St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ COVER CAPS

Facility OP

$5.31

Hospital Charge Code	41567522
Hospital Revenue Code	270
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$4.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.66
Rate for Payer: Aetna Government	$2.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.61
Rate for Payer: Group Health Inc Commercial	$2.66
Rate for Payer: Group Health Inc Medicare	$1.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.66
Rate for Payer: Hamaspik Choice Inc Medicare	$2.66

ZZ COVIDIEN CATH KIT 14.5FX23CM

Facility OP

$790.00

Hospital Charge Code	41564609
Hospital Revenue Code	272
Min. Negotiated Rate	$276.50
Max. Negotiated Rate	$632.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$434.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$395.00
Rate for Payer: Aetna Government	$395.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$632.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$537.20
Rate for Payer: Group Health Inc Commercial	$395.00
Rate for Payer: Group Health Inc Medicare	$276.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$395.00
Rate for Payer: Hamaspik Choice Inc Medicare	$395.00

ZZ COVIDIEN MWA TUB/CHAMBER

Facility OP

$410.00

Hospital Charge Code	41567760
Hospital Revenue Code	270
Min. Negotiated Rate	$143.50
Max. Negotiated Rate	$328.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$225.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$205.00
Rate for Payer: Aetna Government	$205.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$328.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$278.80
Rate for Payer: Group Health Inc Commercial	$205.00
Rate for Payer: Group Health Inc Medicare	$143.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$205.00
Rate for Payer: Hamaspik Choice Inc Medicare	$205.00

ZZ CTH TRU-FIX 10F FX KIT

Facility OP

$38.63

Hospital Charge Code	41567287
Hospital Revenue Code	270
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$30.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$21.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.32
Rate for Payer: Aetna Government	$19.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$26.27
Rate for Payer: Group Health Inc Commercial	$19.32
Rate for Payer: Group Health Inc Medicare	$13.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.32
Rate for Payer: Hamaspik Choice Inc Medicare	$19.32

ZZ CTH TRU-FIX 6F FX KIT

Facility OP

$38.63

Hospital Charge Code	41567288
Hospital Revenue Code	270
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$30.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$21.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.32
Rate for Payer: Aetna Government	$19.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$26.27
Rate for Payer: Group Health Inc Commercial	$19.32
Rate for Payer: Group Health Inc Medicare	$13.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.32
Rate for Payer: Hamaspik Choice Inc Medicare	$19.32

ZZ CTH TRU-FIX 8F FX KIT

Facility OP

$38.63

Hospital Charge Code	41567289
Hospital Revenue Code	270
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$30.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$21.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.32
Rate for Payer: Aetna Government	$19.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$26.27
Rate for Payer: Group Health Inc Commercial	$19.32
Rate for Payer: Group Health Inc Medicare	$13.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.32
Rate for Payer: Hamaspik Choice Inc Medicare	$19.32

ZZ DIALTOR/FASCIAL/14F

Facility OP

$60.71

Hospital Charge Code	41569305
Hospital Revenue Code	270
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$48.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.36
Rate for Payer: Aetna Government	$30.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.28
Rate for Payer: Group Health Inc Commercial	$30.36
Rate for Payer: Group Health Inc Medicare	$21.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.36
Rate for Payer: Hamaspik Choice Inc Medicare	$30.36

ZZ DIALTOR/FASCIAL/28F

Facility OP

$58.47

Hospital Charge Code	41569312
Hospital Revenue Code	270
Min. Negotiated Rate	$20.46
Max. Negotiated Rate	$46.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$32.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$29.24
Rate for Payer: Aetna Government	$29.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.76
Rate for Payer: Group Health Inc Commercial	$29.24
Rate for Payer: Group Health Inc Medicare	$20.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.24
Rate for Payer: Hamaspik Choice Inc Medicare	$29.24

