St. Barnabas Hospital

All Charges

Charge

Type

Price

WASHER 4MM

Facility IP

$137.50

Service Code	HCPCS C1713
Hospital Charge Code	64903235
Hospital Revenue Code	278
Min. Negotiated Rate	$68.75
Max. Negotiated Rate	$68.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$68.75
Rate for Payer: Hamaspik Choice Inc Medicare	$68.75

WASHER 7MM

Facility IP

$137.50

Service Code	HCPCS C1713
Hospital Charge Code	64903237
Hospital Revenue Code	278
Min. Negotiated Rate	$68.75
Max. Negotiated Rate	$68.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$68.75
Rate for Payer: Hamaspik Choice Inc Medicare	$68.75

WASHER 7MM

Facility OP

$137.50

Service Code	HCPCS C1713
Hospital Charge Code	64903237
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

WASHER 9MM

Facility OP

$165.75

Service Code	HCPCS C1713
Hospital Charge Code	64901959
Hospital Revenue Code	278
Min. Negotiated Rate	$58.01
Max. Negotiated Rate	$174.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$91.16
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	$82.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$95.31
Rate for Payer: Fidelis Medicare Advantage	$174.04
Rate for Payer: Group Health Inc Commercial	$82.88
Rate for Payer: Group Health Inc Medicare	$58.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.88
Rate for Payer: Hamaspik Choice Inc Medicare	$82.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$107.74

WASHER 9MM

Facility IP

$165.75

Service Code	HCPCS C1713
Hospital Charge Code	64901959
Hospital Revenue Code	278
Min. Negotiated Rate	$82.88
Max. Negotiated Rate	$82.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.88
Rate for Payer: Hamaspik Choice Inc Medicare	$82.88

WASHER ASNIS 35.OMM SS

Facility OP

$50.40

Service Code	HCPCS C1713
Hospital Charge Code	40205077
Hospital Revenue Code	278
Min. Negotiated Rate	$17.64
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.72
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	$25.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$28.98
Rate for Payer: Fidelis Medicare Advantage	$52.92
Rate for Payer: Group Health Inc Commercial	$25.20
Rate for Payer: Group Health Inc Medicare	$17.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.20
Rate for Payer: Hamaspik Choice Inc Medicare	$25.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$32.76

WASHER ASNIS 35.OMM SS

Facility IP

$50.40

Service Code	HCPCS C1713
Hospital Charge Code	40205077
Hospital Revenue Code	278
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$25.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.20
Rate for Payer: Hamaspik Choice Inc Medicare	$25.20

WASHER BONE 4.0MM ROUND

Facility IP

$60.13

Service Code	HCPCS C1713
Hospital Charge Code	64901686
Hospital Revenue Code	278
Min. Negotiated Rate	$30.06
Max. Negotiated Rate	$30.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.06
Rate for Payer: Hamaspik Choice Inc Medicare	$30.06

WASHER BONE 4.0MM ROUND

Facility OP

$60.13

Service Code	HCPCS C1713
Hospital Charge Code	64901686
Hospital Revenue Code	278
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.07
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	$30.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.57
Rate for Payer: Fidelis Medicare Advantage	$63.14
Rate for Payer: Group Health Inc Commercial	$30.06
Rate for Payer: Group Health Inc Medicare	$21.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.06
Rate for Payer: Hamaspik Choice Inc Medicare	$30.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$39.08

WASHER CANNULATED SCREW SS

Facility IP

$78.00

Service Code	HCPCS C1713
Hospital Charge Code	64902481
Hospital Revenue Code	278
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$39.00
Rate for Payer: Hamaspik Choice Inc Medicare	$39.00

WASHER CANNULATED SCREW SS

Facility OP

$78.00

Service Code	HCPCS C1713
Hospital Charge Code	64902481
Hospital Revenue Code	278
Min. Negotiated Rate	$27.30
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$42.90
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	$39.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$44.85
Rate for Payer: Fidelis Medicare Advantage	$81.90
Rate for Payer: Group Health Inc Commercial	$39.00
Rate for Payer: Group Health Inc Medicare	$27.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$39.00
Rate for Payer: Hamaspik Choice Inc Medicare	$39.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$50.70

WASHER FIXATION BOLT 4.0MM S&N

Facility OP

$66.48

Service Code	HCPCS C1713
Hospital Charge Code	64901286
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$36.56
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	$33.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$38.23
Rate for Payer: Fidelis Medicare Advantage	$69.80
Rate for Payer: Group Health Inc Commercial	$33.24
Rate for Payer: Group Health Inc Medicare	$23.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$33.24
Rate for Payer: Hamaspik Choice Inc Medicare	$33.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$43.21

WASHER FIXATION BOLT 4.0MM S&N

Facility IP

$66.48

Service Code	HCPCS C1713
Hospital Charge Code	64901286
Hospital Revenue Code	278
Min. Negotiated Rate	$33.24
Max. Negotiated Rate	$33.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$33.24
Rate for Payer: Hamaspik Choice Inc Medicare	$33.24

