St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ GUIDE WIRES LOC

Facility IP

$130.41

Service Code	HCPCS C1769
Hospital Charge Code	41567111
Hospital Revenue Code	278
Min. Negotiated Rate	$65.20
Max. Negotiated Rate	$65.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.20
Rate for Payer: Hamaspik Choice Inc Medicare	$65.20

ZZ GUIDE WIRES LOC

Facility OP

$130.41

Service Code	HCPCS C1769
Hospital Charge Code	41567111
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$136.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$71.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$65.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$74.99
Rate for Payer: Fidelis Medicare Advantage	$136.93
Rate for Payer: Group Health Inc Commercial	$65.20
Rate for Payer: Group Health Inc Medicare	$45.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.20
Rate for Payer: Hamaspik Choice Inc Medicare	$65.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$84.77

ZZ GUIDE WIRES TAD2

Facility OP

$293.42

Service Code	HCPCS C1769
Hospital Charge Code	41567110
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$308.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$161.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$146.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$168.72
Rate for Payer: Fidelis Medicare Advantage	$308.09
Rate for Payer: Group Health Inc Commercial	$146.71
Rate for Payer: Group Health Inc Medicare	$102.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$146.71
Rate for Payer: Hamaspik Choice Inc Medicare	$146.71
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$190.72

ZZ GUIDE WIRES TAD2

Facility IP

$293.42

Service Code	HCPCS C1769
Hospital Charge Code	41567110
Hospital Revenue Code	278
Min. Negotiated Rate	$146.71
Max. Negotiated Rate	$146.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$146.71
Rate for Payer: Hamaspik Choice Inc Medicare	$146.71

ZZ GUIDE WR 35-145-1.5 BH

Facility IP

$37.92

Service Code	HCPCS C1769
Hospital Charge Code	41567099
Hospital Revenue Code	278
Min. Negotiated Rate	$18.96
Max. Negotiated Rate	$18.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.96
Rate for Payer: Hamaspik Choice Inc Medicare	$18.96

ZZ GUIDE WR 35-145-1.5 BH

Facility OP

$37.92

Service Code	HCPCS C1769
Hospital Charge Code	41567099
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$39.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$18.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.80
Rate for Payer: Fidelis Medicare Advantage	$39.82
Rate for Payer: Group Health Inc Commercial	$18.96
Rate for Payer: Group Health Inc Medicare	$13.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.96
Rate for Payer: Hamaspik Choice Inc Medicare	$18.96
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$24.65

ZZ GUIDE WR 35-145-1.5 RO

Facility IP

$40.75

Service Code	HCPCS C1769
Hospital Charge Code	41567095
Hospital Revenue Code	278
Min. Negotiated Rate	$20.38
Max. Negotiated Rate	$20.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.38
Rate for Payer: Hamaspik Choice Inc Medicare	$20.38

ZZ GUIDE WR 35-145-1.5 RO

Facility OP

$40.75

Service Code	HCPCS C1769
Hospital Charge Code	41567095
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$42.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.43
Rate for Payer: Fidelis Medicare Advantage	$42.79
Rate for Payer: Group Health Inc Commercial	$20.38
Rate for Payer: Group Health Inc Medicare	$14.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.38
Rate for Payer: Hamaspik Choice Inc Medicare	$20.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$26.49

ZZ GUIDE WR 35-180-1.5 RO

Facility IP

$42.88

Service Code	HCPCS C1769
Hospital Charge Code	41567097
Hospital Revenue Code	278
Min. Negotiated Rate	$21.44
Max. Negotiated Rate	$21.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.44
Rate for Payer: Hamaspik Choice Inc Medicare	$21.44

ZZ GUIDE WR 35-180-1.5 RO

Facility OP

$42.88

Service Code	HCPCS C1769
Hospital Charge Code	41567097
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$45.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.66
Rate for Payer: Fidelis Medicare Advantage	$45.02
Rate for Payer: Group Health Inc Commercial	$21.44
Rate for Payer: Group Health Inc Medicare	$15.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.44
Rate for Payer: Hamaspik Choice Inc Medicare	$21.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$27.87

ZZ GUIDE WR 35-260-1.5 RO

Facility OP

$62.37

Service Code	HCPCS C1769
Hospital Charge Code	41567098
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$65.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$34.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$31.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$35.86
Rate for Payer: Fidelis Medicare Advantage	$65.49
Rate for Payer: Group Health Inc Commercial	$31.18
Rate for Payer: Group Health Inc Medicare	$21.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.18
Rate for Payer: Hamaspik Choice Inc Medicare	$31.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$40.54

