St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ HAWKINS 3 HARDWR 12.5 CM

Facility OP

$53.87

Hospital Charge Code	41569634
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

ZZ HAWKINS 3 HARDWR 7.5 CM

Facility OP

$53.87

Hospital Charge Code	41569632
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

ZZ HD CATHETER 40 13.5 22

Facility IP

$684.65

Service Code	HCPCS C1725
Hospital Charge Code	41567176
Hospital Revenue Code	278
Min. Negotiated Rate	$342.32
Max. Negotiated Rate	$342.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$342.32
Rate for Payer: Hamaspik Choice Inc Medicare	$342.32

ZZ HD CATHETER 40 13.5 22

Facility OP

$684.65

Service Code	HCPCS C1725
Hospital Charge Code	41567176
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$718.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$376.56
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	$342.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$393.67
Rate for Payer: Fidelis Medicare Advantage	$718.88
Rate for Payer: Group Health Inc Commercial	$342.32
Rate for Payer: Group Health Inc Medicare	$239.63
Rate for Payer: Hamaspik Choice Inc Medicaid	$342.32
Rate for Payer: Hamaspik Choice Inc Medicare	$342.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$445.02

ZZ HD CATHETER 45 13.5 28

Facility IP

$674.73

Service Code	HCPCS C1725
Hospital Charge Code	41567173
Hospital Revenue Code	278
Min. Negotiated Rate	$337.36
Max. Negotiated Rate	$337.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$337.36
Rate for Payer: Hamaspik Choice Inc Medicare	$337.36

ZZ HD CATHETER 45 13.5 28

Facility OP

$674.73

Service Code	HCPCS C1725
Hospital Charge Code	41567173
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$708.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$371.10
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	$337.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$387.97
Rate for Payer: Fidelis Medicare Advantage	$708.47
Rate for Payer: Group Health Inc Commercial	$337.36
Rate for Payer: Group Health Inc Medicare	$236.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$337.36
Rate for Payer: Hamaspik Choice Inc Medicare	$337.36
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$438.57

ZZ HD CATHETER 50 13.5 32

Facility OP

$684.65

Service Code	HCPCS C1725
Hospital Charge Code	41567174
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$718.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$376.56
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	$342.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$393.67
Rate for Payer: Fidelis Medicare Advantage	$718.88
Rate for Payer: Group Health Inc Commercial	$342.32
Rate for Payer: Group Health Inc Medicare	$239.63
Rate for Payer: Hamaspik Choice Inc Medicaid	$342.32
Rate for Payer: Hamaspik Choice Inc Medicare	$342.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$445.02

ZZ HD CATHETER 50 13.5 32

Facility IP

$684.65

Service Code	HCPCS C1725
Hospital Charge Code	41567174
Hospital Revenue Code	278
Min. Negotiated Rate	$342.32
Max. Negotiated Rate	$342.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$342.32
Rate for Payer: Hamaspik Choice Inc Medicare	$342.32

ZZ HD CATHETER 55 13.5 35

Facility IP

$700.96

Service Code	HCPCS C1725
Hospital Charge Code	41567175
Hospital Revenue Code	278
Min. Negotiated Rate	$350.48
Max. Negotiated Rate	$350.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$350.48
Rate for Payer: Hamaspik Choice Inc Medicare	$350.48

ZZ HD CATHETER 55 13.5 35

Facility OP

$700.96

Service Code	HCPCS C1725
Hospital Charge Code	41567175
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$736.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$385.53
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	$350.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$403.05
Rate for Payer: Fidelis Medicare Advantage	$736.01
Rate for Payer: Group Health Inc Commercial	$350.48
Rate for Payer: Group Health Inc Medicare	$245.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$350.48
Rate for Payer: Hamaspik Choice Inc Medicare	$350.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$455.62

ZZ HD CATHETER 60 13.5 40

Facility OP

$851.92

Service Code	HCPCS C1725
Hospital Charge Code	41567172
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$894.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$468.56
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	$425.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$489.85
Rate for Payer: Fidelis Medicare Advantage	$894.52
Rate for Payer: Group Health Inc Commercial	$425.96
Rate for Payer: Group Health Inc Medicare	$298.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$425.96
Rate for Payer: Hamaspik Choice Inc Medicare	$425.96
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$553.75

ZZ HD CATHETER 60 13.5 40

Facility IP

$851.92

Service Code	HCPCS C1725
Hospital Charge Code	41567172
Hospital Revenue Code	278
Min. Negotiated Rate	$425.96
Max. Negotiated Rate	$425.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$425.96
Rate for Payer: Hamaspik Choice Inc Medicare	$425.96

ZZ HEAVY DUT EX WR 35-180

Facility OP

$51.39

Service Code	HCPCS C1769
Hospital Charge Code	41567129
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$53.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.26
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	$25.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$29.55
Rate for Payer: Fidelis Medicare Advantage	$53.96
Rate for Payer: Group Health Inc Commercial	$25.70
Rate for Payer: Group Health Inc Medicare	$17.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.70
Rate for Payer: Hamaspik Choice Inc Medicare	$25.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$33.40

ZZ HEAVY DUT EX WR 35-180

Facility IP

$51.39

Service Code	HCPCS C1769
Hospital Charge Code	41567129
Hospital Revenue Code	278
Min. Negotiated Rate	$25.70
Max. Negotiated Rate	$25.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.70
Rate for Payer: Hamaspik Choice Inc Medicare	$25.70

