St. Barnabas Hospital

All Charges

Charge

Type

Price

SUTURE REMOVAL TRAY

Facility OP

$1.27

Hospital Charge Code	64901030
Hospital Revenue Code	270
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$1.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.64
Rate for Payer: Aetna Government	$0.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.86
Rate for Payer: Group Health Inc Commercial	$0.64
Rate for Payer: Group Health Inc Medicare	$0.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.64
Rate for Payer: Hamaspik Choice Inc Medicare	$0.64

SUTURE REPAIR HEART VESSEL

Facility OP

$2,882.73

Service Code	HCPCS 33320
Hospital Charge Code	40034329
Hospital Revenue Code	360
Min. Negotiated Rate	$1,008.96
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,585.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,188.96
Rate for Payer: Aetna Government	$1,188.96
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: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid	$1,225.07
Rate for Payer: Group Health Inc Commercial	$1,441.36
Rate for Payer: Group Health Inc Medicare	$1,008.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,441.36
Rate for Payer: Hamaspik Choice Inc Medicare	$1,441.36
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,361.19

SUTURE SILK BLK

Facility OP

$2.80

Hospital Charge Code	64907079
Hospital Revenue Code	270
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$2.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.40
Rate for Payer: Aetna Government	$1.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.90
Rate for Payer: Group Health Inc Commercial	$1.40
Rate for Payer: Group Health Inc Medicare	$0.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.40
Rate for Payer: Hamaspik Choice Inc Medicare	$1.40

SUTURE STEEL

Facility OP

$21.75

Hospital Charge Code	64907089
Hospital Revenue Code	270
Min. Negotiated Rate	$7.61
Max. Negotiated Rate	$17.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.88
Rate for Payer: Aetna Government	$10.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.79
Rate for Payer: Group Health Inc Commercial	$10.88
Rate for Payer: Group Health Inc Medicare	$7.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.88
Rate for Payer: Hamaspik Choice Inc Medicare	$10.88

SUTURE STRATAFIX CT

Facility OP

$860.00

Hospital Charge Code	64906943
Hospital Revenue Code	270
Min. Negotiated Rate	$301.00
Max. Negotiated Rate	$688.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$473.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$430.00
Rate for Payer: Aetna Government	$430.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$688.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$584.80
Rate for Payer: Group Health Inc Commercial	$430.00
Rate for Payer: Group Health Inc Medicare	$301.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$430.00
Rate for Payer: Hamaspik Choice Inc Medicare	$430.00

SUTURE SURGIPRO X

Facility OP

$10.10

Hospital Charge Code	64907076
Hospital Revenue Code	270
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$8.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.05
Rate for Payer: Aetna Government	$5.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.87
Rate for Payer: Group Health Inc Commercial	$5.05
Rate for Payer: Group Health Inc Medicare	$3.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.05
Rate for Payer: Hamaspik Choice Inc Medicare	$5.05

SUTURE TENTIN BLSTERS

Facility OP

$21.28

Hospital Charge Code	64907100
Hospital Revenue Code	270
Min. Negotiated Rate	$7.45
Max. Negotiated Rate	$17.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.64
Rate for Payer: Aetna Government	$10.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.47
Rate for Payer: Group Health Inc Commercial	$10.64
Rate for Payer: Group Health Inc Medicare	$7.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.64
Rate for Payer: Hamaspik Choice Inc Medicare	$10.64

SUTURE TFLN

Facility OP

$22.15

Hospital Charge Code	64907095
Hospital Revenue Code	270
Min. Negotiated Rate	$7.75
Max. Negotiated Rate	$17.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.08
Rate for Payer: Aetna Government	$11.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$15.06
Rate for Payer: Group Health Inc Commercial	$11.08
Rate for Payer: Group Health Inc Medicare	$7.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.08
Rate for Payer: Hamaspik Choice Inc Medicare	$11.08

SUTURE TNSNR/CTTR

Facility OP

$437.50

Hospital Charge Code	64907436
Hospital Revenue Code	270
Min. Negotiated Rate	$153.12
Max. Negotiated Rate	$350.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$218.75
Rate for Payer: Aetna Government	$218.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$350.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$297.50
Rate for Payer: Group Health Inc Commercial	$218.75
Rate for Payer: Group Health Inc Medicare	$153.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$218.75
Rate for Payer: Hamaspik Choice Inc Medicare	$218.75

SUTURE TRAY, LARGE

Facility OP

$45.36

Hospital Charge Code	40205750
Hospital Revenue Code	270
Min. Negotiated Rate	$15.88
Max. Negotiated Rate	$36.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$22.68
Rate for Payer: Aetna Government	$22.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$36.29
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.84
Rate for Payer: Group Health Inc Commercial	$22.68
Rate for Payer: Group Health Inc Medicare	$15.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.68
Rate for Payer: Hamaspik Choice Inc Medicare	$22.68

SUTURE TRAY SMALL

Facility OP

$20.56

Hospital Charge Code	40207615
Hospital Revenue Code	270
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$16.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.28
Rate for Payer: Aetna Government	$10.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.98
Rate for Payer: Group Health Inc Commercial	$10.28
Rate for Payer: Group Health Inc Medicare	$7.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.28
Rate for Payer: Hamaspik Choice Inc Medicare	$10.28

SUTURE VELOSORB

Facility OP

$10.30

Hospital Charge Code	64907080
Hospital Revenue Code	270
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$8.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.15
Rate for Payer: Aetna Government	$5.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.00
Rate for Payer: Group Health Inc Commercial	$5.15
Rate for Payer: Group Health Inc Medicare	$3.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.15
Rate for Payer: Hamaspik Choice Inc Medicare	$5.15

