St. Barnabas Hospital

All Charges

Charge

Type

Price

WARFARIN 7.5 MG TAB

Facility OP

$0.11

Hospital Charge Code	41654529
Hospital Revenue Code	250
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.06
Rate for Payer: Aetna Government	$0.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.07
Rate for Payer: Group Health Inc Commercial	$0.06
Rate for Payer: Group Health Inc Medicare	$0.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.06
Rate for Payer: Hamaspik Choice Inc Medicare	$0.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.07

WASH 1.2 59-12049

Facility OP

$81.25

Service Code	HCPCS C1713
Hospital Charge Code	64903230
Hospital Revenue Code	278
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.69
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	$40.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.72
Rate for Payer: Fidelis Medicare Advantage	$85.31
Rate for Payer: Group Health Inc Commercial	$40.62
Rate for Payer: Group Health Inc Medicare	$28.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.62
Rate for Payer: Hamaspik Choice Inc Medicare	$40.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$52.81

WASH 1.2 59-12049

Facility IP

$81.25

Service Code	HCPCS C1713
Hospital Charge Code	64903230
Hospital Revenue Code	278
Min. Negotiated Rate	$40.62
Max. Negotiated Rate	$40.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.62
Rate for Payer: Hamaspik Choice Inc Medicare	$40.62

WASH 2.3 59-23049E

Facility IP

$81.25

Service Code	HCPCS C1713
Hospital Charge Code	64903228
Hospital Revenue Code	278
Min. Negotiated Rate	$40.62
Max. Negotiated Rate	$40.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.62
Rate for Payer: Hamaspik Choice Inc Medicare	$40.62

WASH 2.3 59-23049E

Facility OP

$81.25

Service Code	HCPCS C1713
Hospital Charge Code	64903228
Hospital Revenue Code	278
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.69
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	$40.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.72
Rate for Payer: Fidelis Medicare Advantage	$85.31
Rate for Payer: Group Health Inc Commercial	$40.62
Rate for Payer: Group Health Inc Medicare	$28.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.62
Rate for Payer: Hamaspik Choice Inc Medicare	$40.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$52.81

WASHCLOTH READY BATH BODY CLEAN

Facility OP

$0.65

Hospital Charge Code	64901055
Hospital Revenue Code	270
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.33
Rate for Payer: Aetna Government	$0.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.44
Rate for Payer: Group Health Inc Commercial	$0.33
Rate for Payer: Group Health Inc Medicare	$0.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.33
Rate for Payer: Hamaspik Choice Inc Medicare	$0.33

WASHCLOTHS

Facility OP

$0.08

Hospital Charge Code	64901865
Hospital Revenue Code	270
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.04
Rate for Payer: Aetna Government	$0.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.05
Rate for Payer: Group Health Inc Commercial	$0.04
Rate for Payer: Group Health Inc Medicare	$0.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.04
Rate for Payer: Hamaspik Choice Inc Medicare	$0.04

WASHCLOTH WHITE 12 X 13

Facility OP

$3.37

Hospital Charge Code	64901833
Hospital Revenue Code	270
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$2.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.68
Rate for Payer: Aetna Government	$1.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.29
Rate for Payer: Group Health Inc Commercial	$1.68
Rate for Payer: Group Health Inc Medicare	$1.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.68
Rate for Payer: Hamaspik Choice Inc Medicare	$1.68

WASHER

Facility IP

$73.13

Service Code	HCPCS C1713
Hospital Charge Code	64902275
Hospital Revenue Code	278
Min. Negotiated Rate	$36.56
Max. Negotiated Rate	$36.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$36.56
Rate for Payer: Hamaspik Choice Inc Medicare	$36.56

WASHER

Facility IP

$73.13

Service Code	HCPCS C1713
Hospital Charge Code	64903257
Hospital Revenue Code	278
Min. Negotiated Rate	$36.56
Max. Negotiated Rate	$36.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$36.56
Rate for Payer: Hamaspik Choice Inc Medicare	$36.56

WASHER

Facility OP

$69.60

Service Code	HCPCS C1713
Hospital Charge Code	40200464
Hospital Revenue Code	278
Min. Negotiated Rate	$24.36
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.28
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	$34.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.02
Rate for Payer: Fidelis Medicare Advantage	$73.08
Rate for Payer: Group Health Inc Commercial	$34.80
Rate for Payer: Group Health Inc Medicare	$24.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.80
Rate for Payer: Hamaspik Choice Inc Medicare	$34.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$45.24

WASHER

Facility OP

$73.13

Service Code	HCPCS C1713
Hospital Charge Code	64903257
Hospital Revenue Code	278
Min. Negotiated Rate	$25.60
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$40.22
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	$36.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$42.05
Rate for Payer: Fidelis Medicare Advantage	$76.79
Rate for Payer: Group Health Inc Commercial	$36.56
Rate for Payer: Group Health Inc Medicare	$25.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$36.56
Rate for Payer: Hamaspik Choice Inc Medicare	$36.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$47.53

WASHER

Facility IP

$69.60

Service Code	HCPCS C1713
Hospital Charge Code	40200464
Hospital Revenue Code	278
Min. Negotiated Rate	$34.80
Max. Negotiated Rate	$34.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.80
Rate for Payer: Hamaspik Choice Inc Medicare	$34.80

