St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

RISPERIDONE 0.25 MG PO TABS [25519]

Facility

$3.90

Service Code	NDC 43547033906
Hospital Charge Code	43547033906
Hospital Revenue Code	250
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$3.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.95
Rate for Payer: Aetna Government	$1.95
Rate for Payer: Brighton Health Commercial	$2.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.65
Rate for Payer: Group Health Inc Commercial	$1.95
Rate for Payer: Group Health Inc Medicare	$1.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.95
Rate for Payer: Hamaspik Choice Inc Medicare	$1.95
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.54

RISPERIDONE 0.25 MG TAB

Facility

$0.48

Hospital Charge Code	41643323
Hospital Revenue Code	250
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$0.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.24
Rate for Payer: Aetna Government	$0.24
Rate for Payer: Brighton Health Commercial	$0.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.33
Rate for Payer: Group Health Inc Commercial	$0.24
Rate for Payer: Group Health Inc Medicare	$0.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.24
Rate for Payer: Hamaspik Choice Inc Medicare	$0.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.31

RISPERIDONE 0.25 MG TAB

Facility

$0.48

Hospital Charge Code	41653323
Hospital Revenue Code	250
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$0.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.24
Rate for Payer: Aetna Government	$0.24
Rate for Payer: Brighton Health Commercial	$0.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.33
Rate for Payer: Group Health Inc Commercial	$0.24
Rate for Payer: Group Health Inc Medicare	$0.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.24
Rate for Payer: Hamaspik Choice Inc Medicare	$0.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.31

RISPERIDONE 0.5 MG PO TABS [25520]

Facility

$3.93

Service Code	NDC 00904635861
Hospital Charge Code	00904635861
Hospital Revenue Code	250
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$3.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.97
Rate for Payer: Aetna Government	$1.97
Rate for Payer: Brighton Health Commercial	$2.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.67
Rate for Payer: Group Health Inc Commercial	$1.97
Rate for Payer: Group Health Inc Medicare	$1.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.97
Rate for Payer: Hamaspik Choice Inc Medicare	$1.97
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.56

RISPERIDONE 0.5 MG PO TABS [25520]

Facility

$4.28

Service Code	NDC 68382011314
Hospital Charge Code	68382011314
Hospital Revenue Code	250
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$3.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.14
Rate for Payer: Aetna Government	$2.14
Rate for Payer: Brighton Health Commercial	$3.21
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.91
Rate for Payer: Group Health Inc Commercial	$2.14
Rate for Payer: Group Health Inc Medicare	$1.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.14
Rate for Payer: Hamaspik Choice Inc Medicare	$2.14
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.78

RISPERIDONE 0.5 MG PO TABS [25520]

Facility

$4.27

Service Code	NDC 43547034006
Hospital Charge Code	43547034006
Hospital Revenue Code	250
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$3.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.13
Rate for Payer: Aetna Government	$2.13
Rate for Payer: Brighton Health Commercial	$3.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.90
Rate for Payer: Group Health Inc Commercial	$2.13
Rate for Payer: Group Health Inc Medicare	$1.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.13
Rate for Payer: Hamaspik Choice Inc Medicare	$2.13
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.77

RISPERIDONE 0.5 MG TAB

Facility

$0.09

Hospital Charge Code	41652236
Hospital Revenue Code	250
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.05
Rate for Payer: Aetna Government	$0.05
Rate for Payer: Brighton Health Commercial	$0.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.06
Rate for Payer: Group Health Inc Commercial	$0.05
Rate for Payer: Group Health Inc Medicare	$0.03
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	$0.06

RISPERIDONE 0.5 MG TAB

Facility

$0.09

Hospital Charge Code	41642236
Hospital Revenue Code	250
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.05
Rate for Payer: Aetna Government	$0.05
Rate for Payer: Brighton Health Commercial	$0.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.06
Rate for Payer: Group Health Inc Commercial	$0.05
Rate for Payer: Group Health Inc Medicare	$0.03
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	$0.06

