St. Barnabas Hospital

All Charges

Charge

Type

Price

BLADE DISPOSAB LP MILLER 1 LED

Facility OP

$8.13

Hospital Charge Code	64903784
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 2 LED

Facility OP

$8.13

Hospital Charge Code	64903786
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 3 LED

Facility OP

$8.13

Hospital Charge Code	64903788
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 4 LED

Facility OP

$8.13

Hospital Charge Code	64903790
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 DVR

Facility OP

$786.70

Hospital Charge Code	64907185
Hospital Revenue Code	279
Min. Negotiated Rate	$275.34
Max. Negotiated Rate	$629.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$432.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$393.35
Rate for Payer: Aetna Government	$393.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$629.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$534.96
Rate for Payer: Group Health Inc Commercial	$393.35
Rate for Payer: Group Health Inc Medicare	$275.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$393.35
Rate for Payer: Hamaspik Choice Inc Medicare	$393.35

BLADE ELECTRODE EXTENDED

Facility OP

$258.00

Hospital Charge Code	40201032
Hospital Revenue Code	270
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$206.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$141.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$129.00
Rate for Payer: Aetna Government	$129.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$206.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$175.44
Rate for Payer: Group Health Inc Commercial	$129.00
Rate for Payer: Group Health Inc Medicare	$90.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$129.00
Rate for Payer: Hamaspik Choice Inc Medicare	$129.00

BLADE ELECTRODE EXTENDED

Facility OP

$7.42

Hospital Charge Code	64903010
Hospital Revenue Code	270
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$5.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.71
Rate for Payer: Aetna Government	$3.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.05
Rate for Payer: Group Health Inc Commercial	$3.71
Rate for Payer: Group Health Inc Medicare	$2.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.71
Rate for Payer: Hamaspik Choice Inc Medicare	$3.71

BLADE ENDOSCOPY ENDOTRAC

Facility OP

$587.50

Hospital Charge Code	64902860
Hospital Revenue Code	270
Min. Negotiated Rate	$205.62
Max. Negotiated Rate	$470.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$323.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$293.75
Rate for Payer: Aetna Government	$293.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$470.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$399.50
Rate for Payer: Group Health Inc Commercial	$293.75
Rate for Payer: Group Health Inc Medicare	$205.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$293.75
Rate for Payer: Hamaspik Choice Inc Medicare	$293.75

BLADE EXTRACTOR LONG 58MML

Facility OP

$2,280.00

Hospital Charge Code	64906197
Hospital Revenue Code	270
Min. Negotiated Rate	$798.00
Max. Negotiated Rate	$1,824.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,254.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,140.00
Rate for Payer: Aetna Government	$1,140.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,824.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,550.40
Rate for Payer: Group Health Inc Commercial	$1,140.00
Rate for Payer: Group Health Inc Medicare	$798.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,140.00

BLADE FULL EXPLANT 54MM

Facility OP

$2,280.00

Hospital Charge Code	64906178
Hospital Revenue Code	270
Min. Negotiated Rate	$798.00
Max. Negotiated Rate	$1,824.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,254.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,140.00
Rate for Payer: Aetna Government	$1,140.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,824.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,550.40
Rate for Payer: Group Health Inc Commercial	$1,140.00
Rate for Payer: Group Health Inc Medicare	$798.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,140.00

BLADE FULL EXPLANT 62MM

Facility OP

$2,280.00

Hospital Charge Code	64906177
Hospital Revenue Code	270
Min. Negotiated Rate	$798.00
Max. Negotiated Rate	$1,824.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,254.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,140.00
Rate for Payer: Aetna Government	$1,140.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,824.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,550.40
Rate for Payer: Group Health Inc Commercial	$1,140.00
Rate for Payer: Group Health Inc Medicare	$798.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,140.00

BLADE FULL R MINIBLADE

Facility OP

$128.66

Hospital Charge Code	40205959
Hospital Revenue Code	270
Min. Negotiated Rate	$45.03
Max. Negotiated Rate	$102.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$70.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$64.33
Rate for Payer: Aetna Government	$64.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$102.93
Rate for Payer: Cigna LocalPlus Benefit Plan	$87.49
Rate for Payer: Group Health Inc Commercial	$64.33
Rate for Payer: Group Health Inc Medicare	$45.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$64.33
Rate for Payer: Hamaspik Choice Inc Medicare	$64.33

BLADE GLIDESCPE GVL3STAT SMALL

Facility OP

$45.00

Hospital Charge Code	64903378
Hospital Revenue Code	270
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$36.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$22.50
Rate for Payer: Aetna Government	$22.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$36.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.60
Rate for Payer: Group Health Inc Commercial	$22.50
Rate for Payer: Group Health Inc Medicare	$15.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.50
Rate for Payer: Hamaspik Choice Inc Medicare	$22.50

BLADE GLIDESCPE GVL4STAT LARGE

Facility OP

$45.00

Hospital Charge Code	64903380
Hospital Revenue Code	270
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$36.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$22.50
Rate for Payer: Aetna Government	$22.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$36.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.60
Rate for Payer: Group Health Inc Commercial	$22.50
Rate for Payer: Group Health Inc Medicare	$15.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.50
Rate for Payer: Hamaspik Choice Inc Medicare	$22.50