WASHER

Facility OP

$73.13

Service Code	HCPCS C1713
Hospital Charge Code	64902275
Hospital Revenue Code	278
Min. Negotiated Rate	$25.60
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$40.22
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	$36.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$42.05
Rate for Payer: Fidelis Medicare Advantage	$76.79
Rate for Payer: Group Health Inc Commercial	$36.56
Rate for Payer: Group Health Inc Medicare	$25.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$36.56
Rate for Payer: Hamaspik Choice Inc Medicare	$36.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$47.53

WASHER 2.0

Facility IP

$160.88

Service Code	HCPCS C1713
Hospital Charge Code	64902832
Hospital Revenue Code	278
Min. Negotiated Rate	$80.44
Max. Negotiated Rate	$80.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.44
Rate for Payer: Hamaspik Choice Inc Medicare	$80.44

WASHER 2.0

Facility OP

$160.88

Service Code	HCPCS C1713
Hospital Charge Code	64902832
Hospital Revenue Code	278
Min. Negotiated Rate	$56.31
Max. Negotiated Rate	$168.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.48
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	$80.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.51
Rate for Payer: Fidelis Medicare Advantage	$168.92
Rate for Payer: Group Health Inc Commercial	$80.44
Rate for Payer: Group Health Inc Medicare	$56.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.44
Rate for Payer: Hamaspik Choice Inc Medicare	$80.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.57

WASHER 2.0MM

Facility IP

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	40200221
Hospital Revenue Code	278
Min. Negotiated Rate	$137.50
Max. Negotiated Rate	$137.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$137.50
Rate for Payer: Hamaspik Choice Inc Medicare	$137.50

WASHER 2.0MM

Facility OP

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	40200221
Hospital Revenue Code	278
Min. Negotiated Rate	$96.25
Max. Negotiated Rate	$288.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$151.25
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	$137.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$158.12
Rate for Payer: Fidelis Medicare Advantage	$288.75
Rate for Payer: Group Health Inc Commercial	$137.50
Rate for Payer: Group Health Inc Medicare	$96.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$137.50
Rate for Payer: Hamaspik Choice Inc Medicare	$137.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$178.75

WASHER 3.0MM ASNIS MICRO STER

Facility OP

$180.38

Service Code	HCPCS C1713
Hospital Charge Code	64902455
Hospital Revenue Code	278
Min. Negotiated Rate	$63.13
Max. Negotiated Rate	$189.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.21
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	$90.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$103.72
Rate for Payer: Fidelis Medicare Advantage	$189.40
Rate for Payer: Group Health Inc Commercial	$90.19
Rate for Payer: Group Health Inc Medicare	$63.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.19
Rate for Payer: Hamaspik Choice Inc Medicare	$90.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$117.25

WASHER 3.0MM ASNIS MICRO STER

Facility IP

$180.38

Service Code	HCPCS C1713
Hospital Charge Code	64902455
Hospital Revenue Code	278
Min. Negotiated Rate	$90.19
Max. Negotiated Rate	$90.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.19
Rate for Payer: Hamaspik Choice Inc Medicare	$90.19

WASHER 3.5MM

Facility OP

$152.75

Service Code	HCPCS C1713
Hospital Charge Code	64902434
Hospital Revenue Code	278
Min. Negotiated Rate	$53.46
Max. Negotiated Rate	$160.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$84.01
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	$76.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$87.83
Rate for Payer: Fidelis Medicare Advantage	$160.39
Rate for Payer: Group Health Inc Commercial	$76.38
Rate for Payer: Group Health Inc Medicare	$53.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$76.38
Rate for Payer: Hamaspik Choice Inc Medicare	$76.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$99.29

WASHER 3.5MM

Facility IP

$152.75

Service Code	HCPCS C1713
Hospital Charge Code	64902434
Hospital Revenue Code	278
Min. Negotiated Rate	$76.38
Max. Negotiated Rate	$76.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$76.38
Rate for Payer: Hamaspik Choice Inc Medicare	$76.38

WASHER 4.0

Facility IP

$68.25

Service Code	HCPCS C1713
Hospital Charge Code	64904504
Hospital Revenue Code	278
Min. Negotiated Rate	$34.12
Max. Negotiated Rate	$34.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.12
Rate for Payer: Hamaspik Choice Inc Medicare	$34.12

WASHER 4.0

Facility OP

$68.25

Service Code	HCPCS C1713
Hospital Charge Code	64904504
Hospital Revenue Code	278
Min. Negotiated Rate	$23.89
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$37.54
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	$34.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.24
Rate for Payer: Fidelis Medicare Advantage	$71.66
Rate for Payer: Group Health Inc Commercial	$34.12
Rate for Payer: Group Health Inc Medicare	$23.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.12
Rate for Payer: Hamaspik Choice Inc Medicare	$34.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$44.36

WASHER 4MM

Facility OP

$137.50

Service Code	HCPCS C1713
Hospital Charge Code	64903235
Hospital Revenue Code	278
Min. Negotiated Rate	$48.12
Max. Negotiated Rate	$144.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$75.62
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	$68.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$79.06
Rate for Payer: Fidelis Medicare Advantage	$144.38
Rate for Payer: Group Health Inc Commercial	$68.75
Rate for Payer: Group Health Inc Medicare	$48.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$68.75
Rate for Payer: Hamaspik Choice Inc Medicare	$68.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$89.38

Price Transparency.

All Charges