St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NAPROXEN 375 MG PO TABS

Facility

$0.99

Service Code	NDC 5026859511
Hospital Charge Code	5026859511
Hospital Revenue Code	250
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$0.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.49

NAPROXEN 375 MG PO TABS

Facility

$1.06

Service Code	NDC 6846218901
Hospital Charge Code	6846218901
Hospital Revenue Code	250
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$0.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.53

NAPROXEN 500 MG PO TABS

Facility

$1.07

Service Code	NDC 7001013905
Hospital Charge Code	7001013905
Hospital Revenue Code	250
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$0.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.53

NAPROXEN 500 MG PO TABS

Facility

$1.19

Service Code	NDC 6846219005
Hospital Charge Code	6846219005
Hospital Revenue Code	250
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$0.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.60
Rate for Payer: Aetna Government	$0.60
Rate for Payer: Brighton Health Commercial	$0.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.81
Rate for Payer: EmblemHealth Commercial	$0.60
Rate for Payer: Group Health Inc Commercial	$0.60
Rate for Payer: Group Health Inc Medicare	$0.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.60
Rate for Payer: Hamaspik Choice Inc Medicare	$0.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.78

NAPROXEN 500 MG PO TABS

Facility

$1.07

Service Code	NDC 7001013905
Hospital Charge Code	7001013905
Hospital Revenue Code	250
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.53
Rate for Payer: Aetna Government	$0.53
Rate for Payer: Brighton Health Commercial	$0.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.85
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.72
Rate for Payer: EmblemHealth Commercial	$0.53
Rate for Payer: Group Health Inc Commercial	$0.53
Rate for Payer: Group Health Inc Medicare	$0.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.53
Rate for Payer: Hamaspik Choice Inc Medicare	$0.53
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.69

NAPROXEN 500 MG PO TABS

Facility

$1.19

Service Code	NDC 6846219005
Hospital Charge Code	6846219005
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.60

NAPROXEN 500 MG PO TABS

Facility

$0.26

Service Code	NDC 6373940310
Hospital Charge Code	6373940310
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.13

NAPROXEN 500 MG PO TABS

Facility

$1.34

Service Code	NDC 6068749111
Hospital Charge Code	6068749111
Hospital Revenue Code	250
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$0.67
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.67

NAPROXEN 500 MG PO TABS

Facility

$1.34

Service Code	NDC 6068749111
Hospital Charge Code	6068749111
Hospital Revenue Code	250
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$1.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.67
Rate for Payer: Aetna Government	$0.67
Rate for Payer: Brighton Health Commercial	$1.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.91
Rate for Payer: EmblemHealth Commercial	$0.67
Rate for Payer: Group Health Inc Commercial	$0.67
Rate for Payer: Group Health Inc Medicare	$0.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.67
Rate for Payer: Hamaspik Choice Inc Medicare	$0.67
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.87

NAPROXEN 500 MG PO TABS

Facility

$0.26

Service Code	NDC 6373940310
Hospital Charge Code	6373940310
Hospital Revenue Code	250
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$0.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.13
Rate for Payer: Aetna Government	$0.13
Rate for Payer: Brighton Health Commercial	$0.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.17
Rate for Payer: EmblemHealth Commercial	$0.13
Rate for Payer: Group Health Inc Commercial	$0.13
Rate for Payer: Group Health Inc Medicare	$0.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.13
Rate for Payer: Hamaspik Choice Inc Medicare	$0.13
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.17

NA SULFATE-K SULFATE-MG SULF 17.5-3.13-1.6 GM/177ML PO SOLN

Facility

$0.39

Service Code	NDC 5226801201
Hospital Charge Code	5226801201
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$0.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.20
Rate for Payer: Aetna Government	$0.20
Rate for Payer: Brighton Health Commercial	$0.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.31
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.27
Rate for Payer: EmblemHealth Commercial	$0.20
Rate for Payer: Group Health Inc Commercial	$0.20
Rate for Payer: Group Health Inc Medicare	$0.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.20
Rate for Payer: Hamaspik Choice Inc Medicare	$0.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.25