ZZ GUIDE WR 35-260-1.5 RO

Facility IP

$62.37

Service Code	HCPCS C1769
Hospital Charge Code	41567098
Hospital Revenue Code	278
Min. Negotiated Rate	$31.18
Max. Negotiated Rate	$31.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.18
Rate for Payer: Hamaspik Choice Inc Medicare	$31.18

ZZ GUIDING CATHETER/H-STICK/6F

Facility IP

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569511
Hospital Revenue Code	278
Min. Negotiated Rate	$116.94
Max. Negotiated Rate	$116.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94

ZZ GUIDING CATHETER/H-STICK/6F

Facility OP

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569511
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$245.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$128.64
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	$116.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.49
Rate for Payer: Fidelis Medicare Advantage	$245.58
Rate for Payer: Group Health Inc Commercial	$116.94
Rate for Payer: Group Health Inc Medicare	$81.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$152.03

ZZ GUIDING CATHETER/H-STICK/8F

Facility IP

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569510
Hospital Revenue Code	278
Min. Negotiated Rate	$116.94
Max. Negotiated Rate	$116.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94

ZZ GUIDING CATHETER/H-STICK/8F

Facility OP

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569510
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$245.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$128.64
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	$116.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.49
Rate for Payer: Fidelis Medicare Advantage	$245.58
Rate for Payer: Group Health Inc Commercial	$116.94
Rate for Payer: Group Health Inc Medicare	$81.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$152.03

ZZ GUIDING CATHETER/J CURVE/6F

Facility IP

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569512
Hospital Revenue Code	278
Min. Negotiated Rate	$116.94
Max. Negotiated Rate	$116.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94

ZZ GUIDING CATHETER/J CURVE/6F

Facility OP

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569512
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$245.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$128.64
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	$116.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.49
Rate for Payer: Fidelis Medicare Advantage	$245.58
Rate for Payer: Group Health Inc Commercial	$116.94
Rate for Payer: Group Health Inc Medicare	$81.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$152.03

ZZ GUIDING CATHETER/RENAL 6F

Facility OP

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569513
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$245.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$128.64
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	$116.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.49
Rate for Payer: Fidelis Medicare Advantage	$245.58
Rate for Payer: Group Health Inc Commercial	$116.94
Rate for Payer: Group Health Inc Medicare	$81.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$152.03

ZZ GUIDING CATHETER/RENAL 6F

Facility IP

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569513
Hospital Revenue Code	278
Min. Negotiated Rate	$116.94
Max. Negotiated Rate	$116.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94

ZZ GUIDING CATHETER/RENAL 8F

Facility OP

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569514
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$245.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$128.64
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	$116.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.49
Rate for Payer: Fidelis Medicare Advantage	$245.58
Rate for Payer: Group Health Inc Commercial	$116.94
Rate for Payer: Group Health Inc Medicare	$81.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$152.03

ZZ GUIDING CATHETER/RENAL 8F

Facility IP

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569514
Hospital Revenue Code	278
Min. Negotiated Rate	$116.94
Max. Negotiated Rate	$116.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94

ZZGUNTHER TULIP VENA FLTR FEM.APP

Facility OP

$2,270.50

Hospital Charge Code	41567734
Hospital Revenue Code	270
Min. Negotiated Rate	$794.68
Max. Negotiated Rate	$1,816.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,248.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,135.25
Rate for Payer: Aetna Government	$1,135.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,816.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,543.94
Rate for Payer: Group Health Inc Commercial	$1,135.25
Rate for Payer: Group Health Inc Medicare	$794.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,135.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,135.25

ZZGUNTHER TULIP VENA FLTR JUG.APP

Facility OP

$2,270.50

Hospital Charge Code	41567732
Hospital Revenue Code	270
Min. Negotiated Rate	$794.68
Max. Negotiated Rate	$1,816.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,248.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,135.25
Rate for Payer: Aetna Government	$1,135.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,816.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,543.94
Rate for Payer: Group Health Inc Commercial	$1,135.25
Rate for Payer: Group Health Inc Medicare	$794.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,135.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,135.25

ZZ HAWKINS 3 HARDWR 10 CM

Facility OP

$53.87

Hospital Charge Code	41569633
Hospital Revenue Code	270
Min. Negotiated Rate	$18.85
Max. Negotiated Rate	$43.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.94
Rate for Payer: Aetna Government	$26.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.63
Rate for Payer: Group Health Inc Commercial	$26.94
Rate for Payer: Group Health Inc Medicare	$18.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.94
Rate for Payer: Hamaspik Choice Inc Medicare	$26.94

Price Transparency.

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