St. Barnabas Hospital

All Charges

Charge

Type

Price

APR-DRG 6944: Lymphatic & other malignancies & neoplasms of uncertain behavior

Facility IP

$89,113.36

Service Code	APR-DRG 6944
Min. Negotiated Rate	$33,987.00
Max. Negotiated Rate	$89,113.36
Rate for Payer: Amida Care Medicaid	$39,605.94
Rate for Payer: Fidelis CHP/HARP/Medicaid	$39,605.94
Rate for Payer: Fidelis Qualified Health Plan	$47,527.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$39,605.94
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$39,605.94
Rate for Payer: Healthfirst Commercial	$61,735.00
Rate for Payer: Healthfirst Essential Plan	$89,113.36
Rate for Payer: Healthfirst QHP	$33,987.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$39,605.94
Rate for Payer: SOMOS Essential	$89,113.36
Rate for Payer: Wellcare CHP/FHP/Medicaid	$39,605.94

APR-DRG 6951: Chemotherapy for acute leukemia #

Facility IP

$45,558.02

Service Code	APR-DRG 6951
Min. Negotiated Rate	$20,248.01
Max. Negotiated Rate	$45,558.02
Rate for Payer: Amida Care Medicaid	$20,248.01
Rate for Payer: Fidelis CHP/HARP/Medicaid	$20,248.01
Rate for Payer: Fidelis Qualified Health Plan	$24,297.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$20,248.01
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$20,248.01
Rate for Payer: Healthfirst Essential Plan	$45,558.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$20,248.01
Rate for Payer: SOMOS Essential	$45,558.02
Rate for Payer: Wellcare CHP/FHP/Medicaid	$20,248.01

APR-DRG 6952: Chemotherapy for acute leukemia #

Facility IP

$45,580.88

Service Code	APR-DRG 6952
Min. Negotiated Rate	$20,258.17
Max. Negotiated Rate	$45,580.88
Rate for Payer: Amida Care Medicaid	$20,258.17
Rate for Payer: Fidelis CHP/HARP/Medicaid	$20,258.17
Rate for Payer: Fidelis Qualified Health Plan	$24,309.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$20,258.17
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$20,258.17
Rate for Payer: Healthfirst Essential Plan	$45,580.88
Rate for Payer: SOMOS CHP/HARP/Medicaid	$20,258.17
Rate for Payer: SOMOS Essential	$45,580.88
Rate for Payer: Wellcare CHP/FHP/Medicaid	$20,258.17

APR-DRG 6953: Chemotherapy for acute leukemia #

Facility IP

$72,521.35

Service Code	APR-DRG 6953
Min. Negotiated Rate	$32,231.71
Max. Negotiated Rate	$72,521.35
Rate for Payer: Amida Care Medicaid	$32,231.71
Rate for Payer: Fidelis CHP/HARP/Medicaid	$32,231.71
Rate for Payer: Fidelis Qualified Health Plan	$38,678.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$32,231.71
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$32,231.71
Rate for Payer: Healthfirst Essential Plan	$72,521.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$32,231.71
Rate for Payer: SOMOS Essential	$72,521.35
Rate for Payer: Wellcare CHP/FHP/Medicaid	$32,231.71

APR-DRG 6954: Chemotherapy for acute leukemia #

Facility IP

$159,558.19

Service Code	APR-DRG 6954
Min. Negotiated Rate	$70,914.75
Max. Negotiated Rate	$159,558.19
Rate for Payer: Amida Care Medicaid	$70,914.75
Rate for Payer: Fidelis CHP/HARP/Medicaid	$70,914.75
Rate for Payer: Fidelis Qualified Health Plan	$85,097.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$70,914.75
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$70,914.75
Rate for Payer: Healthfirst Essential Plan	$159,558.19
Rate for Payer: SOMOS CHP/HARP/Medicaid	$70,914.75
Rate for Payer: SOMOS Essential	$159,558.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$70,914.75

