St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

VINCRISTINE 1 MG/ML INJ 2 ML

Facility

$6.11

Service Code	HCPCS J9370
Hospital Charge Code	41640655
Hospital Revenue Code	636
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.06
Rate for Payer: Hamaspik Choice Inc Medicare	$3.06

VINCRISTINE 1 MG/ML INJ 2 ML

Facility

$6.11

Service Code	HCPCS J9370
Hospital Charge Code	41640655
Hospital Revenue Code	636
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$8.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.03
Rate for Payer: Aetna Government	$5.03
Rate for Payer: Brighton Health Commercial	$3.67
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.51
Rate for Payer: Group Health Inc Commercial	$3.06
Rate for Payer: Group Health Inc Medicare	$2.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.06
Rate for Payer: Hamaspik Choice Inc Medicare	$3.06
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8.39
Rate for Payer: SOMOS Essential	$8.39
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.97

VINCRISTINE 1 MG/ML INJ 2 ML

Facility

$6.11

Service Code	HCPCS J9370
Hospital Charge Code	41650655
Hospital Revenue Code	636
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$8.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.03
Rate for Payer: Aetna Government	$5.03
Rate for Payer: Brighton Health Commercial	$3.67
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.51
Rate for Payer: Group Health Inc Commercial	$3.06
Rate for Payer: Group Health Inc Medicare	$2.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.06
Rate for Payer: Hamaspik Choice Inc Medicare	$3.06
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8.39
Rate for Payer: SOMOS Essential	$8.39
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.97

VINCRISTINE 1 MG/ML INJ 2 ML

Facility

$6.11

Service Code	HCPCS J9370
Hospital Charge Code	41650655
Hospital Revenue Code	636
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.06
Rate for Payer: Hamaspik Choice Inc Medicare	$3.06

VINCRISTINE SULFATE 2 MG/2ML IV SOLN [195805]

Facility

$21.30

Service Code	HCPCS J9370
Hospital Charge Code	61703030906
Hospital Revenue Code	278
Min. Negotiated Rate	$5.03
Max. Negotiated Rate	$22.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.03
Rate for Payer: Aetna Government	$5.03
Rate for Payer: Brighton Health Commercial	$12.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$12.25
Rate for Payer: EmblemHealth Commercial	$10.65
Rate for Payer: Fidelis Medicare Advantage	$22.36
Rate for Payer: Group Health Inc Commercial	$10.65
Rate for Payer: Group Health Inc Medicare	$7.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.65
Rate for Payer: Hamaspik Choice Inc Medicare	$10.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.84

VINCRISTINE SULFATE 2 MG/2ML IV SOLN [195805]

Facility

$9.24

Service Code	HCPCS J9370
Hospital Charge Code	61703030916
Hospital Revenue Code	278
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$9.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.03
Rate for Payer: Aetna Government	$5.03
Rate for Payer: Brighton Health Commercial	$5.54
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.31
Rate for Payer: EmblemHealth Commercial	$4.62
Rate for Payer: Fidelis Medicare Advantage	$9.70
Rate for Payer: Group Health Inc Commercial	$4.62
Rate for Payer: Group Health Inc Medicare	$3.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.62
Rate for Payer: Hamaspik Choice Inc Medicare	$4.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.01

VINCRISTINE SULFATE 2 MG/2ML IV SOLN [195805]

Facility

$21.30

Service Code	HCPCS J9370
Hospital Charge Code	61703030906
Hospital Revenue Code	278
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.65
Rate for Payer: Hamaspik Choice Inc Medicare	$10.65

VINCRISTINE SULFATE 2 MG/2ML IV SOLN [195805]

Facility

$18.06

Service Code	HCPCS J9370
Hospital Charge Code	00703441211
Hospital Revenue Code	278
Min. Negotiated Rate	$5.03
Max. Negotiated Rate	$18.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.03
Rate for Payer: Aetna Government	$5.03
Rate for Payer: Brighton Health Commercial	$10.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.38
Rate for Payer: EmblemHealth Commercial	$9.03
Rate for Payer: Fidelis Medicare Advantage	$18.96
Rate for Payer: Group Health Inc Commercial	$9.03
Rate for Payer: Group Health Inc Medicare	$6.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.03
Rate for Payer: Hamaspik Choice Inc Medicare	$9.03
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$11.74

