St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

Digestive malignancy

Facility

$59,864.65

Service Code	APR-DRG 2403
Min. Negotiated Rate	$17,113.00
Max. Negotiated Rate	$59,864.65
Rate for Payer: Affinity Essential Plan 1&2	$59,864.65
Rate for Payer: Affinity Essential Plan 3&4	$59,864.65
Rate for Payer: Affinity Medicaid/CHP/HARP	$26,606.51
Rate for Payer: Amida Care Medicaid	$26,606.51
Rate for Payer: EmblemHealth Essential Plan 1&2	$59,864.65
Rate for Payer: EmblemHealth Essential Plan 3&4	$26,606.51
Rate for Payer: Fidelis CHP/HARP/Medicaid	$26,606.51
Rate for Payer: Fidelis Qualified Health Plan	$31,927.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$26,606.51
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$26,606.51
Rate for Payer: Healthfirst Commercial	$26,516.00
Rate for Payer: Healthfirst Essential Plan	$59,864.65
Rate for Payer: Healthfirst QHP	$17,113.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$26,606.51
Rate for Payer: SOMOS Essential	$59,864.65
Rate for Payer: United Healthcare Essential Plan 1&2	$59,864.65
Rate for Payer: United Healthcare Essential Plan 3&4	$59,864.65
Rate for Payer: United Healthcare Medicaid	$26,606.51
Rate for Payer: Wellcare CHP/FHP/Medicaid	$26,606.51

Digestive malignancy

Facility

$84,320.03

Service Code	APR-DRG 2404
Min. Negotiated Rate	$31,040.00
Max. Negotiated Rate	$84,320.03
Rate for Payer: Affinity Essential Plan 1&2	$84,320.03
Rate for Payer: Affinity Essential Plan 3&4	$84,320.03
Rate for Payer: Affinity Medicaid/CHP/HARP	$37,475.57
Rate for Payer: Amida Care Medicaid	$37,475.57
Rate for Payer: EmblemHealth Essential Plan 1&2	$84,320.03
Rate for Payer: EmblemHealth Essential Plan 3&4	$37,475.57
Rate for Payer: Fidelis CHP/HARP/Medicaid	$37,475.57
Rate for Payer: Fidelis Qualified Health Plan	$44,970.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$37,475.57
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$37,475.57
Rate for Payer: Healthfirst Commercial	$51,649.00
Rate for Payer: Healthfirst Essential Plan	$84,320.03
Rate for Payer: Healthfirst QHP	$31,040.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$37,475.57
Rate for Payer: SOMOS Essential	$84,320.03
Rate for Payer: United Healthcare Essential Plan 1&2	$84,320.03
Rate for Payer: United Healthcare Essential Plan 3&4	$84,320.03
Rate for Payer: United Healthcare Medicaid	$37,475.57
Rate for Payer: Wellcare CHP/FHP/Medicaid	$37,475.57

Digestive malignancy

Facility

$44,324.37

Service Code	APR-DRG 2401
Min. Negotiated Rate	$7,556.00
Max. Negotiated Rate	$44,324.37
Rate for Payer: Affinity Essential Plan 1&2	$44,324.37
Rate for Payer: Affinity Essential Plan 3&4	$44,324.37
Rate for Payer: Affinity Medicaid/CHP/HARP	$19,699.72
Rate for Payer: Amida Care Medicaid	$19,699.72
Rate for Payer: EmblemHealth Essential Plan 1&2	$44,324.37
Rate for Payer: EmblemHealth Essential Plan 3&4	$19,699.72
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,699.72
Rate for Payer: Fidelis Qualified Health Plan	$23,639.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,699.72
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,699.72
Rate for Payer: Healthfirst Commercial	$13,911.00
Rate for Payer: Healthfirst Essential Plan	$44,324.37
Rate for Payer: Healthfirst QHP	$7,556.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,699.72
Rate for Payer: SOMOS Essential	$44,324.37
Rate for Payer: United Healthcare Essential Plan 1&2	$44,324.37
Rate for Payer: United Healthcare Essential Plan 3&4	$44,324.37
Rate for Payer: United Healthcare Medicaid	$19,699.72
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,699.72

DIGESTIVE MALIGNANCY

Facility

$200.15

Service Code	EAPG 00620
Min. Negotiated Rate	$145.80
Max. Negotiated Rate	$200.15
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$145.80
Rate for Payer: Healthfirst Commercial	$200.15

