St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ INTRO SET 8.0/63CM G08133

Facility OP

$111.78

Hospital Charge Code	41569942
Hospital Revenue Code	279
Min. Negotiated Rate	$39.12
Max. Negotiated Rate	$89.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$61.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$55.89
Rate for Payer: Aetna Government	$55.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$89.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$76.01
Rate for Payer: Group Health Inc Commercial	$55.89
Rate for Payer: Group Health Inc Medicare	$39.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$55.89
Rate for Payer: Hamaspik Choice Inc Medicare	$55.89

ZZ INTRO SET 9.0/75CM G09190

Facility OP

$111.78

Hospital Charge Code	41569943
Hospital Revenue Code	279
Min. Negotiated Rate	$39.12
Max. Negotiated Rate	$89.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$61.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$55.89
Rate for Payer: Aetna Government	$55.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$89.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$76.01
Rate for Payer: Group Health Inc Commercial	$55.89
Rate for Payer: Group Health Inc Medicare	$39.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$55.89
Rate for Payer: Hamaspik Choice Inc Medicare	$55.89

ZZ INTRO SET RAABE 8.0/55CM

Facility OP

$119.60

Hospital Charge Code	41569937
Hospital Revenue Code	279
Min. Negotiated Rate	$41.86
Max. Negotiated Rate	$95.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$65.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$59.80
Rate for Payer: Aetna Government	$59.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$95.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.33
Rate for Payer: Group Health Inc Commercial	$59.80
Rate for Payer: Group Health Inc Medicare	$41.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.80
Rate for Payer: Hamaspik Choice Inc Medicare	$59.80

ZZ INTRO SET RAABE 8.0/70CM

Facility OP

$119.60

Hospital Charge Code	41569938
Hospital Revenue Code	279
Min. Negotiated Rate	$41.86
Max. Negotiated Rate	$95.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$65.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$59.80
Rate for Payer: Aetna Government	$59.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$95.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.33
Rate for Payer: Group Health Inc Commercial	$59.80
Rate for Payer: Group Health Inc Medicare	$41.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.80
Rate for Payer: Hamaspik Choice Inc Medicare	$59.80

ZZ INTRO SET SHUTTLE 6.5/125CM

Facility OP

$165.60

Hospital Charge Code	41569939
Hospital Revenue Code	279
Min. Negotiated Rate	$57.96
Max. Negotiated Rate	$132.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$91.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$82.80
Rate for Payer: Aetna Government	$82.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$132.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.61
Rate for Payer: Group Health Inc Commercial	$82.80
Rate for Payer: Group Health Inc Medicare	$57.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.80
Rate for Payer: Hamaspik Choice Inc Medicare	$82.80

ZZ INTRO SHEATH 8 10 38

Facility OP

$107.37

Hospital Charge Code	41567056
Hospital Revenue Code	270
Min. Negotiated Rate	$37.58
Max. Negotiated Rate	$85.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$59.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$53.68
Rate for Payer: Aetna Government	$53.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$85.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$73.01
Rate for Payer: Group Health Inc Commercial	$53.68
Rate for Payer: Group Health Inc Medicare	$37.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.68
Rate for Payer: Hamaspik Choice Inc Medicare	$53.68

ZZ INTRO SHEATH 9 10 38

Facility OP

$107.37

Hospital Charge Code	41567057
Hospital Revenue Code	270
Min. Negotiated Rate	$37.58
Max. Negotiated Rate	$85.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$59.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$53.68
Rate for Payer: Aetna Government	$53.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$85.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$73.01
Rate for Payer: Group Health Inc Commercial	$53.68
Rate for Payer: Group Health Inc Medicare	$37.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.68
Rate for Payer: Hamaspik Choice Inc Medicare	$53.68

ZZ INTRSHT RENAL MP6FO38/45

Facility OP

$354.38

Hospital Charge Code	41569782
Hospital Revenue Code	270
Min. Negotiated Rate	$124.03
Max. Negotiated Rate	$283.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$194.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$177.19
Rate for Payer: Aetna Government	$177.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$283.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$240.98
Rate for Payer: Group Health Inc Commercial	$177.19
Rate for Payer: Group Health Inc Medicare	$124.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.19
Rate for Payer: Hamaspik Choice Inc Medicare	$177.19

