St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NOREPINEPHRINE 8MG/250ML D5W

Facility

$13.00

Hospital Charge Code	41657143
Hospital Revenue Code	250
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$10.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.50
Rate for Payer: Aetna Government	$6.50
Rate for Payer: Brighton Health Commercial	$9.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.84
Rate for Payer: Group Health Inc Commercial	$6.50
Rate for Payer: Group Health Inc Medicare	$4.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.50
Rate for Payer: Hamaspik Choice Inc Medicare	$6.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.45

NOREPINEPHRINE 8MG/NS 250 PREMIX

Facility

$14.79

Hospital Charge Code	41646591
Hospital Revenue Code	250
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$11.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.40
Rate for Payer: Aetna Government	$7.40
Rate for Payer: Brighton Health Commercial	$11.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.06
Rate for Payer: Group Health Inc Commercial	$7.40
Rate for Payer: Group Health Inc Medicare	$5.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.40
Rate for Payer: Hamaspik Choice Inc Medicare	$7.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9.61

NOREPINEPHRINE 8MH/NS 260 KIT

Facility

$0.10

Hospital Charge Code	41659539
Hospital Revenue Code	250
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.05
Rate for Payer: Aetna Government	$0.05
Rate for Payer: Brighton Health Commercial	$0.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.07
Rate for Payer: Group Health Inc Commercial	$0.05
Rate for Payer: Group Health Inc Medicare	$0.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.05
Rate for Payer: Hamaspik Choice Inc Medicare	$0.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.07

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [128328]

Facility

$5.41

Service Code	NDC 70121157607
Hospital Charge Code	70121157607
Hospital Revenue Code	278
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$5.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.70
Rate for Payer: Aetna Government	$2.70
Rate for Payer: Brighton Health Commercial	$3.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.11
Rate for Payer: EmblemHealth Commercial	$2.70
Rate for Payer: Fidelis Medicare Advantage	$5.68
Rate for Payer: Group Health Inc Commercial	$2.70
Rate for Payer: Group Health Inc Medicare	$1.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.70
Rate for Payer: Hamaspik Choice Inc Medicare	$2.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.51

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [128328]

Facility

$5.41

Service Code	NDC 00703115303
Hospital Charge Code	00703115303
Hospital Revenue Code	278
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$5.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.70
Rate for Payer: Aetna Government	$2.70
Rate for Payer: Brighton Health Commercial	$3.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.11
Rate for Payer: EmblemHealth Commercial	$2.70
Rate for Payer: Fidelis Medicare Advantage	$5.68
Rate for Payer: Group Health Inc Commercial	$2.70
Rate for Payer: Group Health Inc Medicare	$1.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.70
Rate for Payer: Hamaspik Choice Inc Medicare	$2.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.51

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [128328]

Facility

$5.41

Service Code	NDC 00703115303
Hospital Charge Code	00703115303
Hospital Revenue Code	278
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.70
Rate for Payer: Hamaspik Choice Inc Medicare	$2.70

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [128328]

Facility

$3.15

Service Code	NDC 63323094021
Hospital Charge Code	63323094021
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$1.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.58
Rate for Payer: Hamaspik Choice Inc Medicare	$1.58

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [128328]

Facility

$6.74

Service Code	NDC 00409337504
Hospital Charge Code	00409337504
Hospital Revenue Code	278
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.37
Rate for Payer: Hamaspik Choice Inc Medicare	$3.37

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [128328]

Facility

$3.15

Service Code	NDC 63323094004
Hospital Charge Code	63323094004
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$1.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.58
Rate for Payer: Hamaspik Choice Inc Medicare	$1.58

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [128328]

Facility

$3.15

Service Code	NDC 63323094004
Hospital Charge Code	63323094004
Hospital Revenue Code	278
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$3.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.58
Rate for Payer: Aetna Government	$1.58
Rate for Payer: Brighton Health Commercial	$1.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.81
Rate for Payer: EmblemHealth Commercial	$1.58
Rate for Payer: Fidelis Medicare Advantage	$3.31
Rate for Payer: Group Health Inc Commercial	$1.58
Rate for Payer: Group Health Inc Medicare	$1.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.58
Rate for Payer: Hamaspik Choice Inc Medicare	$1.58
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.05

