St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ MICROCOIL TORN 18S 6/2

Facility OP

$247.71

Hospital Charge Code	41567137
Hospital Revenue Code	270
Min. Negotiated Rate	$86.70
Max. Negotiated Rate	$198.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$136.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$123.86
Rate for Payer: Aetna Government	$123.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$198.17
Rate for Payer: Cigna LocalPlus Benefit Plan	$168.44
Rate for Payer: Group Health Inc Commercial	$123.86
Rate for Payer: Group Health Inc Medicare	$86.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.86
Rate for Payer: Hamaspik Choice Inc Medicare	$123.86

ZZ MICRO PEELAWAY SET 4.5

Facility OP

$124.04

Hospital Charge Code	41567042
Hospital Revenue Code	270
Min. Negotiated Rate	$43.41
Max. Negotiated Rate	$99.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$68.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$62.02
Rate for Payer: Aetna Government	$62.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$99.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$84.35
Rate for Payer: Group Health Inc Commercial	$62.02
Rate for Payer: Group Health Inc Medicare	$43.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.02
Rate for Payer: Hamaspik Choice Inc Medicare	$62.02

ZZ MICRO PEELAWAY SET 5

Facility OP

$124.04

Hospital Charge Code	41567043
Hospital Revenue Code	270
Min. Negotiated Rate	$43.41
Max. Negotiated Rate	$99.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$68.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$62.02
Rate for Payer: Aetna Government	$62.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$99.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$84.35
Rate for Payer: Group Health Inc Commercial	$62.02
Rate for Payer: Group Health Inc Medicare	$43.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.02
Rate for Payer: Hamaspik Choice Inc Medicare	$62.02

ZZ MICRO PEELAWAY SET 5.5

Facility OP

$124.04

Hospital Charge Code	41567044
Hospital Revenue Code	270
Min. Negotiated Rate	$43.41
Max. Negotiated Rate	$99.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$68.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$62.02
Rate for Payer: Aetna Government	$62.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$99.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$84.35
Rate for Payer: Group Health Inc Commercial	$62.02
Rate for Payer: Group Health Inc Medicare	$43.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.02
Rate for Payer: Hamaspik Choice Inc Medicare	$62.02

ZZ MICRO PEELAWAY SET 6

Facility OP

$124.04

Hospital Charge Code	41567045
Hospital Revenue Code	270
Min. Negotiated Rate	$43.41
Max. Negotiated Rate	$99.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$68.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$62.02
Rate for Payer: Aetna Government	$62.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$99.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$84.35
Rate for Payer: Group Health Inc Commercial	$62.02
Rate for Payer: Group Health Inc Medicare	$43.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.02
Rate for Payer: Hamaspik Choice Inc Medicare	$62.02

ZZ MICROPUNC KIT 4F 21G

Facility OP

$75.13

Hospital Charge Code	41567009
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 MICROPUNC KIT 5FR 21G

Facility OP

$75.13

Hospital Charge Code	41567010
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 MICROPUNCTURE 4.5F

Facility OP

$86.63

Hospital Charge Code	41569258
Hospital Revenue Code	270
Min. Negotiated Rate	$30.32
Max. Negotiated Rate	$69.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$47.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$43.32
Rate for Payer: Aetna Government	$43.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$69.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$58.91
Rate for Payer: Group Health Inc Commercial	$43.32
Rate for Payer: Group Health Inc Medicare	$30.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.32
Rate for Payer: Hamaspik Choice Inc Medicare	$43.32

ZZ MICROPUNCTURE 4F

Facility OP

$51.57

Hospital Charge Code	41569259
Hospital Revenue Code	270
Min. Negotiated Rate	$18.05
Max. Negotiated Rate	$41.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.78
Rate for Payer: Aetna Government	$25.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$35.07
Rate for Payer: Group Health Inc Commercial	$25.78
Rate for Payer: Group Health Inc Medicare	$18.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.78
Rate for Payer: Hamaspik Choice Inc Medicare	$25.78

