St. Barnabas Hospital

All Charges

Charge

Type

Price

BLADDER NECK SUSPENSION

Facility OP

$5,804.26

Service Code	HCPCS 51940
Hospital Charge Code	40122900
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$3,192.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,192.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,029.04
Rate for Payer: Aetna Government	$2,029.04
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	$1,756.22
Rate for Payer: Group Health Inc Commercial	$2,902.13
Rate for Payer: Group Health Inc Medicare	$2,031.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,902.13
Rate for Payer: Hamaspik Choice Inc Medicare	$2,902.13
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,951.35

BLADE 10MM X 3 OST

Facility OP

$158.63

Hospital Charge Code	64905817
Hospital Revenue Code	270
Min. Negotiated Rate	$55.52
Max. Negotiated Rate	$126.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$87.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$79.32
Rate for Payer: Aetna Government	$79.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$126.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$107.87
Rate for Payer: Group Health Inc Commercial	$79.32
Rate for Payer: Group Health Inc Medicare	$55.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$79.32
Rate for Payer: Hamaspik Choice Inc Medicare	$79.32

BLADE 10MM X 5 OST

Facility OP

$425.00

Hospital Charge Code	64905819
Hospital Revenue Code	270
Min. Negotiated Rate	$148.75
Max. Negotiated Rate	$340.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$233.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$212.50
Rate for Payer: Aetna Government	$212.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$340.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$289.00
Rate for Payer: Group Health Inc Commercial	$212.50
Rate for Payer: Group Health Inc Medicare	$148.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.50
Rate for Payer: Hamaspik Choice Inc Medicare	$212.50

BLADE 15.0 X 9.0MM .017IN

Facility OP

$21.45

Hospital Charge Code	64904573
Hospital Revenue Code	270
Min. Negotiated Rate	$7.51
Max. Negotiated Rate	$17.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.72
Rate for Payer: Aetna Government	$10.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.59
Rate for Payer: Group Health Inc Commercial	$10.72
Rate for Payer: Group Health Inc Medicare	$7.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.72
Rate for Payer: Hamaspik Choice Inc Medicare	$10.72

BLADE 2.9 TRUCLEAR INCIS

Facility OP

$1,773.75

Hospital Charge Code	64905919
Hospital Revenue Code	270
Min. Negotiated Rate	$620.81
Max. Negotiated Rate	$1,419.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$975.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$886.88
Rate for Payer: Aetna Government	$886.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,419.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,206.15
Rate for Payer: Group Health Inc Commercial	$886.88
Rate for Payer: Group Health Inc Medicare	$620.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$886.88
Rate for Payer: Hamaspik Choice Inc Medicare	$886.88

BLADE 30 X 12.5MM .017IN

Facility OP

$21.88

Hospital Charge Code	64904575
Hospital Revenue Code	270
Min. Negotiated Rate	$7.66
Max. Negotiated Rate	$17.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.94
Rate for Payer: Aetna Government	$10.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.88
Rate for Payer: Group Health Inc Commercial	$10.94
Rate for Payer: Group Health Inc Medicare	$7.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.94
Rate for Payer: Hamaspik Choice Inc Medicare	$10.94

BLADE 4.5MM CRVD FULL RAD ELITE

Facility OP

$134.12

Hospital Charge Code	40205979
Hospital Revenue Code	270
Min. Negotiated Rate	$46.94
Max. Negotiated Rate	$107.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$73.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$67.06
Rate for Payer: Aetna Government	$67.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$107.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$91.20
Rate for Payer: Group Health Inc Commercial	$67.06
Rate for Payer: Group Health Inc Medicare	$46.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.06
Rate for Payer: Hamaspik Choice Inc Medicare	$67.06

BLADE 4.5MM INCISOR

Facility OP

$827.43

Hospital Charge Code	64903123
Hospital Revenue Code	270
Min. Negotiated Rate	$289.60
Max. Negotiated Rate	$661.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$455.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$413.72
Rate for Payer: Aetna Government	$413.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$661.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$562.65
Rate for Payer: Group Health Inc Commercial	$413.72
Rate for Payer: Group Health Inc Medicare	$289.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$413.72
Rate for Payer: Hamaspik Choice Inc Medicare	$413.72

BLADE CALCAR

Facility OP

$425.00

Hospital Charge Code	64907234
Hospital Revenue Code	270
Min. Negotiated Rate	$148.75
Max. Negotiated Rate	$340.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$233.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$212.50
Rate for Payer: Aetna Government	$212.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$340.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$289.00
Rate for Payer: Group Health Inc Commercial	$212.50
Rate for Payer: Group Health Inc Medicare	$148.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.50
Rate for Payer: Hamaspik Choice Inc Medicare	$212.50

