St. Barnabas Hospital

All Charges

Charge

Type

Price

VALPROIC ACID 250 MG CAP

Facility OP

$1.00

Hospital Charge Code	41652230
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: 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

VALVE BACKCHECK

Facility OP

$7.20

Hospital Charge Code	64907319
Hospital Revenue Code	270
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$5.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.60
Rate for Payer: Aetna Government	$3.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.90
Rate for Payer: Group Health Inc Commercial	$3.60
Rate for Payer: Group Health Inc Medicare	$2.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.60
Rate for Payer: Hamaspik Choice Inc Medicare	$3.60

VALVE BRONCIAL PRELD 7MM

Facility OP

$5,300.00

Hospital Charge Code	64906890
Hospital Revenue Code	279
Min. Negotiated Rate	$1,855.00
Max. Negotiated Rate	$4,240.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,915.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,650.00
Rate for Payer: Aetna Government	$2,650.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,240.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,604.00
Rate for Payer: Group Health Inc Commercial	$2,650.00
Rate for Payer: Group Health Inc Medicare	$1,855.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,650.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,650.00

VALVE DRAIN FOR CHEST HEIMLICH

Facility OP

$74.76

Hospital Charge Code	64903041
Hospital Revenue Code	270
Min. Negotiated Rate	$26.17
Max. Negotiated Rate	$59.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$41.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$37.38
Rate for Payer: Aetna Government	$37.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$59.81
Rate for Payer: Cigna LocalPlus Benefit Plan	$50.84
Rate for Payer: Group Health Inc Commercial	$37.38
Rate for Payer: Group Health Inc Medicare	$26.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$37.38
Rate for Payer: Hamaspik Choice Inc Medicare	$37.38

VALVE GLAUCOMA DRAINAGE AHMED

Facility IP

$700.00

Service Code	HCPCS C1780
Hospital Charge Code	64906278
Hospital Revenue Code	278
Min. Negotiated Rate	$350.00
Max. Negotiated Rate	$350.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$350.00
Rate for Payer: Hamaspik Choice Inc Medicare	$350.00

VALVE GLAUCOMA DRAINAGE AHMED

Facility OP

$700.00

Service Code	HCPCS C1780
Hospital Charge Code	64906278
Hospital Revenue Code	278
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$735.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$385.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.26
Rate for Payer: Aetna Government	$2.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$350.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$402.50
Rate for Payer: Fidelis Medicare Advantage	$735.00
Rate for Payer: Group Health Inc Commercial	$350.00
Rate for Payer: Group Health Inc Medicare	$245.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$350.00
Rate for Payer: Hamaspik Choice Inc Medicare	$350.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$455.00

VALVE PASSY-MUIR PURPLE

Facility OP

$308.62

Hospital Charge Code	64903883
Hospital Revenue Code	270
Min. Negotiated Rate	$108.02
Max. Negotiated Rate	$246.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$169.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$154.31
Rate for Payer: Aetna Government	$154.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$246.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$209.86
Rate for Payer: Group Health Inc Commercial	$154.31
Rate for Payer: Group Health Inc Medicare	$108.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$154.31
Rate for Payer: Hamaspik Choice Inc Medicare	$154.31

VALVE SHUNT INLINE PRGRM CRTS

Facility OP

$4,156.67

Hospital Charge Code	64906236
Hospital Revenue Code	270
Min. Negotiated Rate	$1,454.83
Max. Negotiated Rate	$3,325.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,286.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,078.34
Rate for Payer: Aetna Government	$2,078.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,325.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,826.54
Rate for Payer: Group Health Inc Commercial	$2,078.34
Rate for Payer: Group Health Inc Medicare	$1,454.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,078.34
Rate for Payer: Hamaspik Choice Inc Medicare	$2,078.34