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [128328]

Facility

$2.62

Service Code	NDC 51991098317
Hospital Charge Code	51991098317
Hospital Revenue Code	278
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.31
Rate for Payer: Hamaspik Choice Inc Medicare	$1.31

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [128328]

Facility

$5.38

Service Code	NDC 71839014325
Hospital Charge Code	71839014325
Hospital Revenue Code	278
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$5.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.69
Rate for Payer: Aetna Government	$2.69
Rate for Payer: Brighton Health Commercial	$3.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.09
Rate for Payer: EmblemHealth Commercial	$2.69
Rate for Payer: Fidelis Medicare Advantage	$5.64
Rate for Payer: Group Health Inc Commercial	$2.69
Rate for Payer: Group Health Inc Medicare	$1.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.69
Rate for Payer: Hamaspik Choice Inc Medicare	$2.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.49

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [128328]

Facility

$5.38

Service Code	NDC 71839014325
Hospital Charge Code	71839014325
Hospital Revenue Code	278
Min. Negotiated Rate	$2.69
Max. Negotiated Rate	$2.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.69
Rate for Payer: Hamaspik Choice Inc Medicare	$2.69

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [128328]

Facility

$3.15

Service Code	NDC 63323094021
Hospital Charge Code	63323094021
Hospital Revenue Code	278
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$3.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.58
Rate for Payer: Aetna Government	$1.58
Rate for Payer: Brighton Health Commercial	$1.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.81
Rate for Payer: EmblemHealth Commercial	$1.58
Rate for Payer: Fidelis Medicare Advantage	$3.31
Rate for Payer: Group Health Inc Commercial	$1.58
Rate for Payer: Group Health Inc Medicare	$1.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.58
Rate for Payer: Hamaspik Choice Inc Medicare	$1.58
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.05

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [128328]

Facility

$6.74

Service Code	NDC 00409337504
Hospital Charge Code	00409337504
Hospital Revenue Code	278
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$7.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.37
Rate for Payer: Aetna Government	$3.37
Rate for Payer: Brighton Health Commercial	$4.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.37
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.88
Rate for Payer: EmblemHealth Commercial	$3.37
Rate for Payer: Fidelis Medicare Advantage	$7.08
Rate for Payer: Group Health Inc Commercial	$3.37
Rate for Payer: Group Health Inc Medicare	$2.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.37
Rate for Payer: Hamaspik Choice Inc Medicare	$3.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.38

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [128328]

Facility

$2.62

Service Code	NDC 51991098317
Hospital Charge Code	51991098317
Hospital Revenue Code	278
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$2.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.31
Rate for Payer: Aetna Government	$1.31
Rate for Payer: Brighton Health Commercial	$1.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.31
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.51
Rate for Payer: EmblemHealth Commercial	$1.31
Rate for Payer: Fidelis Medicare Advantage	$2.75
Rate for Payer: Group Health Inc Commercial	$1.31
Rate for Payer: Group Health Inc Medicare	$0.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.31
Rate for Payer: Hamaspik Choice Inc Medicare	$1.31
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.70

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [128328]

Facility

$5.41

Service Code	NDC 70121157607
Hospital Charge Code	70121157607
Hospital Revenue Code	278
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.70
Rate for Payer: Hamaspik Choice Inc Medicare	$2.70

NOREPINEPHRINE-DEXTROSE 8-5 MG/250ML-% IV SOLN [134547]

Facility

$0.17

Service Code	NDC 00338010820
Hospital Charge Code	00338010820
Hospital Revenue Code	278
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$0.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.08
Rate for Payer: Aetna Government	$0.08
Rate for Payer: Brighton Health Commercial	$0.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.10
Rate for Payer: EmblemHealth Commercial	$0.08
Rate for Payer: Fidelis Medicare Advantage	$0.18
Rate for Payer: Group Health Inc Commercial	$0.08
Rate for Payer: Group Health Inc Medicare	$0.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.08
Rate for Payer: Hamaspik Choice Inc Medicare	$0.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.11