ZZ MICROPUNCTURE 5.5F

Facility OP

$96.75

Hospital Charge Code	41569260
Hospital Revenue Code	270
Min. Negotiated Rate	$33.86
Max. Negotiated Rate	$77.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$53.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$48.38
Rate for Payer: Aetna Government	$48.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$65.79
Rate for Payer: Group Health Inc Commercial	$48.38
Rate for Payer: Group Health Inc Medicare	$33.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$48.38
Rate for Payer: Hamaspik Choice Inc Medicare	$48.38

ZZ MICROPUNCTURE 6F

Facility OP

$86.63

Hospital Charge Code	41569261
Hospital Revenue Code	270
Min. Negotiated Rate	$30.32
Max. Negotiated Rate	$69.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$47.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$43.32
Rate for Payer: Aetna Government	$43.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$69.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$58.91
Rate for Payer: Group Health Inc Commercial	$43.32
Rate for Payer: Group Health Inc Medicare	$30.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.32
Rate for Payer: Hamaspik Choice Inc Medicare	$43.32

ZZ MICROPUNCTURE 7F

Facility OP

$86.63

Hospital Charge Code	41569262
Hospital Revenue Code	270
Min. Negotiated Rate	$30.32
Max. Negotiated Rate	$69.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$47.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$43.32
Rate for Payer: Aetna Government	$43.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$69.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$58.91
Rate for Payer: Group Health Inc Commercial	$43.32
Rate for Payer: Group Health Inc Medicare	$30.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.32
Rate for Payer: Hamaspik Choice Inc Medicare	$43.32

ZZ MICROSHERES 100-300

Facility OP

$230.00

Hospital Charge Code	41569877
Hospital Revenue Code	270
Min. Negotiated Rate	$80.50
Max. Negotiated Rate	$184.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$126.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$115.00
Rate for Payer: Aetna Government	$115.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$184.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$156.40
Rate for Payer: Group Health Inc Commercial	$115.00
Rate for Payer: Group Health Inc Medicare	$80.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$115.00
Rate for Payer: Hamaspik Choice Inc Medicare	$115.00

ZZ MIK VISCERAL CATH. 5FR.038 80C

Facility OP

$55.10

Service Code	HCPCS C1887
Hospital Charge Code	41567742
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$57.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.21
Rate for Payer: Aetna Government	$3.21
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$27.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.68
Rate for Payer: Fidelis Medicare Advantage	$57.86
Rate for Payer: Group Health Inc Commercial	$27.55
Rate for Payer: Group Health Inc Medicare	$19.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.55
Rate for Payer: Hamaspik Choice Inc Medicare	$27.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$35.82

ZZ MIK VISCERAL CATH. 5FR.038 80C

Facility IP

$55.10

Service Code	HCPCS C1887
Hospital Charge Code	41567742
Hospital Revenue Code	278
Min. Negotiated Rate	$27.55
Max. Negotiated Rate	$27.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.55
Rate for Payer: Hamaspik Choice Inc Medicare	$27.55

ZZ MINIMIX COOK

Facility OP

$220.00

Hospital Charge Code	41569965
Hospital Revenue Code	279
Min. Negotiated Rate	$77.00
Max. Negotiated Rate	$176.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$121.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$110.00
Rate for Payer: Aetna Government	$110.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$176.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$149.60
Rate for Payer: Group Health Inc Commercial	$110.00
Rate for Payer: Group Health Inc Medicare	$77.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$110.00
Rate for Payer: Hamaspik Choice Inc Medicare	$110.00

ZZ MM RESOLVE CATHETER

Facility OP

$120.00

Hospital Charge Code	41561355
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$96.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$66.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$60.00
Rate for Payer: Aetna Government	$60.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$96.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.60
Rate for Payer: Group Health Inc Commercial	$60.00
Rate for Payer: Group Health Inc Medicare	$42.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$60.00
Rate for Payer: Hamaspik Choice Inc Medicare	$60.00

