St. Barnabas Hospital

All Charges

Charge

Type

Price

STAPLES X-SMALL 7 X 5MM

Facility OP

$812.50

Hospital Charge Code	64902127
Hospital Revenue Code	279
Min. Negotiated Rate	$284.38
Max. Negotiated Rate	$650.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$446.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$406.25
Rate for Payer: Aetna Government	$406.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$650.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$552.50
Rate for Payer: Group Health Inc Commercial	$406.25
Rate for Payer: Group Health Inc Medicare	$284.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$406.25
Rate for Payer: Hamaspik Choice Inc Medicare	$406.25

STAPLE TRI RELOD 60MM MD/THCK

Facility OP

$933.94

Hospital Charge Code	64906558
Hospital Revenue Code	279
Min. Negotiated Rate	$326.88
Max. Negotiated Rate	$747.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$513.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$466.97
Rate for Payer: Aetna Government	$466.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$747.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$635.08
Rate for Payer: Group Health Inc Commercial	$466.97
Rate for Payer: Group Health Inc Medicare	$326.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$466.97
Rate for Payer: Hamaspik Choice Inc Medicare	$466.97

STAPLE TRI RELOD 60MM XT/THCK-AXT

Facility OP

$1,546.40

Hospital Charge Code	64906702
Hospital Revenue Code	279
Min. Negotiated Rate	$541.24
Max. Negotiated Rate	$1,237.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$850.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$773.20
Rate for Payer: Aetna Government	$773.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,237.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,051.55
Rate for Payer: Group Health Inc Commercial	$773.20
Rate for Payer: Group Health Inc Medicare	$541.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$773.20
Rate for Payer: Hamaspik Choice Inc Medicare	$773.20

STAPLE X-SMALL 9 X 7MM

Facility OP

$812.50

Hospital Charge Code	64902129
Hospital Revenue Code	279
Min. Negotiated Rate	$284.38
Max. Negotiated Rate	$650.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$446.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$406.25
Rate for Payer: Aetna Government	$406.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$650.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$552.50
Rate for Payer: Group Health Inc Commercial	$406.25
Rate for Payer: Group Health Inc Medicare	$284.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$406.25
Rate for Payer: Hamaspik Choice Inc Medicare	$406.25

STARGRAFT DBM PUTTY 10CC

Facility OP

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	64904680
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,672.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,447.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,225.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,558.75
Rate for Payer: Fidelis Medicare Advantage	$4,672.50
Rate for Payer: Group Health Inc Commercial	$2,225.00
Rate for Payer: Group Health Inc Medicare	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,225.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,225.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,892.50

STARGRAFT DBM PUTTY 10CC

Facility IP

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	64904680
Hospital Revenue Code	278
Min. Negotiated Rate	$2,225.00
Max. Negotiated Rate	$2,225.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,225.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,225.00

STARGRAFT DEM 10CC PUTTY

Facility OP

$4,325.00

Service Code	HCPCS C1713
Hospital Charge Code	64904124
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,541.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,378.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,162.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,486.88
Rate for Payer: Fidelis Medicare Advantage	$4,541.25
Rate for Payer: Group Health Inc Commercial	$2,162.50
Rate for Payer: Group Health Inc Medicare	$1,513.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,162.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2,162.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,811.25

STARGRAFT DEM 10CC PUTTY

Facility IP

$4,325.00

Service Code	HCPCS C1713
Hospital Charge Code	64904124
Hospital Revenue Code	278
Min. Negotiated Rate	$2,162.50
Max. Negotiated Rate	$2,162.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,162.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2,162.50

STATIN THERAPY/CURRENTLY TKN

Facility OP

$0.01

Service Code	HCPCS 4013F
Hospital Charge Code	30300373
Hospital Revenue Code	969
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01

STATLOCK CV PLUS SECUREMENT ORD

Facility OP

$29.04

Hospital Charge Code	64902516
Hospital Revenue Code	270
Min. Negotiated Rate	$10.16
Max. Negotiated Rate	$23.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.52
Rate for Payer: Aetna Government	$14.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.75
Rate for Payer: Group Health Inc Commercial	$14.52
Rate for Payer: Group Health Inc Medicare	$10.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.52
Rate for Payer: Hamaspik Choice Inc Medicare	$14.52

STATLOCK,SWIVEL TRICOT

Facility OP

$7.38

Hospital Charge Code	64901909
Hospital Revenue Code	270
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$5.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.69
Rate for Payer: Aetna Government	$3.69
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.02
Rate for Payer: Group Health Inc Commercial	$3.69
Rate for Payer: Group Health Inc Medicare	$2.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.69
Rate for Payer: Hamaspik Choice Inc Medicare	$3.69

STAVUDINE 15 MG CAP

Facility OP

$2.43

Hospital Charge Code	41651069
Hospital Revenue Code	250
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$1.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.22
Rate for Payer: Aetna Government	$1.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.65
Rate for Payer: Group Health Inc Commercial	$1.22
Rate for Payer: Group Health Inc Medicare	$0.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.22
Rate for Payer: Hamaspik Choice Inc Medicare	$1.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.58

