St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PARICALCITOL 2 MCG/ML IV SOLN

Facility

$7.27

Service Code	HCPCS J2501
Hospital Charge Code	0074463701
Hospital Revenue Code	258
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$5.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.65
Rate for Payer: Aetna Government	$0.65
Rate for Payer: Brighton Health Commercial	$5.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.94
Rate for Payer: EmblemHealth Commercial	$3.64
Rate for Payer: Group Health Inc Commercial	$3.64
Rate for Payer: Group Health Inc Medicare	$2.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.64
Rate for Payer: Hamaspik Choice Inc Medicare	$3.64
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.95
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.73

PARICALCITOL 2 MCG/ML IV SOLN

Facility

$7.27

Service Code	HCPCS J2501
Hospital Charge Code	0074463701
Hospital Revenue Code	258
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$3.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.64

PARICALCITOL 2 MCG/ML IV SOLN

Facility

$5.04

Service Code	HCPCS J2501
Hospital Charge Code	1672931008
Hospital Revenue Code	258
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$2.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.52

PARICALCITOL 2 MCG/ML IV SOLN

Facility

$5.04

Service Code	HCPCS J2501
Hospital Charge Code	1672931008
Hospital Revenue Code	258
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$4.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.65
Rate for Payer: Aetna Government	$0.65
Rate for Payer: Brighton Health Commercial	$3.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.43
Rate for Payer: EmblemHealth Commercial	$2.52
Rate for Payer: Group Health Inc Commercial	$2.52
Rate for Payer: Group Health Inc Medicare	$1.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.52
Rate for Payer: Hamaspik Choice Inc Medicare	$2.52
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.95
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.28

PARICALCITOL 5 MCG/ML IV SOLN

Facility

$12.60

Service Code	HCPCS J2501
Hospital Charge Code	1672931163
Hospital Revenue Code	258
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$6.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.30

PARICALCITOL 5 MCG/ML IV SOLN

Facility

$12.60

Service Code	HCPCS J2501
Hospital Charge Code	1672931193
Hospital Revenue Code	258
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$10.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.65
Rate for Payer: Aetna Government	$0.65
Rate for Payer: Brighton Health Commercial	$9.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.57
Rate for Payer: EmblemHealth Commercial	$6.30
Rate for Payer: Group Health Inc Commercial	$6.30
Rate for Payer: Group Health Inc Medicare	$4.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.30
Rate for Payer: Hamaspik Choice Inc Medicare	$6.30
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.95
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.19

PARICALCITOL 5 MCG/ML IV SOLN

Facility

$18.18

Service Code	HCPCS J2501
Hospital Charge Code	0074165801
Hospital Revenue Code	258
Min. Negotiated Rate	$9.09
Max. Negotiated Rate	$9.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.09

PARICALCITOL 5 MCG/ML IV SOLN

Facility

$12.60

Service Code	HCPCS J2501
Hospital Charge Code	1672931193
Hospital Revenue Code	258
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$6.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.30

PARICALCITOL 5 MCG/ML IV SOLN

Facility

$18.18

Service Code	HCPCS J2501
Hospital Charge Code	0074165805
Hospital Revenue Code	258
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$14.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.65
Rate for Payer: Aetna Government	$0.65
Rate for Payer: Brighton Health Commercial	$13.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$14.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$12.36
Rate for Payer: EmblemHealth Commercial	$9.09
Rate for Payer: Group Health Inc Commercial	$9.09
Rate for Payer: Group Health Inc Medicare	$6.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.09
Rate for Payer: Hamaspik Choice Inc Medicare	$9.09
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.95
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$11.82

PARICALCITOL 5 MCG/ML IV SOLN

Facility

$18.18

Service Code	HCPCS J2501
Hospital Charge Code	0074165801
Hospital Revenue Code	258
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$14.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.65
Rate for Payer: Aetna Government	$0.65
Rate for Payer: Brighton Health Commercial	$13.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$14.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$12.36
Rate for Payer: EmblemHealth Commercial	$9.09
Rate for Payer: Group Health Inc Commercial	$9.09
Rate for Payer: Group Health Inc Medicare	$6.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.09
Rate for Payer: Hamaspik Choice Inc Medicare	$9.09
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.95
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$11.82

PARICALCITOL 5 MCG/ML IV SOLN

Facility

$12.60

Service Code	HCPCS J2501
Hospital Charge Code	1672931163
Hospital Revenue Code	258
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$10.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.65
Rate for Payer: Aetna Government	$0.65
Rate for Payer: Brighton Health Commercial	$9.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.57
Rate for Payer: EmblemHealth Commercial	$6.30
Rate for Payer: Group Health Inc Commercial	$6.30
Rate for Payer: Group Health Inc Medicare	$4.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.30
Rate for Payer: Hamaspik Choice Inc Medicare	$6.30
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.95
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.19

PARICALCITOL 5 MCG/ML IV SOLN

Facility

$18.18

Service Code	HCPCS J2501
Hospital Charge Code	0074165805
Hospital Revenue Code	258
Min. Negotiated Rate	$9.09
Max. Negotiated Rate	$9.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.09