ZZ HEMOSPLIT 14.5F 19CM

Facility IP

$1,114.81

Service Code	HCPCS C1725
Hospital Charge Code	41569880
Hospital Revenue Code	278
Min. Negotiated Rate	$557.40
Max. Negotiated Rate	$557.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$557.40
Rate for Payer: Hamaspik Choice Inc Medicare	$557.40

ZZ HEMOSPLIT 14.5F 19CM

Facility OP

$1,114.81

Service Code	HCPCS C1725
Hospital Charge Code	41569880
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$1,170.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$613.15
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	$557.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$641.02
Rate for Payer: Fidelis Medicare Advantage	$1,170.55
Rate for Payer: Group Health Inc Commercial	$557.40
Rate for Payer: Group Health Inc Medicare	$390.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$557.40
Rate for Payer: Hamaspik Choice Inc Medicare	$557.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$724.63

ZZ HEMOSPLIT 14.5F 23CM

Facility IP

$1,114.81

Service Code	HCPCS C1725
Hospital Charge Code	41569879
Hospital Revenue Code	278
Min. Negotiated Rate	$557.40
Max. Negotiated Rate	$557.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$557.40
Rate for Payer: Hamaspik Choice Inc Medicare	$557.40

ZZ HEMOSPLIT 14.5F 23CM

Facility OP

$1,114.81

Service Code	HCPCS C1725
Hospital Charge Code	41569879
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$1,170.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$613.15
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	$557.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$641.02
Rate for Payer: Fidelis Medicare Advantage	$1,170.55
Rate for Payer: Group Health Inc Commercial	$557.40
Rate for Payer: Group Health Inc Medicare	$390.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$557.40
Rate for Payer: Hamaspik Choice Inc Medicare	$557.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$724.63

ZZ HIGH PRESSURE CONECTO

Facility OP

$8.51

Hospital Charge Code	41567007
Hospital Revenue Code	270
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$6.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.26
Rate for Payer: Aetna Government	$4.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.81
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.79
Rate for Payer: Group Health Inc Commercial	$4.26
Rate for Payer: Group Health Inc Medicare	$2.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.26
Rate for Payer: Hamaspik Choice Inc Medicare	$4.26

ZZ HOMER MAMMALOK 20GA X 10CM

Facility OP

$60.00

Hospital Charge Code	41568749
Hospital Revenue Code	270
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$48.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.00
Rate for Payer: Aetna Government	$30.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.80
Rate for Payer: Group Health Inc Commercial	$30.00
Rate for Payer: Group Health Inc Medicare	$21.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.00
Rate for Payer: Hamaspik Choice Inc Medicare	$30.00

ZZ HOMER MAMMALOK 20GA X 12.5CM

Facility OP

$12,816.53

Hospital Charge Code	41567737
Hospital Revenue Code	270
Min. Negotiated Rate	$4,485.79
Max. Negotiated Rate	$10,253.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,049.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6,408.26
Rate for Payer: Aetna Government	$6,408.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10,253.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$8,715.24
Rate for Payer: Group Health Inc Commercial	$6,408.26
Rate for Payer: Group Health Inc Medicare	$4,485.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,408.26
Rate for Payer: Hamaspik Choice Inc Medicare	$6,408.26

ZZ HOMER MAMMALOK 20GA X 12.5CM

Facility OP

$62.00

Hospital Charge Code	41567762
Hospital Revenue Code	270
Min. Negotiated Rate	$21.70
Max. Negotiated Rate	$49.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$34.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$31.00
Rate for Payer: Aetna Government	$31.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$49.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$42.16
Rate for Payer: Group Health Inc Commercial	$31.00
Rate for Payer: Group Health Inc Medicare	$21.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.00
Rate for Payer: Hamaspik Choice Inc Medicare	$31.00

ZZ HOMER MAMMALOK 20GA X 3CM

Facility OP

$60.00

Hospital Charge Code	41568745
Hospital Revenue Code	270
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$48.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.00
Rate for Payer: Aetna Government	$30.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.80
Rate for Payer: Group Health Inc Commercial	$30.00
Rate for Payer: Group Health Inc Medicare	$21.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.00
Rate for Payer: Hamaspik Choice Inc Medicare	$30.00

ZZ HOMER MAMMALOK 20GA X 5CM

Facility OP

$60.00

Hospital Charge Code	41568746
Hospital Revenue Code	270
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$48.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.00
Rate for Payer: Aetna Government	$30.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.80
Rate for Payer: Group Health Inc Commercial	$30.00
Rate for Payer: Group Health Inc Medicare	$21.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.00
Rate for Payer: Hamaspik Choice Inc Medicare	$30.00

ZZ HOMER MAMMALOK 20GA X 7.5CM

Facility OP

$60.00

Hospital Charge Code	41568748
Hospital Revenue Code	270
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$48.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.00
Rate for Payer: Aetna Government	$30.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.80
Rate for Payer: Group Health Inc Commercial	$30.00
Rate for Payer: Group Health Inc Medicare	$21.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.00
Rate for Payer: Hamaspik Choice Inc Medicare	$30.00

Price Transparency.

All Charges