St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ COOK BALLOON DILA/CATH 6MMX6CM

Facility IP

$420.00

Service Code	HCPCS C1725
Hospital Charge Code	41561806
Hospital Revenue Code	278
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$210.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$210.00
Rate for Payer: Hamaspik Choice Inc Medicare	$210.00

ZZ COOK BEACON TIP TORCON NB.

Facility OP

$37.70

Hospital Charge Code	41561883
Hospital Revenue Code	270
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$30.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.85
Rate for Payer: Aetna Government	$18.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.64
Rate for Payer: Group Health Inc Commercial	$18.85
Rate for Payer: Group Health Inc Medicare	$13.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.85
Rate for Payer: Hamaspik Choice Inc Medicare	$18.85

ZZ COOK BX NDL CT13 15CM

Facility OP

$105.61

Hospital Charge Code	41569572
Hospital Revenue Code	270
Min. Negotiated Rate	$36.96
Max. Negotiated Rate	$84.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$52.80
Rate for Payer: Aetna Government	$52.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$84.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$71.81
Rate for Payer: Group Health Inc Commercial	$52.80
Rate for Payer: Group Health Inc Medicare	$36.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.80
Rate for Payer: Hamaspik Choice Inc Medicare	$52.80

ZZ COOK BX NDL G11 10CM

Facility OP

$105.61

Hospital Charge Code	41569569
Hospital Revenue Code	270
Min. Negotiated Rate	$36.96
Max. Negotiated Rate	$84.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$52.80
Rate for Payer: Aetna Government	$52.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$84.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$71.81
Rate for Payer: Group Health Inc Commercial	$52.80
Rate for Payer: Group Health Inc Medicare	$36.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.80
Rate for Payer: Hamaspik Choice Inc Medicare	$52.80

ZZ COOK BX NDL G11 5CM

Facility OP

$105.61

Hospital Charge Code	41569570
Hospital Revenue Code	270
Min. Negotiated Rate	$36.96
Max. Negotiated Rate	$84.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$52.80
Rate for Payer: Aetna Government	$52.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$84.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$71.81
Rate for Payer: Group Health Inc Commercial	$52.80
Rate for Payer: Group Health Inc Medicare	$36.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.80
Rate for Payer: Hamaspik Choice Inc Medicare	$52.80

ZZ COOK BX NDL G13 10CM

Facility OP

$105.61

Hospital Charge Code	41569571
Hospital Revenue Code	270
Min. Negotiated Rate	$36.96
Max. Negotiated Rate	$84.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$52.80
Rate for Payer: Aetna Government	$52.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$84.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$71.81
Rate for Payer: Group Health Inc Commercial	$52.80
Rate for Payer: Group Health Inc Medicare	$36.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.80
Rate for Payer: Hamaspik Choice Inc Medicare	$52.80

ZZ COOK CELECT FLTR FEMORAL APP.

Facility OP

$2,840.50

Hospital Charge Code	41567736
Hospital Revenue Code	270
Min. Negotiated Rate	$994.18
Max. Negotiated Rate	$2,272.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,562.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,420.25
Rate for Payer: Aetna Government	$1,420.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,272.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,931.54
Rate for Payer: Group Health Inc Commercial	$1,420.25
Rate for Payer: Group Health Inc Medicare	$994.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,420.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,420.25

ZZCOOK CELECT FLTR JUGULAR APP.

Facility OP

$2,840.50

Hospital Charge Code	41567735
Hospital Revenue Code	270
Min. Negotiated Rate	$994.18
Max. Negotiated Rate	$2,272.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,562.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,420.25
Rate for Payer: Aetna Government	$1,420.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,272.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,931.54
Rate for Payer: Group Health Inc Commercial	$1,420.25
Rate for Payer: Group Health Inc Medicare	$994.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,420.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,420.25

ZZ COOK CLOVERSNARE VASCULAR RET

Facility OP

$220.00

Hospital Charge Code	41564631
Hospital Revenue Code	272
Min. Negotiated Rate	$77.00
Max. Negotiated Rate	$176.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$121.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$110.00
Rate for Payer: Aetna Government	$110.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$176.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$149.60
Rate for Payer: Group Health Inc Commercial	$110.00
Rate for Payer: Group Health Inc Medicare	$77.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$110.00
Rate for Payer: Hamaspik Choice Inc Medicare	$110.00

