St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ BARD CONQUEST BALLOON 9X4X75

Facility IP

$535.50

Service Code	HCPCS C1725
Hospital Charge Code	41569883
Hospital Revenue Code	278
Min. Negotiated Rate	$267.75
Max. Negotiated Rate	$267.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$267.75
Rate for Payer: Hamaspik Choice Inc Medicare	$267.75

ZZ BARD CONQUEST BALLOON 9X4X75

Facility OP

$535.50

Service Code	HCPCS C1725
Hospital Charge Code	41569883
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$562.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$294.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$267.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$307.91
Rate for Payer: Fidelis Medicare Advantage	$562.28
Rate for Payer: Group Health Inc Commercial	$267.75
Rate for Payer: Group Health Inc Medicare	$187.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$267.75
Rate for Payer: Hamaspik Choice Inc Medicare	$267.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$348.08

ZZ BARD DENALI FEM VANA-CAVA FILT

Facility IP

$2,200.00

Service Code	HCPCS C1880
Hospital Charge Code	41564612
Hospital Revenue Code	278
Min. Negotiated Rate	$1,100.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,100.00

ZZ BARD DENALI FEM VANA-CAVA FILT

Facility OP

$2,200.00

Service Code	HCPCS C1880
Hospital Charge Code	41564612
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$2,310.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,210.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,100.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,265.00
Rate for Payer: Fidelis Medicare Advantage	$2,310.00
Rate for Payer: Group Health Inc Commercial	$1,100.00
Rate for Payer: Group Health Inc Medicare	$770.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,100.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,430.00

ZZ BARD DENALI J/S VENA-CAVA FILT

Facility IP

$2,200.00

Service Code	HCPCS C1880
Hospital Charge Code	41564611
Hospital Revenue Code	278
Min. Negotiated Rate	$1,100.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,100.00

ZZ BARD DENALI J/S VENA-CAVA FILT

Facility OP

$2,200.00

Service Code	HCPCS C1880
Hospital Charge Code	41564611
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$2,310.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,210.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,100.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,265.00
Rate for Payer: Fidelis Medicare Advantage	$2,310.00
Rate for Payer: Group Health Inc Commercial	$1,100.00
Rate for Payer: Group Health Inc Medicare	$770.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,100.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,430.00

ZZ BARD DRNGE CATH 6F

Facility OP

$240.98

Service Code	HCPCS C1725
Hospital Charge Code	41569559
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$253.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.56
Rate for Payer: Fidelis Medicare Advantage	$253.03
Rate for Payer: Group Health Inc Commercial	$120.49
Rate for Payer: Group Health Inc Medicare	$84.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.49
Rate for Payer: Hamaspik Choice Inc Medicare	$120.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.64

ZZ BARD DRNGE CATH 6F

Facility IP

$240.98

Service Code	HCPCS C1725
Hospital Charge Code	41569559
Hospital Revenue Code	278
Min. Negotiated Rate	$120.49
Max. Negotiated Rate	$120.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.49
Rate for Payer: Hamaspik Choice Inc Medicare	$120.49

ZZ BARD DRNGE CATH 8E

Facility OP

$240.98

Service Code	HCPCS C1725
Hospital Charge Code	41569565
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$253.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.56
Rate for Payer: Fidelis Medicare Advantage	$253.03
Rate for Payer: Group Health Inc Commercial	$120.49
Rate for Payer: Group Health Inc Medicare	$84.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.49
Rate for Payer: Hamaspik Choice Inc Medicare	$120.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.64

ZZ BARD DRNGE CATH 8E

Facility IP

$240.98

Service Code	HCPCS C1725
Hospital Charge Code	41569565
Hospital Revenue Code	278
Min. Negotiated Rate	$120.49
Max. Negotiated Rate	$120.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.49
Rate for Payer: Hamaspik Choice Inc Medicare	$120.49

ZZ BARD FLEXX STNT 6X40

Facility IP

$3,118.50

Service Code	HCPCS C1876
Hospital Charge Code	41569557
Hospital Revenue Code	278
Min. Negotiated Rate	$1,559.25
Max. Negotiated Rate	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,559.25

ZZ BARD FLEXX STNT 6X40

Facility OP

$3,118.50

Service Code	HCPCS C1876
Hospital Charge Code	41569557
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$3,274.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,715.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,559.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,793.14
Rate for Payer: Fidelis Medicare Advantage	$3,274.42
Rate for Payer: Group Health Inc Commercial	$1,559.25
Rate for Payer: Group Health Inc Medicare	$1,091.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,559.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,027.02

ZZ BARD FLEXX STNT 7X60

Facility OP

$3,402.00

Service Code	HCPCS C1876
Hospital Charge Code	41569556
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$3,572.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,871.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,701.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,956.15
Rate for Payer: Fidelis Medicare Advantage	$3,572.10
Rate for Payer: Group Health Inc Commercial	$1,701.00
Rate for Payer: Group Health Inc Medicare	$1,190.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,701.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,701.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,211.30

