CPT 96417
The standard charge for Chemotherapy infusion-additional IV pushes of the same medication is $183.15. 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
$183.15Insurance Discount
-$82.42Price Negotiated by Insurer
$100.73Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$100.73CBC/DIFF/RETICULOCYTE
$10.69CHEMO, INITIAL CHEMORX INFUSION
$515.74CHEMO, IV INFUSION, EACH ADD'L HR
$100.73COMP. METABOLIC PANEL (14)
$14.52DEXAMETHASONE 4 MG/ML INJ
$0.18DIPHENHYDRAMINE 50 MG/ML INJ
$0.77GRANISETRON 1000 MCG/ML INJ
$1.05SODIUM CHLORIDE 0.9% INFUSION 250 ML
$1.10This 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
$183.15Insurance Discount
-$101.69Price Negotiated by Insurer
$81.46Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$81.46CBC/DIFF/RETICULOCYTE
$7.77CHEMO, INITIAL CHEMORX INFUSION
$391.64CHEMO, IV INFUSION, EACH ADD'L HR
$81.46COMP. METABOLIC PANEL (14)
$10.56DEXAMETHASONE 4 MG/ML INJ
$0.12DIPHENHYDRAMINE 50 MG/ML INJ
$0.98GRANISETRON 1000 MCG/ML INJ
$0.33SODIUM CHLORIDE 0.9% INFUSION 250 ML
$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
$183.15Insurance Discount
-$101.69Price Negotiated by Insurer
$81.46Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$81.46CBC/DIFF/RETICULOCYTE
$7.77CHEMO, INITIAL CHEMORX INFUSION
$391.64CHEMO, IV INFUSION, EACH ADD'L HR
$81.46COMP. METABOLIC PANEL (14)
$10.56DEXAMETHASONE 4 MG/ML INJ
$0.12DIPHENHYDRAMINE 50 MG/ML INJ
$0.98GRANISETRON 1000 MCG/ML INJ
$0.33SODIUM CHLORIDE 0.9% INFUSION 250 ML
$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
$183.15Insurance Discount
-$45.79Price Negotiated by Insurer
$137.36Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$137.36CBC/DIFF/RETICULOCYTE
$14.57CHEMO, INITIAL CHEMORX INFUSION
$703.28CHEMO, IV INFUSION, EACH ADD'L HR
$137.36COMP. METABOLIC PANEL (14)
$19.80DEXAMETHASONE 4 MG/ML INJ
$0.20DIPHENHYDRAMINE 50 MG/ML INJ
$0.84GRANISETRON 1000 MCG/ML INJ
$1.15SODIUM CHLORIDE 0.9% INFUSION 250 ML
$1.20This 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
$183.15Insurance Discount
-$101.69Price Negotiated by Insurer
$81.46Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$81.46CBC/DIFF/RETICULOCYTE
$7.77CHEMO, INITIAL CHEMORX INFUSION
$391.64CHEMO, IV INFUSION, EACH ADD'L HR
$81.46COMP. METABOLIC PANEL (14)
$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
$183.15Insurance Discount
-$101.69Price Negotiated by Insurer
$81.46Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$81.46CBC/DIFF/RETICULOCYTE
$7.77CHEMO, INITIAL CHEMORX INFUSION
$391.64CHEMO, IV INFUSION, EACH ADD'L HR
$81.46COMP. METABOLIC PANEL (14)
$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
$183.15Price Negotiated by Insurer
$644.64Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$146.52CBC/DIFF/RETICULOCYTE
$12.35CHEMO, INITIAL CHEMORX INFUSION
$644.64CHEMO, IV INFUSION, EACH ADD'L HR
$644.64COMP. METABOLIC PANEL (14)
$16.80DEXAMETHASONE 4 MG/ML INJ
$0.17DIPHENHYDRAMINE 50 MG/ML INJ
$0.70GRANISETRON 1000 MCG/ML INJ
$0.96SODIUM CHLORIDE 0.9% INFUSION 250 ML
$1.00This 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
$183.15Price Negotiated by Insurer