ZZ COOK COPE GI SUTURE ANCHOR

Facility OP

$134.08

Hospital Charge Code	41567754
Hospital Revenue Code	270
Min. Negotiated Rate	$46.93
Max. Negotiated Rate	$107.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$73.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$67.04
Rate for Payer: Aetna Government	$67.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$107.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$91.17
Rate for Payer: Group Health Inc Commercial	$67.04
Rate for Payer: Group Health Inc Medicare	$46.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.04
Rate for Payer: Hamaspik Choice Inc Medicare	$67.04

ZZ COOK DAWSON MUELLER DRAINAGE

Facility OP

$163.20

Hospital Charge Code	41561800
Hospital Revenue Code	270
Min. Negotiated Rate	$57.12
Max. Negotiated Rate	$130.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$89.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$81.60
Rate for Payer: Aetna Government	$81.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$130.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$110.98
Rate for Payer: Group Health Inc Commercial	$81.60
Rate for Payer: Group Health Inc Medicare	$57.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.60
Rate for Payer: Hamaspik Choice Inc Medicare	$81.60

ZZ COOK DAWSON MULLER DRAINAGE

Facility OP

$772.35

Hospital Charge Code	41568902
Hospital Revenue Code	270
Min. Negotiated Rate	$270.32
Max. Negotiated Rate	$617.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$424.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$386.18
Rate for Payer: Aetna Government	$386.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$617.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$525.20
Rate for Payer: Group Health Inc Commercial	$386.18
Rate for Payer: Group Health Inc Medicare	$270.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$386.18
Rate for Payer: Hamaspik Choice Inc Medicare	$386.18

ZZ COOK FLEXOR CHK-FLO INTRO SET

Facility OP

$420.00

Hospital Charge Code	41563134
Hospital Revenue Code	272
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$336.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$231.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$210.00
Rate for Payer: Aetna Government	$210.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$336.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$285.60
Rate for Payer: Group Health Inc Commercial	$210.00
Rate for Payer: Group Health Inc Medicare	$147.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$210.00
Rate for Payer: Hamaspik Choice Inc Medicare	$210.00

ZZ COOK FORCE PRESS INJ

Facility OP

$248.06

Hospital Charge Code	41569573
Hospital Revenue Code	270
Min. Negotiated Rate	$86.82
Max. Negotiated Rate	$198.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$136.43
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$124.03
Rate for Payer: Aetna Government	$124.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$198.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$168.68
Rate for Payer: Group Health Inc Commercial	$124.03
Rate for Payer: Group Health Inc Medicare	$86.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$124.03
Rate for Payer: Hamaspik Choice Inc Medicare	$124.03

ZZ COOK GERMIA BX NDL

Facility OP

$388.40

Hospital Charge Code	41569786
Hospital Revenue Code	270
Min. Negotiated Rate	$135.94
Max. Negotiated Rate	$310.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$213.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$194.20
Rate for Payer: Aetna Government	$194.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$310.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$264.11
Rate for Payer: Group Health Inc Commercial	$194.20
Rate for Payer: Group Health Inc Medicare	$135.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$194.20
Rate for Payer: Hamaspik Choice Inc Medicare	$194.20

ZZ COOK GPC POLYETHYLENE CATH

Facility OP

$68.88

Hospital Charge Code	41540608
Hospital Revenue Code	272
Min. Negotiated Rate	$24.11
Max. Negotiated Rate	$55.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$37.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$34.44
Rate for Payer: Aetna Government	$34.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$55.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.84
Rate for Payer: Group Health Inc Commercial	$34.44
Rate for Payer: Group Health Inc Medicare	$24.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.44
Rate for Payer: Hamaspik Choice Inc Medicare	$34.44

