St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

Nontraumatic stupor & coma

Facility

$18,997.00

Service Code	APR-DRG 0523
Min. Negotiated Rate	$3,343.85
Max. Negotiated Rate	$18,997.00
Rate for Payer: Affinity Essential Plan 1&2	$3,343.85
Rate for Payer: Affinity Essential Plan 3&4	$3,343.85
Rate for Payer: Affinity Medicaid/CHP/HARP	$3,343.85
Rate for Payer: Carelon Behavioral Health HARP/QHP	$3,343.85
Rate for Payer: EmblemHealth Essential Plan 1&2	$7,523.66
Rate for Payer: EmblemHealth Essential Plan 3&4	$3,343.85
Rate for Payer: Fidelis Qualified Health Plan	$4,012.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,343.85
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,343.85
Rate for Payer: Healthfirst Commercial	$18,997.00
Rate for Payer: Healthfirst Essential Plan	$7,523.66
Rate for Payer: Healthfirst QHP	$6,085.81
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$3,343.85
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$7,523.66
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$7,523.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,343.85
Rate for Payer: SOMOS Essential	$7,523.66
Rate for Payer: United Healthcare Essential Plan 1&2	$7,523.66
Rate for Payer: United Healthcare Essential Plan 3&4	$7,523.66
Rate for Payer: United Healthcare Medicaid	$3,343.85

NONTRAUMATIC STUPOR & COMA

Facility

$267.04

Service Code	EAPG 00528
Min. Negotiated Rate	$194.40
Max. Negotiated Rate	$267.04
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$194.40
Rate for Payer: Healthfirst Commercial	$267.04

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$1.50

Service Code	NDC 4306699710
Hospital Charge Code	4306699710
Hospital Revenue Code	258
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.75

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$2.62

Service Code	NDC 5199198317
Hospital Charge Code	5199198317
Hospital Revenue Code	258
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$2.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.31
Rate for Payer: Aetna Government	$1.31
Rate for Payer: Brighton Health Commercial	$1.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.78
Rate for Payer: EmblemHealth Commercial	$1.31
Rate for Payer: Group Health Inc Commercial	$1.31
Rate for Payer: Group Health Inc Medicare	$0.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.31
Rate for Payer: Hamaspik Choice Inc Medicare	$1.31
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.70

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$5.38

Service Code	NDC 7183914325
Hospital Charge Code	7183914325
Hospital Revenue Code	258
Min. Negotiated Rate	$2.69
Max. Negotiated Rate	$2.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.69

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$5.41

Service Code	NDC 7012115767
Hospital Charge Code	7012115767
Hospital Revenue Code	258
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$4.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.70
Rate for Payer: Aetna Government	$2.70
Rate for Payer: Brighton Health Commercial	$4.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.68
Rate for Payer: EmblemHealth Commercial	$2.70
Rate for Payer: Group Health Inc Commercial	$2.70
Rate for Payer: Group Health Inc Medicare	$1.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.70
Rate for Payer: Hamaspik Choice Inc Medicare	$2.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.51

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$1.50

Service Code	NDC 4306699710
Hospital Charge Code	4306699710
Hospital Revenue Code	258
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	$1.12
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

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$5.41

Service Code	NDC 7012115767
Hospital Charge Code	7012115767
Hospital Revenue Code	258
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.70

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$5.38

Service Code	NDC 7183914325
Hospital Charge Code	7183914325
Hospital Revenue Code	258
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$4.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.69
Rate for Payer: Aetna Government	$2.69
Rate for Payer: Brighton Health Commercial	$4.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.65
Rate for Payer: EmblemHealth Commercial	$2.69
Rate for Payer: Group Health Inc Commercial	$2.69
Rate for Payer: Group Health Inc Medicare	$1.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.69
Rate for Payer: Hamaspik Choice Inc Medicare	$2.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.49

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$3.15

Service Code	NDC 6332394004
Hospital Charge Code	6332394004
Hospital Revenue Code	258
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$2.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.57
Rate for Payer: Aetna Government	$1.57
Rate for Payer: Brighton Health Commercial	$2.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.14
Rate for Payer: EmblemHealth Commercial	$1.57
Rate for Payer: Group Health Inc Commercial	$1.57
Rate for Payer: Group Health Inc Medicare	$1.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.57
Rate for Payer: Hamaspik Choice Inc Medicare	$1.57
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.05

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$5.41

Service Code	NDC 0703115303
Hospital Charge Code	0703115303
Hospital Revenue Code	258
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$4.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.70
Rate for Payer: Aetna Government	$2.70
Rate for Payer: Brighton Health Commercial	$4.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.68
Rate for Payer: EmblemHealth Commercial	$2.70
Rate for Payer: Group Health Inc Commercial	$2.70
Rate for Payer: Group Health Inc Medicare	$1.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.70
Rate for Payer: Hamaspik Choice Inc Medicare	$2.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.51

