CPT 96417
The standard charge for Chemotherapy infusion-additional IV pushes of the same medication is $183.00. However, the price you pay depends on the rate negotiated by your insurance plan and what portion your insurance plan requires you to contribute towards that amount. Enter your info below to start your estimate.
To calculate an estimate of your cost, you will need two things:
LOCATION
4422 Third Avenue, Bronx, NY, 10457CONTACT
718-960-3815 Visit WebsiteSt. Barnabas Hospital is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.
In compliance with federal law, St. Barnabas Hospital provides a list of standard charges. These are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient’s unique needs.
I understand that the list of standard charges includes only hospital services and does not contain professional fees for non-St. Barnabas Hospital physicians or advanced practice providers. It does not contain professional fees for anesthesia, physicians or advanced practice providers.
I understand that a single line item charge may not represent a complete medical service. In general, multiple charge line items are necessary to represent all components of a service (e.g. procedures, supplies, and drugs).
I understand that the list of standard charges is not intended for media use.
I understand prices are the list price of all hospital charges and not necessarily what my insurance company will pay or what I will owe to the hospital. My actual bill may include one or more of list price charges.
The hospital typically accepts a rate that is less than the list charges. Your insurer will determine what you will owe after they have paid their agreed upon amount.
We know that the billing and payment processes may seem overwhelming at times. Please contact our team at 718-960-3815.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$183.00Insurance Discount
-$82.35Price Negotiated by Insurer
$100.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN
$1.90DEXTROSE 5 % IVPB SOLN
$0.01DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN
$1.99GRANISETRON HCL 4 MG/4ML IV SOLN
$5.94HC CHEMOTHER, IV INFUSION, 1 HR
$515.35HC CHEMOTHER, IV INFUSION, EA ADD HR
$100.65HC COMPLETE CBC W/ AUTO DIFF WBC
$10.45HC IV INFUSION, HYDRATION, EA ADD HOUR
$63.25HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$100.65HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$14.30SODIUM CHLORIDE 0.9 % IVPB SOLN
$0.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$96.04Price Negotiated by Insurer
$86.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN
$0.12DEXTROSE 5 % IVPB SOLN
$1.74DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN
$0.98GRANISETRON HCL 4 MG/4ML IV SOLN
$0.33HC CHEMOTHER, IV INFUSION, 1 HR
$405.27HC CHEMOTHER, IV INFUSION, EA ADD HR
$86.96HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$56.37HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$86.96HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56SODIUM CHLORIDE 0.9 % IVPB SOLN
$0.65This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$96.04Price Negotiated by Insurer
$86.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN
$0.12DEXTROSE 5 % IVPB SOLN
$1.74DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN
$0.98GRANISETRON HCL 4 MG/4ML IV SOLN
$0.33HC CHEMOTHER, IV INFUSION, 1 HR
$405.27HC CHEMOTHER, IV INFUSION, EA ADD HR
$86.96HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$56.37HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$86.96HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56SODIUM CHLORIDE 0.9 % IVPB SOLN
$0.65This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$122.13Price Negotiated by Insurer
$60.87Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$283.69HC CHEMOTHER, IV INFUSION, EA ADD HR
$60.87HC COMPLETE CBC W/ AUTO DIFF WBC
$5.44HC IV INFUSION, HYDRATION, EA ADD HOUR
$761.50HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$60.87HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$7.39This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$122.13Price Negotiated by Insurer
$60.87Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$283.69HC CHEMOTHER, IV INFUSION, EA ADD HR
$60.87HC COMPLETE CBC W/ AUTO DIFF WBC
$5.44HC IV INFUSION, HYDRATION, EA ADD HOUR
$761.50HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$60.87HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$7.39This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$122.13Price Negotiated by Insurer
$60.87Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$283.69HC CHEMOTHER, IV INFUSION, EA ADD HR
$60.87HC COMPLETE CBC W/ AUTO DIFF WBC
$5.44HC IV INFUSION, HYDRATION, EA ADD HOUR
$338.44HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$60.87HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$7.39This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$45.75Price Negotiated by Insurer
$137.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN
$2.59DEXTROSE 5 % IVPB SOLN
$0.01DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN
$2.71GRANISETRON HCL 4 MG/4ML IV SOLN
$8.10HC CHEMOTHER, IV INFUSION, 1 HR
$702.75HC CHEMOTHER, IV INFUSION, EA ADD HR
$137.25HC COMPLETE CBC W/ AUTO DIFF WBC
$14.25HC IV INFUSION, HYDRATION, EA ADD HOUR
$86.25HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$137.25HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$19.50SODIUM CHLORIDE 0.9 % IVPB SOLN