ZZ COOK MENCINI DOUBLE HYST. CATH

Facility OP

$263.18

Service Code	HCPCS C2628
Hospital Charge Code	41561884
Hospital Revenue Code	278
Min. Negotiated Rate	$92.11
Max. Negotiated Rate	$276.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$144.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$203.48
Rate for Payer: Aetna Government	$203.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$131.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$151.33
Rate for Payer: Fidelis Medicare Advantage	$276.34
Rate for Payer: Group Health Inc Commercial	$131.59
Rate for Payer: Group Health Inc Medicare	$92.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.59
Rate for Payer: Hamaspik Choice Inc Medicare	$131.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$171.07

ZZ COOK MENCINI DOUBLE HYST. CATH

Facility IP

$263.18

Service Code	HCPCS C2628
Hospital Charge Code	41561884
Hospital Revenue Code	278
Min. Negotiated Rate	$131.59
Max. Negotiated Rate	$131.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.59
Rate for Payer: Hamaspik Choice Inc Medicare	$131.59

ZZ COOK NEFF PERCUT ACS SET

Facility OP

$260.12

Hospital Charge Code	41569624
Hospital Revenue Code	270
Min. Negotiated Rate	$91.04
Max. Negotiated Rate	$208.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$143.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$130.06
Rate for Payer: Aetna Government	$130.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$208.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$176.88
Rate for Payer: Group Health Inc Commercial	$130.06
Rate for Payer: Group Health Inc Medicare	$91.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$130.06
Rate for Payer: Hamaspik Choice Inc Medicare	$130.06

ZZ COOKS DILATOR 10 38 20

Facility OP

$13.11

Hospital Charge Code	41567295
Hospital Revenue Code	270
Min. Negotiated Rate	$4.59
Max. Negotiated Rate	$10.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.56
Rate for Payer: Aetna Government	$6.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.91
Rate for Payer: Group Health Inc Commercial	$6.56
Rate for Payer: Group Health Inc Medicare	$4.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.56
Rate for Payer: Hamaspik Choice Inc Medicare	$6.56

ZZ COOKS DILATOR 11 38 20

Facility OP

$16.31

Hospital Charge Code	41567296
Hospital Revenue Code	270
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$13.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.16
Rate for Payer: Aetna Government	$8.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.09
Rate for Payer: Group Health Inc Commercial	$8.16
Rate for Payer: Group Health Inc Medicare	$5.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.16
Rate for Payer: Hamaspik Choice Inc Medicare	$8.16

ZZ COOKS DILATOR 12 38 20

Facility OP

$16.31

Hospital Charge Code	41567297
Hospital Revenue Code	270
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$13.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.16
Rate for Payer: Aetna Government	$8.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.09
Rate for Payer: Group Health Inc Commercial	$8.16
Rate for Payer: Group Health Inc Medicare	$5.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.16
Rate for Payer: Hamaspik Choice Inc Medicare	$8.16

ZZ COOKS DILATOR 14 38 20

Facility OP

$16.31

Hospital Charge Code	41567298
Hospital Revenue Code	270
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$13.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.16
Rate for Payer: Aetna Government	$8.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.09
Rate for Payer: Group Health Inc Commercial	$8.16
Rate for Payer: Group Health Inc Medicare	$5.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.16
Rate for Payer: Hamaspik Choice Inc Medicare	$8.16

ZZ COOKS DILATOR 16 38 20

Facility OP

$27.65

Hospital Charge Code	41567294
Hospital Revenue Code	270
Min. Negotiated Rate	$9.68
Max. Negotiated Rate	$22.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.82
Rate for Payer: Aetna Government	$13.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.80
Rate for Payer: Group Health Inc Commercial	$13.82
Rate for Payer: Group Health Inc Medicare	$9.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$13.82
Rate for Payer: Hamaspik Choice Inc Medicare	$13.82

ZZ COOKS DILATOR 8 38 20

Facility OP

$13.11

Hospital Charge Code	41567299
Hospital Revenue Code	270
Min. Negotiated Rate	$4.59
Max. Negotiated Rate	$10.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.56
Rate for Payer: Aetna Government	$6.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.91
Rate for Payer: Group Health Inc Commercial	$6.56
Rate for Payer: Group Health Inc Medicare	$4.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.56
Rate for Payer: Hamaspik Choice Inc Medicare	$6.56

Price Transparency.

All Charges