St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CARDIOMYOPATHY DIAGNOSES

Facility

$166.63

Service Code	EAPG 00607
Min. Negotiated Rate	$166.63
Max. Negotiated Rate	$166.63
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$166.63

CARDIOVERSION

Facility

$925.22

Service Code	EAPG 00093
Min. Negotiated Rate	$671.15
Max. Negotiated Rate	$925.22
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$671.15
Rate for Payer: Healthfirst Commercial	$925.22

CARFILZOMIB 30 MG IV SOLR

Facility

$1.00

Service Code	HCPCS J9047
Hospital Charge Code	7607510201
Hospital Revenue Code	258
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$56.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$55.65
Rate for Payer: Aetna Government	$55.65
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$55.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
Rate for Payer: Elderplan Medicare Advantage	$55.65
Rate for Payer: EmblemHealth Commercial	$55.65
Rate for Payer: Fidelis Medicare Advantage	$55.65
Rate for Payer: Group Health Inc Commercial	$55.65
Rate for Payer: Group Health Inc Medicare	$55.65
Rate for Payer: Hamaspik Choice Inc Medicare	$55.65
Rate for Payer: Healthfirst Medicare Advantage	$47.30
Rate for Payer: Humana Medicare	$56.76
Rate for Payer: Senior Whole Health Medicare Advantage	$55.65
Rate for Payer: United Healthcare Medicare Advantage	$55.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65
Rate for Payer: Wellcare Medicare	$52.87

CARFILZOMIB 30 MG IV SOLR

Facility

$1.00

Service Code	HCPCS J9047
Hospital Charge Code	7607510201
Hospital Revenue Code	258
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50

CARFILZOMIB 60 MG IV SOLR

Facility

$3.00

Service Code	HCPCS J9047
Hospital Charge Code	7607510101
Hospital Revenue Code	258
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.50

CARFILZOMIB 60 MG IV SOLR

Facility

$3.00

Service Code	HCPCS J9047
Hospital Charge Code	7607510101
Hospital Revenue Code	258
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$56.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$55.65
Rate for Payer: Aetna Government	$55.65
Rate for Payer: Brighton Health Commercial	$2.25
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$55.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.04
Rate for Payer: Elderplan Medicare Advantage	$55.65
Rate for Payer: EmblemHealth Commercial	$55.65
Rate for Payer: Fidelis Medicare Advantage	$55.65
Rate for Payer: Group Health Inc Commercial	$55.65
Rate for Payer: Group Health Inc Medicare	$55.65
Rate for Payer: Hamaspik Choice Inc Medicare	$55.65
Rate for Payer: Healthfirst Medicare Advantage	$47.30
Rate for Payer: Humana Medicare	$56.76
Rate for Payer: Senior Whole Health Medicare Advantage	$55.65
Rate for Payer: United Healthcare Medicare Advantage	$55.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.95
Rate for Payer: Wellcare Medicare	$52.87

CARMUSTINE 100 MG IV SOLR

Facility

$2.00

Service Code	HCPCS J9050
Hospital Charge Code	0781347432
Hospital Revenue Code	258
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.00

CARMUSTINE 100 MG IV SOLR

Facility

$2.00

Service Code	HCPCS J9050
Hospital Charge Code	0781347432
Hospital Revenue Code	258
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$243.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$238.46
Rate for Payer: Aetna Government	$238.46
Rate for Payer: Affinity Essential Plan 1&2	$166.92
Rate for Payer: Affinity Essential Plan 3&4	$166.92
Rate for Payer: Affinity Medicaid/CHP/HARP	$166.92
Rate for Payer: Brighton Health Commercial	$1.50
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$238.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.36
Rate for Payer: Elderplan Medicare Advantage	$238.46
Rate for Payer: EmblemHealth Commercial	$238.46
Rate for Payer: Fidelis CHP/HARP/Medicaid	$214.61
Rate for Payer: Fidelis Essential Plan Aliesa	$202.69
Rate for Payer: Fidelis Essential Plan QHP	$212.23
Rate for Payer: Fidelis Medicare Advantage	$238.46
Rate for Payer: Fidelis Qualified Health Plan	$212.23
Rate for Payer: Group Health Inc Commercial	$238.46
Rate for Payer: Group Health Inc Medicare	$238.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$238.46
Rate for Payer: Hamaspik Choice Inc Medicare	$238.46
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$238.46
Rate for Payer: Healthfirst Medicare Advantage	$202.69
Rate for Payer: Healthfirst QHP	$238.46
Rate for Payer: Humana Medicare	$243.23
Rate for Payer: Senior Whole Health Medicare Advantage	$238.46
Rate for Payer: United Healthcare Medicare Advantage	$238.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.30
Rate for Payer: Wellcare CHP/FHP/Medicaid	$226.54
Rate for Payer: Wellcare Medicare	$226.54

CARVEDILOL 12.5 MG PO TABS

Facility

$2.14

Service Code	NDC 6838209401
Hospital Charge Code	6838209401
Hospital Revenue Code	250
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$1.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.07

CARVEDILOL 12.5 MG PO TABS

Facility

$2.14

Service Code	NDC 6838209405
Hospital Charge Code	6838209405
Hospital Revenue Code	250
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$1.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.07

CARVEDILOL 12.5 MG PO TABS

Facility

$2.13

Service Code	NDC 5107993120
Hospital Charge Code	5107993120
Hospital Revenue Code	250
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$1.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.07

CARVEDILOL 12.5 MG PO TABS

Facility

$0.12

Service Code	NDC 0904730761
Hospital Charge Code	0904730761
Hospital Revenue Code	250
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$0.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.06