APR-DRG 6961: Other Chemotherapy #

Facility IP

$42,779.20

Service Code	APR-DRG 6961
Min. Negotiated Rate	$19,012.98
Max. Negotiated Rate	$42,779.20
Rate for Payer: Amida Care Medicaid	$19,012.98
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,012.98
Rate for Payer: Fidelis Qualified Health Plan	$22,815.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,012.98
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,012.98
Rate for Payer: Healthfirst Essential Plan	$42,779.20
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,012.98
Rate for Payer: SOMOS Essential	$42,779.20
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,012.98

APR-DRG 6962: Other Chemotherapy #

Facility IP

$47,307.96

Service Code	APR-DRG 6962
Min. Negotiated Rate	$21,025.76
Max. Negotiated Rate	$47,307.96
Rate for Payer: Amida Care Medicaid	$21,025.76
Rate for Payer: Fidelis CHP/HARP/Medicaid	$21,025.76
Rate for Payer: Fidelis Qualified Health Plan	$25,230.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,025.76
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$21,025.76
Rate for Payer: Healthfirst Essential Plan	$47,307.96
Rate for Payer: SOMOS CHP/HARP/Medicaid	$21,025.76
Rate for Payer: SOMOS Essential	$47,307.96
Rate for Payer: Wellcare CHP/FHP/Medicaid	$21,025.76

APR-DRG 6963: Other Chemotherapy #

Facility IP

$56,288.12

Service Code	APR-DRG 6963
Min. Negotiated Rate	$25,016.94
Max. Negotiated Rate	$56,288.12
Rate for Payer: Amida Care Medicaid	$25,016.94
Rate for Payer: Fidelis CHP/HARP/Medicaid	$25,016.94
Rate for Payer: Fidelis Qualified Health Plan	$30,020.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$25,016.94
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$25,016.94
Rate for Payer: Healthfirst Essential Plan	$56,288.12
Rate for Payer: SOMOS CHP/HARP/Medicaid	$25,016.94
Rate for Payer: SOMOS Essential	$56,288.12
Rate for Payer: Wellcare CHP/FHP/Medicaid	$25,016.94

APR-DRG 6964: Other Chemotherapy #

Facility IP

$106,929.47

Service Code	APR-DRG 6964
Min. Negotiated Rate	$47,524.21
Max. Negotiated Rate	$106,929.47
Rate for Payer: Amida Care Medicaid	$47,524.21
Rate for Payer: Fidelis CHP/HARP/Medicaid	$47,524.21
Rate for Payer: Fidelis Qualified Health Plan	$57,029.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$47,524.21
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$47,524.21
Rate for Payer: Healthfirst Essential Plan	$106,929.47
Rate for Payer: SOMOS CHP/HARP/Medicaid	$47,524.21
Rate for Payer: SOMOS Essential	$106,929.47
Rate for Payer: Wellcare CHP/FHP/Medicaid	$47,524.21

APR-DRG 7101: Infectious & parasitic diseases including HIV w O.R. procedure

Facility IP

$48,706.18

Service Code	APR-DRG 7101
Min. Negotiated Rate	$13,829.00
Max. Negotiated Rate	$48,706.18
Rate for Payer: Amida Care Medicaid	$21,647.19
Rate for Payer: Fidelis CHP/HARP/Medicaid	$21,647.19
Rate for Payer: Fidelis Qualified Health Plan	$25,976.63
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,647.19
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$21,647.19
Rate for Payer: Healthfirst Commercial	$21,135.00
Rate for Payer: Healthfirst Essential Plan	$48,706.18
Rate for Payer: Healthfirst QHP	$13,829.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$21,647.19
Rate for Payer: SOMOS Essential	$48,706.18
Rate for Payer: Wellcare CHP/FHP/Medicaid	$21,647.19