ZZ MONTE - 1, PULM CATH

Facility OP

$50.67

Hospital Charge Code	41567504
Hospital Revenue Code	270
Min. Negotiated Rate	$17.73
Max. Negotiated Rate	$40.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.87
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.34
Rate for Payer: Aetna Government	$25.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.46
Rate for Payer: Group Health Inc Commercial	$25.34
Rate for Payer: Group Health Inc Medicare	$17.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.34
Rate for Payer: Hamaspik Choice Inc Medicare	$25.34

ZZ MONTEFIORE SPEC CATH

Facility OP

$50.67

Hospital Charge Code	41567187
Hospital Revenue Code	270
Min. Negotiated Rate	$17.73
Max. Negotiated Rate	$40.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.87
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.34
Rate for Payer: Aetna Government	$25.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.46
Rate for Payer: Group Health Inc Commercial	$25.34
Rate for Payer: Group Health Inc Medicare	$17.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.34
Rate for Payer: Hamaspik Choice Inc Medicare	$25.34

ZZ MOTOR DRIVE

Facility OP

$322.83

Hospital Charge Code	41567197
Hospital Revenue Code	270
Min. Negotiated Rate	$112.99
Max. Negotiated Rate	$258.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$177.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$161.42
Rate for Payer: Aetna Government	$161.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$258.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$219.52
Rate for Payer: Group Health Inc Commercial	$161.42
Rate for Payer: Group Health Inc Medicare	$112.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$161.42
Rate for Payer: Hamaspik Choice Inc Medicare	$161.42

ZZ MULTI ANGLE REPLACEMENT KIT

Facility OP

$1,009.97

Hospital Charge Code	41569034
Hospital Revenue Code	270
Min. Negotiated Rate	$353.49
Max. Negotiated Rate	$807.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$555.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$504.98
Rate for Payer: Aetna Government	$504.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$807.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$686.78
Rate for Payer: Group Health Inc Commercial	$504.98
Rate for Payer: Group Health Inc Medicare	$353.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$504.98
Rate for Payer: Hamaspik Choice Inc Medicare	$504.98

ZZ MULTI TORQUE VISE

Facility OP

$19.49

Hospital Charge Code	41567307
Hospital Revenue Code	270
Min. Negotiated Rate	$6.82
Max. Negotiated Rate	$15.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$9.74
Rate for Payer: Aetna Government	$9.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$15.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.25
Rate for Payer: Group Health Inc Commercial	$9.74
Rate for Payer: Group Health Inc Medicare	$6.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.74
Rate for Payer: Hamaspik Choice Inc Medicare	$9.74

ZZ MUSTANG PTA

Facility OP

$500.00

Hospital Charge Code	66520351
Hospital Revenue Code	270
Min. Negotiated Rate	$175.00
Max. Negotiated Rate	$400.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$250.00
Rate for Payer: Aetna Government	$250.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$400.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$340.00
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$175.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$250.00

ZZ MYNX 5F

Facility OP

$460.00

Service Code	HCPCS C1760
Hospital Charge Code	41567746
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$483.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$253.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$73.50
Rate for Payer: Aetna Government	$73.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$230.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$264.50
Rate for Payer: Fidelis Medicare Advantage	$483.00
Rate for Payer: Group Health Inc Commercial	$230.00
Rate for Payer: Group Health Inc Medicare	$161.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$230.00
Rate for Payer: Hamaspik Choice Inc Medicare	$230.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$299.00

ZZ MYNX 5F

Facility IP

$460.00

Service Code	HCPCS C1760
Hospital Charge Code	41567746
Hospital Revenue Code	278
Min. Negotiated Rate	$230.00
Max. Negotiated Rate	$230.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$230.00
Rate for Payer: Hamaspik Choice Inc Medicare	$230.00

Price Transparency.

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