St. Barnabas Hospital

All Charges

Charge

Type

Price

STRIP TEST COAGUCHEK XS 48/KT

Facility OP

$16.67

Hospital Charge Code	64903006
Hospital Revenue Code	270
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$13.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.34
Rate for Payer: Aetna Government	$8.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.34
Rate for Payer: Group Health Inc Commercial	$8.34
Rate for Payer: Group Health Inc Medicare	$5.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.34
Rate for Payer: Hamaspik Choice Inc Medicare	$8.34

STRIP,TEST,SOLUTION CIDEX OPA

Facility OP

$103.94

Hospital Charge Code	64901039
Hospital Revenue Code	270
Min. Negotiated Rate	$36.38
Max. Negotiated Rate	$83.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$57.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$51.97
Rate for Payer: Aetna Government	$51.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$83.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$70.68
Rate for Payer: Group Health Inc Commercial	$51.97
Rate for Payer: Group Health Inc Medicare	$36.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$51.97
Rate for Payer: Hamaspik Choice Inc Medicare	$51.97

STRIP, VELOCITY CHEM

Facility OP

$101.23

Hospital Charge Code	64903562
Hospital Revenue Code	270
Min. Negotiated Rate	$35.43
Max. Negotiated Rate	$80.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.62
Rate for Payer: Aetna Government	$50.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.84
Rate for Payer: Group Health Inc Commercial	$50.62
Rate for Payer: Group Health Inc Medicare	$35.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.62
Rate for Payer: Hamaspik Choice Inc Medicare	$50.62

STRK MNTB TRIAX STER WR KT 15X200

Facility OP

$2,879.50

Hospital Charge Code	40204495
Hospital Revenue Code	272
Min. Negotiated Rate	$1,007.82
Max. Negotiated Rate	$2,303.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,583.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,439.75
Rate for Payer: Aetna Government	$1,439.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,303.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,958.06
Rate for Payer: Group Health Inc Commercial	$1,439.75
Rate for Payer: Group Health Inc Medicare	$1,007.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,439.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,439.75

STR LK 4.0X26MM SCREW

Facility IP

$448.00

Service Code	HCPCS C1713
Hospital Charge Code	40008252
Hospital Revenue Code	278
Min. Negotiated Rate	$224.00
Max. Negotiated Rate	$224.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$224.00
Rate for Payer: Hamaspik Choice Inc Medicare	$224.00

STR LK 4.0X26MM SCREW

Facility OP

$448.00

Service Code	HCPCS C1713
Hospital Charge Code	40008252
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$470.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$246.40
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	$224.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$257.60
Rate for Payer: Fidelis Medicare Advantage	$470.40
Rate for Payer: Group Health Inc Commercial	$224.00
Rate for Payer: Group Health Inc Medicare	$156.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$224.00
Rate for Payer: Hamaspik Choice Inc Medicare	$224.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$291.20

STRL WATER BLADR IRRG.-3000CC

Facility OP

$16.65

Hospital Charge Code	40197117
Hospital Revenue Code	710
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$13.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.32
Rate for Payer: Aetna Government	$8.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.32
Rate for Payer: Group Health Inc Commercial	$8.32
Rate for Payer: Group Health Inc Medicare	$5.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.32
Rate for Payer: Hamaspik Choice Inc Medicare	$8.32

STR NONLK 3.5X50MM SCREW

Facility IP

$502.00

Service Code	HCPCS C1713
Hospital Charge Code	40008253
Hospital Revenue Code	278
Min. Negotiated Rate	$251.00
Max. Negotiated Rate	$251.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$251.00
Rate for Payer: Hamaspik Choice Inc Medicare	$251.00

STR NONLK 3.5X50MM SCREW

Facility OP

$502.00

Service Code	HCPCS C1713
Hospital Charge Code	40008253
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$527.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$276.10
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	$251.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$288.65
Rate for Payer: Fidelis Medicare Advantage	$527.10
Rate for Payer: Group Health Inc Commercial	$251.00
Rate for Payer: Group Health Inc Medicare	$175.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$251.00
Rate for Payer: Hamaspik Choice Inc Medicare	$251.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$326.30