$547.94Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$124.54CBC/DIFF/RETICULOCYTE
$10.45CHEMO, INITIAL CHEMORX INFUSION
$547.94CHEMO, IV INFUSION, EACH ADD'L HR
$547.94COMP. METABOLIC PANEL (14)
$14.21DEXAMETHASONE 4 MG/ML INJ
$0.19DIPHENHYDRAMINE 50 MG/ML INJ
$0.81GRANISETRON 1000 MCG/ML INJ
$1.10SODIUM CHLORIDE 0.9% INFUSION 250 ML
$1.15This 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
$183.15Insurance Discount
-$101.69Price Negotiated by Insurer
$81.46Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$81.46CBC/DIFF/RETICULOCYTE
$7.77CHEMO, INITIAL CHEMORX INFUSION
$391.64CHEMO, IV INFUSION, EACH ADD'L HR
$81.46COMP. METABOLIC PANEL (14)
$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
$183.15Insurance Discount
-$101.69Price Negotiated by Insurer
$81.46Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$81.46CBC/DIFF/RETICULOCYTE
$7.77CHEMO, INITIAL CHEMORX INFUSION
$391.64CHEMO, IV INFUSION, EACH ADD'L HR
$81.46COMP. METABOLIC PANEL (14)
$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
$183.15Price 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.
CHEMO, INITIAL CHEMORX INFUSION
$279.92CHEMO, IV INFUSION, EACH ADD'L HR
$279.92This 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
$183.15Price 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$69.24CBC/DIFF/RETICULOCYTE
$6.60CHEMO, INITIAL CHEMORX INFUSION
$279.92CHEMO, IV INFUSION, EACH ADD'L HR
$279.92COMP. METABOLIC PANEL (14)
$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
$183.15Price 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$72.50CBC/DIFF/RETICULOCYTE
$6.92CHEMO, INITIAL CHEMORX INFUSION
$294.00CHEMO, IV INFUSION, EACH ADD'L HR
$294.00COMP. METABOLIC PANEL (14)
$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
$183.15Insurance Discount
-$101.69Price Negotiated by Insurer
$81.46Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$81.46CBC/DIFF/RETICULOCYTE
$7.77CHEMO, INITIAL CHEMORX INFUSION
$391.64CHEMO, IV INFUSION, EACH ADD'L HR
$81.46COMP. METABOLIC PANEL (14)
$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
$183.15Price 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$72.50CBC/DIFF/RETICULOCYTE
$6.92CHEMO, INITIAL CHEMORX INFUSION
$294.00CHEMO, IV INFUSION, EACH ADD'L HR
$294.00COMP. METABOLIC PANEL (14)
$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
$183.15Insurance Discount
-$101.69Price Negotiated by Insurer
$81.46Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$81.46CBC/DIFF/RETICULOCYTE
$7.77CHEMO, INITIAL CHEMORX INFUSION
$391.64CHEMO, IV INFUSION, EACH ADD'L HR
$81.46COMP. METABOLIC PANEL (14)
$10.56DEXAMETHASONE 4 MG/ML INJ
$0.17DIPHENHYDRAMINE 50 MG/ML INJ
$0.70GRANISETRON 1000 MCG/ML INJ
$0.96SODIUM CHLORIDE 0.9% INFUSION 250 ML
$1.00This 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
$183.15Insurance Discount
-$101.69Price Negotiated by Insurer
$81.46Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$81.46CBC/DIFF/RETICULOCYTE
$7.77CHEMO, INITIAL CHEMORX INFUSION
$391.64CHEMO, IV INFUSION, EACH ADD'L HR
$81.46COMP. METABOLIC PANEL (14)
$10.56DEXAMETHASONE 4 MG/ML INJ
$0.12DIPHENHYDRAMINE 50 MG/ML INJ
$0.49GRANISETRON 1000 MCG/ML INJ
