St. Barnabas Hospital

All Charges

Charge

Type

Price

ERGOCALCIFEROL 8,000 INTL UNITS/ML LIQUI

Facility OP

$122.00

Hospital Charge Code	41650945
Hospital Revenue Code	250
Min. Negotiated Rate	$42.70
Max. Negotiated Rate	$97.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$67.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$61.00
Rate for Payer: Aetna Government	$61.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$97.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$82.96
Rate for Payer: Group Health Inc Commercial	$61.00
Rate for Payer: Group Health Inc Medicare	$42.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.00
Rate for Payer: Hamaspik Choice Inc Medicare	$61.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$79.30

ERIBULIN 1MG/2ML INJ

Facility OP

$258.50

Service Code	HCPCS J9179
Hospital Charge Code	41656650
Hospital Revenue Code	636
Min. Negotiated Rate	$102.95
Max. Negotiated Rate	$10,295.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$142.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.02
Rate for Payer: Aetna Government	$134.02
Rate for Payer: Amida Care Medicaid	$102.95
Rate for Payer: Cash Price	$134.02
Rate for Payer: Cash Price	$134.02
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$134.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$129.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$148.64
Rate for Payer: Elderplan Medicare Advantage	$134.02
Rate for Payer: EmblemHealth Commercial	$134.02
Rate for Payer: Fidelis CHP/HARP/Medicaid	$10,295.00
Rate for Payer: Fidelis Essential Plan Aliesa	$102.95
Rate for Payer: Fidelis Essential Plan QHP	$102.95
Rate for Payer: Fidelis Medicare Advantage	$134.02
Rate for Payer: Fidelis Qualified Health Plan	$108.10
Rate for Payer: Group Health Inc Commercial	$134.02
Rate for Payer: Group Health Inc Medicare	$134.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$102.95
Rate for Payer: Hamaspik Choice Inc Medicare	$129.25
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$102.95
Rate for Payer: Healthfirst Essential Plan	$102.95
Rate for Payer: Healthfirst Medicare Advantage	$113.91
Rate for Payer: Healthfirst QHP	$102.95
Rate for Payer: Senior Whole Health Medicare Advantage	$134.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$102.95
Rate for Payer: SOMOS Essential	$102.95
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$168.02
Rate for Payer: Wellcare CHP/FHP/Medicaid	$107.21
Rate for Payer: Wellcare Medicare	$127.32

ERIBULIN 1MG/2ML INJ

Facility IP

$258.50

Service Code	HCPCS J9179
Hospital Charge Code	41656650
Hospital Revenue Code	636
Min. Negotiated Rate	$129.25
Max. Negotiated Rate	$129.25
Rate for Payer: Cash Price	$134.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$129.25
Rate for Payer: Hamaspik Choice Inc Medicare	$129.25

ERSD SERV 4 VISITS P MO<2YR

Facility OP

$2,759.33

Service Code	HCPCS 90951
Hospital Charge Code	30306406
Hospital Revenue Code	510
Min. Negotiated Rate	$173.89
Max. Negotiated Rate	$1,517.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,517.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$809.51
Rate for Payer: Aetna Government	$809.51
Rate for Payer: Brighton Health Commercial	$233.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$204.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$173.89
Rate for Payer: Fidelis CHP/HARP/Medicaid	$1,219.33
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,379.66
Rate for Payer: Hamaspik Choice Inc Medicare	$1,379.66
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,354.81

ERTAPENEM 1G/LIDOCAINE 1% INJ

Facility OP

$160.18

Service Code	HCPCS J1335
Hospital Charge Code	41647844
Hospital Revenue Code	636
Min. Negotiated Rate	$11.99
Max. Negotiated Rate	$104.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.24
Rate for Payer: Aetna Government	$28.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.10
Rate for Payer: Fidelis CHP/HARP/Medicaid	$11.99
Rate for Payer: Group Health Inc Commercial	$80.09
Rate for Payer: Group Health Inc Medicare	$56.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.09
Rate for Payer: Hamaspik Choice Inc Medicare	$80.09
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$13.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$12.61
Rate for Payer: SOMOS Essential	$12.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.12