APR-DRG 7102: Infectious & parasitic diseases including HIV w O.R. procedure

Facility IP

$58,945.59

Service Code	APR-DRG 7102
Min. Negotiated Rate	$20,918.00
Max. Negotiated Rate	$58,945.59
Rate for Payer: Amida Care Medicaid	$26,198.04
Rate for Payer: Fidelis CHP/HARP/Medicaid	$26,198.04
Rate for Payer: Fidelis Qualified Health Plan	$31,437.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$26,198.04
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$26,198.04
Rate for Payer: Healthfirst Commercial	$32,101.00
Rate for Payer: Healthfirst Essential Plan	$58,945.59
Rate for Payer: Healthfirst QHP	$20,918.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$26,198.04
Rate for Payer: SOMOS Essential	$58,945.59
Rate for Payer: Wellcare CHP/FHP/Medicaid	$26,198.04

APR-DRG 7103: Infectious & parasitic diseases including HIV w O.R. procedure

Facility IP

$81,976.36

Service Code	APR-DRG 7103
Min. Negotiated Rate	$34,007.00
Max. Negotiated Rate	$81,976.36
Rate for Payer: Amida Care Medicaid	$36,433.94
Rate for Payer: Fidelis CHP/HARP/Medicaid	$36,433.94
Rate for Payer: Fidelis Qualified Health Plan	$43,720.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$36,433.94
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$36,433.94
Rate for Payer: Healthfirst Commercial	$57,396.00
Rate for Payer: Healthfirst Essential Plan	$81,976.36
Rate for Payer: Healthfirst QHP	$34,007.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$36,433.94
Rate for Payer: SOMOS Essential	$81,976.36
Rate for Payer: Wellcare CHP/FHP/Medicaid	$36,433.94

APR-DRG 7104: Infectious & parasitic diseases including HIV w O.R. procedure

Facility IP

$140,802.91

Service Code	APR-DRG 7104
Min. Negotiated Rate	$62,579.07
Max. Negotiated Rate	$140,802.91
Rate for Payer: Amida Care Medicaid	$62,579.07
Rate for Payer: Fidelis CHP/HARP/Medicaid	$62,579.07
Rate for Payer: Fidelis Qualified Health Plan	$75,094.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$62,579.07
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$62,579.07
Rate for Payer: Healthfirst Commercial	$118,890.00
Rate for Payer: Healthfirst Essential Plan	$140,802.91
Rate for Payer: Healthfirst QHP	$73,404.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$62,579.07
Rate for Payer: SOMOS Essential	$140,802.91
Rate for Payer: Wellcare CHP/FHP/Medicaid	$62,579.07

APR-DRG 7111: Post-op, post-trauma, other device infections w O.R. procedure

Facility IP

$50,014.69

Service Code	APR-DRG 7111
Min. Negotiated Rate	$13,367.00
Max. Negotiated Rate	$50,014.69
Rate for Payer: Amida Care Medicaid	$22,228.75
Rate for Payer: Fidelis CHP/HARP/Medicaid	$22,228.75
Rate for Payer: Fidelis Qualified Health Plan	$26,674.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$22,228.75
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$22,228.75
Rate for Payer: Healthfirst Commercial	$23,671.00
Rate for Payer: Healthfirst Essential Plan	$50,014.69
Rate for Payer: Healthfirst QHP	$13,367.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$22,228.75
Rate for Payer: SOMOS Essential	$50,014.69
Rate for Payer: Wellcare CHP/FHP/Medicaid	$22,228.75

APR-DRG 7112: Post-op, post-trauma, other device infections w O.R. procedure

Facility IP

$57,510.45

Service Code	APR-DRG 7112
Min. Negotiated Rate	$19,465.00
Max. Negotiated Rate	$57,510.45
Rate for Payer: Amida Care Medicaid	$25,560.20
Rate for Payer: Fidelis CHP/HARP/Medicaid	$25,560.20
Rate for Payer: Fidelis Qualified Health Plan	$30,672.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$25,560.20
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$25,560.20
Rate for Payer: Healthfirst Commercial	$32,819.00
Rate for Payer: Healthfirst Essential Plan	$57,510.45
Rate for Payer: Healthfirst QHP	$19,465.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$25,560.20
Rate for Payer: SOMOS Essential	$57,510.45
Rate for Payer: Wellcare CHP/FHP/Medicaid	$25,560.20