$0.67SODIUM CHLORIDE 0.9% INFUSION 250 ML
$0.70This 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
$183.15Insurance Discount
-$91.57Price Negotiated by Insurer
$91.58Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$91.58CBC/DIFF/RETICULOCYTE
$9.72CHEMO, INITIAL CHEMORX INFUSION
$468.85CHEMO, IV INFUSION, EACH ADD'L HR
$91.58COMP. METABOLIC PANEL (14)
$13.20DEXAMETHASONE 4 MG/ML INJ
$0.17DIPHENHYDRAMINE 50 MG/ML INJ
$0.70GRANISETRON 1000 MCG/ML INJ
$0.96SODIUM CHLORIDE 0.9% INFUSION 250 ML
$1.00This 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
$183.15Insurance Discount
-$101.69Price Negotiated by Insurer
$81.46Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$81.46CBC/DIFF/RETICULOCYTE
$7.77CHEMO, INITIAL CHEMORX INFUSION
$391.64CHEMO, IV INFUSION, EACH ADD'L HR
$81.46COMP. METABOLIC PANEL (14)
$10.56DEXAMETHASONE 4 MG/ML INJ
$0.17DIPHENHYDRAMINE 50 MG/ML INJ
$0.70GRANISETRON 1000 MCG/ML INJ
$0.96SODIUM CHLORIDE 0.9% INFUSION 250 ML
$1.00This 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
$183.15Insurance Discount
-$113.91Price Negotiated by Insurer
$69.24Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$69.24CBC/DIFF/RETICULOCYTE
$7.77CHEMO, INITIAL CHEMORX INFUSION
$332.89CHEMO, IV INFUSION, EACH ADD'L HR
$69.24COMP. METABOLIC PANEL (14)
$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
$183.15Insurance Discount
-$101.69Price Negotiated by Insurer
$81.46Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$81.46CBC/DIFF/RETICULOCYTE
$7.77CHEMO, INITIAL CHEMORX INFUSION
$391.64CHEMO, IV INFUSION, EACH ADD'L HR
$81.46COMP. METABOLIC PANEL (14)
$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
$183.15Insurance Discount
-$101.69Price Negotiated by Insurer
$81.46Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$81.46CBC/DIFF/RETICULOCYTE
$7.77CHEMO, INITIAL CHEMORX INFUSION
$391.64CHEMO, IV INFUSION, EACH ADD'L HR
$81.46COMP. METABOLIC PANEL (14)
$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
$183.15Insurance Discount
-$101.69Price Negotiated by Insurer
$81.46Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$81.46CBC/DIFF/RETICULOCYTE
$7.77CHEMO, INITIAL CHEMORX INFUSION
$391.64CHEMO, IV INFUSION, EACH ADD'L HR
$81.46COMP. METABOLIC PANEL (14)
$10.56DEXAMETHASONE 4 MG/ML INJ
$0.21DIPHENHYDRAMINE 50 MG/ML INJ
$0.91GRANISETRON 1000 MCG/ML INJ
$1.24SODIUM CHLORIDE 0.9% INFUSION 250 ML
$1.30This 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
$183.15Insurance Discount
-$117.98Price Negotiated by Insurer
$65.17Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$65.17CBC/DIFF/RETICULOCYTE
$6.22CHEMO, INITIAL CHEMORX INFUSION
$313.31CHEMO, IV INFUSION, EACH ADD'L HR
$65.17COMP. METABOLIC PANEL (14)
$8.45This 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
$183.15Insurance Discount
-$105.76Price Negotiated by Insurer
$77.39Deductible 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.
ADD'1 SEQUEN INFUSION UP TO 1 HR
$77.39CBC/DIFF/RETICULOCYTE
$6.99CHEMO, INITIAL CHEMORX INFUSION
$372.06CHEMO, IV INFUSION, EACH ADD'L HR
$77.39COMP. METABOLIC PANEL (14)
$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.