St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

COCHLEAR DEVICE IMPLANTATION

Facility

$53,699.49

Service Code	EAPG 00250
Min. Negotiated Rate	$38,982.07
Max. Negotiated Rate	$53,699.49
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$38,982.07
Rate for Payer: Healthfirst Commercial	$53,699.49

CODEINE SULFATE 15 MG PO TABS

Facility

$0.86

Service Code	NDC 0054024324
Hospital Charge Code	0054024324
Hospital Revenue Code	250
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.43
Rate for Payer: Aetna Government	$0.43
Rate for Payer: Brighton Health Commercial	$0.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.59
Rate for Payer: EmblemHealth Commercial	$0.43
Rate for Payer: Group Health Inc Commercial	$0.43
Rate for Payer: Group Health Inc Medicare	$0.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.43
Rate for Payer: Hamaspik Choice Inc Medicare	$0.43
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.56

CODEINE SULFATE 15 MG PO TABS

Facility

$0.86

Service Code	NDC 0054024324
Hospital Charge Code	0054024324
Hospital Revenue Code	250
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.43

COLCHICINE 0.6 MG PO TABS

Facility

$7.90

Service Code	NDC 7001000201
Hospital Charge Code	7001000201
Hospital Revenue Code	250
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$3.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.95

COLCHICINE 0.6 MG PO TABS

Facility

$7.90

Service Code	NDC 7001000201
Hospital Charge Code	7001000201
Hospital Revenue Code	250
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$6.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.95
Rate for Payer: Aetna Government	$3.95
Rate for Payer: Brighton Health Commercial	$5.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.37
Rate for Payer: EmblemHealth Commercial	$3.95
Rate for Payer: Group Health Inc Commercial	$3.95
Rate for Payer: Group Health Inc Medicare	$2.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.95
Rate for Payer: Hamaspik Choice Inc Medicare	$3.95
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.14

COLCHICINE 0.6 MG PO TABS

Facility

$6.74

Service Code	NDC 0254200801
Hospital Charge Code	0254200801
Hospital Revenue Code	250
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$5.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.37
Rate for Payer: Aetna Government	$3.37
Rate for Payer: Brighton Health Commercial	$5.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.58
Rate for Payer: EmblemHealth Commercial	$3.37
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

COLCHICINE 0.6 MG PO TABS

Facility

$6.74

Service Code	NDC 0254200811
Hospital Charge Code	0254200811
Hospital Revenue Code	250
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.37

COLCHICINE 0.6 MG PO TABS

Facility

$6.74

Service Code	NDC 4359837201
Hospital Charge Code	4359837201
Hospital Revenue Code	250
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$5.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.37
Rate for Payer: Aetna Government	$3.37
Rate for Payer: Brighton Health Commercial	$5.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.58
Rate for Payer: EmblemHealth Commercial	$3.37
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

COLCHICINE 0.6 MG PO TABS

Facility

$6.74

Service Code	NDC 0254200801
Hospital Charge Code	0254200801
Hospital Revenue Code	250
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.37

COLCHICINE 0.6 MG PO TABS

Facility

$6.74

Service Code	NDC 4359837201
Hospital Charge Code	4359837201
Hospital Revenue Code	250
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.37

COLCHICINE 0.6 MG PO TABS

Facility

$6.74

Service Code	NDC 7071013513
Hospital Charge Code	7071013513
Hospital Revenue Code	250
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$5.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.37
Rate for Payer: Aetna Government	$3.37
Rate for Payer: Brighton Health Commercial	$5.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.58
Rate for Payer: EmblemHealth Commercial	$3.37
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

COLCHICINE 0.6 MG PO TABS

Facility

$6.74

Service Code	NDC 7071013513
Hospital Charge Code	7071013513
Hospital Revenue Code	250
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.37

COLCHICINE 0.6 MG PO TABS

Facility

$6.74

Service Code	NDC 0254200811
Hospital Charge Code	0254200811
Hospital Revenue Code	250
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$5.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.37
Rate for Payer: Aetna Government	$3.37
Rate for Payer: Brighton Health Commercial	$5.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.58
Rate for Payer: EmblemHealth Commercial	$3.37
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

COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR

Facility

$33.59

Service Code	HCPCS J0770
Hospital Charge Code	6332339306
Hospital Revenue Code	250
Min. Negotiated Rate	$11.76
Max. Negotiated Rate	$26.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$18.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.78
Rate for Payer: Aetna Government	$15.78
Rate for Payer: Brighton Health Commercial	$25.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26.87
Rate for Payer: Cigna LocalPlus Benefit Plan	$22.84
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Group Health Inc Commercial	$16.80
Rate for Payer: Group Health Inc Medicare	$11.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.80
Rate for Payer: Hamaspik Choice Inc Medicare	$16.80
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$13.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$21.83

COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR

Facility

$33.60

Service Code	HCPCS J0770
Hospital Charge Code	7059402304
Hospital Revenue Code	250
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$16.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.80

COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR

Facility

$33.60

Service Code	HCPCS J0770
Hospital Charge Code	7059402304
Hospital Revenue Code	250
Min. Negotiated Rate	$11.76
Max. Negotiated Rate	$26.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$18.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.78
Rate for Payer: Aetna Government	$15.78
Rate for Payer: Brighton Health Commercial	$25.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$22.85
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Group Health Inc Commercial	$16.80
Rate for Payer: Group Health Inc Medicare	$11.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.80
Rate for Payer: Hamaspik Choice Inc Medicare	$16.80
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$13.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$21.84

COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR

Facility

$33.59

Service Code	HCPCS J0770
Hospital Charge Code	6332339306
Hospital Revenue Code	250
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$16.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.80

COLLAGENASE 250 UNIT/GM EX OINT

Facility

$12.09

Service Code	NDC 5048401030
Hospital Charge Code	5048401030
Hospital Revenue Code	250
Min. Negotiated Rate	$4.23
Max. Negotiated Rate	$9.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.05
Rate for Payer: Aetna Government	$6.05
Rate for Payer: Brighton Health Commercial	$9.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.22
Rate for Payer: EmblemHealth Commercial	$6.05
Rate for Payer: Group Health Inc Commercial	$6.05
Rate for Payer: Group Health Inc Medicare	$4.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.05
Rate for Payer: Hamaspik Choice Inc Medicare	$6.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.86

COLLAGENASE 250 UNIT/GM EX OINT

Facility

$12.09

Service Code	NDC 5048401030
Hospital Charge Code	5048401030
Hospital Revenue Code	250
Min. Negotiated Rate	$6.05
Max. Negotiated Rate	$6.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.05

COMFORT PROTECT ADULT DIAPER/L MISC

Facility

$0.24

Service Code	NDC 0089111700
Hospital Charge Code	0089111700
Hospital Revenue Code	250
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$0.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.12

COMFORT PROTECT ADULT DIAPER/L MISC

Facility

$0.24

Service Code	NDC 0089111700
Hospital Charge Code	0089111700
Hospital Revenue Code	250
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$0.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.12
Rate for Payer: Aetna Government	$0.12
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	$0.17
Rate for Payer: EmblemHealth Commercial	$0.12
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: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.16

COMPLEX BLOOD COLLECTION SERVICES

Facility

$39.34

Service Code	EAPG 00494
Min. Negotiated Rate	$39.34
Max. Negotiated Rate	$39.34
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$39.34

COMPLEX KIDNEY AND URINARY TRACT INFECTIONS

Facility

$254.72

Service Code	EAPG 00723
Min. Negotiated Rate	$185.14
Max. Negotiated Rate	$254.72
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$185.14
Rate for Payer: Healthfirst Commercial	$254.72

COMPLEX WOUND REPAIR AND TREATMENT

Facility

$1,754.24

Service Code	EAPG 00018
Min. Negotiated Rate	$1,754.24
Max. Negotiated Rate	$1,754.24
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,754.24

COMPLICATIONS OF TREATMENT AFFECTING PREGNANCY

Facility

$175.89

Service Code	EAPG 00767
Min. Negotiated Rate	$175.89
Max. Negotiated Rate	$175.89
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$175.89

Know your out-of-pocket cost for care.

All Charges