St. Barnabas Hospital

All Charges

Charge

Type

Price

TRAVENNAL CASE

Facility OP

$152.39

Hospital Charge Code	40206007
Hospital Revenue Code	270
Min. Negotiated Rate	$53.34
Max. Negotiated Rate	$121.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$83.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$76.20
Rate for Payer: Aetna Government	$76.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$121.91
Rate for Payer: Cigna LocalPlus Benefit Plan	$103.63
Rate for Payer: Group Health Inc Commercial	$76.20
Rate for Payer: Group Health Inc Medicare	$53.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$76.20
Rate for Payer: Hamaspik Choice Inc Medicare	$76.20

TRAXI PANNICULUS RETRACTOR

Facility OP

$168.75

Hospital Charge Code	64903750
Hospital Revenue Code	270
Min. Negotiated Rate	$59.06
Max. Negotiated Rate	$135.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$92.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$84.38
Rate for Payer: Aetna Government	$84.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$135.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$114.75
Rate for Payer: Group Health Inc Commercial	$84.38
Rate for Payer: Group Health Inc Medicare	$59.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$84.38
Rate for Payer: Hamaspik Choice Inc Medicare	$84.38

TRAXI PANNICULUS RETRACTOR-EX

Facility OP

$112.50

Hospital Charge Code	64903752
Hospital Revenue Code	270
Min. Negotiated Rate	$39.38
Max. Negotiated Rate	$90.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$61.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$56.25
Rate for Payer: Aetna Government	$56.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$90.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$76.50
Rate for Payer: Group Health Inc Commercial	$56.25
Rate for Payer: Group Health Inc Medicare	$39.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.25
Rate for Payer: Hamaspik Choice Inc Medicare	$56.25

TRAY 18 GA. EPI HUSTEAD NEEDLE

Facility OP

$47.70

Hospital Charge Code	64903802
Hospital Revenue Code	270
Min. Negotiated Rate	$16.70
Max. Negotiated Rate	$38.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.85
Rate for Payer: Aetna Government	$23.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$38.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.44
Rate for Payer: Group Health Inc Commercial	$23.85
Rate for Payer: Group Health Inc Medicare	$16.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.85
Rate for Payer: Hamaspik Choice Inc Medicare	$23.85

TRAY AMNIOCENTESIS

Facility OP

$31.50

Hospital Charge Code	64902428
Hospital Revenue Code	270
Min. Negotiated Rate	$11.02
Max. Negotiated Rate	$25.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.75
Rate for Payer: Aetna Government	$15.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$25.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.42
Rate for Payer: Group Health Inc Commercial	$15.75
Rate for Payer: Group Health Inc Medicare	$11.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.75
Rate for Payer: Hamaspik Choice Inc Medicare	$15.75

TRAY ANGIO CVIR

Facility OP

$126.33

Hospital Charge Code	64902514
Hospital Revenue Code	270
Min. Negotiated Rate	$44.22
Max. Negotiated Rate	$101.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$69.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$63.16
Rate for Payer: Aetna Government	$63.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$101.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$85.90
Rate for Payer: Group Health Inc Commercial	$63.16
Rate for Payer: Group Health Inc Medicare	$44.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$63.16
Rate for Payer: Hamaspik Choice Inc Medicare	$63.16

TRAY AV FISTULA/GRAFT INSERTION

Facility OP

$133.71

Hospital Charge Code	64901356
Hospital Revenue Code	270
Min. Negotiated Rate	$46.80
Max. Negotiated Rate	$106.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$73.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$66.86
Rate for Payer: Aetna Government	$66.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$106.97
Rate for Payer: Cigna LocalPlus Benefit Plan	$90.92
Rate for Payer: Group Health Inc Commercial	$66.86
Rate for Payer: Group Health Inc Medicare	$46.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$66.86
Rate for Payer: Hamaspik Choice Inc Medicare	$66.86

TRAY BIOPSY CUSTOM

Facility OP

$38.46

Hospital Charge Code	64901106
Hospital Revenue Code	270
Min. Negotiated Rate	$13.46
Max. Negotiated Rate	$30.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$21.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.23
Rate for Payer: Aetna Government	$19.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.77
Rate for Payer: Cigna LocalPlus Benefit Plan	$26.15
Rate for Payer: Group Health Inc Commercial	$19.23
Rate for Payer: Group Health Inc Medicare	$13.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.23
Rate for Payer: Hamaspik Choice Inc Medicare	$19.23