BLADE INCISOR 4.5MM

Facility OP

$110.32

Hospital Charge Code	40205977
Hospital Revenue Code	270
Min. Negotiated Rate	$38.61
Max. Negotiated Rate	$88.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$60.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$55.16
Rate for Payer: Aetna Government	$55.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$88.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$75.02
Rate for Payer: Group Health Inc Commercial	$55.16
Rate for Payer: Group Health Inc Medicare	$38.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$55.16
Rate for Payer: Hamaspik Choice Inc Medicare	$55.16

BLADE INCISOR 4.5 PLUS ELITE STR

Facility OP

$166.34

Hospital Charge Code	40205978
Hospital Revenue Code	270
Min. Negotiated Rate	$58.22
Max. Negotiated Rate	$133.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$91.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$83.17
Rate for Payer: Aetna Government	$83.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$113.11
Rate for Payer: Group Health Inc Commercial	$83.17
Rate for Payer: Group Health Inc Medicare	$58.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$83.17
Rate for Payer: Hamaspik Choice Inc Medicare	$83.17

BLADE INFERIOR TURBI 2.9MM

Facility OP

$619.50

Hospital Charge Code	64905975
Hospital Revenue Code	270
Min. Negotiated Rate	$216.82
Max. Negotiated Rate	$495.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$340.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$309.75
Rate for Payer: Aetna Government	$309.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$495.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$421.26
Rate for Payer: Group Health Inc Commercial	$309.75
Rate for Payer: Group Health Inc Medicare	$216.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$309.75
Rate for Payer: Hamaspik Choice Inc Medicare	$309.75

BLADE LARYNGOSCOPE STD LED MAC3

Facility OP

$47.50

Hospital Charge Code	64903506
Hospital Revenue Code	270
Min. Negotiated Rate	$16.62
Max. Negotiated Rate	$38.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.75
Rate for Payer: Aetna Government	$23.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$38.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.30
Rate for Payer: Group Health Inc Commercial	$23.75
Rate for Payer: Group Health Inc Medicare	$16.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.75
Rate for Payer: Hamaspik Choice Inc Medicare	$23.75

BLADE LG BONE SAG 85.0X20.5MM

Facility OP

$30.00

Hospital Charge Code	64904819
Hospital Revenue Code	270
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$24.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.00
Rate for Payer: Aetna Government	$15.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.40
Rate for Payer: Group Health Inc Commercial	$15.00
Rate for Payer: Group Health Inc Medicare	$10.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.00
Rate for Payer: Hamaspik Choice Inc Medicare	$15.00

BLADE MEDIUM-LONG

Facility OP

$83.35

Hospital Charge Code	64903963
Hospital Revenue Code	270
Min. Negotiated Rate	$29.17
Max. Negotiated Rate	$66.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$45.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$41.68
Rate for Payer: Aetna Government	$41.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$66.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$56.68
Rate for Payer: Group Health Inc Commercial	$41.68
Rate for Payer: Group Health Inc Medicare	$29.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$41.68
Rate for Payer: Hamaspik Choice Inc Medicare	$41.68

BLADE MICROSHARP 15DEG 3MM BLUE

Facility OP

$8.18

Hospital Charge Code	64904260
Hospital Revenue Code	270
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$6.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.09
Rate for Payer: Aetna Government	$4.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.56
Rate for Payer: Group Health Inc Commercial	$4.09
Rate for Payer: Group Health Inc Medicare	$2.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.09
Rate for Payer: Hamaspik Choice Inc Medicare	$4.09

BLADE MINI UNITONE

Facility OP

$22.40

Hospital Charge Code	64904039
Hospital Revenue Code	270
Min. Negotiated Rate	$7.84
Max. Negotiated Rate	$17.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.20
Rate for Payer: Aetna Government	$11.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$15.23
Rate for Payer: Group Health Inc Commercial	$11.20
Rate for Payer: Group Health Inc Medicare	$7.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.20
Rate for Payer: Hamaspik Choice Inc Medicare	$11.20

BLADE MIRCOSHARP 15DEG 3MM BLUE

Facility OP

$50.00

Hospital Charge Code	40201033
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 MYRINGOTOMY NARROW

Facility OP

$28.60

Hospital Charge Code	64902891
Hospital Revenue Code	270
Min. Negotiated Rate	$10.01
Max. Negotiated Rate	$22.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.30
Rate for Payer: Aetna Government	$14.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.45
Rate for Payer: Group Health Inc Commercial	$14.30
Rate for Payer: Group Health Inc Medicare	$10.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.30
Rate for Payer: Hamaspik Choice Inc Medicare	$14.30

BLADE OSTEMTOME-ZIMMER

Facility IP

$400.00

Service Code	HCPCS C1713
Hospital Charge Code	64907044
Hospital Revenue Code	278
Min. Negotiated Rate	$200.00
Max. Negotiated Rate	$200.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.00
Rate for Payer: Hamaspik Choice Inc Medicare	$200.00

Price Transparency.

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