St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$1.92

Service Code	NDC 8128421125
Hospital Charge Code	8128421125
Hospital Revenue Code	258
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$1.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.96
Rate for Payer: Aetna Government	$0.96
Rate for Payer: Brighton Health Commercial	$1.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.31
Rate for Payer: EmblemHealth Commercial	$0.96
Rate for Payer: Group Health Inc Commercial	$0.96
Rate for Payer: Group Health Inc Medicare	$0.67
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.96
Rate for Payer: Hamaspik Choice Inc Medicare	$0.96
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.25

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$2.40

Service Code	NDC 7128880876
Hospital Charge Code	7128880876
Hospital Revenue Code	258
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$1.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.20
Rate for Payer: Aetna Government	$1.20
Rate for Payer: Brighton Health Commercial	$1.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.63
Rate for Payer: EmblemHealth Commercial	$1.20
Rate for Payer: Group Health Inc Commercial	$1.20
Rate for Payer: Group Health Inc Medicare	$0.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.20
Rate for Payer: Hamaspik Choice Inc Medicare	$1.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.56

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$1.92

Service Code	NDC 8128421100
Hospital Charge Code	8128421100
Hospital Revenue Code	258
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$1.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.96
Rate for Payer: Aetna Government	$0.96
Rate for Payer: Brighton Health Commercial	$1.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.31
Rate for Payer: EmblemHealth Commercial	$0.96
Rate for Payer: Group Health Inc Commercial	$0.96
Rate for Payer: Group Health Inc Medicare	$0.67
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.96
Rate for Payer: Hamaspik Choice Inc Medicare	$0.96
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.25

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$4.86

Service Code	NDC 7012115787
Hospital Charge Code	7012115787
Hospital Revenue Code	258
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$3.89
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	$3.89
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

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$2.40

Service Code	NDC 2315562031
Hospital Charge Code	2315562031
Hospital Revenue Code	258
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$1.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.20
Rate for Payer: Aetna Government	$1.20
Rate for Payer: Brighton Health Commercial	$1.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.63
Rate for Payer: EmblemHealth Commercial	$1.20
Rate for Payer: Group Health Inc Commercial	$1.20
Rate for Payer: Group Health Inc Medicare	$0.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.20
Rate for Payer: Hamaspik Choice Inc Medicare	$1.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.56

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$4.86

Service Code	NDC 7012115781
Hospital Charge Code	7012115781
Hospital Revenue Code	258
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$2.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.43

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$4.86

Service Code	NDC 7012115787
Hospital Charge Code	7012115787
Hospital Revenue Code	258
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$2.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.43

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$2.40

Service Code	NDC 7128880701
Hospital Charge Code	7128880701
Hospital Revenue Code	258
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$1.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.20
Rate for Payer: Aetna Government	$1.20
Rate for Payer: Brighton Health Commercial	$1.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.63
Rate for Payer: EmblemHealth Commercial	$1.20
Rate for Payer: Group Health Inc Commercial	$1.20
Rate for Payer: Group Health Inc Medicare	$0.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.20
Rate for Payer: Hamaspik Choice Inc Medicare	$1.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.56

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$2.40

Service Code	NDC 7128880875
Hospital Charge Code	7128880875
Hospital Revenue Code	258
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.20

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$1.92

Service Code	NDC 8128421100
Hospital Charge Code	8128421100
Hospital Revenue Code	258
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$0.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.96

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$4.86

Service Code	NDC 7012115781
Hospital Charge Code	7012115781
Hospital Revenue Code	258
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$3.89
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	$3.89
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

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$2.40

Service Code	NDC 7128880875
Hospital Charge Code	7128880875
Hospital Revenue Code	258
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$1.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.20
Rate for Payer: Aetna Government	$1.20
Rate for Payer: Brighton Health Commercial	$1.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.63
Rate for Payer: EmblemHealth Commercial	$1.20
Rate for Payer: Group Health Inc Commercial	$1.20
Rate for Payer: Group Health Inc Medicare	$0.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.20
Rate for Payer: Hamaspik Choice Inc Medicare	$1.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.56

