St. Barnabas Hospital

All Charges

Charge

Type

Price

Z NAIL RF 13 MM X 34 CM UNIV

Facility OP

$4,523.76

Service Code	HCPCS C1713
Hospital Charge Code	40006283
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,488.07
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	$2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,601.16
Rate for Payer: Fidelis Medicare Advantage	$4,749.95
Rate for Payer: Group Health Inc Commercial	$2,261.88
Rate for Payer: Group Health Inc Medicare	$1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,940.44

Z NAIL RF 13 MM X 34 CM UNIV

Facility IP

$4,523.76

Service Code	HCPCS C1713
Hospital Charge Code	40006283
Hospital Revenue Code	278
Min. Negotiated Rate	$2,261.88
Max. Negotiated Rate	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,261.88

Z NAIL RF 13 MM X 36 CM UNIV

Facility IP

$4,523.76

Service Code	HCPCS C1713
Hospital Charge Code	40006286
Hospital Revenue Code	278
Min. Negotiated Rate	$2,261.88
Max. Negotiated Rate	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,261.88

Z NAIL RF 13 MM X 36 CM UNIV

Facility OP

$4,523.76

Service Code	HCPCS C1713
Hospital Charge Code	40006286
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,488.07
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	$2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,601.16
Rate for Payer: Fidelis Medicare Advantage	$4,749.95
Rate for Payer: Group Health Inc Commercial	$2,261.88
Rate for Payer: Group Health Inc Medicare	$1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,940.44

Z NAIL RF 13 MM X 38 CM UNIV

Facility OP

$4,523.76

Service Code	HCPCS C1713
Hospital Charge Code	40006289
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,488.07
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	$2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,601.16
Rate for Payer: Fidelis Medicare Advantage	$4,749.95
Rate for Payer: Group Health Inc Commercial	$2,261.88
Rate for Payer: Group Health Inc Medicare	$1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,940.44

Z NAIL RF 13 MM X 38 CM UNIV

Facility IP

$4,523.76

Service Code	HCPCS C1713
Hospital Charge Code	40006289
Hospital Revenue Code	278
Min. Negotiated Rate	$2,261.88
Max. Negotiated Rate	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,261.88

Z NAIL RF 13 MM X 40 CM UNIV

Facility IP

$4,523.76

Service Code	HCPCS C1713
Hospital Charge Code	40006292
Hospital Revenue Code	278
Min. Negotiated Rate	$2,261.88
Max. Negotiated Rate	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,261.88

Z NAIL RF 13 MM X 40 CM UNIV

Facility OP

$4,523.76

Service Code	HCPCS C1713
Hospital Charge Code	40006292
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,488.07
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	$2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,601.16
Rate for Payer: Fidelis Medicare Advantage	$4,749.95
Rate for Payer: Group Health Inc Commercial	$2,261.88
Rate for Payer: Group Health Inc Medicare	$1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,940.44

Z NAIL RF 13 MM X 42 CM UNIV

Facility OP

$4,523.76

Service Code	HCPCS C1713
Hospital Charge Code	40006295
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,488.07
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	$2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,601.16
Rate for Payer: Fidelis Medicare Advantage	$4,749.95
Rate for Payer: Group Health Inc Commercial	$2,261.88
Rate for Payer: Group Health Inc Medicare	$1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,940.44

Z NAIL RF 13 MM X 42 CM UNIV

Facility IP

$4,523.76

Service Code	HCPCS C1713
Hospital Charge Code	40006295
Hospital Revenue Code	278
Min. Negotiated Rate	$2,261.88
Max. Negotiated Rate	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,261.88

Z NAIL RF 13 MM X 44 CM UNIV

Facility OP

$4,523.76

Service Code	HCPCS C1713
Hospital Charge Code	40006298
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,488.07
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	$2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,601.16
Rate for Payer: Fidelis Medicare Advantage	$4,749.95
Rate for Payer: Group Health Inc Commercial	$2,261.88
Rate for Payer: Group Health Inc Medicare	$1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,940.44

Z NAIL RF 13 MM X 44 CM UNIV

Facility IP

$4,523.76

Service Code	HCPCS C1713
Hospital Charge Code	40006298
Hospital Revenue Code	278
Min. Negotiated Rate	$2,261.88
Max. Negotiated Rate	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,261.88

