St. Barnabas Hospital

All Charges

Charge

Type

Price

STRAP STIRRUP W/SLING RING

Facility OP

$0.22

Hospital Charge Code	64902743
Hospital Revenue Code	270
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$0.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.11
Rate for Payer: Aetna Government	$0.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.15
Rate for Payer: Group Health Inc Commercial	$0.11
Rate for Payer: Group Health Inc Medicare	$0.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.11
Rate for Payer: Hamaspik Choice Inc Medicare	$0.11

STRAT FIRM 10X16 CM

Facility OP

$86.22

Service Code	HCPCS Q4130
Hospital Charge Code	64904511
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$56.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$47.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$49.58
Rate for Payer: Group Health Inc Commercial	$43.11
Rate for Payer: Group Health Inc Medicare	$30.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.11
Rate for Payer: Hamaspik Choice Inc Medicare	$43.11
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$56.04

STRAT FIRM 10X16 CM

Facility IP

$86.22

Service Code	HCPCS Q4130
Hospital Charge Code	64904511
Hospital Revenue Code	636
Min. Negotiated Rate	$43.11
Max. Negotiated Rate	$43.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.11
Rate for Payer: Hamaspik Choice Inc Medicare	$43.11

STRAT FIRM 20X30 CM

Facility OP

$86.19

Service Code	HCPCS Q4130
Hospital Charge Code	64904515
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$56.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$47.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$49.56
Rate for Payer: Group Health Inc Commercial	$43.10
Rate for Payer: Group Health Inc Medicare	$30.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.10
Rate for Payer: Hamaspik Choice Inc Medicare	$43.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$56.02

STRAT FIRM 20X30 CM

Facility IP

$86.19

Service Code	HCPCS Q4130
Hospital Charge Code	64904515
Hospital Revenue Code	636
Min. Negotiated Rate	$43.10
Max. Negotiated Rate	$43.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.10
Rate for Payer: Hamaspik Choice Inc Medicare	$43.10

STRAT FIRM 6X10 CM

Facility OP

$92.29

Service Code	HCPCS Q4130
Hospital Charge Code	64904513
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$59.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$50.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$53.07
Rate for Payer: Group Health Inc Commercial	$46.14
Rate for Payer: Group Health Inc Medicare	$32.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.14
Rate for Payer: Hamaspik Choice Inc Medicare	$46.14
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$59.99

STRAT FIRM 6X10 CM

Facility IP

$92.29

Service Code	HCPCS Q4130
Hospital Charge Code	64904513
Hospital Revenue Code	636
Min. Negotiated Rate	$46.14
Max. Negotiated Rate	$46.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.14
Rate for Payer: Hamaspik Choice Inc Medicare	$46.14

STRATTICE 10X16SQCM

Facility OP

$11,358.00

Service Code	HCPCS Q4130
Hospital Charge Code	40204568
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$7,382.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6,246.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,679.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$6,530.85
Rate for Payer: Group Health Inc Commercial	$5,679.00
Rate for Payer: Group Health Inc Medicare	$3,975.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,679.00
Rate for Payer: Hamaspik Choice Inc Medicare	$5,679.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7,382.70

STRATTICE 10X16SQCM

Facility IP

$11,358.00

Service Code	HCPCS Q4130
Hospital Charge Code	40204568
Hospital Revenue Code	636
Min. Negotiated Rate	$5,679.00
Max. Negotiated Rate	$5,679.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,679.00
Rate for Payer: Hamaspik Choice Inc Medicare	$5,679.00

STRATTICE 16 X 20

Facility IP

$80.38

Service Code	HCPCS Q4130
Hospital Charge Code	64905944
Hospital Revenue Code	636
Min. Negotiated Rate	$40.19
Max. Negotiated Rate	$40.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.19
Rate for Payer: Hamaspik Choice Inc Medicare	$40.19

STRATTICE 16 X 20

Facility OP

$80.38

Service Code	HCPCS Q4130
Hospital Charge Code	64905944
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$52.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.22
Rate for Payer: Group Health Inc Commercial	$40.19
Rate for Payer: Group Health Inc Medicare	$28.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.19
Rate for Payer: Hamaspik Choice Inc Medicare	$40.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$52.25

STRATTICE 16X20 SQCM

Facility IP

$22,708.00

Service Code	HCPCS Q4130
Hospital Charge Code	40204566
Hospital Revenue Code	636
Min. Negotiated Rate	$11,354.00
Max. Negotiated Rate	$11,354.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$11,354.00
Rate for Payer: Hamaspik Choice Inc Medicare	$11,354.00

STRATTICE 16X20 SQCM

Facility OP

$22,708.00

Service Code	HCPCS Q4130
Hospital Charge Code	40204566
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$14,760.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12,489.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11,354.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$13,057.10
Rate for Payer: Group Health Inc Commercial	$11,354.00
Rate for Payer: Group Health Inc Medicare	$7,947.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$11,354.00
Rate for Payer: Hamaspik Choice Inc Medicare	$11,354.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$14,760.20

