St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PRECONNECT PUMP 72404251

Facility

$21,992.50

Service Code	HCPCS C1813
Hospital Charge Code	64902862
Hospital Revenue Code	278
Min. Negotiated Rate	$10,996.25
Max. Negotiated Rate	$10,996.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$10,996.25
Rate for Payer: Hamaspik Choice Inc Medicare	$10,996.25

PRECONNECT PUMP 72404251

Facility

$21,992.50

Service Code	HCPCS C1813
Hospital Charge Code	64902862
Hospital Revenue Code	278
Min. Negotiated Rate	$3,775.00
Max. Negotiated Rate	$23,092.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12,095.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,775.00
Rate for Payer: Aetna Government	$3,775.00
Rate for Payer: Brighton Health Commercial	$13,195.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10,996.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$12,645.69
Rate for Payer: EmblemHealth Commercial	$10,996.25
Rate for Payer: Fidelis Medicare Advantage	$23,092.12
Rate for Payer: Group Health Inc Commercial	$10,996.25
Rate for Payer: Group Health Inc Medicare	$7,697.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$10,996.25
Rate for Payer: Hamaspik Choice Inc Medicare	$10,996.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$14,295.12

PR ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS

Professional

Both

$2,095.17

Service Code	HCPCS 66711
Min. Negotiated Rate	$1,571.38
Max. Negotiated Rate	$1,571.38
Rate for Payer: Cash Price	$578.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,571.38
Rate for Payer: SOMOS Essential	$1,571.38

PR EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM

Professional

Both

$931.14

Service Code	HCPCS 43259
Min. Negotiated Rate	$698.36
Max. Negotiated Rate	$698.36
Rate for Payer: Cash Price	$254.15
Rate for Payer: SOMOS CHP/HARP/Medicaid	$698.36
Rate for Payer: SOMOS Essential	$698.36

PREDNISOLONE 0.12% OPHTHALMIC SUSP

Facility

$38.00

Hospital Charge Code	41650575
Hospital Revenue Code	250
Min. Negotiated Rate	$13.30
Max. Negotiated Rate	$30.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.00
Rate for Payer: Aetna Government	$19.00
Rate for Payer: Brighton Health Commercial	$28.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.84
Rate for Payer: Group Health Inc Commercial	$19.00
Rate for Payer: Group Health Inc Medicare	$13.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.00
Rate for Payer: Hamaspik Choice Inc Medicare	$19.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$24.70

PREDNISOLONE 0.12% OPHTHALMIC SUSP

Facility

$38.00

Hospital Charge Code	41640575
Hospital Revenue Code	250
Min. Negotiated Rate	$13.30
Max. Negotiated Rate	$30.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.00
Rate for Payer: Aetna Government	$19.00
Rate for Payer: Brighton Health Commercial	$28.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.84
Rate for Payer: Group Health Inc Commercial	$19.00
Rate for Payer: Group Health Inc Medicare	$13.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.00
Rate for Payer: Hamaspik Choice Inc Medicare	$19.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$24.70

PREDNISOLONE 1% OPHTHALMIC SUSP

Facility

$7.00

Hospital Charge Code	41654334
Hospital Revenue Code	250
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$5.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.50
Rate for Payer: Aetna Government	$3.50
Rate for Payer: Brighton Health Commercial	$5.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.76
Rate for Payer: Group Health Inc Commercial	$3.50
Rate for Payer: Group Health Inc Medicare	$2.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.50
Rate for Payer: Hamaspik Choice Inc Medicare	$3.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.55

PREDNISOLONE 1% OPHTHALMIC SUSP

Facility

$7.00

Hospital Charge Code	41644334
Hospital Revenue Code	250
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$5.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.50
Rate for Payer: Aetna Government	$3.50
Rate for Payer: Brighton Health Commercial	$5.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.76
Rate for Payer: Group Health Inc Commercial	$3.50
Rate for Payer: Group Health Inc Medicare	$2.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.50
Rate for Payer: Hamaspik Choice Inc Medicare	$3.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.55

PREDNISOLONE 3 MG/ML LIQUID

Facility

$6.55

Service Code	HCPCS J7510
Hospital Charge Code	41654642
Hospital Revenue Code	636
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.23
Rate for Payer: Aetna Government	$0.23
Rate for Payer: Brighton Health Commercial	$3.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.77
Rate for Payer: Group Health Inc Commercial	$3.28
Rate for Payer: Group Health Inc Medicare	$2.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.28
Rate for Payer: Hamaspik Choice Inc Medicare	$3.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.30
Rate for Payer: SOMOS Essential	$0.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.26