ZZ DIALYSIS TEMP/15CM MED COMP

Facility IP

$1,084.39

Service Code	HCPCS C1751
Hospital Charge Code	41569301
Hospital Revenue Code	278
Min. Negotiated Rate	$542.20
Max. Negotiated Rate	$542.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$542.20
Rate for Payer: Hamaspik Choice Inc Medicare	$542.20

ZZ DIALYSIS TEMP/15CM MED COMP

Facility OP

$1,084.39

Service Code	HCPCS C1751
Hospital Charge Code	41569301
Hospital Revenue Code	278
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$1,138.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$596.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.08
Rate for Payer: Aetna Government	$7.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$542.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$623.52
Rate for Payer: Fidelis Medicare Advantage	$1,138.61
Rate for Payer: Group Health Inc Commercial	$542.20
Rate for Payer: Group Health Inc Medicare	$379.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$542.20
Rate for Payer: Hamaspik Choice Inc Medicare	$542.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$704.85

ZZ DIALYSIS TEMP/20CM MED COMP

Facility OP

$1,084.39

Hospital Charge Code	41569302
Hospital Revenue Code	270
Min. Negotiated Rate	$379.54
Max. Negotiated Rate	$867.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$596.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$542.20
Rate for Payer: Aetna Government	$542.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$867.51
Rate for Payer: Cigna LocalPlus Benefit Plan	$737.39
Rate for Payer: Group Health Inc Commercial	$542.20
Rate for Payer: Group Health Inc Medicare	$379.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$542.20
Rate for Payer: Hamaspik Choice Inc Medicare	$542.20

ZZ DIGFLEX ANG 5/ST/63 NO

Facility OP

$48.55

Hospital Charge Code	41567238
Hospital Revenue Code	270
Min. Negotiated Rate	$16.99
Max. Negotiated Rate	$38.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$24.28
Rate for Payer: Aetna Government	$24.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$38.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.01
Rate for Payer: Group Health Inc Commercial	$24.28
Rate for Payer: Group Health Inc Medicare	$16.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.28
Rate for Payer: Hamaspik Choice Inc Medicare	$24.28

ZZ DILATOR 4 35 20

Facility OP

$16.31

Hospital Charge Code	41567301
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 DILATOR/FASCIAL/10F

Facility OP

$408.78

Hospital Charge Code	41569303
Hospital Revenue Code	270
Min. Negotiated Rate	$143.07
Max. Negotiated Rate	$327.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$224.83
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$204.39
Rate for Payer: Aetna Government	$204.39
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$327.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$277.97
Rate for Payer: Group Health Inc Commercial	$204.39
Rate for Payer: Group Health Inc Medicare	$143.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.39
Rate for Payer: Hamaspik Choice Inc Medicare	$204.39

ZZ DILATOR/FASCIAL/12F

Facility OP

$60.71

Hospital Charge Code	41569304
Hospital Revenue Code	270
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$48.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.36
Rate for Payer: Aetna Government	$30.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.28
Rate for Payer: Group Health Inc Commercial	$30.36
Rate for Payer: Group Health Inc Medicare	$21.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.36
Rate for Payer: Hamaspik Choice Inc Medicare	$30.36

ZZ DILATOR/FASCIAL/16F

Facility OP

$60.71

Hospital Charge Code	41569306
Hospital Revenue Code	270
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$48.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.36
Rate for Payer: Aetna Government	$30.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.28
Rate for Payer: Group Health Inc Commercial	$30.36
Rate for Payer: Group Health Inc Medicare	$21.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.36
Rate for Payer: Hamaspik Choice Inc Medicare	$30.36

ZZ DILATOR/FASCIAL/18F

Facility OP

$60.71

Hospital Charge Code	41569307
Hospital Revenue Code	270
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$48.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.36
Rate for Payer: Aetna Government	$30.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.28
Rate for Payer: Group Health Inc Commercial	$30.36
Rate for Payer: Group Health Inc Medicare	$21.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.36
Rate for Payer: Hamaspik Choice Inc Medicare	$30.36