VALVULOPLASTY FEMORAL VEIN

Facility OP

$13,920.70

Service Code	HCPCS 34501
Hospital Charge Code	40034319
Hospital Revenue Code	360
Min. Negotiated Rate	$1,021.63
Max. Negotiated Rate	$6,960.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,387.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6,354.94
Rate for Payer: Aetna Government	$6,354.94
Rate for Payer: Cash Price	$6,354.94
Rate for Payer: Cash Price	$6,354.94
Rate for Payer: Cash Price	$6,354.94
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$6,354.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Elderplan Medicare Advantage	$6,354.94
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid	$1,021.63
Rate for Payer: Fidelis Essential Plan Aliesa	$5,401.70
Rate for Payer: Fidelis Essential Plan QHP	$5,655.90
Rate for Payer: Fidelis Medicare Advantage	$6,354.94
Rate for Payer: Fidelis Qualified Health Plan	$5,655.90
Rate for Payer: Group Health Inc Commercial	$6,354.94
Rate for Payer: Group Health Inc Medicare	$6,354.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,960.35
Rate for Payer: Hamaspik Choice Inc Medicare	$6,354.94
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,135.14
Rate for Payer: Healthfirst Medicare Advantage	$5,401.70
Rate for Payer: Healthfirst QHP	$6,354.94
Rate for Payer: Senior Whole Health Medicare Advantage	$6,354.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,354.94
Rate for Payer: Wellcare CHP/FHP/Medicaid	$5,083.95
Rate for Payer: Wellcare Medicare	$6,037.19

VALVULOTOME EXPAND 2.0-5.0

Facility OP

$4,947.50

Hospital Charge Code	64903051
Hospital Revenue Code	270
Min. Negotiated Rate	$1,731.62
Max. Negotiated Rate	$3,958.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,721.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,473.75
Rate for Payer: Aetna Government	$2,473.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,958.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,364.30
Rate for Payer: Group Health Inc Commercial	$2,473.75
Rate for Payer: Group Health Inc Medicare	$1,731.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,473.75
Rate for Payer: Hamaspik Choice Inc Medicare	$2,473.75

VANCOMYCIN

Facility OP

$33.85

Service Code	HCPCS 80202
Hospital Charge Code	40602045
Hospital Revenue Code	301
Min. Negotiated Rate	$10.83
Max. Negotiated Rate	$21.53
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$18.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.54
Rate for Payer: Aetna Government	$13.54
Rate for Payer: Cash Price	$13.54
Rate for Payer: Cash Price	$13.54
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$13.54
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.53
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.22
Rate for Payer: Elderplan Medicare Advantage	$13.54
Rate for Payer: EmblemHealth Commercial	$13.54
Rate for Payer: Fidelis CHP/HARP/Medicaid	$12.19
Rate for Payer: Fidelis Essential Plan Aliesa	$11.51
Rate for Payer: Fidelis Essential Plan QHP	$12.05
Rate for Payer: Fidelis Medicare Advantage	$13.54
Rate for Payer: Fidelis Qualified Health Plan	$12.05
Rate for Payer: Group Health Inc Commercial	$13.54
Rate for Payer: Group Health Inc Medicare	$13.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.92
Rate for Payer: Hamaspik Choice Inc Medicare	$13.54
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$13.54
Rate for Payer: Healthfirst Medicare Advantage	$13.54
Rate for Payer: Healthfirst QHP	$13.54
Rate for Payer: Senior Whole Health Medicare Advantage	$13.54
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.54
Rate for Payer: Wellcare CHP/FHP/Medicaid	$10.83
Rate for Payer: Wellcare Medicare	$12.19

VANCOMYCIN 1000 MG INJ

Facility OP

$16.25

Service Code	HCPCS J3370
Hospital Charge Code	41643951
Hospital Revenue Code	636
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$10.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.84
Rate for Payer: Aetna Government	$2.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.34
Rate for Payer: Fidelis CHP/HARP/Medicaid	$2.17
Rate for Payer: Group Health Inc Commercial	$8.12
Rate for Payer: Group Health Inc Medicare	$5.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.12
Rate for Payer: Hamaspik Choice Inc Medicare	$8.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2.73
Rate for Payer: SOMOS Essential	$2.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.56

VANCOMYCIN 1000 MG INJ

Facility IP

$16.25

Service Code	HCPCS J3370
Hospital Charge Code	41653951
Hospital Revenue Code	636
Min. Negotiated Rate	$8.12
Max. Negotiated Rate	$8.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.12
Rate for Payer: Hamaspik Choice Inc Medicare	$8.12

VANCOMYCIN 1000 MG INJ

Facility IP

$16.25

Service Code	HCPCS J3370
Hospital Charge Code	41643951
Hospital Revenue Code	636
Min. Negotiated Rate	$8.12
Max. Negotiated Rate	$8.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.12
Rate for Payer: Hamaspik Choice Inc Medicare	$8.12

