICAGRELOR 60 MG PO TABS

Facility

$9.02

Service Code	NDC 0186077660
Hospital Charge Code	0186077660
Hospital Revenue Code	250
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$4.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.51

TICAGRELOR 90 MG PO TABS

Facility

$0.17

Service Code	NDC 4265811503
Hospital Charge Code	4265811503
Hospital Revenue Code	250
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$0.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.08

TICAGRELOR 90 MG PO TABS

Facility

$9.02

Service Code	NDC 0186077739
Hospital Charge Code	0186077739
Hospital Revenue Code	250
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$4.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.51

TICAGRELOR 90 MG PO TABS

Facility

$9.02

Service Code	NDC 0186077760
Hospital Charge Code	0186077760
Hospital Revenue Code	250
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$7.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.51
Rate for Payer: Aetna Government	$4.51
Rate for Payer: Brighton Health Commercial	$6.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.14
Rate for Payer: EmblemHealth Commercial	$4.51
Rate for Payer: Group Health Inc Commercial	$4.51
Rate for Payer: Group Health Inc Medicare	$3.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.51
Rate for Payer: Hamaspik Choice Inc Medicare	$4.51
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.87

Know your out-of-pocket cost for care.

All Charges