St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

BAR ARCH ERICH 1-METER ROLL

Facility

$72.50

Hospital Charge Code	64904241
Hospital Revenue Code	270
Min. Negotiated Rate	$25.38
Max. Negotiated Rate	$58.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$39.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$36.25
Rate for Payer: Aetna Government	$36.25
Rate for Payer: Brighton Health Commercial	$54.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$58.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$49.30
Rate for Payer: Group Health Inc Commercial	$36.25
Rate for Payer: Group Health Inc Medicare	$25.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$36.25
Rate for Payer: Hamaspik Choice Inc Medicare	$36.25

BARBITURATE CONFIRMATION, UR

Facility

$88.95

Service Code	HCPCS 80345
Hospital Charge Code	40609017
Hospital Revenue Code	300
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$71.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$48.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Brighton Health Commercial	$66.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$71.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$60.49
Rate for Payer: Group Health Inc Commercial	$44.48
Rate for Payer: Group Health Inc Medicare	$31.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$44.48
Rate for Payer: Hamaspik Choice Inc Medicare	$44.48
Rate for Payer: United Healthcare Commercial	$14.02

BARBITURATE IDENTIFICATION

Facility

$88.95

Service Code	HCPCS 80345
Hospital Charge Code	40602455
Hospital Revenue Code	301
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$71.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$48.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Brighton Health Commercial	$66.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$71.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$60.49
Rate for Payer: Group Health Inc Commercial	$44.48
Rate for Payer: Group Health Inc Medicare	$31.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$44.48
Rate for Payer: Hamaspik Choice Inc Medicare	$44.48
Rate for Payer: United Healthcare Commercial	$14.02

BARD ABSORB FIXATION SYS

Facility

$140.00

Hospital Charge Code	40205955
Hospital Revenue Code	270
Min. Negotiated Rate	$49.00
Max. Negotiated Rate	$112.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$77.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$70.00
Rate for Payer: Aetna Government	$70.00
Rate for Payer: Brighton Health Commercial	$105.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$112.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$95.20
Rate for Payer: Group Health Inc Commercial	$70.00
Rate for Payer: Group Health Inc Medicare	$49.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.00
Rate for Payer: Hamaspik Choice Inc Medicare	$70.00

BARD ECLIPSE VENA CAVA FLTR FMRL

Facility

$3,118.00

Service Code	HCPCS C1880
Hospital Charge Code	40205283
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$3,273.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,714.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Brighton Health Commercial	$1,870.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,559.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,792.85
Rate for Payer: EmblemHealth Commercial	$1,559.00
Rate for Payer: Fidelis Medicare Advantage	$3,273.90
Rate for Payer: Group Health Inc Commercial	$1,559.00
Rate for Payer: Group Health Inc Medicare	$1,091.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,559.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,559.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,026.70

BARD ECLIPSE VENA CAVA FLTR FMRL

Facility

$3,118.00

Service Code	HCPCS C1880
Hospital Charge Code	40205283
Hospital Revenue Code	278
Min. Negotiated Rate	$1,559.00
Max. Negotiated Rate	$1,559.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,559.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,559.00

BARDEX HANGER

Facility

$12.05

Hospital Charge Code	40200605
Hospital Revenue Code	270
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$9.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.02
Rate for Payer: Aetna Government	$6.02
Rate for Payer: Brighton Health Commercial	$9.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.19
Rate for Payer: Group Health Inc Commercial	$6.02
Rate for Payer: Group Health Inc Medicare	$4.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.02
Rate for Payer: Hamaspik Choice Inc Medicare	$6.02

BARD MESH COMP. 4.2X6.2ELLIPSE

Facility

$1,065.00

Service Code	HCPCS C1781
Hospital Charge Code	40208079
Hospital Revenue Code	278
Min. Negotiated Rate	$532.50
Max. Negotiated Rate	$532.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$532.50
Rate for Payer: Hamaspik Choice Inc Medicare	$532.50

BARD MESH COMP. 4.2X6.2ELLIPSE

Facility

$1,065.00

Service Code	HCPCS C1781
Hospital Charge Code	40208079
Hospital Revenue Code	278
Min. Negotiated Rate	$69.35
Max. Negotiated Rate	$1,118.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$585.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$69.35
Rate for Payer: Aetna Government	$69.35
Rate for Payer: Brighton Health Commercial	$639.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$532.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$612.38
Rate for Payer: EmblemHealth Commercial	$532.50
Rate for Payer: Fidelis Medicare Advantage	$1,118.25
Rate for Payer: Group Health Inc Commercial	$532.50
Rate for Payer: Group Health Inc Medicare	$372.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$532.50
Rate for Payer: Hamaspik Choice Inc Medicare	$532.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$692.25