VINCRISTINE SULFATE 2 MG/2ML IV SOLN [195805]

Facility

$18.06

Service Code	HCPCS J9370
Hospital Charge Code	00703441211
Hospital Revenue Code	278
Min. Negotiated Rate	$9.03
Max. Negotiated Rate	$9.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.03
Rate for Payer: Hamaspik Choice Inc Medicare	$9.03

VINCRISTINE SULFATE 2 MG/2ML IV SOLN [195805]

Facility

$9.24

Service Code	HCPCS J9370
Hospital Charge Code	61703030916
Hospital Revenue Code	278
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$4.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.62
Rate for Payer: Hamaspik Choice Inc Medicare	$4.62

VINORELBINE 10 MG/ML INJ 1ML

Facility

$20.00

Service Code	HCPCS J9390
Hospital Charge Code	41644589
Hospital Revenue Code	636
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$10.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.00
Rate for Payer: Hamaspik Choice Inc Medicare	$10.00

VINORELBINE 10 MG/ML INJ 1ML

Facility

$20.00

Service Code	HCPCS J9390
Hospital Charge Code	41644589
Hospital Revenue Code	636
Min. Negotiated Rate	$7.00
Max. Negotiated Rate	$13.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.01
Rate for Payer: Aetna Government	$10.01
Rate for Payer: Brighton Health Commercial	$12.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.50
Rate for Payer: Group Health Inc Commercial	$10.00
Rate for Payer: Group Health Inc Medicare	$7.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.00
Rate for Payer: Hamaspik Choice Inc Medicare	$10.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$9.01
Rate for Payer: SOMOS Essential	$9.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.00

VINORELBINE 10 MG/ML INJ 1ML

Facility

$20.00

Service Code	HCPCS J9390
Hospital Charge Code	41654589
Hospital Revenue Code	636
Min. Negotiated Rate	$7.00
Max. Negotiated Rate	$13.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.01
Rate for Payer: Aetna Government	$10.01
Rate for Payer: Brighton Health Commercial	$12.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.50
Rate for Payer: Group Health Inc Commercial	$10.00
Rate for Payer: Group Health Inc Medicare	$7.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.00
Rate for Payer: Hamaspik Choice Inc Medicare	$10.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$9.01
Rate for Payer: SOMOS Essential	$9.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.00

VINORELBINE 10 MG/ML INJ 1ML

Facility

$20.00

Service Code	HCPCS J9390
Hospital Charge Code	41654589
Hospital Revenue Code	636
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$10.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.00
Rate for Payer: Hamaspik Choice Inc Medicare	$10.00

VINORELBINE 10 MG/ML INJ 5 ML

Facility

$14.82

Service Code	HCPCS J9390
Hospital Charge Code	41654335
Hospital Revenue Code	636
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$10.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.01
Rate for Payer: Aetna Government	$10.01
Rate for Payer: Brighton Health Commercial	$8.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.52
Rate for Payer: Group Health Inc Commercial	$7.41
Rate for Payer: Group Health Inc Medicare	$5.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.41
Rate for Payer: Hamaspik Choice Inc Medicare	$7.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$9.01
Rate for Payer: SOMOS Essential	$9.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9.63

VINORELBINE 10 MG/ML INJ 5 ML

Facility

$14.82

Service Code	HCPCS J9390
Hospital Charge Code	41654335
Hospital Revenue Code	636
Min. Negotiated Rate	$7.41
Max. Negotiated Rate	$7.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.41
Rate for Payer: Hamaspik Choice Inc Medicare	$7.41

VINORELBINE 10 MG/ML INJ 5 ML

Facility

$14.82

Service Code	HCPCS J9390
Hospital Charge Code	41644335
Hospital Revenue Code	636
Min. Negotiated Rate	$7.41
Max. Negotiated Rate	$7.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.41
Rate for Payer: Hamaspik Choice Inc Medicare	$7.41

