St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN

Facility

$2.16

Service Code	NDC 4359852936
Hospital Charge Code	4359852936
Hospital Revenue Code	258
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.08

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN

Facility

$2.16

Service Code	NDC 4359852911
Hospital Charge Code	4359852911
Hospital Revenue Code	258
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$1.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.08
Rate for Payer: Aetna Government	$1.08
Rate for Payer: Brighton Health Commercial	$1.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.73
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.47
Rate for Payer: EmblemHealth Commercial	$1.08
Rate for Payer: Group Health Inc Commercial	$1.08
Rate for Payer: Group Health Inc Medicare	$0.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.08
Rate for Payer: Hamaspik Choice Inc Medicare	$1.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.40

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN

Facility

$2.16

Service Code	NDC 0548960200
Hospital Charge Code	0548960200
Hospital Revenue Code	258
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$1.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.08
Rate for Payer: Aetna Government	$1.08
Rate for Payer: Brighton Health Commercial	$1.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.73
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.47
Rate for Payer: EmblemHealth Commercial	$1.08
Rate for Payer: Group Health Inc Commercial	$1.08
Rate for Payer: Group Health Inc Medicare	$0.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.08
Rate for Payer: Hamaspik Choice Inc Medicare	$1.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.40

NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN

Facility

$2.16

Service Code	NDC 0548960200
Hospital Charge Code	0548960200
Hospital Revenue Code	258
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.08

NEOSTIGMINE METHYLSULFATE 3 MG/3ML IV SOLN

Facility

$2.20

Service Code	NDC 6937493233
Hospital Charge Code	6937493233
Hospital Revenue Code	258
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$1.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.10
Rate for Payer: Aetna Government	$1.10
Rate for Payer: Brighton Health Commercial	$1.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.50
Rate for Payer: EmblemHealth Commercial	$1.10
Rate for Payer: Group Health Inc Commercial	$1.10
Rate for Payer: Group Health Inc Medicare	$0.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.43

NEOSTIGMINE METHYLSULFATE 3 MG/3ML IV SOLN

Facility

$2.20

Service Code	NDC 6937493233
Hospital Charge Code	6937493233
Hospital Revenue Code	258
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$1.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.10

NEPAFENAC 0.1 % OP SUSP

Facility

$125.38

Service Code	NDC 0065000203
Hospital Charge Code	0065000203
Hospital Revenue Code	250
Min. Negotiated Rate	$62.69
Max. Negotiated Rate	$62.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.69

NEPAFENAC 0.1 % OP SUSP

Facility

$125.38

Service Code	NDC 0065000203
Hospital Charge Code	0065000203
Hospital Revenue Code	250
Min. Negotiated Rate	$43.88
Max. Negotiated Rate	$100.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$68.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$62.69
Rate for Payer: Aetna Government	$62.69
Rate for Payer: Brighton Health Commercial	$94.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$100.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$85.26
Rate for Payer: EmblemHealth Commercial	$62.69
Rate for Payer: Group Health Inc Commercial	$62.69
Rate for Payer: Group Health Inc Medicare	$43.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.69
Rate for Payer: Hamaspik Choice Inc Medicare	$62.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$81.50

NEPHRITIS AND NEPHROSIS

Facility

$236.28

Service Code	EAPG 00722
Min. Negotiated Rate	$171.26
Max. Negotiated Rate	$236.28
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$171.26
Rate for Payer: Healthfirst Commercial	$236.28

Nephritis & nephrosis

Facility

$102,684.85

Service Code	APR-DRG 4624
Min. Negotiated Rate	$13,048.00
Max. Negotiated Rate	$102,684.85
Rate for Payer: Affinity Essential Plan 1&2	$102,684.85
Rate for Payer: Affinity Essential Plan 3&4	$102,684.85
Rate for Payer: Affinity Medicaid/CHP/HARP	$45,637.71
Rate for Payer: Amida Care Medicaid	$45,637.71
Rate for Payer: EmblemHealth Essential Plan 1&2	$102,684.85
Rate for Payer: EmblemHealth Essential Plan 3&4	$45,637.71
Rate for Payer: Fidelis CHP/HARP/Medicaid	$45,637.71
Rate for Payer: Fidelis Qualified Health Plan	$54,765.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$45,637.71
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$45,637.71
Rate for Payer: Healthfirst Commercial	$23,114.00
Rate for Payer: Healthfirst Essential Plan	$102,684.85
Rate for Payer: Healthfirst QHP	$13,048.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$45,637.71
Rate for Payer: SOMOS Essential	$102,684.85
Rate for Payer: United Healthcare Essential Plan 1&2	$102,684.85
Rate for Payer: United Healthcare Essential Plan 3&4	$102,684.85
Rate for Payer: United Healthcare Medicaid	$45,637.71
Rate for Payer: Wellcare CHP/FHP/Medicaid	$45,637.71

