St. Barnabas Hospital

All Charges

Charge

Type

Price

BLADE SAW OSCILATING 29.5X7.0MM

Facility OP

$21.45

Hospital Charge Code	64904117
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 SAW RECIP 27MMW .38

Facility OP

$226.03

Hospital Charge Code	64905894
Hospital Revenue Code	270
Min. Negotiated Rate	$79.11
Max. Negotiated Rate	$180.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$124.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$113.02
Rate for Payer: Aetna Government	$113.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$180.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.70
Rate for Payer: Group Health Inc Commercial	$113.02
Rate for Payer: Group Health Inc Medicare	$79.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.02
Rate for Payer: Hamaspik Choice Inc Medicare	$113.02

BLADE SAW RECIPRICATING

Facility OP

$29.00

Hospital Charge Code	64904420
Hospital Revenue Code	270
Min. Negotiated Rate	$10.15
Max. Negotiated Rate	$23.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.50
Rate for Payer: Aetna Government	$14.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.72
Rate for Payer: Group Health Inc Commercial	$14.50
Rate for Payer: Group Health Inc Medicare	$10.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.50
Rate for Payer: Hamaspik Choice Inc Medicare	$14.50

BLADE SAW RECIPROCATING

Facility OP

$22.00

Hospital Charge Code	40201013
Hospital Revenue Code	270
Min. Negotiated Rate	$7.70
Max. Negotiated Rate	$17.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.00
Rate for Payer: Aetna Government	$11.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.96
Rate for Payer: Group Health Inc Commercial	$11.00
Rate for Payer: Group Health Inc Medicare	$7.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.00
Rate for Payer: Hamaspik Choice Inc Medicare	$11.00

BLADE SAW RECIPROCATING

Facility OP

$25.85

Hospital Charge Code	64904227
Hospital Revenue Code	270
Min. Negotiated Rate	$9.05
Max. Negotiated Rate	$20.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.92
Rate for Payer: Aetna Government	$12.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$17.58
Rate for Payer: Group Health Inc Commercial	$12.92
Rate for Payer: Group Health Inc Medicare	$9.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.92
Rate for Payer: Hamaspik Choice Inc Medicare	$12.92

BLADE SAW ROUND GIGLI 510MM

Facility OP

$51.30

Hospital Charge Code	64904192
Hospital Revenue Code	270
Min. Negotiated Rate	$17.96
Max. Negotiated Rate	$41.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.65
Rate for Payer: Aetna Government	$25.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.88
Rate for Payer: Group Health Inc Commercial	$25.65
Rate for Payer: Group Health Inc Medicare	$17.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.65
Rate for Payer: Hamaspik Choice Inc Medicare	$25.65

BLADE SHAVER 3-1/2MM F

Facility OP

$56.10

Hospital Charge Code	64905661
Hospital Revenue Code	270
Min. Negotiated Rate	$19.64
Max. Negotiated Rate	$44.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.05
Rate for Payer: Aetna Government	$28.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$44.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$38.15
Rate for Payer: Group Health Inc Commercial	$28.05
Rate for Payer: Group Health Inc Medicare	$19.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.05
Rate for Payer: Hamaspik Choice Inc Medicare	$28.05

BLADE SHAVER 5.0MM F SERIES

Facility OP

$100.38

Hospital Charge Code	64904966
Hospital Revenue Code	270
Min. Negotiated Rate	$35.13
Max. Negotiated Rate	$80.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.19
Rate for Payer: Aetna Government	$50.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.26
Rate for Payer: Group Health Inc Commercial	$50.19
Rate for Payer: Group Health Inc Medicare	$35.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.19
Rate for Payer: Hamaspik Choice Inc Medicare	$50.19

BLADE SHAVER ANG 4.0MM

Facility OP

$210.00

Hospital Charge Code	64904972
Hospital Revenue Code	270
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.00
Rate for Payer: Aetna Government	$105.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.80
Rate for Payer: Group Health Inc Commercial	$105.00
Rate for Payer: Group Health Inc Medicare	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00

BLADE SHAVER RESCETOR 4.0MM

Facility OP

$100.00

Hospital Charge Code	64904970
Hospital Revenue Code	270
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$80.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.00
Rate for Payer: Aetna Government	$50.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.00
Rate for Payer: Group Health Inc Commercial	$50.00
Rate for Payer: Group Health Inc Medicare	$35.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.00
Rate for Payer: Hamaspik Choice Inc Medicare	$50.00