NA SULFATE-K SULFATE-MG SULF 17.5-3.13-1.6 GM/177ML PO SOLN

Facility

$0.39

Service Code	NDC 5226801201
Hospital Charge Code	5226801201
Hospital Revenue Code	250
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.20

NATALIZUMAB 300 MG/15ML IV CONC

Facility

$656.75

Service Code	HCPCS J2323
Hospital Charge Code	6440600801
Hospital Revenue Code	258
Min. Negotiated Rate	$16.56
Max. Negotiated Rate	$1,656.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$361.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$24.00
Rate for Payer: Aetna Government	$24.00
Rate for Payer: Affinity Essential Plan 1&2	$37.26
Rate for Payer: Affinity Essential Plan 3&4	$37.26
Rate for Payer: Affinity Medicaid/CHP/HARP	$16.56
Rate for Payer: Amida Care Medicaid	$16.56
Rate for Payer: Brighton Health Commercial	$492.56
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$24.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$525.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$446.59
Rate for Payer: Elderplan Medicare Advantage	$24.00
Rate for Payer: EmblemHealth Commercial	$24.00
Rate for Payer: EmblemHealth Essential Plan 1&2	$37.26
Rate for Payer: EmblemHealth Essential Plan 3&4	$16.56
Rate for Payer: Fidelis CHP/HARP/Medicaid	$16.56
Rate for Payer: Fidelis Essential Plan Aliesa	$37.26
Rate for Payer: Fidelis Essential Plan QHP	$37.26
Rate for Payer: Fidelis Medicare Advantage	$24.00
Rate for Payer: Fidelis Qualified Health Plan	$17.39
Rate for Payer: Group Health Inc Commercial	$24.00
Rate for Payer: Group Health Inc Medicare	$24.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.56
Rate for Payer: Hamaspik Choice Inc Medicare	$24.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,656.00
Rate for Payer: Healthfirst Essential Plan	$37.26
Rate for Payer: Healthfirst Medicare Advantage	$20.40
Rate for Payer: Healthfirst QHP	$26.99
Rate for Payer: Humana Medicare	$24.48
Rate for Payer: Senior Whole Health Medicare Advantage	$24.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$16.56
Rate for Payer: SOMOS Essential	$37.26
Rate for Payer: United Healthcare Essential Plan 1&2	$37.26
Rate for Payer: United Healthcare Essential Plan 3&4	$18.22
Rate for Payer: United Healthcare Medicaid	$16.56
Rate for Payer: United Healthcare Medicare Advantage	$24.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$426.89
Rate for Payer: Wellcare CHP/FHP/Medicaid	$16.56
Rate for Payer: Wellcare Medicare	$22.80

NATALIZUMAB 300 MG/15ML IV CONC

Facility

$656.75

Service Code	HCPCS J2323
Hospital Charge Code	6440600801
Hospital Revenue Code	258
Min. Negotiated Rate	$328.37
Max. Negotiated Rate	$328.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$328.37

NEEDLE AND CATHETER BIOPSY, ASPIRATION, LAVAGE AND INTUBATION

Facility

$1,048.87

Service Code	EAPG 00061
Min. Negotiated Rate	$761.40
Max. Negotiated Rate	$1,048.87
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$761.40
Rate for Payer: Healthfirst Commercial	$1,048.87

NELFINAVIR MESYLATE 250 MG PO TABS

Facility

$4.86

Service Code	NDC 6301001030
Hospital Charge Code	6301001030
Hospital Revenue Code	250
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$2.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.43

NELFINAVIR MESYLATE 250 MG PO TABS

Facility

$4.86

Service Code	NDC 6301001030
Hospital Charge Code	6301001030
Hospital Revenue Code	250
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$3.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.43
Rate for Payer: Aetna Government	$2.43
Rate for Payer: Brighton Health Commercial	$3.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.30
Rate for Payer: EmblemHealth Commercial	$2.43
Rate for Payer: Group Health Inc Commercial	$2.43
Rate for Payer: Group Health Inc Medicare	$1.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.43
Rate for Payer: Hamaspik Choice Inc Medicare	$2.43
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.16