ZZ BARD FLEXX STNT 7X60

Facility IP

$3,402.00

Service Code	HCPCS C1876
Hospital Charge Code	41569556
Hospital Revenue Code	278
Min. Negotiated Rate	$1,701.00
Max. Negotiated Rate	$1,701.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,701.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,701.00

ZZ BARD FLEXX STNT PBL 7X40

Facility IP

$3,118.50

Service Code	HCPCS C1876
Hospital Charge Code	41569558
Hospital Revenue Code	278
Min. Negotiated Rate	$1,559.25
Max. Negotiated Rate	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,559.25

ZZ BARD FLEXX STNT PBL 7X40

Facility OP

$3,118.50

Service Code	HCPCS C1876
Hospital Charge Code	41569558
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$3,274.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,715.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,559.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,793.14
Rate for Payer: Fidelis Medicare Advantage	$3,274.42
Rate for Payer: Group Health Inc Commercial	$1,559.25
Rate for Payer: Group Health Inc Medicare	$1,091.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,559.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,027.02

ZZ BARD FLEXX STNT PBM 7X40

Facility OP

$3,118.50

Service Code	HCPCS C1876
Hospital Charge Code	41569555
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$3,274.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,715.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,559.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,793.14
Rate for Payer: Fidelis Medicare Advantage	$3,274.42
Rate for Payer: Group Health Inc Commercial	$1,559.25
Rate for Payer: Group Health Inc Medicare	$1,091.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,559.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,027.02

ZZ BARD FLEXX STNT PBM 7X40

Facility IP

$3,118.50

Service Code	HCPCS C1876
Hospital Charge Code	41569555
Hospital Revenue Code	278
Min. Negotiated Rate	$1,559.25
Max. Negotiated Rate	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,559.25

ZZ BARD FLUENCY PLUS 8X40MM

Facility IP

$5,700.00

Service Code	HCPCS C1876
Hospital Charge Code	41563104
Hospital Revenue Code	278
Min. Negotiated Rate	$2,850.00
Max. Negotiated Rate	$2,850.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,850.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,850.00

ZZ BARD FLUENCY PLUS 8X40MM

Facility OP

$5,700.00

Service Code	HCPCS C1876
Hospital Charge Code	41563104
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$5,985.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,135.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,850.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,277.50
Rate for Payer: Fidelis Medicare Advantage	$5,985.00
Rate for Payer: Group Health Inc Commercial	$2,850.00
Rate for Payer: Group Health Inc Medicare	$1,995.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,850.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,850.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,705.00

ZZ BARD FLUENCY TRACBR STNGRF9X40

Facility IP

$4,399.50

Service Code	HCPCS C1876
Hospital Charge Code	41569882
Hospital Revenue Code	278
Min. Negotiated Rate	$2,199.75
Max. Negotiated Rate	$2,199.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,199.75
Rate for Payer: Hamaspik Choice Inc Medicare	$2,199.75

ZZ BARD FLUENCY TRACBR STNGRF9X40

Facility OP

$4,399.50

Service Code	HCPCS C1876
Hospital Charge Code	41569882
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$4,619.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,419.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,199.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,529.71
Rate for Payer: Fidelis Medicare Advantage	$4,619.48
Rate for Payer: Group Health Inc Commercial	$2,199.75
Rate for Payer: Group Health Inc Medicare	$1,539.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,199.75
Rate for Payer: Hamaspik Choice Inc Medicare	$2,199.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,859.68

ZZ BARD GATROSTOMY TUBE 14F

Facility OP

$122.00

Hospital Charge Code	41567763
Hospital Revenue Code	270
Min. Negotiated Rate	$42.70
Max. Negotiated Rate	$97.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$67.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$61.00
Rate for Payer: Aetna Government	$61.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$97.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$82.96
Rate for Payer: Group Health Inc Commercial	$61.00
Rate for Payer: Group Health Inc Medicare	$42.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.00
Rate for Payer: Hamaspik Choice Inc Medicare	$61.00

ZZ BARD GLIDEPATH AIRGUARD CATH

Facility OP

$305.00

Hospital Charge Code	41540607
Hospital Revenue Code	272
Min. Negotiated Rate	$106.75
Max. Negotiated Rate	$244.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$167.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$152.50
Rate for Payer: Aetna Government	$152.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$244.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$207.40
Rate for Payer: Group Health Inc Commercial	$152.50
Rate for Payer: Group Health Inc Medicare	$106.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.50
Rate for Payer: Hamaspik Choice Inc Medicare	$152.50

ZZ BARD LUMINEX STNT 8X30

Facility IP

$3,969.00

Service Code	HCPCS C1876
Hospital Charge Code	41569550
Hospital Revenue Code	278
Min. Negotiated Rate	$1,984.50
Max. Negotiated Rate	$1,984.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,984.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,984.50

Price Transparency.

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