$0.04This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$96.04Price Negotiated by Insurer
$86.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$405.27HC CHEMOTHER, IV INFUSION, EA ADD HR
$86.96HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$56.37HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$86.96HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Price Negotiated by Insurer
$683.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN
$2.76DEXTROSE 5 % IVPB SOLN
$0.02DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN
$2.89GRANISETRON HCL 4 MG/4ML IV SOLN
$8.64HC CHEMOTHER, IV INFUSION, 1 HR
$683.90HC CHEMOTHER, IV INFUSION, EA ADD HR
$683.90HC COMPLETE CBC W/ AUTO DIFF WBC
$13.21HC IV INFUSION, HYDRATION, EA ADD HOUR
$92.00HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$146.40HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$17.96SODIUM CHLORIDE 0.9 % IVPB SOLN
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Price Negotiated by Insurer
$581.31Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN
$2.35DEXTROSE 5 % IVPB SOLN
$0.01DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN
$2.45GRANISETRON HCL 4 MG/4ML IV SOLN
$7.34HC CHEMOTHER, IV INFUSION, 1 HR
$581.31HC CHEMOTHER, IV INFUSION, EA ADD HR
$581.31HC COMPLETE CBC W/ AUTO DIFF WBC
$11.12HC IV INFUSION, HYDRATION, EA ADD HOUR
$78.20HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$124.44HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$15.12SODIUM CHLORIDE 0.9 % IVPB SOLN
$0.04This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$96.04Price Negotiated by Insurer
$86.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$405.27HC CHEMOTHER, IV INFUSION, EA ADD HR
$86.96HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$56.37HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$86.96HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$96.04Price Negotiated by Insurer
$86.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN
$1.73DEXTROSE 5 % IVPB SOLN
$0.01DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN
$1.80GRANISETRON HCL 4 MG/4ML IV SOLN
$5.40HC CHEMOTHER, IV INFUSION, 1 HR
$405.27HC CHEMOTHER, IV INFUSION, EA ADD HR
$86.96HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$56.37HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$86.96HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56SODIUM CHLORIDE 0.9 % IVPB SOLN
$0.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Price Negotiated by Insurer
$279.92Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$279.92HC CHEMOTHER, IV INFUSION, EA ADD HR
$279.92HC COMPLETE CBC W/ AUTO DIFF WBC
$6.99HC IV INFUSION, HYDRATION, EA ADD HOUR
$338.44HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$78.26HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$9.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Price Negotiated by Insurer
$279.92Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$279.92HC CHEMOTHER, IV INFUSION, EA ADD HR
$279.92HC COMPLETE CBC W/ AUTO DIFF WBC
$6.60HC IV INFUSION, HYDRATION, EA ADD HOUR
$761.50HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$73.92HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$8.98This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Price Negotiated by Insurer
$294.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$294.00HC CHEMOTHER, IV INFUSION, EA ADD HR
$294.00HC COMPLETE CBC W/ AUTO DIFF WBC
$6.92HC IV INFUSION, HYDRATION, EA ADD HOUR
$761.50HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$77.39HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$9.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$96.04Price Negotiated by Insurer
$86.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$405.27HC CHEMOTHER, IV INFUSION, EA ADD HR
$86.96HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$56.37HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$86.96HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Price Negotiated by Insurer
$294.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$294.00HC CHEMOTHER, IV INFUSION, EA ADD HR
$294.00HC COMPLETE CBC W/ AUTO DIFF WBC
$6.92HC IV INFUSION, HYDRATION, EA ADD HOUR
$355.36HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$77.39HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$9.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$96.04Price Negotiated by Insurer
$86.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN
$1.73DEXTROSE 5 % IVPB SOLN
$0.01DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN
$1.80GRANISETRON HCL 4 MG/4ML IV SOLN
$5.40HC CHEMOTHER, IV INFUSION, 1 HR
$405.27HC CHEMOTHER, IV INFUSION, EA ADD HR
$86.96HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$56.37HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$86.96HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56SODIUM CHLORIDE 0.9 % IVPB SOLN
$0.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$96.04Price Negotiated by Insurer
$86.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN
$1.21DEXTROSE 5 % IVPB SOLN
$0.01DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN
$1.26GRANISETRON HCL 4 MG/4ML IV SOLN
$3.78HC CHEMOTHER, IV INFUSION, 1 HR
$405.27HC CHEMOTHER, IV INFUSION, EA ADD HR
$86.96HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$56.37HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$86.96HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56SODIUM CHLORIDE 0.9 % IVPB SOLN