STRATTICE 20X30SQCM

Facility IP

$42,572.00

Service Code	HCPCS Q4130
Hospital Charge Code	40204567
Hospital Revenue Code	636
Min. Negotiated Rate	$21,286.00
Max. Negotiated Rate	$21,286.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,286.00
Rate for Payer: Hamaspik Choice Inc Medicare	$21,286.00

STRATTICE 20X30SQCM

Facility OP

$42,572.00

Service Code	HCPCS Q4130
Hospital Charge Code	40204567
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$27,671.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23,414.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21,286.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$24,478.90
Rate for Payer: Group Health Inc Commercial	$21,286.00
Rate for Payer: Group Health Inc Medicare	$14,900.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,286.00
Rate for Payer: Hamaspik Choice Inc Medicare	$21,286.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$27,671.80

STRATTICE, PER SQ CM

Facility OP

$88.23

Service Code	HCPCS Q4130
Hospital Charge Code	40204569
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$57.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$48.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$44.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$50.73
Rate for Payer: Group Health Inc Commercial	$44.12
Rate for Payer: Group Health Inc Medicare	$30.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$44.12
Rate for Payer: Hamaspik Choice Inc Medicare	$44.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$57.35

STRATTICE, PER SQ CM

Facility IP

$150.69

Service Code	HCPCS Q4130
Hospital Charge Code	64905943
Hospital Revenue Code	636
Min. Negotiated Rate	$75.34
Max. Negotiated Rate	$75.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.34
Rate for Payer: Hamaspik Choice Inc Medicare	$75.34

STRATTICE, PER SQ CM

Facility OP

$150.69

Service Code	HCPCS Q4130
Hospital Charge Code	64905943
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$97.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$82.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$75.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$86.65
Rate for Payer: Group Health Inc Commercial	$75.34
Rate for Payer: Group Health Inc Medicare	$52.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.34
Rate for Payer: Hamaspik Choice Inc Medicare	$75.34
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$97.95

STRATTICE, PER SQ CM

Facility IP

$88.23

Service Code	HCPCS Q4130
Hospital Charge Code	40204569
Hospital Revenue Code	636
Min. Negotiated Rate	$44.12
Max. Negotiated Rate	$44.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$44.12
Rate for Payer: Hamaspik Choice Inc Medicare	$44.12

STR BONE SCREW 2.0X6MM

Facility IP

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204455
Hospital Revenue Code	278
Min. Negotiated Rate	$42.84
Max. Negotiated Rate	$42.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.84
Rate for Payer: Hamaspik Choice Inc Medicare	$42.84

STR BONE SCREW 2.0X6MM

Facility OP

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204455
Hospital Revenue Code	278
Min. Negotiated Rate	$29.99
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$47.12
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	$42.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$49.27
Rate for Payer: Fidelis Medicare Advantage	$89.96
Rate for Payer: Group Health Inc Commercial	$42.84
Rate for Payer: Group Health Inc Medicare	$29.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.84
Rate for Payer: Hamaspik Choice Inc Medicare	$42.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$55.69

STR C-SHAPE FRACT PLT 4 HOLE

Facility OP

$611.42

Service Code	HCPCS C1713
Hospital Charge Code	40203433
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$641.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$336.28
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	$305.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$351.57
Rate for Payer: Fidelis Medicare Advantage	$641.99
Rate for Payer: Group Health Inc Commercial	$305.71
Rate for Payer: Group Health Inc Medicare	$214.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$305.71
Rate for Payer: Hamaspik Choice Inc Medicare	$305.71
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$397.42

STR C-SHAPE FRACT PLT 4 HOLE

Facility IP

$611.42

Service Code	HCPCS C1713
Hospital Charge Code	40203433
Hospital Revenue Code	278
Min. Negotiated Rate	$305.71
Max. Negotiated Rate	$305.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$305.71
Rate for Payer: Hamaspik Choice Inc Medicare	$305.71

STR DRILL 1.6MM

Facility OP

$294.48

Hospital Charge Code	40204454
Hospital Revenue Code	272
Min. Negotiated Rate	$103.07
Max. Negotiated Rate	$235.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$161.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$147.24
Rate for Payer: Aetna Government	$147.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$235.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$200.25
Rate for Payer: Group Health Inc Commercial	$147.24
Rate for Payer: Group Health Inc Medicare	$103.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$147.24
Rate for Payer: Hamaspik Choice Inc Medicare	$147.24

STREPTOMYCIN 1000 MG INJ

Facility IP

$21.78

Hospital Charge Code	41653860
Hospital Revenue Code	636
Min. Negotiated Rate	$10.89
Max. Negotiated Rate	$10.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.89
Rate for Payer: Hamaspik Choice Inc Medicare	$10.89

Price Transparency.

All Charges