St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

MEPERIDINE HCL 50 MG/ML IJ SOLN

Facility

$9.07

Service Code	HCPCS J2175
Hospital Charge Code	0409117830
Hospital Revenue Code	250
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$15.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.48
Rate for Payer: Aetna Government	$6.48
Rate for Payer: Brighton Health Commercial	$6.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.16
Rate for Payer: EmblemHealth Commercial	$4.53
Rate for Payer: Group Health Inc Commercial	$4.53
Rate for Payer: Group Health Inc Medicare	$3.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.53
Rate for Payer: Hamaspik Choice Inc Medicare	$4.53
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$15.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.89

MEPERIDINE HCL 50 MG/ML IJ SOLN

Facility

$9.07

Service Code	HCPCS J2175
Hospital Charge Code	0409117830
Hospital Revenue Code	250
Min. Negotiated Rate	$4.53
Max. Negotiated Rate	$4.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.53

MEPERIDINE HCL 75 MG/ML IJ SOLN

Facility

$7.68

Service Code	HCPCS J2175
Hospital Charge Code	0409117930
Hospital Revenue Code	250
Min. Negotiated Rate	$3.84
Max. Negotiated Rate	$3.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.84

MEPERIDINE HCL 75 MG/ML IJ SOLN

Facility

$7.68

Service Code	HCPCS J2175
Hospital Charge Code	0409117930
Hospital Revenue Code	250
Min. Negotiated Rate	$2.69
Max. Negotiated Rate	$15.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.48
Rate for Payer: Aetna Government	$6.48
Rate for Payer: Brighton Health Commercial	$5.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.22
Rate for Payer: EmblemHealth Commercial	$3.84
Rate for Payer: Group Health Inc Commercial	$3.84
Rate for Payer: Group Health Inc Medicare	$2.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.84
Rate for Payer: Hamaspik Choice Inc Medicare	$3.84
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$15.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.99

MEPIVACAINE HCL (PF) 1.5 % IJ SOLN

Facility

$0.53

Service Code	HCPCS J0670
Hospital Charge Code	6332329337
Hospital Revenue Code	250
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.76
Rate for Payer: Aetna Government	$2.76
Rate for Payer: Brighton Health Commercial	$0.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.36
Rate for Payer: EmblemHealth Commercial	$0.27
Rate for Payer: Group Health Inc Commercial	$0.27
Rate for Payer: Group Health Inc Medicare	$0.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.27
Rate for Payer: Hamaspik Choice Inc Medicare	$0.27
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3.95
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.34

MEPIVACAINE HCL (PF) 1.5 % IJ SOLN

Facility

$0.53

Service Code	HCPCS J0670
Hospital Charge Code	6332329337
Hospital Revenue Code	250
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$0.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.27

MEPOLIZUMAB 100 MG SC SOLR

Facility

$4.00

Service Code	HCPCS J2182
Hospital Charge Code	0173088101
Hospital Revenue Code	635
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$32.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$31.27
Rate for Payer: Aetna Government	$31.27
Rate for Payer: Affinity Essential Plan 1&2	$21.89
Rate for Payer: Affinity Essential Plan 3&4	$21.89
Rate for Payer: Affinity Medicaid/CHP/HARP	$21.89
Rate for Payer: Brighton Health Commercial	$3.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$31.27
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.72
Rate for Payer: Elderplan Medicare Advantage	$31.27
Rate for Payer: EmblemHealth Commercial	$31.27
Rate for Payer: Fidelis CHP/HARP/Medicaid	$28.14
Rate for Payer: Fidelis Essential Plan Aliesa	$26.58
Rate for Payer: Fidelis Essential Plan QHP	$27.83
Rate for Payer: Fidelis Medicare Advantage	$31.27
Rate for Payer: Fidelis Qualified Health Plan	$32.83
Rate for Payer: Group Health Inc Commercial	$31.27
Rate for Payer: Group Health Inc Medicare	$31.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.27
Rate for Payer: Hamaspik Choice Inc Medicare	$31.27
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$31.27
Rate for Payer: Healthfirst Medicare Advantage	$26.58
Rate for Payer: Healthfirst QHP	$31.27
Rate for Payer: Humana Medicare	$31.90
Rate for Payer: Senior Whole Health Medicare Advantage	$31.27
Rate for Payer: United Healthcare Medicare Advantage	$31.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.60
Rate for Payer: Wellcare CHP/FHP/Medicaid	$29.71
Rate for Payer: Wellcare Medicare	$29.71

MEPOLIZUMAB 100 MG SC SOLR

Facility

$4.00

Service Code	HCPCS J2182
Hospital Charge Code	0173088101
Hospital Revenue Code	635
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$2.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.00

MERCAPTOPURINE 50 MG PO TABS

Facility

$8.19

Service Code	NDC 0054458111
Hospital Charge Code	0054458111
Hospital Revenue Code	250
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$6.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.09
Rate for Payer: Aetna Government	$4.09
Rate for Payer: Brighton Health Commercial	$6.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.57
Rate for Payer: EmblemHealth Commercial	$4.09
Rate for Payer: Group Health Inc Commercial	$4.09
Rate for Payer: Group Health Inc Medicare	$2.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.09
Rate for Payer: Hamaspik Choice Inc Medicare	$4.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.32

MERCAPTOPURINE 50 MG PO TABS

Facility

$8.19

Service Code	NDC 0054458111
Hospital Charge Code	0054458111
Hospital Revenue Code	250
Min. Negotiated Rate	$4.09
Max. Negotiated Rate	$4.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.09

