St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NAFCILLIN SODIUM 2 G IJ SOLR

Facility

$12.34

Service Code	NDC 7248540601
Hospital Charge Code	7248540601
Hospital Revenue Code	250
Min. Negotiated Rate	$4.32
Max. Negotiated Rate	$9.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.17
Rate for Payer: Aetna Government	$6.17
Rate for Payer: Brighton Health Commercial	$9.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.87
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.39
Rate for Payer: EmblemHealth Commercial	$6.17
Rate for Payer: Group Health Inc Commercial	$6.17
Rate for Payer: Group Health Inc Medicare	$4.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.17
Rate for Payer: Hamaspik Choice Inc Medicare	$6.17
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.02

NAFCILLIN SODIUM 2 G IJ SOLR

Facility

$34.67

Service Code	NDC 6332332820
Hospital Charge Code	6332332820
Hospital Revenue Code	250
Min. Negotiated Rate	$17.33
Max. Negotiated Rate	$17.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.33

NAFCILLIN SODIUM 2 G IJ SOLR

Facility

$12.34

Service Code	NDC 7248540610
Hospital Charge Code	7248540610
Hospital Revenue Code	250
Min. Negotiated Rate	$4.32
Max. Negotiated Rate	$9.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.17
Rate for Payer: Aetna Government	$6.17
Rate for Payer: Brighton Health Commercial	$9.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.87
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.39
Rate for Payer: EmblemHealth Commercial	$6.17
Rate for Payer: Group Health Inc Commercial	$6.17
Rate for Payer: Group Health Inc Medicare	$4.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.17
Rate for Payer: Hamaspik Choice Inc Medicare	$6.17
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.02

NAFCILLIN SODIUM 2 G IJ SOLR

Facility

$34.67

Service Code	NDC 6332332820
Hospital Charge Code	6332332820
Hospital Revenue Code	250
Min. Negotiated Rate	$12.13
Max. Negotiated Rate	$27.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$19.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.33
Rate for Payer: Aetna Government	$17.33
Rate for Payer: Brighton Health Commercial	$26.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$27.73
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.57
Rate for Payer: EmblemHealth Commercial	$17.33
Rate for Payer: Group Health Inc Commercial	$17.33
Rate for Payer: Group Health Inc Medicare	$12.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.33
Rate for Payer: Hamaspik Choice Inc Medicare	$17.33
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$22.53

NAFCILLIN SODIUM 2 G IJ SOLR

Facility

$12.34

Service Code	NDC 7248540610
Hospital Charge Code	7248540610
Hospital Revenue Code	250
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$6.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.17

NA HYALUR & NA CHOND-NA HYALUR 0.4-0.35 ML IO KIT

Facility

$400.81

Service Code	NDC 8065183135
Hospital Charge Code	8065183135
Hospital Revenue Code	250
Min. Negotiated Rate	$200.41
Max. Negotiated Rate	$200.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.41

NA HYALUR & NA CHOND-NA HYALUR 0.4-0.35 ML IO KIT

Facility

$400.81

Service Code	NDC 8065183135
Hospital Charge Code	8065183135
Hospital Revenue Code	250
Min. Negotiated Rate	$140.28
Max. Negotiated Rate	$320.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$200.41
Rate for Payer: Aetna Government	$200.41
Rate for Payer: Brighton Health Commercial	$300.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$320.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$272.55
Rate for Payer: EmblemHealth Commercial	$200.41
Rate for Payer: Group Health Inc Commercial	$200.41
Rate for Payer: Group Health Inc Medicare	$140.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.41
Rate for Payer: Hamaspik Choice Inc Medicare	$200.41
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$260.53

NA HYALUR & NA CHOND-NA HYALUR 0.55-0.5 ML IO KIT

Facility

$302.87

Service Code	NDC 8065183150
Hospital Charge Code	8065183150
Hospital Revenue Code	250
Min. Negotiated Rate	$151.43
Max. Negotiated Rate	$151.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$151.43

NA HYALUR & NA CHOND-NA HYALUR 0.55-0.5 ML IO KIT

Facility

$302.87

Service Code	NDC 8065183150
Hospital Charge Code	8065183150
Hospital Revenue Code	250
Min. Negotiated Rate	$106.00
Max. Negotiated Rate	$242.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$166.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$151.43
Rate for Payer: Aetna Government	$151.43
Rate for Payer: Brighton Health Commercial	$227.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$242.29
Rate for Payer: Cigna LocalPlus Benefit Plan	$205.95
Rate for Payer: EmblemHealth Commercial	$151.43
Rate for Payer: Group Health Inc Commercial	$151.43
Rate for Payer: Group Health Inc Medicare	$106.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$151.43
Rate for Payer: Hamaspik Choice Inc Medicare	$151.43
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$196.86

NAIL PROCEDURES

Facility

$159.67

Service Code	EAPG 00005
Min. Negotiated Rate	$115.72
Max. Negotiated Rate	$159.67
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$115.72
Rate for Payer: Healthfirst Commercial	$159.67

NALOXONE HCL 0.4 MG/ML IJ SOLN

Facility

$12.50

Service Code	HCPCS J2312
Hospital Charge Code	7006907110
Hospital Revenue Code	250
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$10.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.25
Rate for Payer: Aetna Government	$6.25
Rate for Payer: Brighton Health Commercial	$9.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.50
Rate for Payer: EmblemHealth Commercial	$6.25
Rate for Payer: Group Health Inc Commercial	$6.25
Rate for Payer: Group Health Inc Medicare	$4.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.25
Rate for Payer: Hamaspik Choice Inc Medicare	$6.25
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.12

