St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CELECOXIB 100 MG PO CAPS

Facility

$4.62

Service Code	NDC 6586290801
Hospital Charge Code	6586290801
Hospital Revenue Code	250
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$3.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.31
Rate for Payer: Aetna Government	$2.31
Rate for Payer: Brighton Health Commercial	$3.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.14
Rate for Payer: EmblemHealth Commercial	$2.31
Rate for Payer: Group Health Inc Commercial	$2.31
Rate for Payer: Group Health Inc Medicare	$1.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.31
Rate for Payer: Hamaspik Choice Inc Medicare	$2.31
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.00

CELECOXIB 100 MG PO CAPS

Facility

$4.62

Service Code	NDC 6936730101
Hospital Charge Code	6936730101
Hospital Revenue Code	250
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$2.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.31

CELECOXIB 100 MG PO CAPS

Facility

$4.62

Service Code	NDC 6586290801
Hospital Charge Code	6586290801
Hospital Revenue Code	250
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$2.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.31

CELECOXIB 100 MG PO CAPS

Facility

$4.62

Service Code	NDC 7224102305
Hospital Charge Code	7224102305
Hospital Revenue Code	250
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$3.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.31
Rate for Payer: Aetna Government	$2.31
Rate for Payer: Brighton Health Commercial	$3.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.14
Rate for Payer: EmblemHealth Commercial	$2.31
Rate for Payer: Group Health Inc Commercial	$2.31
Rate for Payer: Group Health Inc Medicare	$1.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.31
Rate for Payer: Hamaspik Choice Inc Medicare	$2.31
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.00

CELECOXIB 100 MG PO CAPS

Facility

$4.37

Service Code	NDC 5026816811
Hospital Charge Code	5026816811
Hospital Revenue Code	250
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$3.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.18
Rate for Payer: Aetna Government	$2.18
Rate for Payer: Brighton Health Commercial	$3.27
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.97
Rate for Payer: EmblemHealth Commercial	$2.18
Rate for Payer: Group Health Inc Commercial	$2.18
Rate for Payer: Group Health Inc Medicare	$1.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.84

CELECOXIB 100 MG PO CAPS

Facility

$4.62

Service Code	NDC 6936730101
Hospital Charge Code	6936730101
Hospital Revenue Code	250
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$3.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.31
Rate for Payer: Aetna Government	$2.31
Rate for Payer: Brighton Health Commercial	$3.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.14
Rate for Payer: EmblemHealth Commercial	$2.31
Rate for Payer: Group Health Inc Commercial	$2.31
Rate for Payer: Group Health Inc Medicare	$1.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.31
Rate for Payer: Hamaspik Choice Inc Medicare	$2.31
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.00

CELECOXIB 100 MG PO CAPS

Facility

$4.37

Service Code	NDC 0904650261
Hospital Charge Code	0904650261
Hospital Revenue Code	250
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$3.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.18
Rate for Payer: Aetna Government	$2.18
Rate for Payer: Brighton Health Commercial	$3.27
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.97
Rate for Payer: EmblemHealth Commercial	$2.18
Rate for Payer: Group Health Inc Commercial	$2.18
Rate for Payer: Group Health Inc Medicare	$1.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.84

CELECOXIB 100 MG PO CAPS

Facility

$4.37

Service Code	NDC 0904650261
Hospital Charge Code	0904650261
Hospital Revenue Code	250
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$2.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.18

CELECOXIB 100 MG PO CAPS

Facility

$4.62

Service Code	NDC 7224102305
Hospital Charge Code	7224102305
Hospital Revenue Code	250
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$2.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.31

CELECOXIB 100 MG PO CAPS

Facility

$4.37

Service Code	NDC 5026816811
Hospital Charge Code	5026816811
Hospital Revenue Code	250
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$2.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.18