ZZ INTRSHT RENAL MP7FO38/45

Facility OP

$354.38

Hospital Charge Code	41569784
Hospital Revenue Code	270
Min. Negotiated Rate	$124.03
Max. Negotiated Rate	$283.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$194.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$177.19
Rate for Payer: Aetna Government	$177.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$283.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$240.98
Rate for Payer: Group Health Inc Commercial	$177.19
Rate for Payer: Group Health Inc Medicare	$124.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.19
Rate for Payer: Hamaspik Choice Inc Medicare	$177.19

ZZ INTRSHT RENAL ST6FO38/45

Facility OP

$354.38

Hospital Charge Code	41569781
Hospital Revenue Code	270
Min. Negotiated Rate	$124.03
Max. Negotiated Rate	$283.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$194.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$177.19
Rate for Payer: Aetna Government	$177.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$283.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$240.98
Rate for Payer: Group Health Inc Commercial	$177.19
Rate for Payer: Group Health Inc Medicare	$124.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.19
Rate for Payer: Hamaspik Choice Inc Medicare	$177.19

ZZ INTRSHT RENAL ST7FO38/45

Facility OP

$354.38

Hospital Charge Code	41569783
Hospital Revenue Code	270
Min. Negotiated Rate	$124.03
Max. Negotiated Rate	$283.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$194.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$177.19
Rate for Payer: Aetna Government	$177.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$283.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$240.98
Rate for Payer: Group Health Inc Commercial	$177.19
Rate for Payer: Group Health Inc Medicare	$124.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.19
Rate for Payer: Hamaspik Choice Inc Medicare	$177.19

ZZ INTR TTUBE PALMAZ STENT

Facility OP

$65.21

Service Code	HCPCS C1876
Hospital Charge Code	41567195
Hospital Revenue Code	278
Min. Negotiated Rate	$22.82
Max. Negotiated Rate	$398.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.87
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	$32.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$37.50
Rate for Payer: Fidelis Medicare Advantage	$68.47
Rate for Payer: Group Health Inc Commercial	$32.60
Rate for Payer: Group Health Inc Medicare	$22.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.60
Rate for Payer: Hamaspik Choice Inc Medicare	$32.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$42.39

ZZ INTR TTUBE PALMAZ STENT

Facility IP

$65.21

Service Code	HCPCS C1876
Hospital Charge Code	41567195
Hospital Revenue Code	278
Min. Negotiated Rate	$32.60
Max. Negotiated Rate	$32.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.60
Rate for Payer: Hamaspik Choice Inc Medicare	$32.60

ZZ INT SH W/O NDL 5.5 38

Facility OP

$51.39

Hospital Charge Code	41567033
Hospital Revenue Code	270
Min. Negotiated Rate	$17.99
Max. Negotiated Rate	$41.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.70
Rate for Payer: Aetna Government	$25.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.95
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

ZZ INT SH W/O NDL 6.5 38

Facility OP

$51.39

Hospital Charge Code	41567035
Hospital Revenue Code	270
Min. Negotiated Rate	$17.99
Max. Negotiated Rate	$41.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.70
Rate for Payer: Aetna Government	$25.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.95
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

ZZ INT SH W/O NDL 6.5 38

Facility OP

$51.39

Hospital Charge Code	41567034
Hospital Revenue Code	270
Min. Negotiated Rate	$17.99
Max. Negotiated Rate	$41.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.70
Rate for Payer: Aetna Government	$25.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.95
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

ZZ INT SH W/O NDL 8.5 38

Facility OP

$51.39

Hospital Charge Code	41567037
Hospital Revenue Code	270
Min. Negotiated Rate	$17.99
Max. Negotiated Rate	$41.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.70
Rate for Payer: Aetna Government	$25.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.95
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