STRONGYLOIDES IGG ANTIBODY

Facility OP

$32.53

Service Code	HCPCS 86682
Hospital Charge Code	40729366
Hospital Revenue Code	300
Min. Negotiated Rate	$10.41
Max. Negotiated Rate	$20.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.01
Rate for Payer: Aetna Government	$13.01
Rate for Payer: Cash Price	$13.01
Rate for Payer: Cash Price	$13.01
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$13.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$17.50
Rate for Payer: Elderplan Medicare Advantage	$13.01
Rate for Payer: EmblemHealth Commercial	$13.01
Rate for Payer: Fidelis CHP/HARP/Medicaid	$11.71
Rate for Payer: Fidelis Essential Plan Aliesa	$11.06
Rate for Payer: Fidelis Essential Plan QHP	$11.58
Rate for Payer: Fidelis Medicare Advantage	$13.01
Rate for Payer: Fidelis Qualified Health Plan	$11.58
Rate for Payer: Group Health Inc Commercial	$13.01
Rate for Payer: Group Health Inc Medicare	$13.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.26
Rate for Payer: Hamaspik Choice Inc Medicare	$13.01
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$13.01
Rate for Payer: Healthfirst Medicare Advantage	$13.01
Rate for Payer: Healthfirst QHP	$13.01
Rate for Payer: Senior Whole Health Medicare Advantage	$13.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.01
Rate for Payer: Wellcare CHP/FHP/Medicaid	$10.41
Rate for Payer: Wellcare Medicare	$11.71

STR PLT/4-HOLE PREBENT -RT

Facility IP

$180.18

Service Code	HCPCS C1713
Hospital Charge Code	40204449
Hospital Revenue Code	278
Min. Negotiated Rate	$90.09
Max. Negotiated Rate	$90.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.09
Rate for Payer: Hamaspik Choice Inc Medicare	$90.09

STR PLT/4-HOLE PREBENT -RT

Facility OP

$180.18

Service Code	HCPCS C1713
Hospital Charge Code	40204449
Hospital Revenue Code	278
Min. Negotiated Rate	$63.06
Max. Negotiated Rate	$189.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.10
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	$90.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$103.60
Rate for Payer: Fidelis Medicare Advantage	$189.19
Rate for Payer: Group Health Inc Commercial	$90.09
Rate for Payer: Group Health Inc Medicare	$63.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.09
Rate for Payer: Hamaspik Choice Inc Medicare	$90.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$117.12

STR PLT/4-HOLE PREB -RT

Facility IP

$586.92

Service Code	HCPCS C1713
Hospital Charge Code	40204453
Hospital Revenue Code	278
Min. Negotiated Rate	$293.46
Max. Negotiated Rate	$293.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$293.46
Rate for Payer: Hamaspik Choice Inc Medicare	$293.46

STR PLT/4-HOLE PREB -RT

Facility OP

$586.92

Service Code	HCPCS C1713
Hospital Charge Code	40204453
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$616.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$322.81
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	$293.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$337.48
Rate for Payer: Fidelis Medicare Advantage	$616.27
Rate for Payer: Group Health Inc Commercial	$293.46
Rate for Payer: Group Health Inc Medicare	$205.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$293.46
Rate for Payer: Hamaspik Choice Inc Medicare	$293.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$381.50

STR PLT/FRACT 4 HOLE W.BA

Facility IP

$156.44

Service Code	HCPCS C1713
Hospital Charge Code	40204447
Hospital Revenue Code	278
Min. Negotiated Rate	$78.22
Max. Negotiated Rate	$78.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.22
Rate for Payer: Hamaspik Choice Inc Medicare	$78.22

STR PLT/FRACT 4 HOLE W.BA

Facility OP

$156.44

Service Code	HCPCS C1713
Hospital Charge Code	40204447
Hospital Revenue Code	278
Min. Negotiated Rate	$54.75
Max. Negotiated Rate	$164.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.04
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	$78.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.95
Rate for Payer: Fidelis Medicare Advantage	$164.26
Rate for Payer: Group Health Inc Commercial	$78.22
Rate for Payer: Group Health Inc Medicare	$54.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.22
Rate for Payer: Hamaspik Choice Inc Medicare	$78.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$101.69