BLADE STAPLECUT(506298)

Facility OP

$1,051.20

Hospital Charge Code	64906714
Hospital Revenue Code	279
Min. Negotiated Rate	$367.92
Max. Negotiated Rate	$840.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$578.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$525.60
Rate for Payer: Aetna Government	$525.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$840.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$714.82
Rate for Payer: Group Health Inc Commercial	$525.60
Rate for Payer: Group Health Inc Medicare	$367.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$525.60
Rate for Payer: Hamaspik Choice Inc Medicare	$525.60

BLADES TONGUE

Facility OP

$0.07

Hospital Charge Code	64901268
Hospital Revenue Code	270
Min. Negotiated Rate	$0.02
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	$0.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.04
Rate for Payer: Hamaspik Choice Inc Medicare	$0.04

BLADE SURGICAL 12 STERILE S/S

Facility OP

$174.80

Hospital Charge Code	64902175
Hospital Revenue Code	270
Min. Negotiated Rate	$61.18
Max. Negotiated Rate	$139.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$96.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$87.40
Rate for Payer: Aetna Government	$87.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$139.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$118.86
Rate for Payer: Group Health Inc Commercial	$87.40
Rate for Payer: Group Health Inc Medicare	$61.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.40
Rate for Payer: Hamaspik Choice Inc Medicare	$87.40

BLADE SURGICAL 20 STERILE S/S

Facility OP

$0.88

Hospital Charge Code	64901554
Hospital Revenue Code	270
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$0.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.44
Rate for Payer: Aetna Government	$0.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.60
Rate for Payer: Group Health Inc Commercial	$0.44
Rate for Payer: Group Health Inc Medicare	$0.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.44
Rate for Payer: Hamaspik Choice Inc Medicare	$0.44

BLADE,SURG,STAINLESS,10 STERIL

Facility OP

$0.62

Hospital Charge Code	64902170
Hospital Revenue Code	270
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$0.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.31
Rate for Payer: Aetna Government	$0.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.42
Rate for Payer: Group Health Inc Commercial	$0.31
Rate for Payer: Group Health Inc Medicare	$0.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.31
Rate for Payer: Hamaspik Choice Inc Medicare	$0.31

BLADE,SURG,STAINLESS,11 STERIL

Facility OP

$0.62

Hospital Charge Code	64902173
Hospital Revenue Code	270
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$0.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.31
Rate for Payer: Aetna Government	$0.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.42
Rate for Payer: Group Health Inc Commercial	$0.31
Rate for Payer: Group Health Inc Medicare	$0.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.31
Rate for Payer: Hamaspik Choice Inc Medicare	$0.31

BLADE,SURG,STAINLESS,15,STERIL

Facility OP

$0.62

Hospital Charge Code	64901556
Hospital Revenue Code	270
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$0.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.31
Rate for Payer: Aetna Government	$0.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.42
Rate for Payer: Group Health Inc Commercial	$0.31
Rate for Payer: Group Health Inc Medicare	$0.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.31
Rate for Payer: Hamaspik Choice Inc Medicare	$0.31

BLAKE DRAIN 15FR ROUND

Facility OP

$112.12

Hospital Charge Code	64905255
Hospital Revenue Code	270
Min. Negotiated Rate	$39.24
Max. Negotiated Rate	$89.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$61.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$56.06
Rate for Payer: Aetna Government	$56.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$89.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$76.24
Rate for Payer: Group Health Inc Commercial	$56.06
Rate for Payer: Group Health Inc Medicare	$39.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.06
Rate for Payer: Hamaspik Choice Inc Medicare	$56.06

BLAKE DRAN 10MM FLAT FULL

Facility OP

$149.46

Hospital Charge Code	64905494
Hospital Revenue Code	270
Min. Negotiated Rate	$52.31
Max. Negotiated Rate	$119.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$82.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$74.73
Rate for Payer: Aetna Government	$74.73
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$119.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$101.63
Rate for Payer: Group Health Inc Commercial	$74.73
Rate for Payer: Group Health Inc Medicare	$52.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.73
Rate for Payer: Hamaspik Choice Inc Medicare	$74.73

BLAKEMORE CATHETERS

Facility OP

$287.05

Hospital Charge Code	40207633
Hospital Revenue Code	270
Min. Negotiated Rate	$100.47
Max. Negotiated Rate	$229.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$157.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$143.52
Rate for Payer: Aetna Government	$143.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$229.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$195.19
Rate for Payer: Group Health Inc Commercial	$143.52
Rate for Payer: Group Health Inc Medicare	$100.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$143.52
Rate for Payer: Hamaspik Choice Inc Medicare	$143.52

