St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ HOOK CATH 1/5/65/035

Facility OP

$53.87

Hospital Charge Code	41567246
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 HP THREE WY STPCK #179779

Facility OP

$4.34

Hospital Charge Code	41569002
Hospital Revenue Code	270
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$3.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.17
Rate for Payer: Aetna Government	$2.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.47
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.95
Rate for Payer: Group Health Inc Commercial	$2.17
Rate for Payer: Group Health Inc Medicare	$1.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.17
Rate for Payer: Hamaspik Choice Inc Medicare	$2.17

ZZ HP THREE WY STPCK #PTWSC 2FLL

Facility OP

$4.34

Hospital Charge Code	41569003
Hospital Revenue Code	270
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$3.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.17
Rate for Payer: Aetna Government	$2.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.47
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.95
Rate for Payer: Group Health Inc Commercial	$2.17
Rate for Payer: Group Health Inc Medicare	$1.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.17
Rate for Payer: Hamaspik Choice Inc Medicare	$2.17

ZZ H/S CATHETER SET

Facility OP

$55.88

Service Code	HCPCS C1726
Hospital Charge Code	41567757
Hospital Revenue Code	278
Min. Negotiated Rate	$17.43
Max. Negotiated Rate	$58.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.43
Rate for Payer: Aetna Government	$17.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$27.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.13
Rate for Payer: Fidelis Medicare Advantage	$58.67
Rate for Payer: Group Health Inc Commercial	$27.94
Rate for Payer: Group Health Inc Medicare	$19.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.94
Rate for Payer: Hamaspik Choice Inc Medicare	$27.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$36.32

ZZ H/S CATHETER SET

Facility IP

$55.88

Service Code	HCPCS C1726
Hospital Charge Code	41567757
Hospital Revenue Code	278
Min. Negotiated Rate	$27.94
Max. Negotiated Rate	$27.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.94
Rate for Payer: Hamaspik Choice Inc Medicare	$27.94

ZZ HYDR COT 5/100/SIM2/38

Facility OP

$159.82

Hospital Charge Code	41567242
Hospital Revenue Code	270
Min. Negotiated Rate	$55.94
Max. Negotiated Rate	$127.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$87.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$79.91
Rate for Payer: Aetna Government	$79.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$127.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$108.68
Rate for Payer: Group Health Inc Commercial	$79.91
Rate for Payer: Group Health Inc Medicare	$55.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$79.91
Rate for Payer: Hamaspik Choice Inc Medicare	$79.91

ZZ HYDRO COAT 5/100/AT/38

Facility OP

$159.82

Hospital Charge Code	41567239
Hospital Revenue Code	270
Min. Negotiated Rate	$55.94
Max. Negotiated Rate	$127.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$87.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$79.91
Rate for Payer: Aetna Government	$79.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$127.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$108.68
Rate for Payer: Group Health Inc Commercial	$79.91
Rate for Payer: Group Health Inc Medicare	$55.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$79.91
Rate for Payer: Hamaspik Choice Inc Medicare	$79.91

ZZ HYDRO COAT CTH C1/5/65

Facility IP

$159.82

Service Code	HCPCS C1725
Hospital Charge Code	41567240
Hospital Revenue Code	278
Min. Negotiated Rate	$79.91
Max. Negotiated Rate	$79.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$79.91
Rate for Payer: Hamaspik Choice Inc Medicare	$79.91

ZZ HYDRO COAT CTH C1/5/65

Facility OP

$159.82

Service Code	HCPCS C1725
Hospital Charge Code	41567240
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$167.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$87.90
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	$79.91
Rate for Payer: Cigna LocalPlus Benefit Plan	$91.90
Rate for Payer: Fidelis Medicare Advantage	$167.81
Rate for Payer: Group Health Inc Commercial	$79.91
Rate for Payer: Group Health Inc Medicare	$55.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$79.91
Rate for Payer: Hamaspik Choice Inc Medicare	$79.91
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$103.88

ZZ HYDRO COAT CTH C2/5/65

Facility OP

$159.82

Hospital Charge Code	41567241
Hospital Revenue Code	270
Min. Negotiated Rate	$55.94
Max. Negotiated Rate	$127.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$87.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$79.91
Rate for Payer: Aetna Government	$79.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$127.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$108.68
Rate for Payer: Group Health Inc Commercial	$79.91
Rate for Payer: Group Health Inc Medicare	$55.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$79.91
Rate for Payer: Hamaspik Choice Inc Medicare	$79.91