BARD MESH COMPOSIXL/P 8.2X10.2

Facility

$3,286.00

Service Code	HCPCS C1781
Hospital Charge Code	40209914
Hospital Revenue Code	278
Min. Negotiated Rate	$69.35
Max. Negotiated Rate	$3,450.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,807.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$69.35
Rate for Payer: Aetna Government	$69.35
Rate for Payer: Brighton Health Commercial	$1,971.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,643.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,889.45
Rate for Payer: EmblemHealth Commercial	$1,643.00
Rate for Payer: Fidelis Medicare Advantage	$3,450.30
Rate for Payer: Group Health Inc Commercial	$1,643.00
Rate for Payer: Group Health Inc Medicare	$1,150.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,643.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,643.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,135.90

BARD MESH COMPOSIXL/P 8.2X10.2

Facility

$3,286.00

Service Code	HCPCS C1781
Hospital Charge Code	40209914
Hospital Revenue Code	278
Min. Negotiated Rate	$1,643.00
Max. Negotiated Rate	$1,643.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,643.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,643.00

BARD MESH HERNIA COMP KUGEL LG OV

Facility

$5,074.00

Service Code	HCPCS C1781
Hospital Charge Code	40205028
Hospital Revenue Code	278
Min. Negotiated Rate	$2,537.00
Max. Negotiated Rate	$2,537.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,537.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,537.00

BARD MESH HERNIA COMP KUGEL LG OV

Facility

$5,074.00

Service Code	HCPCS C1781
Hospital Charge Code	40205028
Hospital Revenue Code	278
Min. Negotiated Rate	$69.35
Max. Negotiated Rate	$5,327.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,790.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$69.35
Rate for Payer: Aetna Government	$69.35
Rate for Payer: Brighton Health Commercial	$3,044.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,537.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,917.55
Rate for Payer: EmblemHealth Commercial	$2,537.00
Rate for Payer: Fidelis Medicare Advantage	$5,327.70
Rate for Payer: Group Health Inc Commercial	$2,537.00
Rate for Payer: Group Health Inc Medicare	$1,775.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,537.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,537.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,298.10

BARD MESH KNITD POLY 2X4

Facility

$3,164.00

Service Code	HCPCS C1781
Hospital Charge Code	40209920
Hospital Revenue Code	278
Min. Negotiated Rate	$1,582.00
Max. Negotiated Rate	$1,582.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,582.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,582.00

BARD MESH KNITD POLY 2X4

Facility

$3,164.00

Service Code	HCPCS C1781
Hospital Charge Code	40209920
Hospital Revenue Code	278
Min. Negotiated Rate	$69.35
Max. Negotiated Rate	$3,322.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,740.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$69.35
Rate for Payer: Aetna Government	$69.35
Rate for Payer: Brighton Health Commercial	$1,898.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,582.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,819.30
Rate for Payer: EmblemHealth Commercial	$1,582.00
Rate for Payer: Fidelis Medicare Advantage	$3,322.20
Rate for Payer: Group Health Inc Commercial	$1,582.00
Rate for Payer: Group Health Inc Medicare	$1,107.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,582.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,582.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,056.60

BARD MESH KNITTED POLY 1X4

Facility

$3,164.00

Service Code	HCPCS C1781
Hospital Charge Code	40209081
Hospital Revenue Code	278
Min. Negotiated Rate	$1,582.00
Max. Negotiated Rate	$1,582.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,582.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,582.00

BARD MESH KNITTED POLY 1X4

Facility

$3,164.00

Service Code	HCPCS C1781
Hospital Charge Code	40209081
Hospital Revenue Code	278
Min. Negotiated Rate	$69.35
Max. Negotiated Rate	$3,322.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,740.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$69.35
Rate for Payer: Aetna Government	$69.35
Rate for Payer: Brighton Health Commercial	$1,898.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,582.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,819.30
Rate for Payer: EmblemHealth Commercial	$1,582.00
Rate for Payer: Fidelis Medicare Advantage	$3,322.20
Rate for Payer: Group Health Inc Commercial	$1,582.00
Rate for Payer: Group Health Inc Medicare	$1,107.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,582.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,582.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,056.60