NOREPINEPHRINE-DEXTROSE 8-5 MG/250ML-% IV SOLN [134547]

Facility

$0.17

Service Code	NDC 00338010820
Hospital Charge Code	00338010820
Hospital Revenue Code	278
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$0.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.08
Rate for Payer: Hamaspik Choice Inc Medicare	$0.08

NORGESTREL-ETHINYL ESTRADIOL 0.3-30 MG-MCG PO TABS [10752]

Facility

$1.09

Service Code	NDC 00555904958
Hospital Charge Code	00555904958
Hospital Revenue Code	250
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$0.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.55
Rate for Payer: Aetna Government	$0.55
Rate for Payer: Brighton Health Commercial	$0.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.87
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.74
Rate for Payer: Group Health Inc Commercial	$0.55
Rate for Payer: Group Health Inc Medicare	$0.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.55
Rate for Payer: Hamaspik Choice Inc Medicare	$0.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.71

NORIAN SRS 5 CC

Facility

$2,720.00

Service Code	HCPCS C1713
Hospital Charge Code	40209741
Hospital Revenue Code	278
Min. Negotiated Rate	$1,360.00
Max. Negotiated Rate	$1,360.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,360.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,360.00

NORIAN SRS 5 CC

Facility

$2,720.00

Service Code	HCPCS C1713
Hospital Charge Code	40209741
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,856.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,496.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,632.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,360.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,564.00
Rate for Payer: EmblemHealth Commercial	$1,360.00
Rate for Payer: Fidelis Medicare Advantage	$2,856.00
Rate for Payer: Group Health Inc Commercial	$1,360.00
Rate for Payer: Group Health Inc Medicare	$952.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,360.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,360.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,768.00

NORMAL NEWBORN

Facility

$13,921.72

Service Code	MSDRG 795
Min. Negotiated Rate	$1,729.58
Max. Negotiated Rate	$13,921.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,974.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10,124.89
Rate for Payer: Aetna Government	$10,124.89
Rate for Payer: Brighton Health Commercial	$2,924.65
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$10,327.39
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,483.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,874.45
Rate for Payer: Elderplan Medicare Advantage	$9,618.65
Rate for Payer: EmblemHealth Commercial	$1,729.58
Rate for Payer: Fidelis Medicare Advantage	$10,124.89
Rate for Payer: Group Health Inc Commercial	$10,124.89
Rate for Payer: Group Health Inc Medicare	$10,124.89
Rate for Payer: Hamaspik Choice Inc Medicare	$10,124.89
Rate for Payer: Healthfirst Medicare Advantage	$4,708.07
Rate for Payer: Humana Medicare	$13,921.72
Rate for Payer: Senior Whole Health Medicare Advantage	$10,124.89
Rate for Payer: United Healthcare Commercial	$3,163.00
Rate for Payer: United Healthcare Medicare Advantage	$10,124.89
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10,124.89
Rate for Payer: Wellcare Medicare	$9,618.65

NORMAL SALINE - 250CC

Facility

$5.67

Hospital Charge Code	40194002
Hospital Revenue Code	710
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$4.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.84
Rate for Payer: Aetna Government	$2.84
Rate for Payer: Brighton Health Commercial	$4.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.86
Rate for Payer: Group Health Inc Commercial	$2.84
Rate for Payer: Group Health Inc Medicare	$1.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.84
Rate for Payer: Hamaspik Choice Inc Medicare	$2.84

NORMAL SALINE FLUSH 0.9 % IV SOLN [117515]

Facility

$0.37

Service Code	NDC 64253011130
Hospital Charge Code	64253011130
Hospital Revenue Code	278
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.18
Rate for Payer: Aetna Government	$0.18
Rate for Payer: Brighton Health Commercial	$0.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.21
Rate for Payer: EmblemHealth Commercial	$0.18
Rate for Payer: Fidelis Medicare Advantage	$0.38
Rate for Payer: Group Health Inc Commercial	$0.18
Rate for Payer: Group Health Inc Medicare	$0.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.18
Rate for Payer: Hamaspik Choice Inc Medicare	$0.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.24

Know your out-of-pocket cost for care.

All Charges