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$5.28

Service Code	NDC 7075662210
Hospital Charge Code	7075662210
Hospital Revenue Code	258
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$4.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.64
Rate for Payer: Aetna Government	$2.64
Rate for Payer: Brighton Health Commercial	$3.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.59
Rate for Payer: EmblemHealth Commercial	$2.64
Rate for Payer: Group Health Inc Commercial	$2.64
Rate for Payer: Group Health Inc Medicare	$1.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.64
Rate for Payer: Hamaspik Choice Inc Medicare	$2.64
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.43

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$2.40

Service Code	NDC 7128880877
Hospital Charge Code	7128880877
Hospital Revenue Code	258
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.20

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$2.40

Service Code	NDC 7128880876
Hospital Charge Code	7128880876
Hospital Revenue Code	258
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.20

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$3.84

Service Code	NDC 6199002113
Hospital Charge Code	6199002113
Hospital Revenue Code	258
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$3.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.92
Rate for Payer: Aetna Government	$1.92
Rate for Payer: Brighton Health Commercial	$2.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.61
Rate for Payer: EmblemHealth Commercial	$1.92
Rate for Payer: Group Health Inc Commercial	$1.92
Rate for Payer: Group Health Inc Medicare	$1.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.92
Rate for Payer: Hamaspik Choice Inc Medicare	$1.92
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.50

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$4.00

Service Code	NDC 0781342292
Hospital Charge Code	0781342292
Hospital Revenue Code	258
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$2.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.00

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$4.80

Service Code	NDC 5515030110
Hospital Charge Code	5515030110
Hospital Revenue Code	258
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$3.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.40
Rate for Payer: Aetna Government	$2.40
Rate for Payer: Brighton Health Commercial	$3.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.26
Rate for Payer: EmblemHealth Commercial	$2.40
Rate for Payer: Group Health Inc Commercial	$2.40
Rate for Payer: Group Health Inc Medicare	$1.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.40
Rate for Payer: Hamaspik Choice Inc Medicare	$2.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.12

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$4.00

Service Code	NDC 0781342292
Hospital Charge Code	0781342292
Hospital Revenue Code	258
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$3.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.00
Rate for Payer: Aetna Government	$2.00
Rate for Payer: Brighton Health Commercial	$3.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.72
Rate for Payer: EmblemHealth Commercial	$2.00
Rate for Payer: Group Health Inc Commercial	$2.00
Rate for Payer: Group Health Inc Medicare	$1.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.60

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$5.28

Service Code	NDC 6199002120
Hospital Charge Code	6199002120
Hospital Revenue Code	258
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$2.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.64

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$4.80

Service Code	NDC 5515030110
Hospital Charge Code	5515030110
Hospital Revenue Code	258
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.40

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$2.40

Service Code	NDC 2315562031
Hospital Charge Code	2315562031
Hospital Revenue Code	258
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.20

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$5.28

Service Code	NDC 6199002120
Hospital Charge Code	6199002120
Hospital Revenue Code	258
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$4.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.64
Rate for Payer: Aetna Government	$2.64
Rate for Payer: Brighton Health Commercial	$3.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.59
Rate for Payer: EmblemHealth Commercial	$2.64
Rate for Payer: Group Health Inc Commercial	$2.64
Rate for Payer: Group Health Inc Medicare	$1.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.64
Rate for Payer: Hamaspik Choice Inc Medicare	$2.64
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.43

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$3.84

Service Code	NDC 5515030025
Hospital Charge Code	5515030025
Hospital Revenue Code	258
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$1.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.92

PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN

Facility

$5.28

Service Code	NDC 6199002122
Hospital Charge Code	6199002122
Hospital Revenue Code	258
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$2.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.64

Know your out-of-pocket cost for care.

All Charges