St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

MORPHINE SULFATE 4 MG/ML IJ SOLN

Facility

$3.44

Service Code	HCPCS J2270
Hospital Charge Code	7604500501
Hospital Revenue Code	250
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$3.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.39
Rate for Payer: Aetna Government	$3.39
Rate for Payer: Brighton Health Commercial	$2.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.34
Rate for Payer: EmblemHealth Commercial	$1.72
Rate for Payer: Group Health Inc Commercial	$1.72
Rate for Payer: Group Health Inc Medicare	$1.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.72
Rate for Payer: Hamaspik Choice Inc Medicare	$1.72
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.24

MORPHINE SULFATE 4 MG/ML IJ SOLN

Facility

$3.44

Service Code	HCPCS J2270
Hospital Charge Code	7604500511
Hospital Revenue Code	250
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$1.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.72

MORPHINE SULFATE 4 MG/ML IJ SOLN

Facility

$3.44

Service Code	HCPCS J2270
Hospital Charge Code	7604500511
Hospital Revenue Code	250
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$3.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.39
Rate for Payer: Aetna Government	$3.39
Rate for Payer: Brighton Health Commercial	$2.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.34
Rate for Payer: EmblemHealth Commercial	$1.72
Rate for Payer: Group Health Inc Commercial	$1.72
Rate for Payer: Group Health Inc Medicare	$1.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.72
Rate for Payer: Hamaspik Choice Inc Medicare	$1.72
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.24

MORPHINE SULFATE 4 MG/ML IJ SOLN

Facility

$3.44

Service Code	HCPCS J2270
Hospital Charge Code	7604500501
Hospital Revenue Code	250
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$1.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.72

MORPHINE SULFATE 4 MG/ML IV SOLN

Facility

$2.12

Service Code	HCPCS J2270
Hospital Charge Code	0641619201
Hospital Revenue Code	258
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$1.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.06

MORPHINE SULFATE 4 MG/ML IV SOLN

Facility

$2.12

Service Code	HCPCS J2270
Hospital Charge Code	0641619201
Hospital Revenue Code	258
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$3.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.39
Rate for Payer: Aetna Government	$3.39
Rate for Payer: Brighton Health Commercial	$1.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.44
Rate for Payer: EmblemHealth Commercial	$1.06
Rate for Payer: Group Health Inc Commercial	$1.06
Rate for Payer: Group Health Inc Medicare	$0.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.06
Rate for Payer: Hamaspik Choice Inc Medicare	$1.06
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.38

MORPHINE SULFATE 50 MG/ML IV SOLN

Facility

$0.93

Service Code	HCPCS J2270
Hospital Charge Code	0409113403
Hospital Revenue Code	258
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$3.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.39
Rate for Payer: Aetna Government	$3.39
Rate for Payer: Brighton Health Commercial	$0.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.64
Rate for Payer: EmblemHealth Commercial	$0.47
Rate for Payer: Group Health Inc Commercial	$0.47
Rate for Payer: Group Health Inc Medicare	$0.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.47
Rate for Payer: Hamaspik Choice Inc Medicare	$0.47
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.61

MORPHINE SULFATE 50 MG/ML IV SOLN

Facility

$0.93

Service Code	HCPCS J2270
Hospital Charge Code	0409113403
Hospital Revenue Code	258
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$0.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.47

MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN

Facility

$3.55

Service Code	NDC 6809404558
Hospital Charge Code	6809404558
Hospital Revenue Code	250
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$1.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.78

MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN

Facility

$0.75

Service Code	NDC 0406800330
Hospital Charge Code	0406800330
Hospital Revenue Code	250
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.37
Rate for Payer: Aetna Government	$0.37
Rate for Payer: Brighton Health Commercial	$0.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.51
Rate for Payer: EmblemHealth Commercial	$0.37
Rate for Payer: Group Health Inc Commercial	$0.37
Rate for Payer: Group Health Inc Medicare	$0.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.37
Rate for Payer: Hamaspik Choice Inc Medicare	$0.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.49

MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN

Facility

$0.75

Service Code	NDC 0406800330
Hospital Charge Code	0406800330
Hospital Revenue Code	250
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.37

MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN

Facility

$3.55

Service Code	NDC 6809404558
Hospital Charge Code	6809404558
Hospital Revenue Code	250
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$2.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.78
Rate for Payer: Aetna Government	$1.78
Rate for Payer: Brighton Health Commercial	$2.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.42
Rate for Payer: EmblemHealth Commercial	$1.78
Rate for Payer: Group Health Inc Commercial	$1.78
Rate for Payer: Group Health Inc Medicare	$1.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.78
Rate for Payer: Hamaspik Choice Inc Medicare	$1.78
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.31

MORPHINE SULFATE (CONCENTRATE) 10 MG/0.5ML PO SOLN

Facility

$3.55

Service Code	NDC 6809404558
Hospital Charge Code	6809404558
Hospital Revenue Code	250
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$1.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.78