DIGOXIN 0.05 MG/ML PO SOLN

Facility

$2.80

Service Code	NDC 0054005746
Hospital Charge Code	0054005746
Hospital Revenue Code	250
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$1.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.40

DIGOXIN 0.05 MG/ML PO SOLN

Facility

$2.80

Service Code	NDC 0054005746
Hospital Charge Code	0054005746
Hospital Revenue Code	250
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$2.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.40
Rate for Payer: Aetna Government	$1.40
Rate for Payer: Brighton Health Commercial	$2.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.90
Rate for Payer: EmblemHealth Commercial	$1.40
Rate for Payer: Group Health Inc Commercial	$1.40
Rate for Payer: Group Health Inc Medicare	$0.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.40
Rate for Payer: Hamaspik Choice Inc Medicare	$1.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.82

DIGOXIN 0.1 MG/ML IJ SOLN

Facility

$165.28

Service Code	HCPCS J1160
Hospital Charge Code	7051526210
Hospital Revenue Code	250
Min. Negotiated Rate	$82.64
Max. Negotiated Rate	$82.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.64

DIGOXIN 0.1 MG/ML IJ SOLN

Facility

$171.87

Service Code	HCPCS J1160
Hospital Charge Code	7051526310
Hospital Revenue Code	250
Min. Negotiated Rate	$9.05
Max. Negotiated Rate	$137.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$94.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.42
Rate for Payer: Aetna Government	$14.42
Rate for Payer: Brighton Health Commercial	$128.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$137.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$116.87
Rate for Payer: EmblemHealth Commercial	$85.94
Rate for Payer: Group Health Inc Commercial	$85.94
Rate for Payer: Group Health Inc Medicare	$60.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$85.94
Rate for Payer: Hamaspik Choice Inc Medicare	$85.94
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$9.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$111.72

DIGOXIN 0.1 MG/ML IJ SOLN

Facility

$165.28

Service Code	HCPCS J1160
Hospital Charge Code	7051526210
Hospital Revenue Code	250
Min. Negotiated Rate	$9.05
Max. Negotiated Rate	$132.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$90.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.42
Rate for Payer: Aetna Government	$14.42
Rate for Payer: Brighton Health Commercial	$123.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$132.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.39
Rate for Payer: EmblemHealth Commercial	$82.64
Rate for Payer: Group Health Inc Commercial	$82.64
Rate for Payer: Group Health Inc Medicare	$57.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.64
Rate for Payer: Hamaspik Choice Inc Medicare	$82.64
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$9.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$107.43

DIGOXIN 0.1 MG/ML IJ SOLN

Facility

$171.87

Service Code	HCPCS J1160
Hospital Charge Code	7051526310
Hospital Revenue Code	250
Min. Negotiated Rate	$85.94
Max. Negotiated Rate	$85.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$85.94

DIGOXIN 0.25 MG/ML IJ SOLN

Facility

$3.74

Service Code	HCPCS J1160
Hospital Charge Code	0781305972
Hospital Revenue Code	250
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$14.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.42
Rate for Payer: Aetna Government	$14.42
Rate for Payer: Brighton Health Commercial	$2.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.99
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.54
Rate for Payer: EmblemHealth Commercial	$1.87
Rate for Payer: Group Health Inc Commercial	$1.87
Rate for Payer: Group Health Inc Medicare	$1.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.87
Rate for Payer: Hamaspik Choice Inc Medicare	$1.87
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$9.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.43

DIGOXIN 0.25 MG/ML IJ SOLN

Facility

$3.74

Service Code	HCPCS J1160
Hospital Charge Code	0781305995
Hospital Revenue Code	250
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$1.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.87

DIGOXIN 0.25 MG/ML IJ SOLN

Facility

$3.74

Service Code	HCPCS J1160
Hospital Charge Code	0781305995
Hospital Revenue Code	250
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$14.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.42
Rate for Payer: Aetna Government	$14.42
Rate for Payer: Brighton Health Commercial	$2.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.99
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.54
Rate for Payer: EmblemHealth Commercial	$1.87
Rate for Payer: Group Health Inc Commercial	$1.87
Rate for Payer: Group Health Inc Medicare	$1.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.87
Rate for Payer: Hamaspik Choice Inc Medicare	$1.87
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$9.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.43