BARD MESH PERFIX PLG 1.6X2 X-LG

Facility

$698.00

Service Code	HCPCS C1781
Hospital Charge Code	40209973
Hospital Revenue Code	278
Min. Negotiated Rate	$349.00
Max. Negotiated Rate	$349.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$349.00
Rate for Payer: Hamaspik Choice Inc Medicare	$349.00

BARD MESH PERFIX PLG 1.6X2 X-LG

Facility

$698.00

Service Code	HCPCS C1781
Hospital Charge Code	40209973
Hospital Revenue Code	278
Min. Negotiated Rate	$69.35
Max. Negotiated Rate	$732.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$383.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$69.35
Rate for Payer: Aetna Government	$69.35
Rate for Payer: Brighton Health Commercial	$418.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$349.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$401.35
Rate for Payer: EmblemHealth Commercial	$349.00
Rate for Payer: Fidelis Medicare Advantage	$732.90
Rate for Payer: Group Health Inc Commercial	$349.00
Rate for Payer: Group Health Inc Medicare	$244.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$349.00
Rate for Payer: Hamaspik Choice Inc Medicare	$349.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$453.70

BARD MESH PERFIX PLUG LARGE

Facility

$598.00

Service Code	HCPCS C1781
Hospital Charge Code	40209972
Hospital Revenue Code	278
Min. Negotiated Rate	$299.00
Max. Negotiated Rate	$299.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$299.00
Rate for Payer: Hamaspik Choice Inc Medicare	$299.00

BARD MESH PERFIX PLUG LARGE

Facility

$598.00

Service Code	HCPCS C1781
Hospital Charge Code	40209972
Hospital Revenue Code	278
Min. Negotiated Rate	$69.35
Max. Negotiated Rate	$627.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$328.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$69.35
Rate for Payer: Aetna Government	$69.35
Rate for Payer: Brighton Health Commercial	$358.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$299.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$343.85
Rate for Payer: EmblemHealth Commercial	$299.00
Rate for Payer: Fidelis Medicare Advantage	$627.90
Rate for Payer: Group Health Inc Commercial	$299.00
Rate for Payer: Group Health Inc Medicare	$209.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$299.00
Rate for Payer: Hamaspik Choice Inc Medicare	$299.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$388.70

BARD MESH PRFX PLUG MED

Facility

$581.32

Service Code	HCPCS C1781
Hospital Charge Code	40209919
Hospital Revenue Code	278
Min. Negotiated Rate	$69.35
Max. Negotiated Rate	$610.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$319.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$69.35
Rate for Payer: Aetna Government	$69.35
Rate for Payer: Brighton Health Commercial	$348.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$290.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$334.26
Rate for Payer: EmblemHealth Commercial	$290.66
Rate for Payer: Fidelis Medicare Advantage	$610.39
Rate for Payer: Group Health Inc Commercial	$290.66
Rate for Payer: Group Health Inc Medicare	$203.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$290.66
Rate for Payer: Hamaspik Choice Inc Medicare	$290.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$377.86

BARD MESH PRFX PLUG MED

Facility

$581.32

Service Code	HCPCS C1781
Hospital Charge Code	40209919
Hospital Revenue Code	278
Min. Negotiated Rate	$290.66
Max. Negotiated Rate	$290.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$290.66
Rate for Payer: Hamaspik Choice Inc Medicare	$290.66

BARDMESH PRFX PLUG MED/KNIT POLY

Facility

$3,164.00

Service Code	HCPCS C1781
Hospital Charge Code	40209918
Hospital Revenue Code	278
Min. Negotiated Rate	$1,582.00
Max. Negotiated Rate	$1,582.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,582.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,582.00

BARDMESH PRFX PLUG MED/KNIT POLY

Facility

$3,164.00

Service Code	HCPCS C1781
Hospital Charge Code	40209918
Hospital Revenue Code	278
Min. Negotiated Rate	$69.35
Max. Negotiated Rate	$3,322.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,740.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$69.35
Rate for Payer: Aetna Government	$69.35
Rate for Payer: Brighton Health Commercial	$1,898.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,582.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,819.30
Rate for Payer: EmblemHealth Commercial	$1,582.00
Rate for Payer: Fidelis Medicare Advantage	$3,322.20
Rate for Payer: Group Health Inc Commercial	$1,582.00
Rate for Payer: Group Health Inc Medicare	$1,107.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,582.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,582.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,056.60

Know your out-of-pocket cost for care.

All Charges