RISPERIDONE 1 MG/ML LIQUID

Facility

$2.01

Hospital Charge Code	41642809
Hospital Revenue Code	250
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$1.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.00
Rate for Payer: Aetna Government	$1.00
Rate for Payer: Brighton Health Commercial	$1.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.61
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.37
Rate for Payer: Group Health Inc Commercial	$1.00
Rate for Payer: Group Health Inc Medicare	$0.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.31

RISPERIDONE 1 MG/ML LIQUID

Facility

$2.01

Hospital Charge Code	41652809
Hospital Revenue Code	250
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$1.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.00
Rate for Payer: Aetna Government	$1.00
Rate for Payer: Brighton Health Commercial	$1.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.61
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.37
Rate for Payer: Group Health Inc Commercial	$1.00
Rate for Payer: Group Health Inc Medicare	$0.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.31

RISPERIDONE 1 MG/ML PO SOLN [17377]

Facility

$5.08

Service Code	NDC 65162067384
Hospital Charge Code	65162067384
Hospital Revenue Code	250
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$4.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.54
Rate for Payer: Aetna Government	$2.54
Rate for Payer: Brighton Health Commercial	$3.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.45
Rate for Payer: Group Health Inc Commercial	$2.54
Rate for Payer: Group Health Inc Medicare	$1.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.54
Rate for Payer: Hamaspik Choice Inc Medicare	$2.54
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.30

RISPERIDONE 1 MG/ML PO SOLN [17377]

Facility

$5.59

Service Code	NDC 00054006344
Hospital Charge Code	00054006344
Hospital Revenue Code	250
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$4.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.79
Rate for Payer: Aetna Government	$2.79
Rate for Payer: Brighton Health Commercial	$4.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.47
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.80
Rate for Payer: Group Health Inc Commercial	$2.79
Rate for Payer: Group Health Inc Medicare	$1.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.79
Rate for Payer: Hamaspik Choice Inc Medicare	$2.79
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.63

RISPERIDONE 1 MG/ML PO SOLN [17377]

Facility

$5.59

Service Code	NDC 27808000201
Hospital Charge Code	27808000201
Hospital Revenue Code	250
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$4.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.79
Rate for Payer: Aetna Government	$2.79
Rate for Payer: Brighton Health Commercial	$4.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.47
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.80
Rate for Payer: Group Health Inc Commercial	$2.79
Rate for Payer: Group Health Inc Medicare	$1.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.79
Rate for Payer: Hamaspik Choice Inc Medicare	$2.79
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.63

RISPERIDONE 1 MG PO TABS [18313]

Facility

$0.43

Service Code	NDC 00904736261
Hospital Charge Code	00904736261
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.21
Rate for Payer: Aetna Government	$0.21
Rate for Payer: Brighton Health Commercial	$0.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.29
Rate for Payer: Group Health Inc Commercial	$0.21
Rate for Payer: Group Health Inc Medicare	$0.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.21
Rate for Payer: Hamaspik Choice Inc Medicare	$0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.28

RISPERIDONE 1 MG PO TABS [18313]

Facility

$5.88

Service Code	NDC 50458030001
Hospital Charge Code	50458030001
Hospital Revenue Code	250
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$4.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.94
Rate for Payer: Aetna Government	$2.94
Rate for Payer: Brighton Health Commercial	$4.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.00
Rate for Payer: Group Health Inc Commercial	$2.94
Rate for Payer: Group Health Inc Medicare	$2.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.94
Rate for Payer: Hamaspik Choice Inc Medicare	$2.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.82

RISPERIDONE 1 MG PO TABS [18313]