STAVUDINE 15 MG CAP

Facility OP

$2.43

Hospital Charge Code	41641069
Hospital Revenue Code	250
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$1.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.22
Rate for Payer: Aetna Government	$1.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.65
Rate for Payer: Group Health Inc Commercial	$1.22
Rate for Payer: Group Health Inc Medicare	$0.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.22
Rate for Payer: Hamaspik Choice Inc Medicare	$1.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.58

STAVUDINE 1 MG/ML LIQUID

Facility OP

$0.76

Hospital Charge Code	41642445
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: Cigna HMO/Network Benefit Plan/Open Access	$0.61
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.52
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	$0.49

STAVUDINE 1 MG/ML LIQUID

Facility OP

$0.76

Hospital Charge Code	41652445
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: Cigna HMO/Network Benefit Plan/Open Access	$0.61
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.52
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	$0.49

STAVUDINE 20 MG CAP

Facility OP

$12.00

Hospital Charge Code	41650222
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$9.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.00
Rate for Payer: Aetna Government	$6.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.16
Rate for Payer: Group Health Inc Commercial	$6.00
Rate for Payer: Group Health Inc Medicare	$4.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.80

STAVUDINE 20 MG CAP

Facility OP

$12.00

Hospital Charge Code	41640222
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$9.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.00
Rate for Payer: Aetna Government	$6.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.16
Rate for Payer: Group Health Inc Commercial	$6.00
Rate for Payer: Group Health Inc Medicare	$4.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.80

STAVUDINE 30 MG CAP

Facility OP

$3.00

Hospital Charge Code	41650250
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$2.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.50
Rate for Payer: Aetna Government	$1.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.04
Rate for Payer: Group Health Inc Commercial	$1.50
Rate for Payer: Group Health Inc Medicare	$1.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.95

STAVUDINE 30 MG CAP

Facility OP

$3.00

Hospital Charge Code	41640250
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$2.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.50
Rate for Payer: Aetna Government	$1.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.04
Rate for Payer: Group Health Inc Commercial	$1.50
Rate for Payer: Group Health Inc Medicare	$1.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.95

STAVUDINE 40 MG CAP

Facility OP

$2.30

Hospital Charge Code	41641534
Hospital Revenue Code	250
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$1.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.15
Rate for Payer: Aetna Government	$1.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.56
Rate for Payer: Group Health Inc Commercial	$1.15
Rate for Payer: Group Health Inc Medicare	$0.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.15
Rate for Payer: Hamaspik Choice Inc Medicare	$1.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.50

STAVUDINE 40 MG CAP

Facility OP

$2.30

Hospital Charge Code	41651534
Hospital Revenue Code	250
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$1.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.15
Rate for Payer: Aetna Government	$1.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.56
Rate for Payer: Group Health Inc Commercial	$1.15
Rate for Payer: Group Health Inc Medicare	$0.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.15
Rate for Payer: Hamaspik Choice Inc Medicare	$1.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.50

STEEL WASHERS

Facility OP

$57.40

Hospital Charge Code	40209841
Hospital Revenue Code	270
Min. Negotiated Rate	$20.09
Max. Negotiated Rate	$45.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.70
Rate for Payer: Aetna Government	$28.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$45.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.03
Rate for Payer: Group Health Inc Commercial	$28.70
Rate for Payer: Group Health Inc Medicare	$20.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.70
Rate for Payer: Hamaspik Choice Inc Medicare	$28.70

STEINMANN PIN 9/64X9

Facility IP

$154.00

Service Code	HCPCS C1713
Hospital Charge Code	40202046
Hospital Revenue Code	278
Min. Negotiated Rate	$77.00
Max. Negotiated Rate	$77.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.00
Rate for Payer: Hamaspik Choice Inc Medicare	$77.00

STEINMANN PIN 9/64X9

Facility OP

$154.00

Service Code	HCPCS C1713
Hospital Charge Code	40202046
Hospital Revenue Code	278
Min. Negotiated Rate	$53.90
Max. Negotiated Rate	$161.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$84.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$88.55
Rate for Payer: Fidelis Medicare Advantage	$161.70
Rate for Payer: Group Health Inc Commercial	$77.00
Rate for Payer: Group Health Inc Medicare	$53.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.00
Rate for Payer: Hamaspik Choice Inc Medicare	$77.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$100.10

STEM 3 STD, AVENIR MULL

Facility OP

$11,670.00

Service Code	HCPCS C1776
Hospital Charge Code	64905556
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$12,253.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6,418.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,835.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$6,710.25
Rate for Payer: Fidelis Medicare Advantage	$12,253.50
Rate for Payer: Group Health Inc Commercial	$5,835.00
Rate for Payer: Group Health Inc Medicare	$4,084.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,835.00
Rate for Payer: Hamaspik Choice Inc Medicare	$5,835.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7,585.50

Price Transparency.

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