St. Barnabas Hospital

All Charges

Charge

Type

Price

TUBE BLOOD DWNG GREY,LGHT Y , GRN

Facility OP

$1.44

Hospital Charge Code	40205035
Hospital Revenue Code	270
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$1.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.72
Rate for Payer: Aetna Government	$0.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.98
Rate for Payer: Group Health Inc Commercial	$0.72
Rate for Payer: Group Health Inc Medicare	$0.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.72
Rate for Payer: Hamaspik Choice Inc Medicare	$0.72

TUBE COMP DIST

Facility OP

$1,152.13

Hospital Charge Code	64904541
Hospital Revenue Code	270
Min. Negotiated Rate	$403.25
Max. Negotiated Rate	$921.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$633.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$576.06
Rate for Payer: Aetna Government	$576.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$921.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$783.45
Rate for Payer: Group Health Inc Commercial	$576.06
Rate for Payer: Group Health Inc Medicare	$403.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$576.06
Rate for Payer: Hamaspik Choice Inc Medicare	$576.06

TUBE DYNAMIC TRIAX 20MM BLUE

Facility OP

$4,494.75

Hospital Charge Code	64904494
Hospital Revenue Code	270
Min. Negotiated Rate	$1,573.16
Max. Negotiated Rate	$3,595.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,472.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,247.38
Rate for Payer: Aetna Government	$2,247.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,595.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,056.43
Rate for Payer: Group Health Inc Commercial	$2,247.38
Rate for Payer: Group Health Inc Medicare	$1,573.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,247.38
Rate for Payer: Hamaspik Choice Inc Medicare	$2,247.38

TUBE DYNAMIC TRIAX 20MM BLUE

Facility OP

$3,066.00

Hospital Charge Code	40202157
Hospital Revenue Code	270
Min. Negotiated Rate	$1,073.10
Max. Negotiated Rate	$2,452.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,686.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,533.00
Rate for Payer: Aetna Government	$1,533.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,452.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,084.88
Rate for Payer: Group Health Inc Commercial	$1,533.00
Rate for Payer: Group Health Inc Medicare	$1,073.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,533.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,533.00

TUBE GASTRO 20FR 3-PORT -DYND

Facility OP

$63.74

Hospital Charge Code	64906568
Hospital Revenue Code	270
Min. Negotiated Rate	$22.31
Max. Negotiated Rate	$50.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$31.87
Rate for Payer: Aetna Government	$31.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$50.99
Rate for Payer: Cigna LocalPlus Benefit Plan	$43.34
Rate for Payer: Group Health Inc Commercial	$31.87
Rate for Payer: Group Health Inc Medicare	$22.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.87
Rate for Payer: Hamaspik Choice Inc Medicare	$31.87

TUBE GASTROSTOMY 16FR

Facility OP

$99.90

Hospital Charge Code	64904290
Hospital Revenue Code	270
Min. Negotiated Rate	$34.96
Max. Negotiated Rate	$79.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$54.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$49.95
Rate for Payer: Aetna Government	$49.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$79.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$67.93
Rate for Payer: Group Health Inc Commercial	$49.95
Rate for Payer: Group Health Inc Medicare	$34.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.95
Rate for Payer: Hamaspik Choice Inc Medicare	$49.95

TUBE GASTROSTOMY 18FR/18

Facility OP

$637.50

Hospital Charge Code	64904146
Hospital Revenue Code	270
Min. Negotiated Rate	$223.12
Max. Negotiated Rate	$510.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$350.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$318.75
Rate for Payer: Aetna Government	$318.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$510.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$433.50
Rate for Payer: Group Health Inc Commercial	$318.75
Rate for Payer: Group Health Inc Medicare	$223.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$318.75
Rate for Payer: Hamaspik Choice Inc Medicare	$318.75

TUBE GASTROSTOMY 22FR

Facility OP

$99.90

Hospital Charge Code	64903079
Hospital Revenue Code	270
Min. Negotiated Rate	$34.96
Max. Negotiated Rate	$79.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$54.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$49.95
Rate for Payer: Aetna Government	$49.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$79.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$67.93
Rate for Payer: Group Health Inc Commercial	$49.95
Rate for Payer: Group Health Inc Medicare	$34.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.95
Rate for Payer: Hamaspik Choice Inc Medicare	$49.95