CELECOXIB 200 MG PO CAPS

Facility

$7.58

Service Code	NDC 7224102405
Hospital Charge Code	7224102405
Hospital Revenue Code	250
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$6.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.79
Rate for Payer: Aetna Government	$3.79
Rate for Payer: Brighton Health Commercial	$5.69
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.16
Rate for Payer: EmblemHealth Commercial	$3.79
Rate for Payer: Group Health Inc Commercial	$3.79
Rate for Payer: Group Health Inc Medicare	$2.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.79
Rate for Payer: Hamaspik Choice Inc Medicare	$3.79
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.93

CELECOXIB 200 MG PO CAPS

Facility

$7.58

Service Code	NDC 5976215171
Hospital Charge Code	5976215171
Hospital Revenue Code	250
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$6.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.79
Rate for Payer: Aetna Government	$3.79
Rate for Payer: Brighton Health Commercial	$5.69
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.16
Rate for Payer: EmblemHealth Commercial	$3.79
Rate for Payer: Group Health Inc Commercial	$3.79
Rate for Payer: Group Health Inc Medicare	$2.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.79
Rate for Payer: Hamaspik Choice Inc Medicare	$3.79
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.93

CELECOXIB 200 MG PO CAPS

Facility

$7.58

Service Code	NDC 6909742107
Hospital Charge Code	6909742107
Hospital Revenue Code	250
Min. Negotiated Rate	$3.79
Max. Negotiated Rate	$3.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.79

CELECOXIB 200 MG PO CAPS

Facility

$2.43

Service Code	NDC 5026816915
Hospital Charge Code	5026816915
Hospital Revenue Code	250
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$1.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.21

CELECOXIB 200 MG PO CAPS

Facility

$2.43

Service Code	NDC 5026816911
Hospital Charge Code	5026816911
Hospital Revenue Code	250
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$1.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.21
Rate for Payer: Aetna Government	$1.21
Rate for Payer: Brighton Health Commercial	$1.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.65
Rate for Payer: EmblemHealth Commercial	$1.21
Rate for Payer: Group Health Inc Commercial	$1.21
Rate for Payer: Group Health Inc Medicare	$0.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.21
Rate for Payer: Hamaspik Choice Inc Medicare	$1.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.58

CELECOXIB 200 MG PO CAPS

Facility

$2.43

Service Code	NDC 6068744711
Hospital Charge Code	6068744711
Hospital Revenue Code	250
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$1.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.21

CELECOXIB 200 MG PO CAPS

Facility

$7.58

Service Code	NDC 7224102405
Hospital Charge Code	7224102405
Hospital Revenue Code	250
Min. Negotiated Rate	$3.79
Max. Negotiated Rate	$3.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.79

CELECOXIB 200 MG PO CAPS

Facility

$7.58

Service Code	NDC 5976215171
Hospital Charge Code	5976215171
Hospital Revenue Code	250
Min. Negotiated Rate	$3.79
Max. Negotiated Rate	$3.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.79

CELECOXIB 200 MG PO CAPS

Facility

$2.43

Service Code	NDC 5026816915
Hospital Charge Code	5026816915
Hospital Revenue Code	250
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$1.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.21
Rate for Payer: Aetna Government	$1.21
Rate for Payer: Brighton Health Commercial	$1.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.65
Rate for Payer: EmblemHealth Commercial	$1.21
Rate for Payer: Group Health Inc Commercial	$1.21
Rate for Payer: Group Health Inc Medicare	$0.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.21
Rate for Payer: Hamaspik Choice Inc Medicare	$1.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.58

CELECOXIB 200 MG PO CAPS

Facility

$2.43

Service Code	NDC 6068744711
Hospital Charge Code	6068744711
Hospital Revenue Code	250
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$1.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.21
Rate for Payer: Aetna Government	$1.21
Rate for Payer: Brighton Health Commercial	$1.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.65
Rate for Payer: EmblemHealth Commercial	$1.21
Rate for Payer: Group Health Inc Commercial	$1.21
Rate for Payer: Group Health Inc Medicare	$0.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.21
Rate for Payer: Hamaspik Choice Inc Medicare	$1.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.58