VINORELBINE 10 MG/ML INJ 5 ML

Facility

$14.82

Service Code	HCPCS J9390
Hospital Charge Code	41644335
Hospital Revenue Code	636
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$10.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.01
Rate for Payer: Aetna Government	$10.01
Rate for Payer: Brighton Health Commercial	$8.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.52
Rate for Payer: Group Health Inc Commercial	$7.41
Rate for Payer: Group Health Inc Medicare	$5.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.41
Rate for Payer: Hamaspik Choice Inc Medicare	$7.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$9.01
Rate for Payer: SOMOS Essential	$9.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9.63

VINORELBINE TARTRATE 10 MG/ML IV SOLN [14203]

Facility

$30.00

Service Code	HCPCS J9390
Hospital Charge Code	25021020401
Hospital Revenue Code	278
Min. Negotiated Rate	$10.01
Max. Negotiated Rate	$31.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.01
Rate for Payer: Aetna Government	$10.01
Rate for Payer: Brighton Health Commercial	$18.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$15.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$17.25
Rate for Payer: EmblemHealth Commercial	$15.00
Rate for Payer: Fidelis Medicare Advantage	$31.50
Rate for Payer: Group Health Inc Commercial	$15.00
Rate for Payer: Group Health Inc Medicare	$10.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.00
Rate for Payer: Hamaspik Choice Inc Medicare	$15.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$19.50

VINORELBINE TARTRATE 10 MG/ML IV SOLN [14203]

Facility

$30.00

Service Code	HCPCS J9390
Hospital Charge Code	25021020401
Hospital Revenue Code	278
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.00
Rate for Payer: Hamaspik Choice Inc Medicare	$15.00

VINORELBINE TARTRATE 50 MG/5ML IV SOLN [41673]

Facility

$21.60

Service Code	HCPCS J9390
Hospital Charge Code	25021020405
Hospital Revenue Code	278
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$10.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.80
Rate for Payer: Hamaspik Choice Inc Medicare	$10.80

VINORELBINE TARTRATE 50 MG/5ML IV SOLN [41673]

Facility

$21.60

Service Code	HCPCS J9390
Hospital Charge Code	25021020405
Hospital Revenue Code	278
Min. Negotiated Rate	$7.56
Max. Negotiated Rate	$22.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.01
Rate for Payer: Aetna Government	$10.01
Rate for Payer: Brighton Health Commercial	$12.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$12.42
Rate for Payer: EmblemHealth Commercial	$10.80
Rate for Payer: Fidelis Medicare Advantage	$22.68
Rate for Payer: Group Health Inc Commercial	$10.80
Rate for Payer: Group Health Inc Medicare	$7.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.80
Rate for Payer: Hamaspik Choice Inc Medicare	$10.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$14.04

VIOKACE 39,150-10,440-39,150 UNIT

Facility

$4.38

Hospital Charge Code	41658410
Hospital Revenue Code	250
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$3.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.19
Rate for Payer: Aetna Government	$2.19
Rate for Payer: Brighton Health Commercial	$3.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.98
Rate for Payer: Group Health Inc Commercial	$2.19
Rate for Payer: Group Health Inc Medicare	$1.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.19
Rate for Payer: Hamaspik Choice Inc Medicare	$2.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.85

VIOKACE 39,150-10,440-39,150 UNIT

Facility

$4.38

Hospital Charge Code	41648410
Hospital Revenue Code	250
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$3.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.19
Rate for Payer: Aetna Government	$2.19
Rate for Payer: Brighton Health Commercial	$3.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.98
Rate for Payer: Group Health Inc Commercial	$2.19
Rate for Payer: Group Health Inc Medicare	$1.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.19
Rate for Payer: Hamaspik Choice Inc Medicare	$2.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.85

VIPERSLIDE LUBRICANT, 100ML

Facility

$1,800.00

Hospital Charge Code	40006515
Hospital Revenue Code	272
Min. Negotiated Rate	$630.00
Max. Negotiated Rate	$1,440.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$990.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$900.00
Rate for Payer: Aetna Government	$900.00
Rate for Payer: Brighton Health Commercial	$1,350.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,440.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,224.00
Rate for Payer: Group Health Inc Commercial	$900.00
Rate for Payer: Group Health Inc Medicare	$630.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$900.00
Rate for Payer: Hamaspik Choice Inc Medicare	$900.00

Know your out-of-pocket cost for care.

All Charges