APR-DRG 7113: Post-op, post-trauma, other device infections w O.R. procedure

Facility IP

$80,205.32

Service Code	APR-DRG 7113
Min. Negotiated Rate	$33,692.00
Max. Negotiated Rate	$80,205.32
Rate for Payer: Amida Care Medicaid	$35,646.81
Rate for Payer: Fidelis CHP/HARP/Medicaid	$35,646.81
Rate for Payer: Fidelis Qualified Health Plan	$42,776.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$35,646.81
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$35,646.81
Rate for Payer: Healthfirst Commercial	$57,459.00
Rate for Payer: Healthfirst Essential Plan	$80,205.32
Rate for Payer: Healthfirst QHP	$33,692.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$35,646.81
Rate for Payer: SOMOS Essential	$80,205.32
Rate for Payer: Wellcare CHP/FHP/Medicaid	$35,646.81

APR-DRG 7114: Post-op, post-trauma, other device infections w O.R. procedure

Facility IP

$135,799.29

Service Code	APR-DRG 7114
Min. Negotiated Rate	$60,355.24
Max. Negotiated Rate	$135,799.29
Rate for Payer: Amida Care Medicaid	$60,355.24
Rate for Payer: Fidelis CHP/HARP/Medicaid	$60,355.24
Rate for Payer: Fidelis Qualified Health Plan	$72,426.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$60,355.24
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$60,355.24
Rate for Payer: Healthfirst Commercial	$118,117.00
Rate for Payer: Healthfirst Essential Plan	$135,799.29
Rate for Payer: Healthfirst QHP	$72,861.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$60,355.24
Rate for Payer: SOMOS Essential	$135,799.29
Rate for Payer: Wellcare CHP/FHP/Medicaid	$60,355.24

APR-DRG 7201: Septicemia & disseminated infections

Facility IP

$40,272.98

Service Code	APR-DRG 7201
Min. Negotiated Rate	$7,406.00
Max. Negotiated Rate	$40,272.98
Rate for Payer: Amida Care Medicaid	$17,899.10
Rate for Payer: Fidelis CHP/HARP/Medicaid	$17,899.10
Rate for Payer: Fidelis Qualified Health Plan	$21,478.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$17,899.10
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$17,899.10
Rate for Payer: Healthfirst Commercial	$12,017.00
Rate for Payer: Healthfirst Essential Plan	$40,272.98
Rate for Payer: Healthfirst QHP	$7,406.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$17,899.10
Rate for Payer: SOMOS Essential	$40,272.98
Rate for Payer: Wellcare CHP/FHP/Medicaid	$17,899.10

APR-DRG 7202: Septicemia & disseminated infections

Facility IP

$44,305.78

Service Code	APR-DRG 7202
Min. Negotiated Rate	$9,799.00
Max. Negotiated Rate	$44,305.78
Rate for Payer: Amida Care Medicaid	$19,691.46
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,691.46
Rate for Payer: Fidelis Qualified Health Plan	$23,629.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,691.46
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,691.46
Rate for Payer: Healthfirst Commercial	$16,121.00
Rate for Payer: Healthfirst Essential Plan	$44,305.78
Rate for Payer: Healthfirst QHP	$9,799.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,691.46
Rate for Payer: SOMOS Essential	$44,305.78
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,691.46

APR-DRG 7203: Septicemia & disseminated infections

Facility IP

$55,813.28

Service Code	APR-DRG 7203
Min. Negotiated Rate	$15,024.00
Max. Negotiated Rate	$55,813.28
Rate for Payer: Amida Care Medicaid	$24,805.90
Rate for Payer: Fidelis CHP/HARP/Medicaid	$24,805.90
Rate for Payer: Fidelis Qualified Health Plan	$29,767.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$24,805.90
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$24,805.90
Rate for Payer: Healthfirst Commercial	$25,794.00
Rate for Payer: Healthfirst Essential Plan	$55,813.28
Rate for Payer: Healthfirst QHP	$15,024.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$24,805.90
Rate for Payer: SOMOS Essential	$55,813.28
Rate for Payer: Wellcare CHP/FHP/Medicaid	$24,805.90