TRAY BN MARROW BIOPSY W/4 15G NDL

Facility OP

$71.96

Hospital Charge Code	64901690
Hospital Revenue Code	270
Min. Negotiated Rate	$25.19
Max. Negotiated Rate	$57.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$39.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$35.98
Rate for Payer: Aetna Government	$35.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$57.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$48.93
Rate for Payer: Group Health Inc Commercial	$35.98
Rate for Payer: Group Health Inc Medicare	$25.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.98
Rate for Payer: Hamaspik Choice Inc Medicare	$35.98

TRAY CATH MAHURKAR 11.5X16

Facility OP

$1,440.35

Hospital Charge Code	64902984
Hospital Revenue Code	279
Min. Negotiated Rate	$504.12
Max. Negotiated Rate	$1,152.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$792.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$720.18
Rate for Payer: Aetna Government	$720.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,152.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$979.44
Rate for Payer: Group Health Inc Commercial	$720.18
Rate for Payer: Group Health Inc Medicare	$504.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$720.18
Rate for Payer: Hamaspik Choice Inc Medicare	$720.18

TRAY CIRCUMCISION 1.1CM

Facility OP

$91.25

Hospital Charge Code	64902447
Hospital Revenue Code	270
Min. Negotiated Rate	$31.94
Max. Negotiated Rate	$73.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$50.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$45.62
Rate for Payer: Aetna Government	$45.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$73.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$62.05
Rate for Payer: Group Health Inc Commercial	$45.62
Rate for Payer: Group Health Inc Medicare	$31.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$45.62
Rate for Payer: Hamaspik Choice Inc Medicare	$45.62

TRAY CIRCUMCISION 1.3CM

Facility OP

$91.25

Hospital Charge Code	64902445
Hospital Revenue Code	270
Min. Negotiated Rate	$31.94
Max. Negotiated Rate	$73.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$50.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$45.62
Rate for Payer: Aetna Government	$45.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$73.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$62.05
Rate for Payer: Group Health Inc Commercial	$45.62
Rate for Payer: Group Health Inc Medicare	$31.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$45.62
Rate for Payer: Hamaspik Choice Inc Medicare	$45.62

TRAY EPIDURAL CONTIN

Facility OP

$48.55

Hospital Charge Code	64901718
Hospital Revenue Code	270
Min. Negotiated Rate	$16.99
Max. Negotiated Rate	$38.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$24.28
Rate for Payer: Aetna Government	$24.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$38.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.01
Rate for Payer: Group Health Inc Commercial	$24.28
Rate for Payer: Group Health Inc Medicare	$16.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.28
Rate for Payer: Hamaspik Choice Inc Medicare	$24.28

TRAY EPIDURAL SINGLE SHOT

Facility OP

$4.01

Hospital Charge Code	64904746
Hospital Revenue Code	270
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$3.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.00
Rate for Payer: Aetna Government	$2.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.73
Rate for Payer: Group Health Inc Commercial	$2.00
Rate for Payer: Group Health Inc Medicare	$1.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2.00

TRAY FOLEY 16FR 5CC CATH L/F

Facility OP

$34.57

Service Code	HCPCS C1758
Hospital Charge Code	64902552
Hospital Revenue Code	279
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$27.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$19.01
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	$27.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.51
Rate for Payer: Group Health Inc Commercial	$17.28
Rate for Payer: Group Health Inc Medicare	$12.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.28
Rate for Payer: Hamaspik Choice Inc Medicare	$17.28

TRAY FOLEY 16FR 5CC CATH SIL

Facility OP

$23.45

Service Code	HCPCS C1758
Hospital Charge Code	64902028
Hospital Revenue Code	279
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$18.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.90
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	$18.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$15.95
Rate for Payer: Group Health Inc Commercial	$11.72
Rate for Payer: Group Health Inc Medicare	$8.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.72
Rate for Payer: Hamaspik Choice Inc Medicare	$11.72