WASHER FOR 4MM SCREW IN STEEL

Facility OP

$55.00

Service Code	HCPCS C1713
Hospital Charge Code	40200146
Hospital Revenue Code	278
Min. Negotiated Rate	$19.25
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.25
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	$27.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.62
Rate for Payer: Fidelis Medicare Advantage	$57.75
Rate for Payer: Group Health Inc Commercial	$27.50
Rate for Payer: Group Health Inc Medicare	$19.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.50
Rate for Payer: Hamaspik Choice Inc Medicare	$27.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$35.75

WASHER FOR 4MM SCREW IN STEEL

Facility IP

$55.00

Service Code	HCPCS C1713
Hospital Charge Code	40200146
Hospital Revenue Code	278
Min. Negotiated Rate	$27.50
Max. Negotiated Rate	$27.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.50
Rate for Payer: Hamaspik Choice Inc Medicare	$27.50

WASHER SCR 3.75 TITAN

Facility OP

$143.00

Service Code	HCPCS C1713
Hospital Charge Code	40004885
Hospital Revenue Code	278
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$150.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$78.65
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	$71.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$82.22
Rate for Payer: Fidelis Medicare Advantage	$150.15
Rate for Payer: Group Health Inc Commercial	$71.50
Rate for Payer: Group Health Inc Medicare	$50.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.50
Rate for Payer: Hamaspik Choice Inc Medicare	$71.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$92.95

WASHER SCR 3.75 TITAN

Facility IP

$143.00

Service Code	HCPCS C1713
Hospital Charge Code	40004885
Hospital Revenue Code	278
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$71.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.50
Rate for Payer: Hamaspik Choice Inc Medicare	$71.50

WASHER SUTURE TITANIUM

Facility IP

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	64906862
Hospital Revenue Code	278
Min. Negotiated Rate	$125.00
Max. Negotiated Rate	$125.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$125.00

WASHER SUTURE TITANIUM

Facility OP

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	64906862
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$262.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$137.50
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	$125.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$143.75
Rate for Payer: Fidelis Medicare Advantage	$262.50
Rate for Payer: Group Health Inc Commercial	$125.00
Rate for Payer: Group Health Inc Medicare	$87.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$125.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$162.50

WASTE OMALIZUMA 150MG ML

Facility IP

$29.46

Service Code	HCPCS J2357 JW
Hospital Charge Code	41649980
Hospital Revenue Code	636
Min. Negotiated Rate	$14.73
Max. Negotiated Rate	$14.73
Rate for Payer: Cash Price	$39.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.73
Rate for Payer: Hamaspik Choice Inc Medicare	$14.73

WASTE OMALIZUMA 150MG ML

Facility OP

$29.46

Service Code	HCPCS J2357 JW
Hospital Charge Code	41649980
Hospital Revenue Code	636
Min. Negotiated Rate	$10.31
Max. Negotiated Rate	$19.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.73
Rate for Payer: Aetna Government	$14.73
Rate for Payer: Cash Price	$39.46
Rate for Payer: Cash Price	$39.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$14.73
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.94
Rate for Payer: Group Health Inc Commercial	$14.73
Rate for Payer: Group Health Inc Medicare	$10.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.73
Rate for Payer: Hamaspik Choice Inc Medicare	$14.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$19.15

WATER BED

Facility OP

$70.17

Hospital Charge Code	40200860
Hospital Revenue Code	270
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$56.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$35.08
Rate for Payer: Aetna Government	$35.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$47.72
Rate for Payer: Group Health Inc Commercial	$35.08
Rate for Payer: Group Health Inc Medicare	$24.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.08
Rate for Payer: Hamaspik Choice Inc Medicare	$35.08

WATER FOR INJECTION 10 ML

Facility OP

$1.47

Service Code	HCPCS A4216
Hospital Charge Code	41644208
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$1.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.25
Rate for Payer: Aetna Government	$0.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.00
Rate for Payer: Group Health Inc Commercial	$0.74
Rate for Payer: Group Health Inc Medicare	$0.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.74
Rate for Payer: Hamaspik Choice Inc Medicare	$0.74

WATER FOR INJECTION 10 ML

Facility OP

$1.47

Service Code	HCPCS A4216
Hospital Charge Code	41654208
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$1.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.25
Rate for Payer: Aetna Government	$0.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.00
Rate for Payer: Group Health Inc Commercial	$0.74
Rate for Payer: Group Health Inc Medicare	$0.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.74
Rate for Payer: Hamaspik Choice Inc Medicare	$0.74

WATER FOR INJECTION 50 ML

Facility OP

$0.66

Service Code	HCPCS A4216
Hospital Charge Code	41644209
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.53
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.25
Rate for Payer: Aetna Government	$0.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.53
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.45
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

Price Transparency.

All Charges