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$5.41

Service Code	NDC 0703115303
Hospital Charge Code	0703115303
Hospital Revenue Code	258
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.70

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$3.15

Service Code	NDC 6332394021
Hospital Charge Code	6332394021
Hospital Revenue Code	258
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$2.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.57
Rate for Payer: Aetna Government	$1.57
Rate for Payer: Brighton Health Commercial	$2.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.14
Rate for Payer: EmblemHealth Commercial	$1.57
Rate for Payer: Group Health Inc Commercial	$1.57
Rate for Payer: Group Health Inc Medicare	$1.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.57
Rate for Payer: Hamaspik Choice Inc Medicare	$1.57
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.05

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$3.15

Service Code	NDC 6332394004
Hospital Charge Code	6332394004
Hospital Revenue Code	258
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.57

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$2.62

Service Code	NDC 5199198317
Hospital Charge Code	5199198317
Hospital Revenue Code	258
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.31

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$6.74

Service Code	NDC 0409337504
Hospital Charge Code	0409337504
Hospital Revenue Code	258
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.37

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$6.74

Service Code	NDC 0409337504
Hospital Charge Code	0409337504
Hospital Revenue Code	258
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$5.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.37
Rate for Payer: Aetna Government	$3.37
Rate for Payer: Brighton Health Commercial	$5.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.59
Rate for Payer: EmblemHealth Commercial	$3.37
Rate for Payer: Group Health Inc Commercial	$3.37
Rate for Payer: Group Health Inc Medicare	$2.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.37
Rate for Payer: Hamaspik Choice Inc Medicare	$3.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.38

NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN

Facility

$3.15

Service Code	NDC 6332394021
Hospital Charge Code	6332394021
Hospital Revenue Code	258
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.57

NOREPINEPHRINE-DEXTROSE 8-5 MG/250ML-% IV SOLN

Facility

$0.17

Service Code	NDC 0338010820
Hospital Charge Code	0338010820
Hospital Revenue Code	258
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$0.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.08

NOREPINEPHRINE-DEXTROSE 8-5 MG/250ML-% IV SOLN

Facility

$0.17

Service Code	NDC 0338010820
Hospital Charge Code	0338010820
Hospital Revenue Code	258
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$0.13
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.08
Rate for Payer: Aetna Government	$0.08
Rate for Payer: Brighton Health Commercial	$0.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.13
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.11
Rate for Payer: EmblemHealth Commercial	$0.08
Rate for Payer: Group Health Inc Commercial	$0.08
Rate for Payer: Group Health Inc Medicare	$0.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.08
Rate for Payer: Hamaspik Choice Inc Medicare	$0.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.11

NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN

Facility

$0.24

Service Code	NDC 4456764101
Hospital Charge Code	4456764101
Hospital Revenue Code	258
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$0.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.12
Rate for Payer: Aetna Government	$0.12
Rate for Payer: Brighton Health Commercial	$0.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.16
Rate for Payer: EmblemHealth Commercial	$0.12
Rate for Payer: Group Health Inc Commercial	$0.12
Rate for Payer: Group Health Inc Medicare	$0.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.12
Rate for Payer: Hamaspik Choice Inc Medicare	$0.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.15

NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN

Facility

$0.24

Service Code	NDC 4456764101
Hospital Charge Code	4456764101
Hospital Revenue Code	258
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$0.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.12

NORGESTREL-ETHINYL ESTRADIOL 0.3-30 MG-MCG PO TABS

Facility

$1.09

Service Code	NDC 0555904958
Hospital Charge Code	0555904958
Hospital Revenue Code	250
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$0.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.55

NORGESTREL-ETHINYL ESTRADIOL 0.3-30 MG-MCG PO TABS

Facility

$1.09

Service Code	NDC 0555904958
Hospital Charge Code	0555904958
Hospital Revenue Code	250
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$0.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.55
Rate for Payer: Aetna Government	$0.55
Rate for Payer: Brighton Health Commercial	$0.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.87
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.74
Rate for Payer: EmblemHealth Commercial	$0.55
Rate for Payer: Group Health Inc Commercial	$0.55
Rate for Payer: Group Health Inc Medicare	$0.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.55
Rate for Payer: Hamaspik Choice Inc Medicare	$0.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.71

NORMAL NEONATE

Facility

$197.46

Service Code	EAPG 00770
Min. Negotiated Rate	$143.49
Max. Negotiated Rate	$197.46
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$143.49
Rate for Payer: Healthfirst Commercial	$197.46

Know your out-of-pocket cost for care.

All Charges