ERTAPENEM 1G/LIDOCAINE 1% INJ

Facility OP

$160.18

Service Code	HCPCS J1335
Hospital Charge Code	41657844
Hospital Revenue Code	636
Min. Negotiated Rate	$11.99
Max. Negotiated Rate	$104.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.24
Rate for Payer: Aetna Government	$28.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.10
Rate for Payer: Fidelis CHP/HARP/Medicaid	$11.99
Rate for Payer: Group Health Inc Commercial	$80.09
Rate for Payer: Group Health Inc Medicare	$56.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.09
Rate for Payer: Hamaspik Choice Inc Medicare	$80.09
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$13.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$12.61
Rate for Payer: SOMOS Essential	$12.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.12

ERTAPENEM 1G/LIDOCAINE 1% INJ

Facility IP

$160.18

Service Code	HCPCS J1335
Hospital Charge Code	41647844
Hospital Revenue Code	636
Min. Negotiated Rate	$80.09
Max. Negotiated Rate	$80.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.09
Rate for Payer: Hamaspik Choice Inc Medicare	$80.09

ERTAPENEM 1G/LIDOCAINE 1% INJ

Facility IP

$160.18

Service Code	HCPCS J1335
Hospital Charge Code	41657844
Hospital Revenue Code	636
Min. Negotiated Rate	$80.09
Max. Negotiated Rate	$80.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.09
Rate for Payer: Hamaspik Choice Inc Medicare	$80.09

ERTAPENEM 1 GRAM INJ

Facility OP

$70.01

Service Code	HCPCS J1335
Hospital Charge Code	41643153
Hospital Revenue Code	636
Min. Negotiated Rate	$11.99
Max. Negotiated Rate	$45.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.24
Rate for Payer: Aetna Government	$28.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$35.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.26
Rate for Payer: Fidelis CHP/HARP/Medicaid	$11.99
Rate for Payer: Group Health Inc Commercial	$35.00
Rate for Payer: Group Health Inc Medicare	$24.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.00
Rate for Payer: Hamaspik Choice Inc Medicare	$35.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$13.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$12.61
Rate for Payer: SOMOS Essential	$12.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$45.51

ERTAPENEM 1 GRAM INJ

Facility OP

$70.01

Service Code	HCPCS J1335
Hospital Charge Code	41653153
Hospital Revenue Code	636
Min. Negotiated Rate	$11.99
Max. Negotiated Rate	$45.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.24
Rate for Payer: Aetna Government	$28.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$35.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.26
Rate for Payer: Fidelis CHP/HARP/Medicaid	$11.99
Rate for Payer: Group Health Inc Commercial	$35.00
Rate for Payer: Group Health Inc Medicare	$24.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.00
Rate for Payer: Hamaspik Choice Inc Medicare	$35.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$13.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$12.61
Rate for Payer: SOMOS Essential	$12.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$45.51

ERTAPENEM 1 GRAM INJ

Facility IP

$70.01

Service Code	HCPCS J1335
Hospital Charge Code	41643153
Hospital Revenue Code	636
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$35.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.00
Rate for Payer: Hamaspik Choice Inc Medicare	$35.00

ERTAPENEM 1 GRAM INJ

Facility IP

$70.01

Service Code	HCPCS J1335
Hospital Charge Code	41653153
Hospital Revenue Code	636
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$35.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.00
Rate for Payer: Hamaspik Choice Inc Medicare	$35.00

ERTAPENEM 500 MG INJ

Facility IP

$106.25

Service Code	HCPCS J1335
Hospital Charge Code	41640301
Hospital Revenue Code	636
Min. Negotiated Rate	$53.12
Max. Negotiated Rate	$53.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.12
Rate for Payer: Hamaspik Choice Inc Medicare	$53.12

ERTAPENEM 500 MG INJ

Facility IP

$106.25

Service Code	HCPCS J1335
Hospital Charge Code	41650301
Hospital Revenue Code	636
Min. Negotiated Rate	$53.12
Max. Negotiated Rate	$53.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.12
Rate for Payer: Hamaspik Choice Inc Medicare	$53.12

ERTAPENEM 500 MG INJ

Facility OP

$106.25

Service Code	HCPCS J1335
Hospital Charge Code	41640301
Hospital Revenue Code	636
Min. Negotiated Rate	$11.99
Max. Negotiated Rate	$69.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.24
Rate for Payer: Aetna Government	$28.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$61.09
Rate for Payer: Fidelis CHP/HARP/Medicaid	$11.99
Rate for Payer: Group Health Inc Commercial	$53.12
Rate for Payer: Group Health Inc Medicare	$37.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.12
Rate for Payer: Hamaspik Choice Inc Medicare	$53.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$13.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$12.61
Rate for Payer: SOMOS Essential	$12.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$69.06