Z NAIL RF 1.5 MM X 30 CM UNIV

Facility IP

$4,523.76

Service Code	HCPCS C1713
Hospital Charge Code	40006276
Hospital Revenue Code	278
Min. Negotiated Rate	$2,261.88
Max. Negotiated Rate	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,261.88

Z NAIL RF 1.5 MM X 30 CM UNIV

Facility OP

$4,523.76

Service Code	HCPCS C1713
Hospital Charge Code	40006276
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,488.07
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	$2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,601.16
Rate for Payer: Fidelis Medicare Advantage	$4,749.95
Rate for Payer: Group Health Inc Commercial	$2,261.88
Rate for Payer: Group Health Inc Medicare	$1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,940.44

ZOLEDRONIC ACID 4 MG/5 ML INJ

Facility OP

$113.00

Service Code	HCPCS J3489
Hospital Charge Code	41643263
Hospital Revenue Code	636
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$3,256.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$62.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.25
Rate for Payer: Aetna Government	$8.25
Rate for Payer: Amida Care Medicaid	$32.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$64.98
Rate for Payer: Fidelis CHP/HARP/Medicaid	$3,256.00
Rate for Payer: Fidelis Essential Plan Aliesa	$32.56
Rate for Payer: Fidelis Essential Plan QHP	$32.56
Rate for Payer: Fidelis Qualified Health Plan	$34.19
Rate for Payer: Group Health Inc Commercial	$56.50
Rate for Payer: Group Health Inc Medicare	$39.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.56
Rate for Payer: Hamaspik Choice Inc Medicare	$56.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$32.56
Rate for Payer: Healthfirst Essential Plan	$32.56
Rate for Payer: Healthfirst QHP	$32.56
Rate for Payer: SOMOS CHP/HARP/Medicaid	$32.56
Rate for Payer: SOMOS Essential	$32.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$73.45
Rate for Payer: Wellcare CHP/FHP/Medicaid	$32.56

ZOLEDRONIC ACID 4 MG/5 ML INJ

Facility IP

$113.00

Service Code	HCPCS J3489
Hospital Charge Code	41653263
Hospital Revenue Code	636
Min. Negotiated Rate	$56.50
Max. Negotiated Rate	$56.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.50
Rate for Payer: Hamaspik Choice Inc Medicare	$56.50

ZOLEDRONIC ACID 4 MG/5 ML INJ

Facility OP

$113.00

Service Code	HCPCS J3489
Hospital Charge Code	41653263
Hospital Revenue Code	636
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$3,256.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$62.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.25
Rate for Payer: Aetna Government	$8.25
Rate for Payer: Amida Care Medicaid	$32.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$64.98
Rate for Payer: Fidelis CHP/HARP/Medicaid	$3,256.00
Rate for Payer: Fidelis Essential Plan Aliesa	$32.56
Rate for Payer: Fidelis Essential Plan QHP	$32.56
Rate for Payer: Fidelis Qualified Health Plan	$34.19
Rate for Payer: Group Health Inc Commercial	$56.50
Rate for Payer: Group Health Inc Medicare	$39.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.56
Rate for Payer: Hamaspik Choice Inc Medicare	$56.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$32.56
Rate for Payer: Healthfirst Essential Plan	$32.56
Rate for Payer: Healthfirst QHP	$32.56
Rate for Payer: SOMOS CHP/HARP/Medicaid	$32.56
Rate for Payer: SOMOS Essential	$32.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$73.45
Rate for Payer: Wellcare CHP/FHP/Medicaid	$32.56

ZOLEDRONIC ACID 4 MG/5 ML INJ

Facility IP

$113.00

Service Code	HCPCS J3489
Hospital Charge Code	41643263
Hospital Revenue Code	636
Min. Negotiated Rate	$56.50
Max. Negotiated Rate	$56.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.50
Rate for Payer: Hamaspik Choice Inc Medicare	$56.50

