St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ IVC FILTER (BARD) FEMORAL ECLY

Facility OP

$3,118.00

Hospital Charge Code	40207739
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

ZZ IVC FILTER (BARD) JUGULAR ECLY

Facility OP

$3,118.00

Hospital Charge Code	41567740
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

ZZ IVC FILTER FEMORAL(GUNTHER TUL

Facility OP

$3,124.17

Service Code	HCPCS C1880
Hospital Charge Code	41569802
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$3,280.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,718.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,562.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,796.40
Rate for Payer: Fidelis Medicare Advantage	$3,280.38
Rate for Payer: Group Health Inc Commercial	$1,562.08
Rate for Payer: Group Health Inc Medicare	$1,093.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,562.08
Rate for Payer: Hamaspik Choice Inc Medicare	$1,562.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,030.71

ZZ IVC FILTER FEMORAL(GUNTHER TUL

Facility IP

$3,124.17

Service Code	HCPCS C1880
Hospital Charge Code	41569802
Hospital Revenue Code	278
Min. Negotiated Rate	$1,562.08
Max. Negotiated Rate	$1,562.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,562.08
Rate for Payer: Hamaspik Choice Inc Medicare	$1,562.08

ZZ IVC FILTER JUGULAR(GUNTHER TUL

Facility IP

$3,124.17

Service Code	HCPCS C1880
Hospital Charge Code	41569803
Hospital Revenue Code	278
Min. Negotiated Rate	$1,562.08
Max. Negotiated Rate	$1,562.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,562.08
Rate for Payer: Hamaspik Choice Inc Medicare	$1,562.08

ZZ IVC FILTER JUGULAR(GUNTHER TUL

Facility OP

$3,124.17

Service Code	HCPCS C1880
Hospital Charge Code	41569803
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$3,280.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,718.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,562.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,796.40
Rate for Payer: Fidelis Medicare Advantage	$3,280.38
Rate for Payer: Group Health Inc Commercial	$1,562.08
Rate for Payer: Group Health Inc Medicare	$1,093.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,562.08
Rate for Payer: Hamaspik Choice Inc Medicare	$1,562.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,030.71

ZZ JACKSON PRATT 100M #SH130 1305

Facility OP

$98.24

Hospital Charge Code	41569035
Hospital Revenue Code	270
Min. Negotiated Rate	$34.38
Max. Negotiated Rate	$78.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$54.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$49.12
Rate for Payer: Aetna Government	$49.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$78.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$66.80
Rate for Payer: Group Health Inc Commercial	$49.12
Rate for Payer: Group Health Inc Medicare	$34.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.12
Rate for Payer: Hamaspik Choice Inc Medicare	$49.12

ZZ J & J CLINCHER ANOT DEVICE

Facility OP

$56.70

Hospital Charge Code	41569536
Hospital Revenue Code	270
Min. Negotiated Rate	$19.84
Max. Negotiated Rate	$45.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.35
Rate for Payer: Aetna Government	$28.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$45.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$38.56
Rate for Payer: Group Health Inc Commercial	$28.35
Rate for Payer: Group Health Inc Medicare	$19.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.35
Rate for Payer: Hamaspik Choice Inc Medicare	$28.35

ZZ J & J CLISER PERCLOSE

Facility OP

$637.88

Hospital Charge Code	41569535
Hospital Revenue Code	270
Min. Negotiated Rate	$223.26
Max. Negotiated Rate	$510.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$350.83
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$318.94
Rate for Payer: Aetna Government	$318.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$510.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$433.76
Rate for Payer: Group Health Inc Commercial	$318.94
Rate for Payer: Group Health Inc Medicare	$223.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$318.94
Rate for Payer: Hamaspik Choice Inc Medicare	$318.94

ZZ J & J SUARES ANOT PUSHER

Facility OP

$56.70

Hospital Charge Code	41569537
Hospital Revenue Code	270
Min. Negotiated Rate	$19.84
Max. Negotiated Rate	$45.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.35
Rate for Payer: Aetna Government	$28.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$45.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$38.56
Rate for Payer: Group Health Inc Commercial	$28.35
Rate for Payer: Group Health Inc Medicare	$19.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.35
Rate for Payer: Hamaspik Choice Inc Medicare	$28.35

ZZ J TIP 10/25

Facility OP

$257.63

Hospital Charge Code	41567231
Hospital Revenue Code	270
Min. Negotiated Rate	$90.17
Max. Negotiated Rate	$206.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$141.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$128.82
Rate for Payer: Aetna Government	$128.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$206.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$175.19
Rate for Payer: Group Health Inc Commercial	$128.82
Rate for Payer: Group Health Inc Medicare	$90.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$128.82
Rate for Payer: Hamaspik Choice Inc Medicare	$128.82

ZZ J TIP 8/25 LOOP

Facility OP

$257.63

Hospital Charge Code	41567232
Hospital Revenue Code	270
Min. Negotiated Rate	$90.17
Max. Negotiated Rate	$206.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$141.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$128.82
Rate for Payer: Aetna Government	$128.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$206.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$175.19
Rate for Payer: Group Health Inc Commercial	$128.82
Rate for Payer: Group Health Inc Medicare	$90.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$128.82
Rate for Payer: Hamaspik Choice Inc Medicare	$128.82

ZZ J WIRES 35-145-1.5 BH

Facility OP

$37.92

Hospital Charge Code	41567105
Hospital Revenue Code	270
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$30.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.96
Rate for Payer: Aetna Government	$18.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.79
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