STR SCR/2.0X8MM LCK CROSS PIN

Facility OP

$156.38

Service Code	HCPCS C1713
Hospital Charge Code	40204450
Hospital Revenue Code	278
Min. Negotiated Rate	$54.73
Max. Negotiated Rate	$164.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.01
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	$78.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.92
Rate for Payer: Fidelis Medicare Advantage	$164.20
Rate for Payer: Group Health Inc Commercial	$78.19
Rate for Payer: Group Health Inc Medicare	$54.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.19
Rate for Payer: Hamaspik Choice Inc Medicare	$78.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$101.65

STR SCR/2.0X8MM LCK CROSS PIN

Facility IP

$156.38

Service Code	HCPCS C1713
Hospital Charge Code	40204450
Hospital Revenue Code	278
Min. Negotiated Rate	$78.19
Max. Negotiated Rate	$78.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.19
Rate for Payer: Hamaspik Choice Inc Medicare	$78.19

STR SCR/2.0X8MM LCK CR PIN

Facility OP

$156.38

Service Code	HCPCS C1713
Hospital Charge Code	40204456
Hospital Revenue Code	278
Min. Negotiated Rate	$54.73
Max. Negotiated Rate	$164.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.01
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	$78.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.92
Rate for Payer: Fidelis Medicare Advantage	$164.20
Rate for Payer: Group Health Inc Commercial	$78.19
Rate for Payer: Group Health Inc Medicare	$54.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.19
Rate for Payer: Hamaspik Choice Inc Medicare	$78.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$101.65

STR SCR/2.0X8MM LCK CR PIN

Facility IP

$156.38

Service Code	HCPCS C1713
Hospital Charge Code	40204456
Hospital Revenue Code	278
Min. Negotiated Rate	$78.19
Max. Negotiated Rate	$78.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.19
Rate for Payer: Hamaspik Choice Inc Medicare	$78.19

STR SCR/2.3X6MM LCK CR PIN

Facility IP

$180.18

Service Code	HCPCS C1713
Hospital Charge Code	40204457
Hospital Revenue Code	278
Min. Negotiated Rate	$90.09
Max. Negotiated Rate	$90.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.09
Rate for Payer: Hamaspik Choice Inc Medicare	$90.09

STR SCR/2.3X6MM LCK CR PIN

Facility OP

$180.18

Service Code	HCPCS C1713
Hospital Charge Code	40204457
Hospital Revenue Code	278
Min. Negotiated Rate	$63.06
Max. Negotiated Rate	$189.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.10
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	$90.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$103.60
Rate for Payer: Fidelis Medicare Advantage	$189.19
Rate for Payer: Group Health Inc Commercial	$90.09
Rate for Payer: Group Health Inc Medicare	$63.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.09
Rate for Payer: Hamaspik Choice Inc Medicare	$90.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$117.12

STR SCR/2.3X8MM LCKNG CROSS PIN

Facility OP

$180.18

Service Code	HCPCS C1713
Hospital Charge Code	40204451
Hospital Revenue Code	278
Min. Negotiated Rate	$63.06
Max. Negotiated Rate	$189.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.10
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	$90.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$103.60
Rate for Payer: Fidelis Medicare Advantage	$189.19
Rate for Payer: Group Health Inc Commercial	$90.09
Rate for Payer: Group Health Inc Medicare	$63.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.09
Rate for Payer: Hamaspik Choice Inc Medicare	$90.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$117.12

STR SCR/2.3X8MM LCKNG CROSS PIN

Facility IP

$180.18

Service Code	HCPCS C1713
Hospital Charge Code	40204451
Hospital Revenue Code	278
Min. Negotiated Rate	$90.09
Max. Negotiated Rate	$90.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.09
Rate for Payer: Hamaspik Choice Inc Medicare	$90.09

STR T2 REC NAIL R1.5 TI LT 11X380

Facility IP

$3,803.80

Service Code	HCPCS C1713
Hospital Charge Code	40204663
Hospital Revenue Code	278
Min. Negotiated Rate	$1,901.90
Max. Negotiated Rate	$1,901.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,901.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,901.90

Price Transparency.

All Charges