Nephritis & nephrosis

Facility

$54,261.29

Service Code	APR-DRG 4623
Min. Negotiated Rate	$11,817.00
Max. Negotiated Rate	$54,261.29
Rate for Payer: Affinity Essential Plan 1&2	$54,261.29
Rate for Payer: Affinity Essential Plan 3&4	$54,261.29
Rate for Payer: Affinity Medicaid/CHP/HARP	$24,116.13
Rate for Payer: Amida Care Medicaid	$24,116.13
Rate for Payer: EmblemHealth Essential Plan 1&2	$54,261.29
Rate for Payer: EmblemHealth Essential Plan 3&4	$24,116.13
Rate for Payer: Fidelis CHP/HARP/Medicaid	$24,116.13
Rate for Payer: Fidelis Qualified Health Plan	$28,939.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$24,116.13
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$24,116.13
Rate for Payer: Healthfirst Commercial	$21,130.00
Rate for Payer: Healthfirst Essential Plan	$54,261.29
Rate for Payer: Healthfirst QHP	$11,817.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$24,116.13
Rate for Payer: SOMOS Essential	$54,261.29
Rate for Payer: United Healthcare Essential Plan 1&2	$54,261.29
Rate for Payer: United Healthcare Essential Plan 3&4	$54,261.29
Rate for Payer: United Healthcare Medicaid	$24,116.13
Rate for Payer: Wellcare CHP/FHP/Medicaid	$24,116.13

Nephritis & nephrosis

Facility

$44,625.13

Service Code	APR-DRG 4622
Min. Negotiated Rate	$7,808.00
Max. Negotiated Rate	$44,625.13
Rate for Payer: Affinity Essential Plan 1&2	$44,625.13
Rate for Payer: Affinity Essential Plan 3&4	$44,625.13
Rate for Payer: Affinity Medicaid/CHP/HARP	$19,833.39
Rate for Payer: Amida Care Medicaid	$19,833.39
Rate for Payer: EmblemHealth Essential Plan 1&2	$44,625.13
Rate for Payer: EmblemHealth Essential Plan 3&4	$19,833.39
Rate for Payer: Fidelis CHP/HARP/Medicaid	$19,833.39
Rate for Payer: Fidelis Qualified Health Plan	$23,800.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$19,833.39
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19,833.39
Rate for Payer: Healthfirst Commercial	$12,840.00
Rate for Payer: Healthfirst Essential Plan	$44,625.13
Rate for Payer: Healthfirst QHP	$7,808.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$19,833.39
Rate for Payer: SOMOS Essential	$44,625.13
Rate for Payer: United Healthcare Essential Plan 1&2	$44,625.13
Rate for Payer: United Healthcare Essential Plan 3&4	$44,625.13
Rate for Payer: United Healthcare Medicaid	$19,833.39
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19,833.39

Nephritis & nephrosis

Facility

$42,396.79

Service Code	APR-DRG 4621
Min. Negotiated Rate	$5,860.00
Max. Negotiated Rate	$42,396.79
Rate for Payer: Affinity Essential Plan 1&2	$42,396.79
Rate for Payer: Affinity Essential Plan 3&4	$42,396.79
Rate for Payer: Affinity Medicaid/CHP/HARP	$18,843.02
Rate for Payer: Amida Care Medicaid	$18,843.02
Rate for Payer: EmblemHealth Essential Plan 1&2	$42,396.79
Rate for Payer: EmblemHealth Essential Plan 3&4	$18,843.02
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,843.02
Rate for Payer: Fidelis Qualified Health Plan	$22,611.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,843.02
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,843.02
Rate for Payer: Healthfirst Commercial	$10,413.00
Rate for Payer: Healthfirst Essential Plan	$42,396.79
Rate for Payer: Healthfirst QHP	$5,860.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,843.02
Rate for Payer: SOMOS Essential	$42,396.79
Rate for Payer: United Healthcare Essential Plan 1&2	$42,396.79
Rate for Payer: United Healthcare Essential Plan 3&4	$42,396.79
Rate for Payer: United Healthcare Medicaid	$18,843.02
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,843.02