APR-DRG 7204: Septicemia & disseminated infections

Facility IP

$85,928.26

Service Code	APR-DRG 7204
Min. Negotiated Rate	$29,823.00
Max. Negotiated Rate	$85,928.26
Rate for Payer: Amida Care Medicaid	$38,190.34
Rate for Payer: Fidelis CHP/HARP/Medicaid	$38,190.34
Rate for Payer: Fidelis Qualified Health Plan	$45,828.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$38,190.34
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$38,190.34
Rate for Payer: Healthfirst Commercial	$51,609.00
Rate for Payer: Healthfirst Essential Plan	$85,928.26
Rate for Payer: Healthfirst QHP	$29,823.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$38,190.34
Rate for Payer: SOMOS Essential	$85,928.26
Rate for Payer: Wellcare CHP/FHP/Medicaid	$38,190.34

APR-DRG 7211: Post-operative, post-traumatic, other device infections

Facility IP

$40,965.93

Service Code	APR-DRG 7211
Min. Negotiated Rate	$7,328.00
Max. Negotiated Rate	$40,965.93
Rate for Payer: Amida Care Medicaid	$18,207.08
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,207.08
Rate for Payer: Fidelis Qualified Health Plan	$21,848.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,207.08
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,207.08
Rate for Payer: Healthfirst Commercial	$12,655.00
Rate for Payer: Healthfirst Essential Plan	$40,965.93
Rate for Payer: Healthfirst QHP	$7,328.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,207.08
Rate for Payer: SOMOS Essential	$40,965.93
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,207.08

APR-DRG 7212: Post-operative, post-traumatic, other device infections

Facility IP

$44,530.90

Service Code	APR-DRG 7212
Min. Negotiated Rate	$9,432.00
Max. Negotiated Rate	$44,530.90
Rate for Payer: Amida Care Medicaid	$19,791.51
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,791.51
Rate for Payer: Fidelis Qualified Health Plan	$23,749.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,791.51
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,791.51
Rate for Payer: Healthfirst Commercial	$15,986.00
Rate for Payer: Healthfirst Essential Plan	$44,530.90
Rate for Payer: Healthfirst QHP	$9,432.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,791.51
Rate for Payer: SOMOS Essential	$44,530.90
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,791.51

APR-DRG 7213: Post-operative, post-traumatic, other device infections

Facility IP

$54,821.34

Service Code	APR-DRG 7213
Min. Negotiated Rate	$13,897.00
Max. Negotiated Rate	$54,821.34
Rate for Payer: Amida Care Medicaid	$24,365.04
Rate for Payer: Fidelis CHP/HARP/Medicaid	$24,365.04
Rate for Payer: Fidelis Qualified Health Plan	$29,238.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$24,365.04
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$24,365.04
Rate for Payer: Healthfirst Commercial	$24,962.00
Rate for Payer: Healthfirst Essential Plan	$54,821.34
Rate for Payer: Healthfirst QHP	$13,897.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$24,365.04
Rate for Payer: SOMOS Essential	$54,821.34
Rate for Payer: Wellcare CHP/FHP/Medicaid	$24,365.04

APR-DRG 7214: Post-operative, post-traumatic, other device infections

Facility IP

$79,433.24

Service Code	APR-DRG 7214
Min. Negotiated Rate	$26,851.00
Max. Negotiated Rate	$79,433.24
Rate for Payer: Amida Care Medicaid	$35,303.66
Rate for Payer: Fidelis CHP/HARP/Medicaid	$35,303.66
Rate for Payer: Fidelis Qualified Health Plan	$42,364.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$35,303.66
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$35,303.66
Rate for Payer: Healthfirst Commercial	$46,973.00
Rate for Payer: Healthfirst Essential Plan	$79,433.24
Rate for Payer: Healthfirst QHP	$26,851.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$35,303.66
Rate for Payer: SOMOS Essential	$79,433.24
Rate for Payer: Wellcare CHP/FHP/Medicaid	$35,303.66

Price Transparency.

All Charges