ZOLEDRONIC ACID 5MG/100 ML INJ

Facility OP

$107.50

Service Code	HCPCS J3489
Hospital Charge Code	41646564
Hospital Revenue Code	636
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$3,256.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$59.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.25
Rate for Payer: Aetna Government	$8.25
Rate for Payer: Amida Care Medicaid	$32.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$61.81
Rate for Payer: Fidelis CHP/HARP/Medicaid	$3,256.00
Rate for Payer: Fidelis Essential Plan Aliesa	$32.56
Rate for Payer: Fidelis Essential Plan QHP	$32.56
Rate for Payer: Fidelis Qualified Health Plan	$34.19
Rate for Payer: Group Health Inc Commercial	$53.75
Rate for Payer: Group Health Inc Medicare	$37.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.56
Rate for Payer: Hamaspik Choice Inc Medicare	$53.75
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$32.56
Rate for Payer: Healthfirst Essential Plan	$32.56
Rate for Payer: Healthfirst QHP	$32.56
Rate for Payer: SOMOS CHP/HARP/Medicaid	$32.56
Rate for Payer: SOMOS Essential	$32.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$69.88
Rate for Payer: Wellcare CHP/FHP/Medicaid	$32.56

ZOLEDRONIC ACID 5MG/100 ML INJ

Facility IP

$107.50

Service Code	HCPCS J3489
Hospital Charge Code	41646564
Hospital Revenue Code	636
Min. Negotiated Rate	$53.75
Max. Negotiated Rate	$53.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.75
Rate for Payer: Hamaspik Choice Inc Medicare	$53.75

ZOLEDRONIC ACID 5MG/100ML INJ

Facility IP

$107.50

Service Code	HCPCS J3489
Hospital Charge Code	41656564
Hospital Revenue Code	636
Min. Negotiated Rate	$53.75
Max. Negotiated Rate	$53.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.75
Rate for Payer: Hamaspik Choice Inc Medicare	$53.75

ZOLEDRONIC ACID 5MG/100ML INJ

Facility OP

$107.50

Service Code	HCPCS J3489
Hospital Charge Code	41656564
Hospital Revenue Code	636
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$3,256.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$59.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.25
Rate for Payer: Aetna Government	$8.25
Rate for Payer: Amida Care Medicaid	$32.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$61.81
Rate for Payer: Fidelis CHP/HARP/Medicaid	$3,256.00
Rate for Payer: Fidelis Essential Plan Aliesa	$32.56
Rate for Payer: Fidelis Essential Plan QHP	$32.56
Rate for Payer: Fidelis Qualified Health Plan	$34.19
Rate for Payer: Group Health Inc Commercial	$53.75
Rate for Payer: Group Health Inc Medicare	$37.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.56
Rate for Payer: Hamaspik Choice Inc Medicare	$53.75
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$32.56
Rate for Payer: Healthfirst Essential Plan	$32.56
Rate for Payer: Healthfirst QHP	$32.56
Rate for Payer: SOMOS CHP/HARP/Medicaid	$32.56
Rate for Payer: SOMOS Essential	$32.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$69.88
Rate for Payer: Wellcare CHP/FHP/Medicaid	$32.56

ZOLL PADS

Facility OP

$62.28

Hospital Charge Code	66520315
Hospital Revenue Code	270
Min. Negotiated Rate	$21.80
Max. Negotiated Rate	$49.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$34.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$31.14
Rate for Payer: Aetna Government	$31.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$49.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$42.35
Rate for Payer: Group Health Inc Commercial	$31.14
Rate for Payer: Group Health Inc Medicare	$21.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.14
Rate for Payer: Hamaspik Choice Inc Medicare	$31.14

ZOLPIDEM 10 MG TAB

Facility OP

$0.10

Hospital Charge Code	41652857
Hospital Revenue Code	250
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.05
Rate for Payer: Aetna Government	$0.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.07
Rate for Payer: Group Health Inc Commercial	$0.05
Rate for Payer: Group Health Inc Medicare	$0.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.05
Rate for Payer: Hamaspik Choice Inc Medicare	$0.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.07

ZOLPIDEM 10 MG TAB

Facility OP

$0.10

Hospital Charge Code	41642857
Hospital Revenue Code	250
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.05
Rate for Payer: Aetna Government	$0.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.07
Rate for Payer: Group Health Inc Commercial	$0.05
Rate for Payer: Group Health Inc Medicare	$0.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.05
Rate for Payer: Hamaspik Choice Inc Medicare	$0.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.07

Price Transparency.

All Charges