TUBE GASTROTOMY

Facility OP

$65.95

Hospital Charge Code	40205985
Hospital Revenue Code	270
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$52.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$36.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$32.98
Rate for Payer: Aetna Government	$32.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$52.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$44.85
Rate for Payer: Group Health Inc Commercial	$32.98
Rate for Payer: Group Health Inc Medicare	$23.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.98
Rate for Payer: Hamaspik Choice Inc Medicare	$32.98

TUBE JEJUNOSTOMY 12FR THRU PEG

Facility OP

$231.60

Hospital Charge Code	64904354
Hospital Revenue Code	270
Min. Negotiated Rate	$81.06
Max. Negotiated Rate	$185.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$127.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$115.80
Rate for Payer: Aetna Government	$115.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$185.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$157.49
Rate for Payer: Group Health Inc Commercial	$115.80
Rate for Payer: Group Health Inc Medicare	$81.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$115.80
Rate for Payer: Hamaspik Choice Inc Medicare	$115.80

TUBE JEJUNOSTOMY 14FR

Facility OP

$467.73

Hospital Charge Code	64902991
Hospital Revenue Code	270
Min. Negotiated Rate	$163.71
Max. Negotiated Rate	$374.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$257.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$233.86
Rate for Payer: Aetna Government	$233.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$374.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$318.06
Rate for Payer: Group Health Inc Commercial	$233.86
Rate for Payer: Group Health Inc Medicare	$163.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.86
Rate for Payer: Hamaspik Choice Inc Medicare	$233.86

TUBERCULIN PPD 5 TEST UNITS/0.1 ML INJ

Facility OP

$41.00

Hospital Charge Code	41652561
Hospital Revenue Code	250
Min. Negotiated Rate	$14.35
Max. Negotiated Rate	$32.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.50
Rate for Payer: Aetna Government	$20.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$27.88
Rate for Payer: Group Health Inc Commercial	$20.50
Rate for Payer: Group Health Inc Medicare	$14.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.50
Rate for Payer: Hamaspik Choice Inc Medicare	$20.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$26.65

TUBERCULIN PPD 5 TEST UNITS/0.1 ML INJ

Facility OP

$41.00

Hospital Charge Code	41642561
Hospital Revenue Code	250
Min. Negotiated Rate	$14.35
Max. Negotiated Rate	$32.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.50
Rate for Payer: Aetna Government	$20.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$27.88
Rate for Payer: Group Health Inc Commercial	$20.50
Rate for Payer: Group Health Inc Medicare	$14.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.50
Rate for Payer: Hamaspik Choice Inc Medicare	$20.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$26.65

TUBE SING ACTN PUMP CONT FLO DUAL

Facility OP

$180.50

Hospital Charge Code	64904263
Hospital Revenue Code	270
Min. Negotiated Rate	$63.18
Max. Negotiated Rate	$144.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$90.25
Rate for Payer: Aetna Government	$90.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$144.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$122.74
Rate for Payer: Group Health Inc Commercial	$90.25
Rate for Payer: Group Health Inc Medicare	$63.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.25
Rate for Payer: Hamaspik Choice Inc Medicare	$90.25

TUBE SINGLE ACTION CONT FLOW DUAL

Facility OP

$125.20

Hospital Charge Code	40205988
Hospital Revenue Code	270
Min. Negotiated Rate	$43.82
Max. Negotiated Rate	$100.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$68.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$62.60
Rate for Payer: Aetna Government	$62.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$100.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$85.14
Rate for Payer: Group Health Inc Commercial	$62.60
Rate for Payer: Group Health Inc Medicare	$43.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.60
Rate for Payer: Hamaspik Choice Inc Medicare	$62.60

TUBE SINGLE ACTION PUMP

Facility OP

$112.00

Hospital Charge Code	40205987
Hospital Revenue Code	270
Min. Negotiated Rate	$39.20
Max. Negotiated Rate	$89.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$61.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$56.00
Rate for Payer: Aetna Government	$56.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$89.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$76.16
Rate for Payer: Group Health Inc Commercial	$56.00
Rate for Payer: Group Health Inc Medicare	$39.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.00
Rate for Payer: Hamaspik Choice Inc Medicare	$56.00

TUBES (LOHEN SPEC. COLL.)