MEROPENEM 1 G IV SOLR

Facility

$13.20

Service Code	HCPCS J2185
Hospital Charge Code	5515020830
Hospital Revenue Code	258
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.60

MEROPENEM 1 G IV SOLR

Facility

$24.85

Service Code	HCPCS J2185
Hospital Charge Code	0409139122
Hospital Revenue Code	258
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$19.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$18.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$19.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.90
Rate for Payer: EmblemHealth Commercial	$12.42
Rate for Payer: Group Health Inc Commercial	$12.42
Rate for Payer: Group Health Inc Medicare	$8.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.42
Rate for Payer: Hamaspik Choice Inc Medicare	$12.42
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$16.15

MEROPENEM 1 G IV SOLR

Facility

$24.85

Service Code	HCPCS J2185
Hospital Charge Code	0409139122
Hospital Revenue Code	258
Min. Negotiated Rate	$12.42
Max. Negotiated Rate	$12.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.42

MEROPENEM 1 G IV SOLR

Facility

$24.00

Service Code	HCPCS J2185
Hospital Charge Code	7059407602
Hospital Revenue Code	258
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.00

MEROPENEM 1 G IV SOLR

Facility

$7.08

Service Code	HCPCS J2185
Hospital Charge Code	6332350845
Hospital Revenue Code	258
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$5.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$5.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.81
Rate for Payer: EmblemHealth Commercial	$3.54
Rate for Payer: Group Health Inc Commercial	$3.54
Rate for Payer: Group Health Inc Medicare	$2.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.54
Rate for Payer: Hamaspik Choice Inc Medicare	$3.54
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.60

MEROPENEM 1 G IV SOLR

Facility

$24.00

Service Code	HCPCS J2185
Hospital Charge Code	7059407601
Hospital Revenue Code	258
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.00

MEROPENEM 1 G IV SOLR

Facility

$24.85

Service Code	HCPCS J2185
Hospital Charge Code	0409139121
Hospital Revenue Code	258
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$19.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$18.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$19.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.90
Rate for Payer: EmblemHealth Commercial	$12.43
Rate for Payer: Group Health Inc Commercial	$12.43
Rate for Payer: Group Health Inc Medicare	$8.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.43
Rate for Payer: Hamaspik Choice Inc Medicare	$12.43
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$16.15

MEROPENEM 1 G IV SOLR

Facility

$24.85

Service Code	HCPCS J2185
Hospital Charge Code	0409139121
Hospital Revenue Code	258
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$12.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.43

MEROPENEM 1 G IV SOLR

Facility

$7.08

Service Code	HCPCS J2185
Hospital Charge Code	6332350845
Hospital Revenue Code	258
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$3.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.54

MEROPENEM 1 G IV SOLR

Facility

$13.20

Service Code	HCPCS J2185
Hospital Charge Code	5515020830
Hospital Revenue Code	258
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$10.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$9.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.98
Rate for Payer: EmblemHealth Commercial	$6.60
Rate for Payer: Group Health Inc Commercial	$6.60
Rate for Payer: Group Health Inc Medicare	$4.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.60
Rate for Payer: Hamaspik Choice Inc Medicare	$6.60
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.58

MEROPENEM 1 G IV SOLR

Facility

$24.00

Service Code	HCPCS J2185
Hospital Charge Code	7059407601
Hospital Revenue Code	258
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$19.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$18.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$19.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.32
Rate for Payer: EmblemHealth Commercial	$12.00
Rate for Payer: Group Health Inc Commercial	$12.00
Rate for Payer: Group Health Inc Medicare	$8.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.00
Rate for Payer: Hamaspik Choice Inc Medicare	$12.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$15.60

MEROPENEM 1 G IV SOLR

Facility

$24.00

Service Code	HCPCS J2185
Hospital Charge Code	7059407602
Hospital Revenue Code	258
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$19.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$18.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$19.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.32
Rate for Payer: EmblemHealth Commercial	$12.00
Rate for Payer: Group Health Inc Commercial	$12.00
Rate for Payer: Group Health Inc Medicare	$8.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.00
Rate for Payer: Hamaspik Choice Inc Medicare	$12.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$15.60

MEROPENEM 500 MG IV SOLR

Facility

$7.20

Service Code	HCPCS J2185
Hospital Charge Code	7012114547
Hospital Revenue Code	258
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$5.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$5.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.90
Rate for Payer: EmblemHealth Commercial	$3.60
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
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.68

MEROPENEM 500 MG IV SOLR

Facility

$18.21

Service Code	HCPCS J2185
Hospital Charge Code	0781300095
Hospital Revenue Code	258
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$14.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$13.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$14.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$12.38
Rate for Payer: EmblemHealth Commercial	$9.11
Rate for Payer: Group Health Inc Commercial	$9.11
Rate for Payer: Group Health Inc Medicare	$6.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.11
Rate for Payer: Hamaspik Choice Inc Medicare	$9.11
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$11.84

MEROPENEM 500 MG IV SOLR

Facility

$7.20

Service Code	HCPCS J2185
Hospital Charge Code	7012114541
Hospital Revenue Code	258
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$5.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.79
Rate for Payer: Aetna Government	$0.79
Rate for Payer: Brighton Health Commercial	$5.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.90
Rate for Payer: EmblemHealth Commercial	$3.60
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
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.68

Know your out-of-pocket cost for care.

All Charges