ZZ ISOVUE 300 100ML

Facility OP

$63.70

Service Code	HCPCS Q9967
Hospital Charge Code	41567530
Hospital Revenue Code	255
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$50.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.12
Rate for Payer: Aetna Government	$0.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$50.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$43.32
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.11
Rate for Payer: Group Health Inc Commercial	$31.85
Rate for Payer: Group Health Inc Medicare	$22.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.85
Rate for Payer: Hamaspik Choice Inc Medicare	$31.85
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.13
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$0.14
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$0.15
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$0.15
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$0.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$41.40

ZZ ISOVUE 300 150ML

Facility OP

$92.85

Service Code	HCPCS Q9967
Hospital Charge Code	41567531
Hospital Revenue Code	255
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$74.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$51.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.12
Rate for Payer: Aetna Government	$0.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$74.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$63.14
Rate for Payer: Fidelis CHP/HARP/Medicaid	$0.11
Rate for Payer: Group Health Inc Commercial	$46.42
Rate for Payer: Group Health Inc Medicare	$32.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.42
Rate for Payer: Hamaspik Choice Inc Medicare	$46.42
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.13
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid	$0.14
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$0.15
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa)	$0.15
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa)	$0.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$60.35

ZZ ISOVUE 300 50ML

Facility OP

$32.60

Hospital Charge Code	41567528
Hospital Revenue Code	270
Min. Negotiated Rate	$11.41
Max. Negotiated Rate	$26.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.30
Rate for Payer: Aetna Government	$16.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$22.17
Rate for Payer: Group Health Inc Commercial	$16.30
Rate for Payer: Group Health Inc Medicare	$11.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.30
Rate for Payer: Hamaspik Choice Inc Medicare	$16.30

ZZ ISOVUE 300 75ML

Facility OP

$50.33

Hospital Charge Code	41567529
Hospital Revenue Code	270
Min. Negotiated Rate	$17.62
Max. Negotiated Rate	$40.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.16
Rate for Payer: Aetna Government	$25.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.22
Rate for Payer: Group Health Inc Commercial	$25.16
Rate for Payer: Group Health Inc Medicare	$17.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.16
Rate for Payer: Hamaspik Choice Inc Medicare	$25.16

ZZ ISOVUE-M-200 20ML

Facility OP

$41.82

Hospital Charge Code	41567526
Hospital Revenue Code	270
Min. Negotiated Rate	$14.64
Max. Negotiated Rate	$33.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.91
Rate for Payer: Aetna Government	$20.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$33.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$28.44
Rate for Payer: Group Health Inc Commercial	$20.91
Rate for Payer: Group Health Inc Medicare	$14.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.91
Rate for Payer: Hamaspik Choice Inc Medicare	$20.91

ZZ IVALON PRTCLS 710-1000

Facility OP

$277.13

Hospital Charge Code	41567304
Hospital Revenue Code	270
Min. Negotiated Rate	$97.00
Max. Negotiated Rate	$221.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$152.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$138.56
Rate for Payer: Aetna Government	$138.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$221.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$188.45
Rate for Payer: Group Health Inc Commercial	$138.56
Rate for Payer: Group Health Inc Medicare	$97.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.56
Rate for Payer: Hamaspik Choice Inc Medicare	$138.56

ZZ IVALON PTCLES 355-500

Facility OP

$277.13

Hospital Charge Code	41567303
Hospital Revenue Code	270
Min. Negotiated Rate	$97.00
Max. Negotiated Rate	$221.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$152.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$138.56
Rate for Payer: Aetna Government	$138.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$221.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$188.45
Rate for Payer: Group Health Inc Commercial	$138.56
Rate for Payer: Group Health Inc Medicare	$97.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.56
Rate for Payer: Hamaspik Choice Inc Medicare	$138.56

ZZ IVC FILTER (BARD) FEMORAL ECLY

Facility OP

$3,118.00

Hospital Charge Code	41567739
Hospital Revenue Code	270
Min. Negotiated Rate	$1,091.30
Max. Negotiated Rate	$2,494.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,714.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,559.00
Rate for Payer: Aetna Government	$1,559.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,494.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,120.24
Rate for Payer: Group Health Inc Commercial	$1,559.00
Rate for Payer: Group Health Inc Medicare	$1,091.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,559.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,559.00

Price Transparency.

All Charges