CARVEDILOL 12.5 MG PO TABS

Facility

$2.14

Service Code	NDC 6838209401
Hospital Charge Code	6838209401
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$1.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.07
Rate for Payer: Aetna Government	$1.07
Rate for Payer: Brighton Health Commercial	$1.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.45
Rate for Payer: EmblemHealth Commercial	$1.07
Rate for Payer: Group Health Inc Commercial	$1.07
Rate for Payer: Group Health Inc Medicare	$0.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.07
Rate for Payer: Hamaspik Choice Inc Medicare	$1.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.39

CARVEDILOL 12.5 MG PO TABS

Facility

$2.10

Service Code	NDC 6846216401
Hospital Charge Code	6846216401
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.05

CARVEDILOL 12.5 MG PO TABS

Facility

$2.10

Service Code	NDC 6846216401
Hospital Charge Code	6846216401
Hospital Revenue Code	250
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$1.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.05
Rate for Payer: Aetna Government	$1.05
Rate for Payer: Brighton Health Commercial	$1.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.43
Rate for Payer: EmblemHealth Commercial	$1.05
Rate for Payer: Group Health Inc Commercial	$1.05
Rate for Payer: Group Health Inc Medicare	$0.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.05
Rate for Payer: Hamaspik Choice Inc Medicare	$1.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.37

CARVEDILOL 12.5 MG PO TABS

Facility

$2.14

Service Code	NDC 6838209405
Hospital Charge Code	6838209405
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$1.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.07
Rate for Payer: Aetna Government	$1.07
Rate for Payer: Brighton Health Commercial	$1.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.45
Rate for Payer: EmblemHealth Commercial	$1.07
Rate for Payer: Group Health Inc Commercial	$1.07
Rate for Payer: Group Health Inc Medicare	$0.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.07
Rate for Payer: Hamaspik Choice Inc Medicare	$1.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.39

CARVEDILOL 12.5 MG PO TABS

Facility

$0.12

Service Code	NDC 0904730761
Hospital Charge Code	0904730761
Hospital Revenue Code	250
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.06
Rate for Payer: Aetna Government	$0.06
Rate for Payer: Brighton Health Commercial	$0.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.08
Rate for Payer: EmblemHealth Commercial	$0.06
Rate for Payer: Group Health Inc Commercial	$0.06
Rate for Payer: Group Health Inc Medicare	$0.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.06
Rate for Payer: Hamaspik Choice Inc Medicare	$0.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.08

CARVEDILOL 12.5 MG PO TABS

Facility

$2.13

Service Code	NDC 5107993120
Hospital Charge Code	5107993120
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$1.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.07
Rate for Payer: Aetna Government	$1.07
Rate for Payer: Brighton Health Commercial	$1.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.45
Rate for Payer: EmblemHealth Commercial	$1.07
Rate for Payer: Group Health Inc Commercial	$1.07
Rate for Payer: Group Health Inc Medicare	$0.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.07
Rate for Payer: Hamaspik Choice Inc Medicare	$1.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.39

CARVEDILOL 25 MG PO TABS

Facility

$2.10

Service Code	NDC 6846216501
Hospital Charge Code	6846216501
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.05

CARVEDILOL 25 MG PO TABS

Facility

$0.11

Service Code	NDC 0904730861
Hospital Charge Code	0904730861
Hospital Revenue Code	250
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.05

CARVEDILOL 25 MG PO TABS

Facility

$2.10

Service Code	NDC 6846216501
Hospital Charge Code	6846216501
Hospital Revenue Code	250
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$1.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.05
Rate for Payer: Aetna Government	$1.05
Rate for Payer: Brighton Health Commercial	$1.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.43
Rate for Payer: EmblemHealth Commercial	$1.05
Rate for Payer: Group Health Inc Commercial	$1.05
Rate for Payer: Group Health Inc Medicare	$0.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.05
Rate for Payer: Hamaspik Choice Inc Medicare	$1.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.37

CARVEDILOL 25 MG PO TABS

Facility

$2.14

Service Code	NDC 0781522401
Hospital Charge Code	0781522401
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$1.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.07
Rate for Payer: Aetna Government	$1.07
Rate for Payer: Brighton Health Commercial	$1.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.45
Rate for Payer: EmblemHealth Commercial	$1.07
Rate for Payer: Group Health Inc Commercial	$1.07
Rate for Payer: Group Health Inc Medicare	$0.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.07
Rate for Payer: Hamaspik Choice Inc Medicare	$1.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.39

CARVEDILOL 25 MG PO TABS

Facility

$1.95

Service Code	NDC 6586214505
Hospital Charge Code	6586214505
Hospital Revenue Code	250
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$1.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.97
Rate for Payer: Aetna Government	$0.97
Rate for Payer: Brighton Health Commercial	$1.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.33
Rate for Payer: EmblemHealth Commercial	$0.97
Rate for Payer: Group Health Inc Commercial	$0.97
Rate for Payer: Group Health Inc Medicare	$0.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.97
Rate for Payer: Hamaspik Choice Inc Medicare	$0.97
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.27

CARVEDILOL 25 MG PO TABS

Facility

$2.14

Service Code	NDC 6838209501
Hospital Charge Code	6838209501
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$1.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.07
Rate for Payer: Aetna Government	$1.07
Rate for Payer: Brighton Health Commercial	$1.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.45
Rate for Payer: EmblemHealth Commercial	$1.07
Rate for Payer: Group Health Inc Commercial	$1.07
Rate for Payer: Group Health Inc Medicare	$0.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.07
Rate for Payer: Hamaspik Choice Inc Medicare	$1.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.39

CARVEDILOL 25 MG PO TABS

Facility

$2.14

Service Code	NDC 0781522401
Hospital Charge Code	0781522401
Hospital Revenue Code	250
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$1.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.07

Know your out-of-pocket cost for care.

All Charges