St. Barnabas Hospital

All Charges

Charge

Type

Price

ST JUDE V LEAD 1888/58CM

Facility IP

$1,200.00

Service Code	HCPCS C1892
Hospital Charge Code	40205302
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$600.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$600.00
Rate for Payer: Hamaspik Choice Inc Medicare	$600.00

ST. KIT SONOSITE HFL38 INFINITI

Facility OP

$1,187.50

Hospital Charge Code	64905197
Hospital Revenue Code	270
Min. Negotiated Rate	$415.62
Max. Negotiated Rate	$950.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$653.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$593.75
Rate for Payer: Aetna Government	$593.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$950.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$807.50
Rate for Payer: Group Health Inc Commercial	$593.75
Rate for Payer: Group Health Inc Medicare	$415.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$593.75
Rate for Payer: Hamaspik Choice Inc Medicare	$593.75

STKR SAG SAW BLD 25MMX19.5MMX1.24

Facility OP

$165.44

Hospital Charge Code	40208092
Hospital Revenue Code	270
Min. Negotiated Rate	$57.90
Max. Negotiated Rate	$132.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$90.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$82.72
Rate for Payer: Aetna Government	$82.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$132.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.50
Rate for Payer: Group Health Inc Commercial	$82.72
Rate for Payer: Group Health Inc Medicare	$57.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.72
Rate for Payer: Hamaspik Choice Inc Medicare	$82.72

STNT ENDO DRFT FLU 14MMX40MMX80CM

Facility IP

$3,000.00

Service Code	HCPCS C1874
Hospital Charge Code	40004785
Hospital Revenue Code	278
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,500.00

STNT ENDO DRFT FLU 14MMX40MMX80CM

Facility OP

$3,000.00

Service Code	HCPCS C1874
Hospital Charge Code	40004785
Hospital Revenue Code	278
Min. Negotiated Rate	$265.52
Max. Negotiated Rate	$3,150.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,650.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$265.52
Rate for Payer: Aetna Government	$265.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,500.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,725.00
Rate for Payer: Fidelis Medicare Advantage	$3,150.00
Rate for Payer: Group Health Inc Commercial	$1,500.00
Rate for Payer: Group Health Inc Medicare	$1,050.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,500.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,950.00

STOCKINETTE 3

Facility OP

$13.96

Hospital Charge Code	64901250
Hospital Revenue Code	270
Min. Negotiated Rate	$4.89
Max. Negotiated Rate	$11.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.98
Rate for Payer: Aetna Government	$6.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.17
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.49
Rate for Payer: Group Health Inc Commercial	$6.98
Rate for Payer: Group Health Inc Medicare	$4.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.98
Rate for Payer: Hamaspik Choice Inc Medicare	$6.98

STOCKINETTE 4

Facility OP

$69.27

Hospital Charge Code	64901915
Hospital Revenue Code	270
Min. Negotiated Rate	$24.24
Max. Negotiated Rate	$55.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$34.64
Rate for Payer: Aetna Government	$34.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$55.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$47.10
Rate for Payer: Group Health Inc Commercial	$34.64
Rate for Payer: Group Health Inc Medicare	$24.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.64
Rate for Payer: Hamaspik Choice Inc Medicare	$34.64

STOCKINETTE 6

Facility OP

$27.00

Hospital Charge Code	64902159
Hospital Revenue Code	270
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$21.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.50
Rate for Payer: Aetna Government	$13.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.36
Rate for Payer: Group Health Inc Commercial	$13.50
Rate for Payer: Group Health Inc Medicare	$9.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$13.50
Rate for Payer: Hamaspik Choice Inc Medicare	$13.50

STOCKINETTE,IMPERVIOUS,12X48

Facility OP

$8.19

Hospital Charge Code	64903410
Hospital Revenue Code	270
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$6.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.10
Rate for Payer: Aetna Government	$4.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.57
Rate for Payer: Group Health Inc Commercial	$4.10
Rate for Payer: Group Health Inc Medicare	$2.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.10
Rate for Payer: Hamaspik Choice Inc Medicare	$4.10

STOCKINETTE,IMPERVIOUS,9X36,S

Facility OP

$6.87

Hospital Charge Code	64903408
Hospital Revenue Code	270
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$5.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.44
Rate for Payer: Aetna Government	$3.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.67
Rate for Payer: Group Health Inc Commercial	$3.44
Rate for Payer: Group Health Inc Medicare	$2.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.44
Rate for Payer: Hamaspik Choice Inc Medicare	$3.44

STOCKINETTE SGL PLY 4 X 3' STERIL

Facility OP

$4.43

Hospital Charge Code	64902755
Hospital Revenue Code	270
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$3.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.22
Rate for Payer: Aetna Government	$2.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.01
Rate for Payer: Group Health Inc Commercial	$2.22
Rate for Payer: Group Health Inc Medicare	$1.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.22
Rate for Payer: Hamaspik Choice Inc Medicare	$2.22

STOCKINETTE SGL PLY 6 X 4' STERIL

Facility OP

$5.94

Hospital Charge Code	64902758
Hospital Revenue Code	270
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$4.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.97
Rate for Payer: Aetna Government	$2.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.04
Rate for Payer: Group Health Inc Commercial	$2.97
Rate for Payer: Group Health Inc Medicare	$2.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.97
Rate for Payer: Hamaspik Choice Inc Medicare	$2.97

STOCKING KNEE HI LARGE LONG

Facility OP

$5.80

Hospital Charge Code	64901698
Hospital Revenue Code	270
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$4.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.90
Rate for Payer: Aetna Government	$2.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.94
Rate for Payer: Group Health Inc Commercial	$2.90
Rate for Payer: Group Health Inc Medicare	$2.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.90
Rate for Payer: Hamaspik Choice Inc Medicare	$2.90