CELECOXIB 200 MG PO CAPS

Facility

$7.58

Service Code	NDC 6909742107
Hospital Charge Code	6909742107
Hospital Revenue Code	250
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$6.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.79
Rate for Payer: Aetna Government	$3.79
Rate for Payer: Brighton Health Commercial	$5.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.15
Rate for Payer: EmblemHealth Commercial	$3.79
Rate for Payer: Group Health Inc Commercial	$3.79
Rate for Payer: Group Health Inc Medicare	$2.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.79
Rate for Payer: Hamaspik Choice Inc Medicare	$3.79
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.93

CELECOXIB 200 MG PO CAPS

Facility

$2.43

Service Code	NDC 5026816911
Hospital Charge Code	5026816911
Hospital Revenue Code	250
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$1.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.21

CELLULITIS AND OTHER BACTERIAL SKIN INFECTIONS

Facility

$212.42

Service Code	EAPG 00673
Min. Negotiated Rate	$155.06
Max. Negotiated Rate	$212.42
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$155.06
Rate for Payer: Healthfirst Commercial	$212.42

Cellulitis & other skin infections

Facility

$40,900.10

Service Code	APR-DRG 3831
Min. Negotiated Rate	$5,956.00
Max. Negotiated Rate	$40,900.10
Rate for Payer: Affinity Essential Plan 1&2	$40,900.10
Rate for Payer: Affinity Essential Plan 3&4	$40,900.10
Rate for Payer: Affinity Medicaid/CHP/HARP	$18,177.82
Rate for Payer: Amida Care Medicaid	$18,177.82
Rate for Payer: EmblemHealth Essential Plan 1&2	$40,900.10
Rate for Payer: EmblemHealth Essential Plan 3&4	$18,177.82
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,177.82
Rate for Payer: Fidelis Qualified Health Plan	$21,813.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,177.82
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,177.82
Rate for Payer: Healthfirst Commercial	$10,277.00
Rate for Payer: Healthfirst Essential Plan	$40,900.10
Rate for Payer: Healthfirst QHP	$5,956.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,177.82
Rate for Payer: SOMOS Essential	$40,900.10
Rate for Payer: United Healthcare Essential Plan 1&2	$40,900.10
Rate for Payer: United Healthcare Essential Plan 3&4	$40,900.10
Rate for Payer: United Healthcare Medicaid	$18,177.82
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,177.82

Cellulitis & other skin infections

Facility

$52,803.29

Service Code	APR-DRG 3833
Min. Negotiated Rate	$11,517.00
Max. Negotiated Rate	$52,803.29
Rate for Payer: Affinity Essential Plan 1&2	$52,803.29
Rate for Payer: Affinity Essential Plan 3&4	$52,803.29
Rate for Payer: Affinity Medicaid/CHP/HARP	$23,468.13
Rate for Payer: Amida Care Medicaid	$23,468.13
Rate for Payer: EmblemHealth Essential Plan 1&2	$52,803.29
Rate for Payer: EmblemHealth Essential Plan 3&4	$23,468.13
Rate for Payer: Fidelis CHP/HARP/Medicaid	$23,468.13
Rate for Payer: Fidelis Qualified Health Plan	$28,161.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$23,468.13
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$23,468.13
Rate for Payer: Healthfirst Commercial	$20,977.00
Rate for Payer: Healthfirst Essential Plan	$52,803.29
Rate for Payer: Healthfirst QHP	$11,517.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$23,468.13
Rate for Payer: SOMOS Essential	$52,803.29
Rate for Payer: United Healthcare Essential Plan 1&2	$52,803.29
Rate for Payer: United Healthcare Essential Plan 3&4	$52,803.29
Rate for Payer: United Healthcare Medicaid	$23,468.13
Rate for Payer: Wellcare CHP/FHP/Medicaid	$23,468.13

Know your out-of-pocket cost for care.

All Charges