NELFINAVIR MESYLATE 625 MG PO TABS

Facility

$12.14

Service Code	NDC 6301002770
Hospital Charge Code	6301002770
Hospital Revenue Code	250
Min. Negotiated Rate	$6.07
Max. Negotiated Rate	$6.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.07

NELFINAVIR MESYLATE 625 MG PO TABS

Facility

$12.14

Service Code	NDC 6301002770
Hospital Charge Code	6301002770
Hospital Revenue Code	250
Min. Negotiated Rate	$4.25
Max. Negotiated Rate	$9.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.07
Rate for Payer: Aetna Government	$6.07
Rate for Payer: Brighton Health Commercial	$9.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.26
Rate for Payer: EmblemHealth Commercial	$6.07
Rate for Payer: Group Health Inc Commercial	$6.07
Rate for Payer: Group Health Inc Medicare	$4.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.07
Rate for Payer: Hamaspik Choice Inc Medicare	$6.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.89

NEOMYCIN-BACITRACIN ZN-POLYMYX 5-400-10000 OP OINT

Facility

$16.27

Service Code	NDC 2420878055
Hospital Charge Code	2420878055
Hospital Revenue Code	250
Min. Negotiated Rate	$5.69
Max. Negotiated Rate	$13.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.14
Rate for Payer: Aetna Government	$8.14
Rate for Payer: Brighton Health Commercial	$12.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.06
Rate for Payer: EmblemHealth Commercial	$8.14
Rate for Payer: Group Health Inc Commercial	$8.14
Rate for Payer: Group Health Inc Medicare	$5.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.14
Rate for Payer: Hamaspik Choice Inc Medicare	$8.14
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.58

NEOMYCIN-BACITRACIN ZN-POLYMYX 5-400-10000 OP OINT

Facility

$16.27

Service Code	NDC 2420878055
Hospital Charge Code	2420878055
Hospital Revenue Code	250
Min. Negotiated Rate	$8.14
Max. Negotiated Rate	$8.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.14

NEOMYCIN-POLYMYXIN-DEXAMETH 0.1 % OP SUSP

Facility

$27.13

Service Code	NDC 0998063006
Hospital Charge Code	0998063006
Hospital Revenue Code	250
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$21.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.56
Rate for Payer: Aetna Government	$13.56
Rate for Payer: Brighton Health Commercial	$20.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.45
Rate for Payer: EmblemHealth Commercial	$13.56
Rate for Payer: Group Health Inc Commercial	$13.56
Rate for Payer: Group Health Inc Medicare	$9.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$13.56
Rate for Payer: Hamaspik Choice Inc Medicare	$13.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$17.63

NEOMYCIN-POLYMYXIN-DEXAMETH 0.1 % OP SUSP

Facility

$3.97

Service Code	NDC 2420883060
Hospital Charge Code	2420883060
Hospital Revenue Code	250
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$3.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.99
Rate for Payer: Aetna Government	$1.99
Rate for Payer: Brighton Health Commercial	$2.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.70
Rate for Payer: EmblemHealth Commercial	$1.99
Rate for Payer: Group Health Inc Commercial	$1.99
Rate for Payer: Group Health Inc Medicare	$1.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.99
Rate for Payer: Hamaspik Choice Inc Medicare	$1.99
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.58

NEOMYCIN-POLYMYXIN-DEXAMETH 0.1 % OP SUSP

Facility

$8.80

Service Code	NDC 6131463006
Hospital Charge Code	6131463006
Hospital Revenue Code	250
Min. Negotiated Rate	$4.40
Max. Negotiated Rate	$4.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.40

NEOMYCIN-POLYMYXIN-DEXAMETH 0.1 % OP SUSP

Facility

$3.97

Service Code	NDC 2420883060
Hospital Charge Code	2420883060
Hospital Revenue Code	250
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$1.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.99

Know your out-of-pocket cost for care.

All Charges