PAROMOMYCIN SULFATE 250 MG PO CAPS

Facility

$5.67

Service Code	NDC 2315503801
Hospital Charge Code	2315503801
Hospital Revenue Code	250
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$2.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.83

PAROMOMYCIN SULFATE 250 MG PO CAPS

Facility

$5.67

Service Code	NDC 2315503801
Hospital Charge Code	2315503801
Hospital Revenue Code	250
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$4.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.83
Rate for Payer: Aetna Government	$2.83
Rate for Payer: Brighton Health Commercial	$4.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.86
Rate for Payer: EmblemHealth Commercial	$2.83
Rate for Payer: Group Health Inc Commercial	$2.83
Rate for Payer: Group Health Inc Medicare	$1.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.83
Rate for Payer: Hamaspik Choice Inc Medicare	$2.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.69

PAROXETINE HCL 10 MG PO TABS

Facility

$2.62

Service Code	NDC 6838209706
Hospital Charge Code	6838209706
Hospital Revenue Code	250
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.31

PAROXETINE HCL 10 MG PO TABS

Facility

$2.62

Service Code	NDC 6838209706
Hospital Charge Code	6838209706
Hospital Revenue Code	250
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	$1.96
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

PAROXETINE HCL 10 MG PO TABS

Facility

$2.81

Service Code	NDC 0904567661
Hospital Charge Code	0904567661
Hospital Revenue Code	250
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$1.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.41

PAROXETINE HCL 10 MG PO TABS

Facility

$0.77

Service Code	NDC 5026864015
Hospital Charge Code	5026864015
Hospital Revenue Code	250
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$0.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.38

PAROXETINE HCL 10 MG PO TABS

Facility

$0.77

Service Code	NDC 5026864015
Hospital Charge Code	5026864015
Hospital Revenue Code	250
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$0.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.38
Rate for Payer: Aetna Government	$0.38
Rate for Payer: Brighton Health Commercial	$0.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.61
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.52
Rate for Payer: EmblemHealth Commercial	$0.38
Rate for Payer: Group Health Inc Commercial	$0.38
Rate for Payer: Group Health Inc Medicare	$0.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.38
Rate for Payer: Hamaspik Choice Inc Medicare	$0.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.50

PAROXETINE HCL 10 MG PO TABS

Facility

$0.77

Service Code	NDC 5026864011
Hospital Charge Code	5026864011
Hospital Revenue Code	250
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$0.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.38
Rate for Payer: Aetna Government	$0.38
Rate for Payer: Brighton Health Commercial	$0.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.61
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.52
Rate for Payer: EmblemHealth Commercial	$0.38
Rate for Payer: Group Health Inc Commercial	$0.38
Rate for Payer: Group Health Inc Medicare	$0.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.38
Rate for Payer: Hamaspik Choice Inc Medicare	$0.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.50

PAROXETINE HCL 10 MG PO TABS

Facility

$0.77

Service Code	NDC 5026864011
Hospital Charge Code	5026864011
Hospital Revenue Code	250
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$0.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.38

PAROXETINE HCL 10 MG PO TABS

Facility

$2.81

Service Code	NDC 0904567661
Hospital Charge Code	0904567661
Hospital Revenue Code	250
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$2.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.41
Rate for Payer: Aetna Government	$1.41
Rate for Payer: Brighton Health Commercial	$2.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.91
Rate for Payer: EmblemHealth Commercial	$1.41
Rate for Payer: Group Health Inc Commercial	$1.41
Rate for Payer: Group Health Inc Medicare	$0.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.41
Rate for Payer: Hamaspik Choice Inc Medicare	$1.41
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.83

PAROXETINE HCL 20 MG PO TABS

Facility

$2.94

Service Code	NDC 0904567761
Hospital Charge Code	0904567761
Hospital Revenue Code	250
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$1.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.47

PAROXETINE HCL 20 MG PO TABS

Facility

$2.94

Service Code	NDC 0904567761
Hospital Charge Code	0904567761
Hospital Revenue Code	250
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$2.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.47
Rate for Payer: Aetna Government	$1.47
Rate for Payer: Brighton Health Commercial	$2.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.00
Rate for Payer: EmblemHealth Commercial	$1.47
Rate for Payer: Group Health Inc Commercial	$1.47
Rate for Payer: Group Health Inc Medicare	$1.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.47
Rate for Payer: Hamaspik Choice Inc Medicare	$1.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.91

PAROXETINE HCL 20 MG PO TABS

Facility

$2.73

Service Code	NDC 6838209806
Hospital Charge Code	6838209806
Hospital Revenue Code	250
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$2.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.37
Rate for Payer: Aetna Government	$1.37
Rate for Payer: Brighton Health Commercial	$2.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.86
Rate for Payer: EmblemHealth Commercial	$1.37
Rate for Payer: Group Health Inc Commercial	$1.37
Rate for Payer: Group Health Inc Medicare	$0.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.37
Rate for Payer: Hamaspik Choice Inc Medicare	$1.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.78

Know your out-of-pocket cost for care.

All Charges