MORPHINE SULFATE (CONCENTRATE) 10 MG/0.5ML PO SOLN

Facility

$3.55

Service Code	NDC 6809404558
Hospital Charge Code	6809404558
Hospital Revenue Code	250
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$2.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.78
Rate for Payer: Aetna Government	$1.78
Rate for Payer: Brighton Health Commercial	$2.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.42
Rate for Payer: EmblemHealth Commercial	$1.78
Rate for Payer: Group Health Inc Commercial	$1.78
Rate for Payer: Group Health Inc Medicare	$1.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.78
Rate for Payer: Hamaspik Choice Inc Medicare	$1.78
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.31

MORPHINE SULFATE (CONCENTRATE) 10 MG/0.5ML PO SOLN

Facility

$0.75

Service Code	NDC 0406800330
Hospital Charge Code	0406800330
Hospital Revenue Code	250
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.37

MORPHINE SULFATE (CONCENTRATE) 10 MG/0.5ML PO SOLN

Facility

$0.75

Service Code	NDC 0406800330
Hospital Charge Code	0406800330
Hospital Revenue Code	250
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.37
Rate for Payer: Aetna Government	$0.37
Rate for Payer: Brighton Health Commercial	$0.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.51
Rate for Payer: EmblemHealth Commercial	$0.37
Rate for Payer: Group Health Inc Commercial	$0.37
Rate for Payer: Group Health Inc Medicare	$0.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.37
Rate for Payer: Hamaspik Choice Inc Medicare	$0.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.49

MORPHINE SULFATE ER 15 MG PO TBCR

Facility

$1.87

Service Code	NDC 0406831562
Hospital Charge Code	0406831562
Hospital Revenue Code	250
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$1.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.94
Rate for Payer: Aetna Government	$0.94
Rate for Payer: Brighton Health Commercial	$1.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.27
Rate for Payer: EmblemHealth Commercial	$0.94
Rate for Payer: Group Health Inc Commercial	$0.94
Rate for Payer: Group Health Inc Medicare	$0.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.94
Rate for Payer: Hamaspik Choice Inc Medicare	$0.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.22

MORPHINE SULFATE ER 15 MG PO TBCR

Facility

$1.68

Service Code	NDC 0228427011
Hospital Charge Code	0228427011
Hospital Revenue Code	250
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$1.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.84
Rate for Payer: Aetna Government	$0.84
Rate for Payer: Brighton Health Commercial	$1.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.14
Rate for Payer: EmblemHealth Commercial	$0.84
Rate for Payer: Group Health Inc Commercial	$0.84
Rate for Payer: Group Health Inc Medicare	$0.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.84
Rate for Payer: Hamaspik Choice Inc Medicare	$0.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.09

MORPHINE SULFATE ER 15 MG PO TBCR

Facility

$1.68

Service Code	NDC 0228427011
Hospital Charge Code	0228427011
Hospital Revenue Code	250
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$0.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.84

MORPHINE SULFATE ER 15 MG PO TBCR

Facility

$1.37

Service Code	NDC 0904655761
Hospital Charge Code	0904655761
Hospital Revenue Code	250
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$0.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.69

MORPHINE SULFATE ER 15 MG PO TBCR

Facility

$1.37

Service Code	NDC 0904655761
Hospital Charge Code	0904655761
Hospital Revenue Code	250
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$1.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.69
Rate for Payer: Aetna Government	$0.69
Rate for Payer: Brighton Health Commercial	$1.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.93
Rate for Payer: EmblemHealth Commercial	$0.69
Rate for Payer: Group Health Inc Commercial	$0.69
Rate for Payer: Group Health Inc Medicare	$0.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.69
Rate for Payer: Hamaspik Choice Inc Medicare	$0.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.89

MORPHINE SULFATE ER 15 MG PO TBCR

Facility

$1.87

Service Code	NDC 0406831562
Hospital Charge Code	0406831562
Hospital Revenue Code	250
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$0.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.94

MORPHINE SULFATE ER 30 MG PO TBCR

Facility

$1.50

Service Code	NDC 0904655861
Hospital Charge Code	0904655861
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.75

MORPHINE SULFATE ER 30 MG PO TBCR

Facility

$1.50

Service Code	NDC 0904655861
Hospital Charge Code	0904655861
Hospital Revenue Code	250
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$1.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.83
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.75
Rate for Payer: Aetna Government	$0.75
Rate for Payer: Brighton Health Commercial	$1.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.02
Rate for Payer: EmblemHealth Commercial	$0.75
Rate for Payer: Group Health Inc Commercial	$0.75
Rate for Payer: Group Health Inc Medicare	$0.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.75
Rate for Payer: Hamaspik Choice Inc Medicare	$0.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.98

MORPHINE SULFATE ER 30 MG PO TBCR

Facility

$0.64

Service Code	NDC 4285880201
Hospital Charge Code	4285880201
Hospital Revenue Code	250
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$0.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.32
Rate for Payer: Aetna Government	$0.32
Rate for Payer: Brighton Health Commercial	$0.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.51
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.43
Rate for Payer: EmblemHealth Commercial	$0.32
Rate for Payer: Group Health Inc Commercial	$0.32
Rate for Payer: Group Health Inc Medicare	$0.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.32
Rate for Payer: Hamaspik Choice Inc Medicare	$0.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.42

Know your out-of-pocket cost for care.

All Charges