St. Barnabas Hospital

All Charges

Charge

Type

Price

CEFOTAXIME 1000 MG INJ

Facility OP

$3.21

Service Code	HCPCS J0698
Hospital Charge Code	41641782
Hospital Revenue Code	636
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$8.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.11
Rate for Payer: Aetna Government	$8.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.85
Rate for Payer: Group Health Inc Commercial	$1.60
Rate for Payer: Group Health Inc Medicare	$1.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.09

CEFOTAXIME 1000 MG INJ

Facility IP

$3.21

Service Code	HCPCS J0698
Hospital Charge Code	41641782
Hospital Revenue Code	636
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$1.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1.60

CEFOTAXIME 2000 MG INJ

Facility IP

$3.72

Service Code	HCPCS J0698
Hospital Charge Code	41641790
Hospital Revenue Code	636
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$1.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.86
Rate for Payer: Hamaspik Choice Inc Medicare	$1.86

CEFOTAXIME 2000 MG INJ

Facility OP

$3.72

Service Code	HCPCS J0698
Hospital Charge Code	41641790
Hospital Revenue Code	636
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$8.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.11
Rate for Payer: Aetna Government	$8.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.14
Rate for Payer: Group Health Inc Commercial	$1.86
Rate for Payer: Group Health Inc Medicare	$1.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.86
Rate for Payer: Hamaspik Choice Inc Medicare	$1.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.42

CEFOTAXIME 2000 MG INJ

Facility OP

$3.72

Service Code	HCPCS J0698
Hospital Charge Code	41651790
Hospital Revenue Code	636
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$8.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.11
Rate for Payer: Aetna Government	$8.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.14
Rate for Payer: Group Health Inc Commercial	$1.86
Rate for Payer: Group Health Inc Medicare	$1.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.86
Rate for Payer: Hamaspik Choice Inc Medicare	$1.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.42

CEFOTAXIME 2000 MG INJ

Facility IP

$3.72

Service Code	HCPCS J0698
Hospital Charge Code	41651790
Hospital Revenue Code	636
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$1.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.86
Rate for Payer: Hamaspik Choice Inc Medicare	$1.86

CEFOTAXIME 230 MG/ML INJ PEDIATRIC (IM)

Facility IP

$2.00

Service Code	HCPCS J0698
Hospital Charge Code	41651778
Hospital Revenue Code	636
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1.00

CEFOTAXIME 230 MG/ML INJ PEDIATRIC (IM)

Facility OP

$2.00

Service Code	HCPCS J0698
Hospital Charge Code	41651778
Hospital Revenue Code	636
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$8.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.11
Rate for Payer: Aetna Government	$8.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.15
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	$1.30

CEFOTAXIME 230 MG/ML INJ PEDIATRIC (IM)

Facility IP

$2.00

Service Code	HCPCS J0698
Hospital Charge Code	41641778
Hospital Revenue Code	636
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1.00

CEFOTAXIME 230 MG/ML INJ PEDIATRIC (IM)

Facility OP

$2.00

Service Code	HCPCS J0698
Hospital Charge Code	41641778
Hospital Revenue Code	636
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$8.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.11
Rate for Payer: Aetna Government	$8.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.15
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	$1.30

CEFOTAXIME 300 MG/ML INJ PEDIATRIC (IM)

Facility IP

$1.00

Service Code	HCPCS J0698
Hospital Charge Code	41641771
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

CEFOTAXIME 300 MG/ML INJ PEDIATRIC (IM)

Facility IP

$1.00

Service Code	HCPCS J0698
Hospital Charge Code	41651771
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

CEFOTAXIME 300 MG/ML INJ PEDIATRIC (IM)

Facility OP

$1.00

Service Code	HCPCS J0698
Hospital Charge Code	41651771
Hospital Revenue Code	636
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$8.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.11
Rate for Payer: Aetna Government	$8.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.58
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

CEFOTAXIME 300 MG/ML INJ PEDIATRIC (IM)

Facility OP

$1.00

Service Code	HCPCS J0698
Hospital Charge Code	41641771
Hospital Revenue Code	636
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$8.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.11
Rate for Payer: Aetna Government	$8.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.58
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

CEFOTAXIME 500 MG INJ

Facility IP

$1.35

Service Code	HCPCS J0698
Hospital Charge Code	41651053
Hospital Revenue Code	636
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$0.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.68
Rate for Payer: Hamaspik Choice Inc Medicare	$0.68

CEFOTAXIME 500 MG INJ

Facility IP

$1.35

Service Code	HCPCS J0698
Hospital Charge Code	41641053
Hospital Revenue Code	636
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$0.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.68
Rate for Payer: Hamaspik Choice Inc Medicare	$0.68

CEFOTAXIME 500 MG INJ

Facility OP

$1.35

Service Code	HCPCS J0698
Hospital Charge Code	41651053
Hospital Revenue Code	636
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$8.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.11
Rate for Payer: Aetna Government	$8.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.78
Rate for Payer: Group Health Inc Commercial	$0.68
Rate for Payer: Group Health Inc Medicare	$0.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.68
Rate for Payer: Hamaspik Choice Inc Medicare	$0.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.88

CEFOTAXIME 500 MG INJ

Facility OP

$1.35

Service Code	HCPCS J0698
Hospital Charge Code	41641053
Hospital Revenue Code	636
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$8.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.11
Rate for Payer: Aetna Government	$8.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.78
Rate for Payer: Group Health Inc Commercial	$0.68
Rate for Payer: Group Health Inc Medicare	$0.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.68
Rate for Payer: Hamaspik Choice Inc Medicare	$0.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.88

CEFOTAXIME 50 MG/ML INJ PEDIATRIC (IV)

Facility OP

$2.00

Service Code	HCPCS J0698
Hospital Charge Code	41651788
Hospital Revenue Code	636
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$8.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.11
Rate for Payer: Aetna Government	$8.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.15
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	$1.30

CEFOTAXIME 50 MG/ML INJ PEDIATRIC (IV)

Facility IP

$2.00

Service Code	HCPCS J0698
Hospital Charge Code	41641788
Hospital Revenue Code	636
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1.00

CEFOTAXIME 50 MG/ML INJ PEDIATRIC (IV)

Facility OP

$2.00

Service Code	HCPCS J0698
Hospital Charge Code	41641788
Hospital Revenue Code	636
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$8.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.11
Rate for Payer: Aetna Government	$8.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.15
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	$1.30

CEFOTAXIME 50 MG/ML INJ PEDIATRIC (IV)

Facility IP

$2.00

Service Code	HCPCS J0698
Hospital Charge Code	41651788
Hospital Revenue Code	636
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1.00

CEFOTAXIME 95 MG/ML INJ PEDIATRIC (IV)

Facility IP

$3.00

Service Code	HCPCS J0698
Hospital Charge Code	41651789
Hospital Revenue Code	636
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1.50

CEFOTAXIME 95 MG/ML INJ PEDIATRIC (IV)

Facility OP

$3.00

Service Code	HCPCS J0698
Hospital Charge Code	41651789
Hospital Revenue Code	636
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$8.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.11
Rate for Payer: Aetna Government	$8.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.72
Rate for Payer: Group Health Inc Commercial	$1.50
Rate for Payer: Group Health Inc Medicare	$1.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.95

CEFOTAXIME 95 MG/ML INJ PEDIATRIC (IV)

Facility IP

$3.00

Service Code	HCPCS J0698
Hospital Charge Code	41641789
Hospital Revenue Code	636
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1.50

Price Transparency.

All Charges