NALOXONE HCL 0.4 MG/ML IJ SOLN

Facility

$12.50

Service Code	HCPCS J2312
Hospital Charge Code	7006907110
Hospital Revenue Code	250
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$6.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.25

NALOXONE HCL 0.4 MG/ML IJ SOLN

Facility

$23.72

Service Code	HCPCS J2312
Hospital Charge Code	6745729202
Hospital Revenue Code	250
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$18.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.86
Rate for Payer: Aetna Government	$11.86
Rate for Payer: Brighton Health Commercial	$17.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$18.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.13
Rate for Payer: EmblemHealth Commercial	$11.86
Rate for Payer: Group Health Inc Commercial	$11.86
Rate for Payer: Group Health Inc Medicare	$8.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.86
Rate for Payer: Hamaspik Choice Inc Medicare	$11.86
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$15.42

NALOXONE HCL 0.4 MG/ML IJ SOLN

Facility

$23.72

Service Code	HCPCS J2312
Hospital Charge Code	6745759902
Hospital Revenue Code	250
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$18.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.86
Rate for Payer: Aetna Government	$11.86
Rate for Payer: Brighton Health Commercial	$17.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$18.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.13
Rate for Payer: EmblemHealth Commercial	$11.86
Rate for Payer: Group Health Inc Commercial	$11.86
Rate for Payer: Group Health Inc Medicare	$8.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.86
Rate for Payer: Hamaspik Choice Inc Medicare	$11.86
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$15.42

NALOXONE HCL 0.4 MG/ML IJ SOLN

Facility

$23.72

Service Code	HCPCS J2312
Hospital Charge Code	6745759902
Hospital Revenue Code	250
Min. Negotiated Rate	$11.86
Max. Negotiated Rate	$11.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.86

NALOXONE HCL 0.4 MG/ML IJ SOLN

Facility

$23.72

Service Code	HCPCS J2312
Hospital Charge Code	6745729202
Hospital Revenue Code	250
Min. Negotiated Rate	$11.86
Max. Negotiated Rate	$11.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.86

NALOXONE HCL 0.4 MG/ML IJ SOLN

Facility

$23.72

Service Code	HCPCS J2312
Hospital Charge Code	6745729200
Hospital Revenue Code	250
Min. Negotiated Rate	$11.86
Max. Negotiated Rate	$11.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.86

NALOXONE HCL 0.4 MG/ML IJ SOLN

Facility

$23.72

Service Code	HCPCS J2312
Hospital Charge Code	6745729200
Hospital Revenue Code	250
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$18.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.86
Rate for Payer: Aetna Government	$11.86
Rate for Payer: Brighton Health Commercial	$17.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$18.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.13
Rate for Payer: EmblemHealth Commercial	$11.86
Rate for Payer: Group Health Inc Commercial	$11.86
Rate for Payer: Group Health Inc Medicare	$8.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.86
Rate for Payer: Hamaspik Choice Inc Medicare	$11.86
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$15.42

NALOXONE HCL 0.4 MG/ML IJ SOLN

Facility

$6.00

Service Code	HCPCS J2312
Hospital Charge Code	3600030810
Hospital Revenue Code	250
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$4.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.00
Rate for Payer: Aetna Government	$3.00
Rate for Payer: Brighton Health Commercial	$4.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.08
Rate for Payer: EmblemHealth Commercial	$3.00
Rate for Payer: Group Health Inc Commercial	$3.00
Rate for Payer: Group Health Inc Medicare	$2.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.90

NALOXONE HCL 0.4 MG/ML IJ SOLN

Facility

$6.00

Service Code	HCPCS J2312
Hospital Charge Code	3600030810
Hospital Revenue Code	250
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$3.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.00

NALOXONE HCL 0.4 MG/ML IJ SOLN

Facility

$5.00

Service Code	HCPCS J2312
Hospital Charge Code	3600030801
Hospital Revenue Code	250
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$4.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.50
Rate for Payer: Aetna Government	$2.50
Rate for Payer: Brighton Health Commercial	$3.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.40
Rate for Payer: EmblemHealth Commercial	$2.50
Rate for Payer: Group Health Inc Commercial	$2.50
Rate for Payer: Group Health Inc Medicare	$1.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.25

NALOXONE HCL 0.4 MG/ML IJ SOLN

Facility

$14.95

Service Code	HCPCS J2312
Hospital Charge Code	5515032710
Hospital Revenue Code	250
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$7.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.47

NALOXONE HCL 0.4 MG/ML IJ SOLN

Facility

$14.95

Service Code	HCPCS J2312
Hospital Charge Code	5515032710
Hospital Revenue Code	250
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$11.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.47
Rate for Payer: Aetna Government	$7.47
Rate for Payer: Brighton Health Commercial	$11.21
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.17
Rate for Payer: EmblemHealth Commercial	$7.47
Rate for Payer: Group Health Inc Commercial	$7.47
Rate for Payer: Group Health Inc Medicare	$5.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.47
Rate for Payer: Hamaspik Choice Inc Medicare	$7.47
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9.72

NALOXONE HCL 0.4 MG/ML IJ SOLN

Facility

$5.00

Service Code	HCPCS J2312
Hospital Charge Code	3600030801
Hospital Revenue Code	250
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$2.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.50

NALOXONE HCL 2 MG/2ML IJ SOSY

Facility

$19.80

Service Code	HCPCS J2312
Hospital Charge Code	7632933691
Hospital Revenue Code	250
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.90

Know your out-of-pocket cost for care.

All Charges