SUTURE VICRYL

Facility OP

$278.95

Hospital Charge Code	64905283
Hospital Revenue Code	270
Min. Negotiated Rate	$97.63
Max. Negotiated Rate	$223.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$153.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$139.48
Rate for Payer: Aetna Government	$139.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$223.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$189.69
Rate for Payer: Group Health Inc Commercial	$139.48
Rate for Payer: Group Health Inc Medicare	$97.63
Rate for Payer: Hamaspik Choice Inc Medicaid	$139.48
Rate for Payer: Hamaspik Choice Inc Medicare	$139.48

SUTURE VICRYL 6-0 18 S-29 DA

Facility OP

$11.79

Hospital Charge Code	64906279
Hospital Revenue Code	270
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$9.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.90
Rate for Payer: Aetna Government	$5.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.43
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.02
Rate for Payer: Group Health Inc Commercial	$5.90
Rate for Payer: Group Health Inc Medicare	$4.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.90
Rate for Payer: Hamaspik Choice Inc Medicare	$5.90

SUTURING DEVICE LAPA 0 18

Facility OP

$101.93

Hospital Charge Code	64905915
Hospital Revenue Code	270
Min. Negotiated Rate	$35.68
Max. Negotiated Rate	$81.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$56.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.96
Rate for Payer: Aetna Government	$50.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$81.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$69.31
Rate for Payer: Group Health Inc Commercial	$50.96
Rate for Payer: Group Health Inc Medicare	$35.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.96
Rate for Payer: Hamaspik Choice Inc Medicare	$50.96

SWAB,CULTURE,DOUBLE,LIQUID STA

Facility OP

$1.21

Hospital Charge Code	64901545
Hospital Revenue Code	270
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$0.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.61
Rate for Payer: Aetna Government	$0.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.97
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.82
Rate for Payer: Group Health Inc Commercial	$0.61
Rate for Payer: Group Health Inc Medicare	$0.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.61
Rate for Payer: Hamaspik Choice Inc Medicare	$0.61

SWABEZE

Facility OP

$6.03

Hospital Charge Code	40205940
Hospital Revenue Code	270
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$4.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.02
Rate for Payer: Aetna Government	$3.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.10
Rate for Payer: Group Health Inc Commercial	$3.02
Rate for Payer: Group Health Inc Medicare	$2.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.02
Rate for Payer: Hamaspik Choice Inc Medicare	$3.02

SWAB NITROZINE

Facility OP

$4.55

Hospital Charge Code	64902804
Hospital Revenue Code	270
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$3.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.28
Rate for Payer: Aetna Government	$2.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.09
Rate for Payer: Group Health Inc Commercial	$2.28
Rate for Payer: Group Health Inc Medicare	$1.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.28
Rate for Payer: Hamaspik Choice Inc Medicare	$2.28

SWAB,ORAL,SUCTION,PEROX MINT,SOD

Facility OP

$1.88

Hospital Charge Code	64901924
Hospital Revenue Code	270
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$1.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.94
Rate for Payer: Aetna Government	$0.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.28
Rate for Payer: Group Health Inc Commercial	$0.94
Rate for Payer: Group Health Inc Medicare	$0.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.94
Rate for Payer: Hamaspik Choice Inc Medicare	$0.94

SWAB POLY-TIP STERILE DACRON

Facility OP

$1.13

Hospital Charge Code	64903508
Hospital Revenue Code	270
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$0.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.57
Rate for Payer: Aetna Government	$0.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.77
Rate for Payer: Group Health Inc Commercial	$0.57
Rate for Payer: Group Health Inc Medicare	$0.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.57
Rate for Payer: Hamaspik Choice Inc Medicare	$0.57

SWAB PROCTO 8

Facility OP

$0.22

Hospital Charge Code	64901280
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

SWAB,RAYON TIP,PROCTO,16,NS

Facility OP

$0.42

Hospital Charge Code	64904344
Hospital Revenue Code	270
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.21
Rate for Payer: Aetna Government	$0.21
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.29
Rate for Payer: Group Health Inc Commercial	$0.21
Rate for Payer: Group Health Inc Medicare	$0.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.21
Rate for Payer: Hamaspik Choice Inc Medicare	$0.21

SWABS SKIN PREP NO-STING

Facility OP

$57.67

Hospital Charge Code	64903627
Hospital Revenue Code	270
Min. Negotiated Rate	$20.18
Max. Negotiated Rate	$46.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.84
Rate for Payer: Aetna Government	$28.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.22
Rate for Payer: Group Health Inc Commercial	$28.84
Rate for Payer: Group Health Inc Medicare	$20.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.84
Rate for Payer: Hamaspik Choice Inc Medicare	$28.84

SWABSTICK GLYCERINE LEMON 4

Facility OP

$0.34

Hospital Charge Code	64901172
Hospital Revenue Code	270
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$0.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.17
Rate for Payer: Aetna Government	$0.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.23
Rate for Payer: Group Health Inc Commercial	$0.17
Rate for Payer: Group Health Inc Medicare	$0.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.17
Rate for Payer: Hamaspik Choice Inc Medicare	$0.17

SWABSTICK,POVIDONE/IODINE

Facility OP

$5.12

Hospital Charge Code	64901189
Hospital Revenue Code	270
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$4.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.56
Rate for Payer: Aetna Government	$2.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.48
Rate for Payer: Group Health Inc Commercial	$2.56
Rate for Payer: Group Health Inc Medicare	$1.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.56
Rate for Payer: Hamaspik Choice Inc Medicare	$2.56

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