ZZ J WIRES 35-145-15 BH

Facility OP

$37.92

Hospital Charge Code	41567104
Hospital Revenue Code	270
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$30.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.96
Rate for Payer: Aetna Government	$18.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.79
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

ZZ J WIRES 35-145-3 BH

Facility OP

$37.92

Hospital Charge Code	41567106
Hospital Revenue Code	270
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$30.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.96
Rate for Payer: Aetna Government	$18.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.79
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

ZZ J WIRES 35-145 BH

Facility OP

$30.83

Hospital Charge Code	41567103
Hospital Revenue Code	270
Min. Negotiated Rate	$10.79
Max. Negotiated Rate	$24.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.42
Rate for Payer: Aetna Government	$15.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.96
Rate for Payer: Group Health Inc Commercial	$15.42
Rate for Payer: Group Health Inc Medicare	$10.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.42
Rate for Payer: Hamaspik Choice Inc Medicare	$15.42

ZZ KATZEN CORE WIRE

Facility OP

$75.13

Hospital Charge Code	41567255
Hospital Revenue Code	270
Min. Negotiated Rate	$26.30
Max. Negotiated Rate	$60.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$41.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$37.56
Rate for Payer: Aetna Government	$37.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$60.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$51.09
Rate for Payer: Group Health Inc Commercial	$37.56
Rate for Payer: Group Health Inc Medicare	$26.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$37.56
Rate for Payer: Hamaspik Choice Inc Medicare	$37.56

ZZ KATZEN INF WIRES 35/3

Facility OP

$570.55

Hospital Charge Code	41567252
Hospital Revenue Code	270
Min. Negotiated Rate	$199.69
Max. Negotiated Rate	$456.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$313.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$285.28
Rate for Payer: Aetna Government	$285.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$456.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$387.97
Rate for Payer: Group Health Inc Commercial	$285.28
Rate for Payer: Group Health Inc Medicare	$199.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.28
Rate for Payer: Hamaspik Choice Inc Medicare	$285.28

ZZ KATZEN INF WIRES 35/6

Facility OP

$570.55

Hospital Charge Code	41567253
Hospital Revenue Code	270
Min. Negotiated Rate	$199.69
Max. Negotiated Rate	$456.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$313.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$285.28
Rate for Payer: Aetna Government	$285.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$456.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$387.97
Rate for Payer: Group Health Inc Commercial	$285.28
Rate for Payer: Group Health Inc Medicare	$199.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.28
Rate for Payer: Hamaspik Choice Inc Medicare	$285.28

ZZ KATZEN INF WIRES 35/9

Facility OP

$570.55

Hospital Charge Code	41567254
Hospital Revenue Code	270
Min. Negotiated Rate	$199.69
Max. Negotiated Rate	$456.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$313.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$285.28
Rate for Payer: Aetna Government	$285.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$456.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$387.97
Rate for Payer: Group Health Inc Commercial	$285.28
Rate for Payer: Group Health Inc Medicare	$199.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.28
Rate for Payer: Hamaspik Choice Inc Medicare	$285.28

ZZ KC GASTROSTOMY FEEDING TUBE

Facility OP

$66.28

Hospital Charge Code	41561900
Hospital Revenue Code	270
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$53.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$36.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$33.14
Rate for Payer: Aetna Government	$33.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$45.07
Rate for Payer: Group Health Inc Commercial	$33.14
Rate for Payer: Group Health Inc Medicare	$23.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$33.14
Rate for Payer: Hamaspik Choice Inc Medicare	$33.14

ZZ KC GASTROSTOMY FEEDING TUBE

Facility OP

$66.28

Hospital Charge Code	30301900
Hospital Revenue Code	270
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$53.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$36.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$33.14
Rate for Payer: Aetna Government	$33.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$45.07
Rate for Payer: Group Health Inc Commercial	$33.14
Rate for Payer: Group Health Inc Medicare	$23.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$33.14
Rate for Payer: Hamaspik Choice Inc Medicare	$33.14

ZZ KC TRANSGASTRIC FEEDING KIT

Facility OP

$66.28

Hospital Charge Code	41561901
Hospital Revenue Code	270
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$53.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$36.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$33.14
Rate for Payer: Aetna Government	$33.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$45.07
Rate for Payer: Group Health Inc Commercial	$33.14
Rate for Payer: Group Health Inc Medicare	$23.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$33.14
Rate for Payer: Hamaspik Choice Inc Medicare	$33.14

ZZ KIT INTRO SURG 6 FR 150 20

Facility OP

$187.50

Hospital Charge Code	41568091
Hospital Revenue Code	270
Min. Negotiated Rate	$65.62
Max. Negotiated Rate	$150.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$103.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$93.75
Rate for Payer: Aetna Government	$93.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$150.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$127.50
Rate for Payer: Group Health Inc Commercial	$93.75
Rate for Payer: Group Health Inc Medicare	$65.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.75
Rate for Payer: Hamaspik Choice Inc Medicare	$93.75

ZZ KIT MIDLINE 2 LMN 5.5F

Facility OP

$397.50

Hospital Charge Code	41568092
Hospital Revenue Code	270
Min. Negotiated Rate	$139.12
Max. Negotiated Rate	$318.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$218.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$198.75
Rate for Payer: Aetna Government	$198.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$318.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$270.30
Rate for Payer: Group Health Inc Commercial	$198.75
Rate for Payer: Group Health Inc Medicare	$139.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$198.75
Rate for Payer: Hamaspik Choice Inc Medicare	$198.75

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