ZZ DILATOR/FASCIAL/20F

Facility OP

$40.30

Hospital Charge Code	41569308
Hospital Revenue Code	270
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$32.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.15
Rate for Payer: Aetna Government	$20.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$27.40
Rate for Payer: Group Health Inc Commercial	$20.15
Rate for Payer: Group Health Inc Medicare	$14.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.15
Rate for Payer: Hamaspik Choice Inc Medicare	$20.15

ZZ DILATOR/FASCIAL/22F

Facility OP

$38.57

Hospital Charge Code	41569309
Hospital Revenue Code	270
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$30.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$21.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.28
Rate for Payer: Aetna Government	$19.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$26.23
Rate for Payer: Group Health Inc Commercial	$19.28
Rate for Payer: Group Health Inc Medicare	$13.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.28
Rate for Payer: Hamaspik Choice Inc Medicare	$19.28

ZZ DILATOR/FASCIAL/24F

Facility OP

$40.30

Hospital Charge Code	41569310
Hospital Revenue Code	270
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$32.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.15
Rate for Payer: Aetna Government	$20.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$27.40
Rate for Payer: Group Health Inc Commercial	$20.15
Rate for Payer: Group Health Inc Medicare	$14.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.15
Rate for Payer: Hamaspik Choice Inc Medicare	$20.15

ZZ DILATOR/FASCIAL/26F

Facility OP

$58.47

Hospital Charge Code	41569311
Hospital Revenue Code	270
Min. Negotiated Rate	$20.46
Max. Negotiated Rate	$46.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$32.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$29.24
Rate for Payer: Aetna Government	$29.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.76
Rate for Payer: Group Health Inc Commercial	$29.24
Rate for Payer: Group Health Inc Medicare	$20.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.24
Rate for Payer: Hamaspik Choice Inc Medicare	$29.24

ZZ DILATOR/FASCIAL/30F

Facility OP

$58.47

Hospital Charge Code	41569313
Hospital Revenue Code	270
Min. Negotiated Rate	$20.46
Max. Negotiated Rate	$46.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$32.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$29.24
Rate for Payer: Aetna Government	$29.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.76
Rate for Payer: Group Health Inc Commercial	$29.24
Rate for Payer: Group Health Inc Medicare	$20.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.24
Rate for Payer: Hamaspik Choice Inc Medicare	$29.24

ZZ DILATOR/FASCIAL/6F

Facility OP

$60.71

Hospital Charge Code	41569407
Hospital Revenue Code	270
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$48.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.36
Rate for Payer: Aetna Government	$30.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.28
Rate for Payer: Group Health Inc Commercial	$30.36
Rate for Payer: Group Health Inc Medicare	$21.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.36
Rate for Payer: Hamaspik Choice Inc Medicare	$30.36

ZZ DILATOR/FASCIAL/8F

Facility OP

$60.71

Hospital Charge Code	41569408
Hospital Revenue Code	270
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$48.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.36
Rate for Payer: Aetna Government	$30.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.28
Rate for Payer: Group Health Inc Commercial	$30.36
Rate for Payer: Group Health Inc Medicare	$21.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.36
Rate for Payer: Hamaspik Choice Inc Medicare	$30.36

ZZ DILATOR SERIAL 20FR TELESCOPE

Facility OP

$244.48

Hospital Charge Code	41300333
Hospital Revenue Code	270
Min. Negotiated Rate	$85.57
Max. Negotiated Rate	$195.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$134.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$122.24
Rate for Payer: Aetna Government	$122.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$195.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$166.25
Rate for Payer: Group Health Inc Commercial	$122.24
Rate for Payer: Group Health Inc Medicare	$85.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$122.24
Rate for Payer: Hamaspik Choice Inc Medicare	$122.24

Price Transparency.

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