BLADE CLIPPER REPLACEMENT ASSY

Facility OP

$6.00

Hospital Charge Code	64901112
Hospital Revenue Code	270
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$4.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.00
Rate for Payer: Aetna Government	$3.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.08
Rate for Payer: Group Health Inc Commercial	$3.00
Rate for Payer: Group Health Inc Medicare	$2.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3.00

BLADE,CLIPPER,SURGICOTDE

Facility OP

$5.98

Hospital Charge Code	64902063
Hospital Revenue Code	270
Min. Negotiated Rate	$2.09
Max. Negotiated Rate	$4.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.99
Rate for Payer: Aetna Government	$2.99
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.07
Rate for Payer: Group Health Inc Commercial	$2.99
Rate for Payer: Group Health Inc Medicare	$2.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.99
Rate for Payer: Hamaspik Choice Inc Medicare	$2.99

BLADE CLIPPER SURG REPLACEMENT 3M

Facility OP

$6.53

Hospital Charge Code	64904194
Hospital Revenue Code	270
Min. Negotiated Rate	$2.29
Max. Negotiated Rate	$5.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.26
Rate for Payer: Aetna Government	$3.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.44
Rate for Payer: Group Health Inc Commercial	$3.26
Rate for Payer: Group Health Inc Medicare	$2.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.26
Rate for Payer: Hamaspik Choice Inc Medicare	$3.26

BLADE,CLIPPER UNIVERSAL GRAY

Facility OP

$5.44

Hospital Charge Code	64906212
Hospital Revenue Code	270
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$4.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.72
Rate for Payer: Aetna Government	$2.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.70
Rate for Payer: Group Health Inc Commercial	$2.72
Rate for Payer: Group Health Inc Medicare	$1.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.72
Rate for Payer: Hamaspik Choice Inc Medicare	$2.72

BLADE DERMATOME

Facility OP

$50.00

Hospital Charge Code	40205981
Hospital Revenue Code	270
Min. Negotiated Rate	$17.50
Max. Negotiated Rate	$40.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.00
Rate for Payer: Aetna Government	$25.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.00
Rate for Payer: Group Health Inc Commercial	$25.00
Rate for Payer: Group Health Inc Medicare	$17.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.00
Rate for Payer: Hamaspik Choice Inc Medicare	$25.00

BLADE DERMATOME

Facility OP

$120.00

Hospital Charge Code	64902776
Hospital Revenue Code	270
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$96.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$66.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$60.00
Rate for Payer: Aetna Government	$60.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$96.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.60
Rate for Payer: Group Health Inc Commercial	$60.00
Rate for Payer: Group Health Inc Medicare	$42.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$60.00
Rate for Payer: Hamaspik Choice Inc Medicare	$60.00

BLADE DIAMOND V SST

Facility OP

$168.00

Hospital Charge Code	40200260
Hospital Revenue Code	270
Min. Negotiated Rate	$58.80
Max. Negotiated Rate	$134.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$92.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$84.00
Rate for Payer: Aetna Government	$84.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$134.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$114.24
Rate for Payer: Group Health Inc Commercial	$84.00
Rate for Payer: Group Health Inc Medicare	$58.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$84.00
Rate for Payer: Hamaspik Choice Inc Medicare	$84.00

BLADE DISPOSAB LP MAC 0 LED

Facility OP

$162.50

Hospital Charge Code	64903770
Hospital Revenue Code	270
Min. Negotiated Rate	$56.88
Max. Negotiated Rate	$130.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$89.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$81.25
Rate for Payer: Aetna Government	$81.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$130.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$110.50
Rate for Payer: Group Health Inc Commercial	$81.25
Rate for Payer: Group Health Inc Medicare	$56.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.25
Rate for Payer: Hamaspik Choice Inc Medicare	$81.25

BLADE DISPOSAB LP MAC 1 LED

Facility OP

$8.13

Hospital Charge Code	64903772
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MAC 2 LED

Facility OP

$8.13

Hospital Charge Code	64903774
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MAC 3 LED

Facility OP

$8.13

Hospital Charge Code	64903776
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MAC 3 PLUS LED

Facility OP

$8.13

Hospital Charge Code	64903778
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MAC 4 LED

Facility OP

$8.13

Hospital Charge Code	64903780
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MILLER 000 LED

Facility OP

$8.13

Hospital Charge Code	64903794
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MILLER 00 LED

Facility OP

$8.13

Hospital Charge Code	64903792
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MILLER 0 LED

Facility OP

$8.13

Hospital Charge Code	64903782
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

Price Transparency.

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