NERVE AND MUSCLE TESTS

Facility

$238.37

Service Code	EAPG 00213
Min. Negotiated Rate	$173.57
Max. Negotiated Rate	$238.37
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$173.57
Rate for Payer: Healthfirst Commercial	$238.37

Nervous system malignancy

Facility

$45,221.33

Service Code	APR-DRG 0411
Min. Negotiated Rate	$8,310.00
Max. Negotiated Rate	$45,221.33
Rate for Payer: Affinity Essential Plan 1&2	$45,221.33
Rate for Payer: Affinity Essential Plan 3&4	$45,221.33
Rate for Payer: Affinity Medicaid/CHP/HARP	$20,098.37
Rate for Payer: Amida Care Medicaid	$20,098.37
Rate for Payer: EmblemHealth Essential Plan 1&2	$45,221.33
Rate for Payer: EmblemHealth Essential Plan 3&4	$20,098.37
Rate for Payer: Fidelis CHP/HARP/Medicaid	$20,098.37
Rate for Payer: Fidelis Qualified Health Plan	$24,118.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$20,098.37
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$20,098.37
Rate for Payer: Healthfirst Commercial	$14,240.00
Rate for Payer: Healthfirst Essential Plan	$45,221.33
Rate for Payer: Healthfirst QHP	$8,310.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$20,098.37
Rate for Payer: SOMOS Essential	$45,221.33
Rate for Payer: United Healthcare Essential Plan 1&2	$45,221.33
Rate for Payer: United Healthcare Essential Plan 3&4	$45,221.33
Rate for Payer: United Healthcare Medicaid	$20,098.37
Rate for Payer: Wellcare CHP/FHP/Medicaid	$20,098.37

Nervous system malignancy

Facility

$80,053.31

Service Code	APR-DRG 0414
Min. Negotiated Rate	$29,725.00
Max. Negotiated Rate	$80,053.31
Rate for Payer: Affinity Essential Plan 1&2	$80,053.31
Rate for Payer: Affinity Essential Plan 3&4	$80,053.31
Rate for Payer: Affinity Medicaid/CHP/HARP	$35,579.25
Rate for Payer: Amida Care Medicaid	$35,579.25
Rate for Payer: EmblemHealth Essential Plan 1&2	$80,053.31
Rate for Payer: EmblemHealth Essential Plan 3&4	$35,579.25
Rate for Payer: Fidelis CHP/HARP/Medicaid	$35,579.25
Rate for Payer: Fidelis Qualified Health Plan	$42,695.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$35,579.25
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$35,579.25
Rate for Payer: Healthfirst Commercial	$49,081.00
Rate for Payer: Healthfirst Essential Plan	$80,053.31
Rate for Payer: Healthfirst QHP	$29,725.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$35,579.25
Rate for Payer: SOMOS Essential	$80,053.31
Rate for Payer: United Healthcare Essential Plan 1&2	$80,053.31
Rate for Payer: United Healthcare Essential Plan 3&4	$80,053.31
Rate for Payer: United Healthcare Medicaid	$35,579.25
Rate for Payer: Wellcare CHP/FHP/Medicaid	$35,579.25

Nervous system malignancy

Facility

$57,938.83

Service Code	APR-DRG 0413
Min. Negotiated Rate	$16,361.00
Max. Negotiated Rate	$57,938.83
Rate for Payer: Affinity Essential Plan 1&2	$57,938.83
Rate for Payer: Affinity Essential Plan 3&4	$57,938.83
Rate for Payer: Affinity Medicaid/CHP/HARP	$25,750.59
Rate for Payer: Amida Care Medicaid	$25,750.59
Rate for Payer: EmblemHealth Essential Plan 1&2	$57,938.83
Rate for Payer: EmblemHealth Essential Plan 3&4	$25,750.59
Rate for Payer: Fidelis CHP/HARP/Medicaid	$25,750.59
Rate for Payer: Fidelis Qualified Health Plan	$30,900.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$25,750.59
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$25,750.59
Rate for Payer: Healthfirst Commercial	$27,098.00
Rate for Payer: Healthfirst Essential Plan	$57,938.83
Rate for Payer: Healthfirst QHP	$16,361.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$25,750.59
Rate for Payer: SOMOS Essential	$57,938.83
Rate for Payer: United Healthcare Essential Plan 1&2	$57,938.83
Rate for Payer: United Healthcare Essential Plan 3&4	$57,938.83
Rate for Payer: United Healthcare Medicaid	$25,750.59
Rate for Payer: Wellcare CHP/FHP/Medicaid	$25,750.59