STOCKING KNEE HI LARGE REGULAR

Facility OP

$5.68

Hospital Charge Code	64901696
Hospital Revenue Code	270
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$4.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.84
Rate for Payer: Aetna Government	$2.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.86
Rate for Payer: Group Health Inc Commercial	$2.84
Rate for Payer: Group Health Inc Medicare	$1.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.84
Rate for Payer: Hamaspik Choice Inc Medicare	$2.84

STOCKING KNEE HI MEDIUM REGULAR

Facility OP

$5.80

Hospital Charge Code	64901445
Hospital Revenue Code	270
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$4.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.90
Rate for Payer: Aetna Government	$2.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.94
Rate for Payer: Group Health Inc Commercial	$2.90
Rate for Payer: Group Health Inc Medicare	$2.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.90
Rate for Payer: Hamaspik Choice Inc Medicare	$2.90

STOCKING KNEE HI X-LARGE

Facility OP

$5.80

Hospital Charge Code	64901702
Hospital Revenue Code	270
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$4.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.90
Rate for Payer: Aetna Government	$2.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.94
Rate for Payer: Group Health Inc Commercial	$2.90
Rate for Payer: Group Health Inc Medicare	$2.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.90
Rate for Payer: Hamaspik Choice Inc Medicare	$2.90

STOCKING,KNEE LENGTH,NYLON,X-LGE

Facility OP

$5.80

Hospital Charge Code	64901692
Hospital Revenue Code	270
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$4.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.90
Rate for Payer: Aetna Government	$2.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.94
Rate for Payer: Group Health Inc Commercial	$2.90
Rate for Payer: Group Health Inc Medicare	$2.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.90
Rate for Payer: Hamaspik Choice Inc Medicare	$2.90

STOCKINGS KNEE LARGE REG

Facility OP

$36.50

Hospital Charge Code	40205742
Hospital Revenue Code	270
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$29.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.25
Rate for Payer: Aetna Government	$18.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$29.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.82
Rate for Payer: Group Health Inc Commercial	$18.25
Rate for Payer: Group Health Inc Medicare	$12.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.25
Rate for Payer: Hamaspik Choice Inc Medicare	$18.25

STOCKINGS KNEE MEDIUM REG

Facility OP

$36.50

Hospital Charge Code	40205741
Hospital Revenue Code	270
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$29.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.25
Rate for Payer: Aetna Government	$18.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$29.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.82
Rate for Payer: Group Health Inc Commercial	$18.25
Rate for Payer: Group Health Inc Medicare	$12.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.25
Rate for Payer: Hamaspik Choice Inc Medicare	$18.25

STOCKINGS KNEE X-LENGTH

Facility OP

$36.50

Hospital Charge Code	40205743
Hospital Revenue Code	270
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$29.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.25
Rate for Payer: Aetna Government	$18.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$29.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.82
Rate for Payer: Group Health Inc Commercial	$18.25
Rate for Payer: Group Health Inc Medicare	$12.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.25
Rate for Payer: Hamaspik Choice Inc Medicare	$18.25

STOCKINGS THIGH LARGE LONG

Facility OP

$32.25

Hospital Charge Code	40201543
Hospital Revenue Code	270
Min. Negotiated Rate	$11.29
Max. Negotiated Rate	$25.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.12
Rate for Payer: Aetna Government	$16.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$25.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.93
Rate for Payer: Group Health Inc Commercial	$16.12
Rate for Payer: Group Health Inc Medicare	$11.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.12
Rate for Payer: Hamaspik Choice Inc Medicare	$16.12

STOCKINGS THIGH LARGE REG.

Facility OP

$32.25

Hospital Charge Code	40201542
Hospital Revenue Code	270
Min. Negotiated Rate	$11.29
Max. Negotiated Rate	$25.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.12
Rate for Payer: Aetna Government	$16.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$25.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.93
Rate for Payer: Group Health Inc Commercial	$16.12
Rate for Payer: Group Health Inc Medicare	$11.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.12
Rate for Payer: Hamaspik Choice Inc Medicare	$16.12

STOCKINGS THIGH MEDIUM LONG

Facility OP

$32.25

Hospital Charge Code	40201541
Hospital Revenue Code	270
Min. Negotiated Rate	$11.29
Max. Negotiated Rate	$25.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.12
Rate for Payer: Aetna Government	$16.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$25.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.93
Rate for Payer: Group Health Inc Commercial	$16.12
Rate for Payer: Group Health Inc Medicare	$11.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.12
Rate for Payer: Hamaspik Choice Inc Medicare	$16.12

STOCKINGS THIGH MED REG

Facility OP

$36.50

Hospital Charge Code	40205744
Hospital Revenue Code	270
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$29.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.25
Rate for Payer: Aetna Government	$18.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$29.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.82
Rate for Payer: Group Health Inc Commercial	$18.25
Rate for Payer: Group Health Inc Medicare	$12.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.25
Rate for Payer: Hamaspik Choice Inc Medicare	$18.25

STOCKING THIGH HI LARGE REGULAR

Facility OP

$11.13

Hospital Charge Code	64901447
Hospital Revenue Code	270
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$8.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.56
Rate for Payer: Aetna Government	$5.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.57
Rate for Payer: Group Health Inc Commercial	$5.56
Rate for Payer: Group Health Inc Medicare	$3.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.56
Rate for Payer: Hamaspik Choice Inc Medicare	$5.56

Price Transparency.

All Charges