TRAY FOLEY 18FR 5CC CATH SIL

Facility OP

$23.45

Service Code	HCPCS C1758
Hospital Charge Code	64902025
Hospital Revenue Code	279
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$18.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.90
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	$18.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$15.95
Rate for Payer: Group Health Inc Commercial	$11.72
Rate for Payer: Group Health Inc Medicare	$8.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.72
Rate for Payer: Hamaspik Choice Inc Medicare	$11.72

TRAY FOLEY 18FR 5CC SILICON L/F

Facility OP

$27.21

Hospital Charge Code	64902554
Hospital Revenue Code	270
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$21.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.60
Rate for Payer: Aetna Government	$13.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.77
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.50
Rate for Payer: Group Health Inc Commercial	$13.60
Rate for Payer: Group Health Inc Medicare	$9.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$13.60
Rate for Payer: Hamaspik Choice Inc Medicare	$13.60

TRAY FOLEY CATH SIL 18FR MTR

Facility OP

$30.55

Service Code	HCPCS C1758
Hospital Charge Code	64902126
Hospital Revenue Code	279
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$24.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.80
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	$24.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.77
Rate for Payer: Group Health Inc Commercial	$15.28
Rate for Payer: Group Health Inc Medicare	$10.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.28
Rate for Payer: Hamaspik Choice Inc Medicare	$15.28

TRAY IMPRESSION LOWER LARGE

Facility OP

$1.84

Hospital Charge Code	64903659
Hospital Revenue Code	270
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$1.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.92
Rate for Payer: Aetna Government	$0.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.47
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.25
Rate for Payer: Group Health Inc Commercial	$0.92
Rate for Payer: Group Health Inc Medicare	$0.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.92
Rate for Payer: Hamaspik Choice Inc Medicare	$0.92

TRAY IMPRESSION LOWER MEDIUM

Facility OP

$1.40

Hospital Charge Code	64903663
Hospital Revenue Code	270
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$1.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.70
Rate for Payer: Aetna Government	$0.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.95
Rate for Payer: Group Health Inc Commercial	$0.70
Rate for Payer: Group Health Inc Medicare	$0.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.70
Rate for Payer: Hamaspik Choice Inc Medicare	$0.70

TRAY IMPRESSION UPPER LARGE

Facility OP

$1.84

Hospital Charge Code	64903661
Hospital Revenue Code	270
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$1.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.92
Rate for Payer: Aetna Government	$0.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.47
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.25
Rate for Payer: Group Health Inc Commercial	$0.92
Rate for Payer: Group Health Inc Medicare	$0.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.92
Rate for Payer: Hamaspik Choice Inc Medicare	$0.92

TRAY,INSERTION,UMBIL,3.5FR

Facility OP

$143.12

Hospital Charge Code	64902473
Hospital Revenue Code	270
Min. Negotiated Rate	$50.09
Max. Negotiated Rate	$114.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$78.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$71.56
Rate for Payer: Aetna Government	$71.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$114.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$97.32
Rate for Payer: Group Health Inc Commercial	$71.56
Rate for Payer: Group Health Inc Medicare	$50.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.56
Rate for Payer: Hamaspik Choice Inc Medicare	$71.56

TRAY, IRRIGATION, BULB-SYRINGE&F

Facility OP

$2.53

Hospital Charge Code	64901688
Hospital Revenue Code	270
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$2.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.26
Rate for Payer: Aetna Government	$1.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.72
Rate for Payer: Group Health Inc Commercial	$1.26
Rate for Payer: Group Health Inc Medicare	$0.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.26
Rate for Payer: Hamaspik Choice Inc Medicare	$1.26

TRAY,LUMBAR PUNC,INFANT,21X2.5,S

Facility OP

$17.20

Hospital Charge Code	64901948
Hospital Revenue Code	270
Min. Negotiated Rate	$6.02
Max. Negotiated Rate	$13.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.60
Rate for Payer: Aetna Government	$8.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.70
Rate for Payer: Group Health Inc Commercial	$8.60
Rate for Payer: Group Health Inc Medicare	$6.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.60
Rate for Payer: Hamaspik Choice Inc Medicare	$8.60

Price Transparency.

All Charges