Nervous system malignancy

Facility

$47,254.46

Service Code	APR-DRG 0412
Min. Negotiated Rate	$9,559.00
Max. Negotiated Rate	$47,254.46
Rate for Payer: Affinity Essential Plan 1&2	$47,254.46
Rate for Payer: Affinity Essential Plan 3&4	$47,254.46
Rate for Payer: Affinity Medicaid/CHP/HARP	$21,001.98
Rate for Payer: Amida Care Medicaid	$21,001.98
Rate for Payer: EmblemHealth Essential Plan 1&2	$47,254.46
Rate for Payer: EmblemHealth Essential Plan 3&4	$21,001.98
Rate for Payer: Fidelis CHP/HARP/Medicaid	$21,001.98
Rate for Payer: Fidelis Qualified Health Plan	$25,202.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,001.98
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$21,001.98
Rate for Payer: Healthfirst Commercial	$16,444.00
Rate for Payer: Healthfirst Essential Plan	$47,254.46
Rate for Payer: Healthfirst QHP	$9,559.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$21,001.98
Rate for Payer: SOMOS Essential	$47,254.46
Rate for Payer: United Healthcare Essential Plan 1&2	$47,254.46
Rate for Payer: United Healthcare Essential Plan 3&4	$47,254.46
Rate for Payer: United Healthcare Medicaid	$21,001.98
Rate for Payer: Wellcare CHP/FHP/Medicaid	$21,001.98

NERVOUS SYSTEM MALIGNANCY

Facility

$230.42

Service Code	EAPG 00521
Min. Negotiated Rate	$166.63
Max. Negotiated Rate	$230.42
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$166.63
Rate for Payer: Healthfirst Commercial	$230.42

NEVIRAPINE 200 MG PO TABS

Facility

$10.83

Service Code	NDC 0378405091
Hospital Charge Code	0378405091
Hospital Revenue Code	250
Min. Negotiated Rate	$3.79
Max. Negotiated Rate	$8.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.42
Rate for Payer: Aetna Government	$5.42
Rate for Payer: Brighton Health Commercial	$8.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.67
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.37
Rate for Payer: EmblemHealth Commercial	$5.42
Rate for Payer: Group Health Inc Commercial	$5.42
Rate for Payer: Group Health Inc Medicare	$3.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.42
Rate for Payer: Hamaspik Choice Inc Medicare	$5.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.04

NEVIRAPINE 200 MG PO TABS

Facility

$10.83

Service Code	NDC 0378405091
Hospital Charge Code	0378405091
Hospital Revenue Code	250
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$5.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.42

NEVIRAPINE 200 MG PO TABS

Facility

$10.85

Service Code	NDC 3172250560
Hospital Charge Code	3172250560
Hospital Revenue Code	250
Min. Negotiated Rate	$3.80
Max. Negotiated Rate	$8.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.42
Rate for Payer: Aetna Government	$5.42
Rate for Payer: Brighton Health Commercial	$8.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.37
Rate for Payer: EmblemHealth Commercial	$5.42
Rate for Payer: Group Health Inc Commercial	$5.42
Rate for Payer: Group Health Inc Medicare	$3.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.42
Rate for Payer: Hamaspik Choice Inc Medicare	$5.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.05

NEVIRAPINE 200 MG PO TABS

Facility

$10.85

Service Code	NDC 3172250560
Hospital Charge Code	3172250560
Hospital Revenue Code	250
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$5.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.42

NEVIRAPINE 50 MG/5ML PO SUSP

Facility

$0.79

Service Code	NDC 6586205724
Hospital Charge Code	6586205724
Hospital Revenue Code	250
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.43
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.39
Rate for Payer: Aetna Government	$0.39
Rate for Payer: Brighton Health Commercial	$0.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.54
Rate for Payer: EmblemHealth Commercial	$0.39
Rate for Payer: Group Health Inc Commercial	$0.39
Rate for Payer: Group Health Inc Medicare	$0.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.39
Rate for Payer: Hamaspik Choice Inc Medicare	$0.39
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.51

NEVIRAPINE 50 MG/5ML PO SUSP

Facility

$0.79

Service Code	NDC 6586205724
Hospital Charge Code	6586205724
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$0.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.39

Know your out-of-pocket cost for care.

All Charges