BLAKEMORE TRAY

Facility OP

$63.43

Hospital Charge Code	40200620
Hospital Revenue Code	270
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$50.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$34.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$31.72
Rate for Payer: Aetna Government	$31.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$50.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$43.13
Rate for Payer: Group Health Inc Commercial	$31.72
Rate for Payer: Group Health Inc Medicare	$22.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.72
Rate for Payer: Hamaspik Choice Inc Medicare	$31.72

BLAKEMORE TUBE

Facility OP

$214.04

Hospital Charge Code	40200080
Hospital Revenue Code	270
Min. Negotiated Rate	$74.91
Max. Negotiated Rate	$171.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$117.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$107.02
Rate for Payer: Aetna Government	$107.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$171.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$145.55
Rate for Payer: Group Health Inc Commercial	$107.02
Rate for Payer: Group Health Inc Medicare	$74.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$107.02
Rate for Payer: Hamaspik Choice Inc Medicare	$107.02

BLD DRW CENT PERIPHERALCATHVENOUS

Facility OP

$330.23

Service Code	HCPCS 36592
Hospital Charge Code	40500011
Hospital Revenue Code	300
Min. Negotiated Rate	$32.49
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$147.72
Rate for Payer: Aetna Government	$147.72
Rate for Payer: Cash Price	$147.72
Rate for Payer: Cash Price	$147.72
Rate for Payer: Cash Price	$147.72
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$147.72
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: Elderplan Medicare Advantage	$147.72
Rate for Payer: EmblemHealth Commercial	$147.72
Rate for Payer: Fidelis CHP/HARP/Medicaid	$32.49
Rate for Payer: Fidelis Essential Plan Aliesa	$125.56
Rate for Payer: Fidelis Essential Plan QHP	$131.47
Rate for Payer: Fidelis Medicare Advantage	$147.72
Rate for Payer: Fidelis Qualified Health Plan	$131.47
Rate for Payer: Group Health Inc Commercial	$147.72
Rate for Payer: Group Health Inc Medicare	$147.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$165.12
Rate for Payer: Hamaspik Choice Inc Medicare	$147.72
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$36.10
Rate for Payer: Healthfirst Medicare Advantage	$125.56
Rate for Payer: Healthfirst QHP	$147.72
Rate for Payer: Senior Whole Health Medicare Advantage	$147.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$147.72
Rate for Payer: Wellcare CHP/FHP/Medicaid	$118.18
Rate for Payer: Wellcare Medicare	$132.95

BL DRAW < 3 YRS OTHER VEIN

Facility OP

$37.52

Service Code	HCPCS 36406
Hospital Charge Code	30105080
Hospital Revenue Code	450
Min. Negotiated Rate	$9.09
Max. Negotiated Rate	$874.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.59
Rate for Payer: Aetna Government	$17.59
Rate for Payer: Brighton Health Commercial	$874.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$747.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$635.21
Rate for Payer: EmblemHealth Commercial	$525.00
Rate for Payer: Fidelis CHP/HARP/Medicaid	$9.09
Rate for Payer: Group Health Inc Commercial	$525.00
Rate for Payer: Group Health Inc Medicare	$525.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.76
Rate for Payer: Hamaspik Choice Inc Medicare	$18.76
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$165.00
Rate for Payer: Healthfirst Medicare Advantage	$225.00

BL DRAW < 3 YRS SCALP VEIN

Facility OP

$66.43

Service Code	HCPCS 36405
Hospital Charge Code	30103314
Hospital Revenue Code	450
Min. Negotiated Rate	$15.45
Max. Negotiated Rate	$874.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.30
Rate for Payer: Aetna Government	$17.30
Rate for Payer: Brighton Health Commercial	$874.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$747.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$635.21
Rate for Payer: EmblemHealth Commercial	$525.00
Rate for Payer: Fidelis CHP/HARP/Medicaid	$15.45
Rate for Payer: Group Health Inc Commercial	$525.00
Rate for Payer: Group Health Inc Medicare	$525.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$33.22
Rate for Payer: Hamaspik Choice Inc Medicare	$33.22
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$165.00
Rate for Payer: Healthfirst Medicare Advantage	$225.00

Price Transparency.

All Charges