ZZ HYSTEROSALPINGOGRAM TRAY

Facility OP

$50.60

Hospital Charge Code	41561895
Hospital Revenue Code	270
Min. Negotiated Rate	$17.71
Max. Negotiated Rate	$40.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.83
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.30
Rate for Payer: Aetna Government	$25.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.41
Rate for Payer: Group Health Inc Commercial	$25.30
Rate for Payer: Group Health Inc Medicare	$17.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.30
Rate for Payer: Hamaspik Choice Inc Medicare	$25.30

ZZ IMAGE TORQ CATH 65 NO S

Facility IP

$53.87

Service Code	HCPCS C1725
Hospital Charge Code	41567247
Hospital Revenue Code	278
Min. Negotiated Rate	$26.94
Max. Negotiated Rate	$26.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.94
Rate for Payer: Hamaspik Choice Inc Medicare	$26.94

ZZ IMAGE TORQ CATH 65 NO S

Facility OP

$53.87

Service Code	HCPCS C1725
Hospital Charge Code	41567247
Hospital Revenue Code	278
Min. Negotiated Rate	$18.85
Max. Negotiated Rate	$56.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.63
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	$26.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.98
Rate for Payer: Fidelis Medicare Advantage	$56.56
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
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$35.02

ZZ INFLATION DEVICE

Facility OP

$147.78

Hospital Charge Code	41569515
Hospital Revenue Code	270
Min. Negotiated Rate	$51.72
Max. Negotiated Rate	$118.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$81.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$73.89
Rate for Payer: Aetna Government	$73.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$118.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$100.49
Rate for Payer: Group Health Inc Commercial	$73.89
Rate for Payer: Group Health Inc Medicare	$51.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.89
Rate for Payer: Hamaspik Choice Inc Medicare	$73.89

ZZ INFLATOR

Facility OP

$130.41

Hospital Charge Code	41567500
Hospital Revenue Code	270
Min. Negotiated Rate	$45.64
Max. Negotiated Rate	$104.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$71.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$65.20
Rate for Payer: Aetna Government	$65.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$104.33
Rate for Payer: Cigna LocalPlus Benefit Plan	$88.68
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

ZZ INFUSION CATH/FASTRACKER-18

Facility IP

$627.25

Service Code	HCPCS C1725
Hospital Charge Code	41569517
Hospital Revenue Code	278
Min. Negotiated Rate	$313.62
Max. Negotiated Rate	$313.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$313.62
Rate for Payer: Hamaspik Choice Inc Medicare	$313.62

ZZ INFUSION CATH/FASTRACKER-18

Facility OP

$627.25

Service Code	HCPCS C1725
Hospital Charge Code	41569517
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$658.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$344.99
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	$313.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$360.67
Rate for Payer: Fidelis Medicare Advantage	$658.61
Rate for Payer: Group Health Inc Commercial	$313.62
Rate for Payer: Group Health Inc Medicare	$219.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$313.62
Rate for Payer: Hamaspik Choice Inc Medicare	$313.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$407.71

ZZ INTERLOCK 2D OCCLU. SYST.

Facility OP

$794.00

Hospital Charge Code	41569962
Hospital Revenue Code	279
Min. Negotiated Rate	$277.90
Max. Negotiated Rate	$635.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$436.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$397.00
Rate for Payer: Aetna Government	$397.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$635.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$539.92
Rate for Payer: Group Health Inc Commercial	$397.00
Rate for Payer: Group Health Inc Medicare	$277.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$397.00
Rate for Payer: Hamaspik Choice Inc Medicare	$397.00

ZZ INTRACOIL STENT

Facility IP

$3,402.00

Service Code	HCPCS C1876
Hospital Charge Code	41560055
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 INTRACOIL STENT

Facility OP

$3,402.00

Service Code	HCPCS C1876
Hospital Charge Code	41560055
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 INTRACOIL STENT 4X40

Facility OP

$3,402.00

Service Code	HCPCS C1876
Hospital Charge Code	41569660
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 INTRACOIL STENT 4X40

Facility IP

$3,402.00

Service Code	HCPCS C1876
Hospital Charge Code	41569660
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 INTRACOIL STENT 5X40

Facility OP

$3,402.00

Service Code	HCPCS C1876
Hospital Charge Code	41569658
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 INTRACOIL STENT 5X40

Facility IP

$3,402.00

Service Code	HCPCS C1876
Hospital Charge Code	41569658
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 INTRACOIL STENT 5X60

Facility IP

$3,402.00

Service Code	HCPCS C1876
Hospital Charge Code	41569661
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

Price Transparency.

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