VANCOMYCIN 1000 MG INJ

Facility OP

$16.25

Service Code	HCPCS J3370
Hospital Charge Code	41653951
Hospital Revenue Code	636
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$10.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.84
Rate for Payer: Aetna Government	$2.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.34
Rate for Payer: Fidelis CHP/HARP/Medicaid	$2.17
Rate for Payer: Group Health Inc Commercial	$8.12
Rate for Payer: Group Health Inc Medicare	$5.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.12
Rate for Payer: Hamaspik Choice Inc Medicare	$8.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2.73
Rate for Payer: SOMOS Essential	$2.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.56

VANCOMYCIN 5000MG PER 500MG

Facility IP

$45.00

Service Code	HCPCS J3370
Hospital Charge Code	41657123
Hospital Revenue Code	636
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.50
Rate for Payer: Hamaspik Choice Inc Medicare	$22.50

VANCOMYCIN 5000MG PER 500MG

Facility OP

$45.00

Service Code	HCPCS J3370
Hospital Charge Code	41657123
Hospital Revenue Code	636
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$29.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.84
Rate for Payer: Aetna Government	$2.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.88
Rate for Payer: Fidelis CHP/HARP/Medicaid	$2.17
Rate for Payer: Group Health Inc Commercial	$22.50
Rate for Payer: Group Health Inc Medicare	$15.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.50
Rate for Payer: Hamaspik Choice Inc Medicare	$22.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2.73
Rate for Payer: SOMOS Essential	$2.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$29.25

VANCOMYCIN, 5000MG PER 500MG

Facility OP

$45.00

Service Code	HCPCS J3370
Hospital Charge Code	41647123
Hospital Revenue Code	636
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$29.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.84
Rate for Payer: Aetna Government	$2.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.88
Rate for Payer: Fidelis CHP/HARP/Medicaid	$2.17
Rate for Payer: Group Health Inc Commercial	$22.50
Rate for Payer: Group Health Inc Medicare	$15.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.50
Rate for Payer: Hamaspik Choice Inc Medicare	$22.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2.73
Rate for Payer: SOMOS Essential	$2.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$29.25

VANCOMYCIN, 5000MG PER 500MG

Facility IP

$45.00

Service Code	HCPCS J3370
Hospital Charge Code	41647123
Hospital Revenue Code	636
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.50
Rate for Payer: Hamaspik Choice Inc Medicare	$22.50

VANCOMYCIN 5 MG/ML INJ PEDIATRICS

Facility IP

$1.00

Service Code	HCPCS J3370
Hospital Charge Code	41644138
Hospital Revenue Code	636
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50

VANCOMYCIN 5 MG/ML INJ PEDIATRICS

Facility OP

$1.00

Service Code	HCPCS J3370
Hospital Charge Code	41654138
Hospital Revenue Code	636
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$2.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.84
Rate for Payer: Aetna Government	$2.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.58
Rate for Payer: Fidelis CHP/HARP/Medicaid	$2.17
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: Healthfirst CHP/FHP/Medicaid	$2.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2.73
Rate for Payer: SOMOS Essential	$2.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

VANCOMYCIN 5 MG/ML INJ PEDIATRICS

Facility IP

$1.00

Service Code	HCPCS J3370
Hospital Charge Code	41654138
Hospital Revenue Code	636
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50

VANCOMYCIN 5 MG/ML INJ PEDIATRICS

Facility OP

$1.00

Service Code	HCPCS J3370
Hospital Charge Code	41644138
Hospital Revenue Code	636
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$2.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.84
Rate for Payer: Aetna Government	$2.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.58
Rate for Payer: Fidelis CHP/HARP/Medicaid	$2.17
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: Healthfirst CHP/FHP/Medicaid	$2.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2.73
Rate for Payer: SOMOS Essential	$2.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

VANCOMYCIN 750 MG/D5W 250 ML PREMIX

Facility IP

$17.90

Hospital Charge Code	41644659
Hospital Revenue Code	636
Min. Negotiated Rate	$8.95
Max. Negotiated Rate	$8.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.95
Rate for Payer: Hamaspik Choice Inc Medicare	$8.95

VANCOMYCIN 750 MG/D5W 250 ML PREMIX

Facility IP

$17.90

Hospital Charge Code	41654659
Hospital Revenue Code	636
Min. Negotiated Rate	$8.95
Max. Negotiated Rate	$8.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.95
Rate for Payer: Hamaspik Choice Inc Medicare	$8.95

Price Transparency.

All Charges