PREDNISOLONE 3 MG/ML LIQUID

Facility

$6.55

Service Code	HCPCS J7510
Hospital Charge Code	41644642
Hospital Revenue Code	636
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$3.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.28
Rate for Payer: Hamaspik Choice Inc Medicare	$3.28

PREDNISOLONE 3 MG/ML LIQUID

Facility

$6.55

Service Code	HCPCS J7510
Hospital Charge Code	41644642
Hospital Revenue Code	636
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.23
Rate for Payer: Aetna Government	$0.23
Rate for Payer: Brighton Health Commercial	$3.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.77
Rate for Payer: Group Health Inc Commercial	$3.28
Rate for Payer: Group Health Inc Medicare	$2.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.28
Rate for Payer: Hamaspik Choice Inc Medicare	$3.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.30
Rate for Payer: SOMOS Essential	$0.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.26

PREDNISOLONE 3 MG/ML LIQUID

Facility

$6.55

Service Code	HCPCS J7510
Hospital Charge Code	41654642
Hospital Revenue Code	636
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$3.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.28
Rate for Payer: Hamaspik Choice Inc Medicare	$3.28

PREDNISOLONE ACETATE 1 % OP SUSP [6487]

Facility

$11.06

Service Code	NDC 61314063705
Hospital Charge Code	61314063705
Hospital Revenue Code	250
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$8.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.53
Rate for Payer: Aetna Government	$5.53
Rate for Payer: Brighton Health Commercial	$8.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.85
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.52
Rate for Payer: Group Health Inc Commercial	$5.53
Rate for Payer: Group Health Inc Medicare	$3.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.53
Rate for Payer: Hamaspik Choice Inc Medicare	$5.53
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.19

PREDNISOLONE ACETATE 1 % OP SUSP [6487]

Facility

$10.56

Service Code	NDC 60758011905
Hospital Charge Code	60758011905
Hospital Revenue Code	250
Min. Negotiated Rate	$3.70
Max. Negotiated Rate	$8.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.28
Rate for Payer: Aetna Government	$5.28
Rate for Payer: Brighton Health Commercial	$7.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.18
Rate for Payer: Group Health Inc Commercial	$5.28
Rate for Payer: Group Health Inc Medicare	$3.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.28
Rate for Payer: Hamaspik Choice Inc Medicare	$5.28
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.86

PREDNISOLONE ACETATE 1 % OP SUSP [6487]

Facility

$11.05

Service Code	NDC 61314063710
Hospital Charge Code	61314063710
Hospital Revenue Code	250
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$8.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.53
Rate for Payer: Aetna Government	$5.53
Rate for Payer: Brighton Health Commercial	$8.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.52
Rate for Payer: Group Health Inc Commercial	$5.53
Rate for Payer: Group Health Inc Medicare	$3.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.53
Rate for Payer: Hamaspik Choice Inc Medicare	$5.53
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.19

PREDNISOLONE ACETATE 1 % OP SUSP [6487]

Facility

$38.50

Service Code	NDC 11980018005
Hospital Charge Code	11980018005
Hospital Revenue Code	250
Min. Negotiated Rate	$13.47
Max. Negotiated Rate	$30.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$21.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.25
Rate for Payer: Aetna Government	$19.25
Rate for Payer: Brighton Health Commercial	$28.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$26.18
Rate for Payer: Group Health Inc Commercial	$19.25
Rate for Payer: Group Health Inc Medicare	$13.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.25
Rate for Payer: Hamaspik Choice Inc Medicare	$19.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$25.02

PREDNISOLONE ACETATE 1 % OP SUSP [6487]

Facility

$10.64

Service Code	NDC 61314063715
Hospital Charge Code	61314063715
Hospital Revenue Code	250
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$8.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.32
Rate for Payer: Aetna Government	$5.32
Rate for Payer: Brighton Health Commercial	$7.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.51
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.24
Rate for Payer: Group Health Inc Commercial	$5.32
Rate for Payer: Group Health Inc Medicare	$3.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.32
Rate for Payer: Hamaspik Choice Inc Medicare	$5.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.92

PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN [29302]