Facility

$4.55

Service Code	NDC 68382011414
Hospital Charge Code	68382011414
Hospital Revenue Code	250
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$3.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.28
Rate for Payer: Aetna Government	$2.28
Rate for Payer: Brighton Health Commercial	$3.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.10
Rate for Payer: Group Health Inc Commercial	$2.28
Rate for Payer: Group Health Inc Medicare	$1.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.28
Rate for Payer: Hamaspik Choice Inc Medicare	$2.28
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.96

RISPERIDONE 1 MG PO TABS [18313]

Facility

$4.55

Service Code	NDC 27241000106
Hospital Charge Code	27241000106
Hospital Revenue Code	250
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$3.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.28
Rate for Payer: Aetna Government	$2.28
Rate for Payer: Brighton Health Commercial	$3.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.10
Rate for Payer: Group Health Inc Commercial	$2.28
Rate for Payer: Group Health Inc Medicare	$1.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.28
Rate for Payer: Hamaspik Choice Inc Medicare	$2.28
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.96

RISPERIDONE 1 MG PO TABS [18313]

Facility

$4.55

Service Code	NDC 43547034150
Hospital Charge Code	43547034150
Hospital Revenue Code	250
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$3.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.28
Rate for Payer: Aetna Government	$2.28
Rate for Payer: Brighton Health Commercial	$3.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.09
Rate for Payer: Group Health Inc Commercial	$2.28
Rate for Payer: Group Health Inc Medicare	$1.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.28
Rate for Payer: Hamaspik Choice Inc Medicare	$2.28
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.96

RISPERIDONE 1 MG TAB

Facility

$1.00

Hospital Charge Code	41640273
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

RISPERIDONE 1 MG TAB

Facility

$1.00

Hospital Charge Code	41650273
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

RISPERIDONE 2 MG PO TABS [18311]

Facility

$7.61

Service Code	NDC 27241000406
Hospital Charge Code	27241000406
Hospital Revenue Code	250
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$6.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.80
Rate for Payer: Aetna Government	$3.80
Rate for Payer: Brighton Health Commercial	$5.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.17
Rate for Payer: Group Health Inc Commercial	$3.80
Rate for Payer: Group Health Inc Medicare	$2.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.80
Rate for Payer: Hamaspik Choice Inc Medicare	$3.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.94

RISPERIDONE 2 MG PO TABS [18311]

Facility

$7.60

Service Code	NDC 43547034250
Hospital Charge Code	43547034250
Hospital Revenue Code	250
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$6.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.80
Rate for Payer: Aetna Government	$3.80
Rate for Payer: Brighton Health Commercial	$5.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.17
Rate for Payer: Group Health Inc Commercial	$3.80
Rate for Payer: Group Health Inc Medicare	$2.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.80
Rate for Payer: Hamaspik Choice Inc Medicare	$3.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.94

RISPERIDONE 2 MG PO TABS [18311]

Facility

$7.06

Service Code	NDC 00904636061
Hospital Charge Code	00904636061
Hospital Revenue Code	250
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$5.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.53
Rate for Payer: Aetna Government	$3.53
Rate for Payer: Brighton Health Commercial	$5.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.80
Rate for Payer: Group Health Inc Commercial	$3.53
Rate for Payer: Group Health Inc Medicare	$2.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.53
Rate for Payer: Hamaspik Choice Inc Medicare	$3.53
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.59

RISPERIDONE 2 MG PO TABS [18311]

Facility

$7.61

Service Code	NDC 13668003860
Hospital Charge Code	13668003860
Hospital Revenue Code	250
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$6.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.80
Rate for Payer: Aetna Government	$3.80
Rate for Payer: Brighton Health Commercial	$5.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.17
Rate for Payer: Group Health Inc Commercial	$3.80
Rate for Payer: Group Health Inc Medicare	$2.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.80
Rate for Payer: Hamaspik Choice Inc Medicare	$3.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.94

RISPERIDONE 2 MG TAB

Facility

$1.00

Hospital Charge Code	41640306
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

Know your out-of-pocket cost for care.

All Charges