$0.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$96.04Price Negotiated by Insurer
$86.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN
$1.73DEXTROSE 5 % IVPB SOLN
$0.01DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN
$1.80GRANISETRON HCL 4 MG/4ML IV SOLN
$5.40HC CHEMOTHER, IV INFUSION, 1 HR
$405.27HC CHEMOTHER, IV INFUSION, EA ADD HR
$86.96HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$338.44HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$86.96HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56SODIUM CHLORIDE 0.9 % IVPB SOLN
$0.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$96.04Price Negotiated by Insurer
$86.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN
$1.73DEXTROSE 5 % IVPB SOLN
$0.01DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN
$1.80GRANISETRON HCL 4 MG/4ML IV SOLN
$5.40HC CHEMOTHER, IV INFUSION, 1 HR
$405.27HC CHEMOTHER, IV INFUSION, EA ADD HR
$86.96HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$56.37HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$86.96HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56SODIUM CHLORIDE 0.9 % IVPB SOLN
$0.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$112.58Price Negotiated by Insurer
$70.42Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN
$0.09DEXTROSE 5 % IVPB SOLN
$1.81DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN
$0.76GRANISETRON HCL 4 MG/4ML IV SOLN
$0.19HC CHEMOTHER, IV INFUSION, 1 HR
$143.39HC CHEMOTHER, IV INFUSION, EA ADD HR
$30.06HC COMPLETE CBC W/ AUTO DIFF WBC
$3.20HC IV INFUSION, HYDRATION, EA ADD HOUR
$338.44HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$31.23HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.10SODIUM CHLORIDE 0.9 % IVPB SOLN
$0.65This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$109.08Price Negotiated by Insurer
$73.92Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$344.48HC CHEMOTHER, IV INFUSION, EA ADD HR
$73.92HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$47.91HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$73.92HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$96.04Price Negotiated by Insurer
$86.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$405.27HC CHEMOTHER, IV INFUSION, EA ADD HR
$86.96HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$551.66HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$86.96HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$94.30Price Negotiated by Insurer
$88.70Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$413.38HC CHEMOTHER, IV INFUSION, EA ADD HR
$88.70HC COMPLETE CBC W/ AUTO DIFF WBC
$7.93HC IV INFUSION, HYDRATION, EA ADD HOUR
$57.50HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$88.70HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.77This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$96.04Price Negotiated by Insurer
$86.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$405.27HC CHEMOTHER, IV INFUSION, EA ADD HR
$86.96HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$56.37HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$86.96HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Price Negotiated by Insurer
$316.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$316.00HC CHEMOTHER, IV INFUSION, EA ADD HR
$316.00HC COMPLETE CBC W/ AUTO DIFF WBC
$9.85HC IV INFUSION, HYDRATION, EA ADD HOUR
$76.00HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$76.00HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$13.38This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$96.04Price Negotiated by Insurer
$86.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$405.27HC CHEMOTHER, IV INFUSION, EA ADD HR
$86.96HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$56.37HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$86.96HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$96.04Price Negotiated by Insurer
$86.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN
$2.25DEXTROSE 5 % IVPB SOLN
$0.01DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN
$2.35GRANISETRON HCL 4 MG/4ML IV SOLN
$7.02HC CHEMOTHER, IV INFUSION, 1 HR
$405.27HC CHEMOTHER, IV INFUSION, EA ADD HR
$86.96HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC IV INFUSION, HYDRATION, EA ADD HOUR
$56.37HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$86.96HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56SODIUM CHLORIDE 0.9 % IVPB SOLN
$0.04This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$100.39Price Negotiated by Insurer
$82.61Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$385.01HC CHEMOTHER, IV INFUSION, EA ADD HR
$82.61HC COMPLETE CBC W/ AUTO DIFF WBC
$3.20HC IV INFUSION, HYDRATION, EA ADD HOUR
$338.44HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$82.61HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$183.00Insurance Discount
-$100.39Price Negotiated by Insurer
$82.61Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CHEMOTHER, IV INFUSION, 1 HR
$385.01HC CHEMOTHER, IV INFUSION, EA ADD HR
$82.61HC COMPLETE CBC W/ AUTO DIFF WBC
$6.99HC IV INFUSION, HYDRATION, EA ADD HOUR
$53.55HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR
$82.61HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$9.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.