Facility

$0.35

Service Code	HCPCS J7510
Hospital Charge Code	17856075902
Hospital Revenue Code	250
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$0.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.23
Rate for Payer: Aetna Government	$0.23
Rate for Payer: Brighton Health Commercial	$0.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.24
Rate for Payer: Group Health Inc Commercial	$0.17
Rate for Payer: Group Health Inc Medicare	$0.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.17
Rate for Payer: Hamaspik Choice Inc Medicare	$0.17
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$0.29
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$0.30
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$0.30
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$0.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.23

PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN [29302]

Facility

$0.31

Service Code	HCPCS J7510
Hospital Charge Code	00121075908
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$0.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.23
Rate for Payer: Aetna Government	$0.23
Rate for Payer: Brighton Health Commercial	$0.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.21
Rate for Payer: Group Health Inc Commercial	$0.16
Rate for Payer: Group Health Inc Medicare	$0.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.16
Rate for Payer: Hamaspik Choice Inc Medicare	$0.16
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$0.29
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$0.30
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$0.30
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$0.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.20

PREDNISOLONE SOLN 30MG/10ML UD

Facility

$1.33

Hospital Charge Code	41656557
Hospital Revenue Code	250
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$1.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.67
Rate for Payer: Aetna Government	$0.67
Rate for Payer: Brighton Health Commercial	$1.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.90
Rate for Payer: Group Health Inc Commercial	$0.67
Rate for Payer: Group Health Inc Medicare	$0.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.67
Rate for Payer: Hamaspik Choice Inc Medicare	$0.67
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.86

PREDNISOLONE SOLN 30MG/10ML UD

Facility

$1.33

Hospital Charge Code	41646557
Hospital Revenue Code	250
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$1.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.67
Rate for Payer: Aetna Government	$0.67
Rate for Payer: Brighton Health Commercial	$1.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.90
Rate for Payer: Group Health Inc Commercial	$0.67
Rate for Payer: Group Health Inc Medicare	$0.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.67
Rate for Payer: Hamaspik Choice Inc Medicare	$0.67
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.86

PREDNISONE 10 MG PO TABS [6494]

Facility

$0.24

Service Code	HCPCS J7512
Hospital Charge Code	00054001729
Hospital Revenue Code	250
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.02
Rate for Payer: Aetna Government	$0.02
Rate for Payer: Brighton Health Commercial	$0.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.16
Rate for Payer: Group Health Inc Commercial	$0.12
Rate for Payer: Group Health Inc Medicare	$0.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.12
Rate for Payer: Hamaspik Choice Inc Medicare	$0.12
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$0.01
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$0.01
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$0.01
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.16

PREDNISONE 10 MG PO TABS [6494]

Facility

$0.27

Service Code	HCPCS J7512
Hospital Charge Code	00054001720
Hospital Revenue Code	250
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.02
Rate for Payer: Aetna Government	$0.02
Rate for Payer: Brighton Health Commercial	$0.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.18
Rate for Payer: Group Health Inc Commercial	$0.13
Rate for Payer: Group Health Inc Medicare	$0.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.13
Rate for Payer: Hamaspik Choice Inc Medicare	$0.13
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$0.01
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$0.01
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$0.01
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.17

PREDNISONE 10 MG PO TABS [6494]

Facility

$0.91

Service Code	HCPCS J7512
Hospital Charge Code	59746017306
Hospital Revenue Code	250
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.02
Rate for Payer: Aetna Government	$0.02
Rate for Payer: Brighton Health Commercial	$0.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.73
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.62
Rate for Payer: Group Health Inc Commercial	$0.46
Rate for Payer: Group Health Inc Medicare	$0.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.46
Rate for Payer: Hamaspik Choice Inc Medicare	$0.46
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$0.01
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$0.01
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$0.01
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.59

PREDNISONE 10 MG PO TABS [6494]

Facility

$0.25

Service Code	HCPCS J7512
Hospital Charge Code	70954005910
Hospital Revenue Code	250
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.02
Rate for Payer: Aetna Government	$0.02
Rate for Payer: Brighton Health Commercial	$0.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.17
Rate for Payer: Group Health Inc Commercial	$0.12
Rate for Payer: Group Health Inc Medicare	$0.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.12
Rate for Payer: Hamaspik Choice Inc Medicare	$0.12
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$0.01
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$0.01
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$0.01
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.16

Know your out-of-pocket cost for care.

All Charges