DIGOXIN 0.25 MG/ML IJ SOLN

Facility

$3.30

Service Code	HCPCS J1160
Hospital Charge Code	0641141035
Hospital Revenue Code	250
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$14.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.42
Rate for Payer: Aetna Government	$14.42
Rate for Payer: Brighton Health Commercial	$2.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.24
Rate for Payer: EmblemHealth Commercial	$1.65
Rate for Payer: Group Health Inc Commercial	$1.65
Rate for Payer: Group Health Inc Medicare	$1.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.65
Rate for Payer: Hamaspik Choice Inc Medicare	$1.65
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$9.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.15

DIGOXIN 0.25 MG/ML IJ SOLN

Facility

$3.30

Service Code	HCPCS J1160
Hospital Charge Code	0641141035
Hospital Revenue Code	250
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.65

DIGOXIN 0.25 MG/ML IJ SOLN

Facility

$85.94

Service Code	HCPCS J1160
Hospital Charge Code	7051526110
Hospital Revenue Code	250
Min. Negotiated Rate	$42.97
Max. Negotiated Rate	$42.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.97

DIGOXIN 0.25 MG/ML IJ SOLN

Facility

$85.94

Service Code	HCPCS J1160
Hospital Charge Code	7051526110
Hospital Revenue Code	250
Min. Negotiated Rate	$9.05
Max. Negotiated Rate	$68.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$47.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.42
Rate for Payer: Aetna Government	$14.42
Rate for Payer: Brighton Health Commercial	$64.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$68.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$58.44
Rate for Payer: EmblemHealth Commercial	$42.97
Rate for Payer: Group Health Inc Commercial	$42.97
Rate for Payer: Group Health Inc Medicare	$30.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.97
Rate for Payer: Hamaspik Choice Inc Medicare	$42.97
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$9.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$55.86

DIGOXIN 0.25 MG/ML IJ SOLN

Facility

$3.74

Service Code	HCPCS J1160
Hospital Charge Code	0781305972
Hospital Revenue Code	250
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$1.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.87

DIGOXIN 0.25 MG/ML IJ SOLN

Facility

$3.30

Service Code	HCPCS J1160
Hospital Charge Code	0641141031
Hospital Revenue Code	250
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$14.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.42
Rate for Payer: Aetna Government	$14.42
Rate for Payer: Brighton Health Commercial	$2.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.24
Rate for Payer: EmblemHealth Commercial	$1.65
Rate for Payer: Group Health Inc Commercial	$1.65
Rate for Payer: Group Health Inc Medicare	$1.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.65
Rate for Payer: Hamaspik Choice Inc Medicare	$1.65
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$9.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.15

DIGOXIN 0.25 MG/ML IJ SOLN

Facility

$3.30

Service Code	HCPCS J1160
Hospital Charge Code	0641141031
Hospital Revenue Code	250
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.65

DIGOXIN 125 MCG PO TABS

Facility

$19.86

Service Code	NDC 5921224256
Hospital Charge Code	5921224256
Hospital Revenue Code	250
Min. Negotiated Rate	$6.95
Max. Negotiated Rate	$15.89
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$9.93
Rate for Payer: Aetna Government	$9.93
Rate for Payer: Brighton Health Commercial	$14.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$15.89
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.50
Rate for Payer: EmblemHealth Commercial	$9.93
Rate for Payer: Group Health Inc Commercial	$9.93
Rate for Payer: Group Health Inc Medicare	$6.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.93
Rate for Payer: Hamaspik Choice Inc Medicare	$9.93
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$12.91

DIGOXIN 125 MCG PO TABS

Facility

$1.69

Service Code	NDC 0904592161
Hospital Charge Code	0904592161
Hospital Revenue Code	250
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$0.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.84

DIGOXIN 125 MCG PO TABS

Facility

$0.99

Service Code	NDC 6068785811
Hospital Charge Code	6068785811
Hospital Revenue Code	250
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50

DIGOXIN 125 MCG PO TABS

Facility

$2.30

Service Code	NDC 0143124001
Hospital Charge Code	0143124001
Hospital Revenue Code	250
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$1.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.15

DIGOXIN 125 MCG PO TABS

Facility

$2.30

Service Code	NDC 0143124001
Hospital Charge Code	0143124001
Hospital Revenue Code	250
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$1.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.15
Rate for Payer: Aetna Government	$1.15
Rate for Payer: Brighton Health Commercial	$1.73
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.56
Rate for Payer: EmblemHealth Commercial	$1.15
Rate for Payer: Group Health Inc Commercial	$1.15
Rate for Payer: Group Health Inc Medicare	$0.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.15
Rate for Payer: Hamaspik Choice Inc Medicare	$1.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.50

Know your out-of-pocket cost for care.

All Charges