ERTAPENEM 500 MG INJ

Facility OP

$106.25

Service Code	HCPCS J1335
Hospital Charge Code	41650301
Hospital Revenue Code	636
Min. Negotiated Rate	$11.99
Max. Negotiated Rate	$69.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.24
Rate for Payer: Aetna Government	$28.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$61.09
Rate for Payer: Fidelis CHP/HARP/Medicaid	$11.99
Rate for Payer: Group Health Inc Commercial	$53.12
Rate for Payer: Group Health Inc Medicare	$37.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.12
Rate for Payer: Hamaspik Choice Inc Medicare	$53.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$13.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$12.61
Rate for Payer: SOMOS Essential	$12.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$69.06

ERYTHROMYCIN 0.5% OPHTHALMIC OINT 1 GRAM

Facility OP

$13.00

Hospital Charge Code	41651420
Hospital Revenue Code	250
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$10.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.50
Rate for Payer: Aetna Government	$6.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.84
Rate for Payer: Group Health Inc Commercial	$6.50
Rate for Payer: Group Health Inc Medicare	$4.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.50
Rate for Payer: Hamaspik Choice Inc Medicare	$6.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.45

ERYTHROMYCIN 0.5% OPHTHALMIC OINT 1 GRAM

Facility OP

$13.00

Hospital Charge Code	41641420
Hospital Revenue Code	250
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$10.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.50
Rate for Payer: Aetna Government	$6.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.84
Rate for Payer: Group Health Inc Commercial	$6.50
Rate for Payer: Group Health Inc Medicare	$4.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.50
Rate for Payer: Hamaspik Choice Inc Medicare	$6.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.45

ERYTHROMYCIN 0.5% OPHTHALMIC OINT 3.5 GR

Facility OP

$3.00

Hospital Charge Code	41650502
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$2.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.50
Rate for Payer: Aetna Government	$1.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.04
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

ERYTHROMYCIN 0.5% OPHTHALMIC OINT 3.5 GR

Facility OP

$3.00

Hospital Charge Code	41640502
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$2.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.50
Rate for Payer: Aetna Government	$1.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.04
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

ERYTHROMYCIN 250 MG TAB

Facility OP

$2.46

Hospital Charge Code	41643783
Hospital Revenue Code	250
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$1.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.23
Rate for Payer: Aetna Government	$1.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.97
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.67
Rate for Payer: Group Health Inc Commercial	$1.23
Rate for Payer: Group Health Inc Medicare	$0.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.23
Rate for Payer: Hamaspik Choice Inc Medicare	$1.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.60

ERYTHROMYCIN 250 MG TAB

Facility OP

$2.46

Hospital Charge Code	41653783
Hospital Revenue Code	250
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$1.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.23
Rate for Payer: Aetna Government	$1.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.97
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.67
Rate for Payer: Group Health Inc Commercial	$1.23
Rate for Payer: Group Health Inc Medicare	$0.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.23
Rate for Payer: Hamaspik Choice Inc Medicare	$1.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.60

ERYTHROMYCIN 2% TOPICAL SOLN 60 ML

Facility OP

$10.86

Hospital Charge Code	41652538
Hospital Revenue Code	250
Min. Negotiated Rate	$3.80
Max. Negotiated Rate	$8.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.43
Rate for Payer: Aetna Government	$5.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.38
Rate for Payer: Group Health Inc Commercial	$5.43
Rate for Payer: Group Health Inc Medicare	$3.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.43
Rate for Payer: Hamaspik Choice Inc Medicare	$5.43
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.06

ERYTHROMYCIN 2% TOPICAL SOLN 60 ML

Facility OP

$10.86

Hospital Charge Code	41642538
Hospital Revenue Code	250
Min. Negotiated Rate	$3.80
Max. Negotiated Rate	$8.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.43
Rate for Payer: Aetna Government	$5.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.38
Rate for Payer: Group Health Inc Commercial	$5.43
Rate for Payer: Group Health Inc Medicare	$3.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.43
Rate for Payer: Hamaspik Choice Inc Medicare	$5.43
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.06

ERYTHROMYCIN 500 MG INJ

Facility IP

$165.00

Service Code	HCPCS J1364
Hospital Charge Code	41654363
Hospital Revenue Code	636
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Cash Price	$98.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.50
Rate for Payer: Hamaspik Choice Inc Medicare	$82.50

Price Transparency.

All Charges