Facility OP

$6.73

Hospital Charge Code	40206008
Hospital Revenue Code	270
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$5.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.36
Rate for Payer: Aetna Government	$3.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.58
Rate for Payer: Group Health Inc Commercial	$3.36
Rate for Payer: Group Health Inc Medicare	$2.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.36
Rate for Payer: Hamaspik Choice Inc Medicare	$3.36

TUBE TRACH 7.0XLT DIS EXT CUF

Facility OP

$180.00

Hospital Charge Code	64904463
Hospital Revenue Code	270
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$144.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$90.00
Rate for Payer: Aetna Government	$90.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$144.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$122.40
Rate for Payer: Group Health Inc Commercial	$90.00
Rate for Payer: Group Health Inc Medicare	$63.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00

TUBE TRACHEAL 5.5 CUFFED ORAL

Facility OP

$207.28

Hospital Charge Code	64903050
Hospital Revenue Code	270
Min. Negotiated Rate	$72.55
Max. Negotiated Rate	$165.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$114.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$103.64
Rate for Payer: Aetna Government	$103.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$165.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$140.95
Rate for Payer: Group Health Inc Commercial	$103.64
Rate for Payer: Group Health Inc Medicare	$72.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.64
Rate for Payer: Hamaspik Choice Inc Medicare	$103.64

TUBE TRACH MID-RANG HYPRFLX 7MM

Facility OP

$418.45

Hospital Charge Code	64904898
Hospital Revenue Code	270
Min. Negotiated Rate	$146.46
Max. Negotiated Rate	$334.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$230.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$209.22
Rate for Payer: Aetna Government	$209.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$334.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$284.55
Rate for Payer: Group Health Inc Commercial	$209.22
Rate for Payer: Group Health Inc Medicare	$146.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$209.22
Rate for Payer: Hamaspik Choice Inc Medicare	$209.22

TUBE TRACH PROXIMAL 7.0 XLT

Facility OP

$143.10

Hospital Charge Code	64904265
Hospital Revenue Code	270
Min. Negotiated Rate	$50.08
Max. Negotiated Rate	$114.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$78.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$71.55
Rate for Payer: Aetna Government	$71.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$114.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$97.31
Rate for Payer: Group Health Inc Commercial	$71.55
Rate for Payer: Group Health Inc Medicare	$50.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.55
Rate for Payer: Hamaspik Choice Inc Medicare	$71.55

TUBE VACUTAINERBLUE TOP

Facility OP

$1.02

Hospital Charge Code	40209464
Hospital Revenue Code	270
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.51
Rate for Payer: Aetna Government	$0.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.69
Rate for Payer: Group Health Inc Commercial	$0.51
Rate for Payer: Group Health Inc Medicare	$0.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.51
Rate for Payer: Hamaspik Choice Inc Medicare	$0.51

TUBE VACUTAINERGOLD TOP

Facility OP

$0.32

Hospital Charge Code	40209463
Hospital Revenue Code	270
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$0.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.16
Rate for Payer: Aetna Government	$0.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.22
Rate for Payer: Group Health Inc Commercial	$0.16
Rate for Payer: Group Health Inc Medicare	$0.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.16
Rate for Payer: Hamaspik Choice Inc Medicare	$0.16

TUBE VACUTAINER PURPLE TOP 367856

Facility OP

$1.22

Hospital Charge Code	40209462
Hospital Revenue Code	270
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.98
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	$0.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.83
Rate for Payer: Group Health Inc Commercial	$0.61
Rate for Payer: Group Health Inc Medicare	$0.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.61
Rate for Payer: Hamaspik Choice Inc Medicare	$0.61

TUBE VACUTAINER RED TOP 10ML 7820

Facility OP

$1.44

Hospital Charge Code	40209465
Hospital Revenue Code	270
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$1.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.72
Rate for Payer: Aetna Government	$0.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.98
Rate for Payer: Group Health Inc Commercial	$0.72
Rate for Payer: Group Health Inc Medicare	$0.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.72
Rate for Payer: Hamaspik Choice Inc Medicare	$0.72

Price Transparency.

All Charges