St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ PICC LINE 7F/65 MORPHEUS DUAL

Facility IP

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	41568416
Hospital Revenue Code	278
Min. Negotiated Rate	$110.00
Max. Negotiated Rate	$110.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$110.00
Rate for Payer: Hamaspik Choice Inc Medicare	$110.00

ZZ PICC LINE/7F DUAL LUMEN

Facility OP

$153.75

Service Code	HCPCS C1751
Hospital Charge Code	41569467
Hospital Revenue Code	278
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$161.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$84.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.08
Rate for Payer: Aetna Government	$7.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$76.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$88.41
Rate for Payer: Fidelis Medicare Advantage	$161.44
Rate for Payer: Group Health Inc Commercial	$76.88
Rate for Payer: Group Health Inc Medicare	$53.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$76.88
Rate for Payer: Hamaspik Choice Inc Medicare	$76.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$99.94

ZZ PICC LINE/7F DUAL LUMEN

Facility IP

$153.75

Service Code	HCPCS C1751
Hospital Charge Code	41569467
Hospital Revenue Code	278
Min. Negotiated Rate	$76.88
Max. Negotiated Rate	$76.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$76.88
Rate for Payer: Hamaspik Choice Inc Medicare	$76.88

ZZ PICC LINES 4, 1 LUMEN

Facility OP

$163.01

Service Code	HCPCS C1751
Hospital Charge Code	41567313
Hospital Revenue Code	278
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$171.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$89.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.08
Rate for Payer: Aetna Government	$7.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$81.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$93.73
Rate for Payer: Fidelis Medicare Advantage	$171.16
Rate for Payer: Group Health Inc Commercial	$81.50
Rate for Payer: Group Health Inc Medicare	$57.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.50
Rate for Payer: Hamaspik Choice Inc Medicare	$81.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$105.96

ZZ PICC LINES 4, 1 LUMEN

Facility IP

$163.01

Service Code	HCPCS C1751
Hospital Charge Code	41567313
Hospital Revenue Code	278
Min. Negotiated Rate	$81.50
Max. Negotiated Rate	$81.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.50
Rate for Payer: Hamaspik Choice Inc Medicare	$81.50

ZZ PICC LINES 5, 1 LUMEN

Facility IP

$163.01

Service Code	HCPCS C1751
Hospital Charge Code	41567315
Hospital Revenue Code	278
Min. Negotiated Rate	$81.50
Max. Negotiated Rate	$81.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.50
Rate for Payer: Hamaspik Choice Inc Medicare	$81.50

ZZ PICC LINES 5, 1 LUMEN

Facility OP

$163.01

Service Code	HCPCS C1751
Hospital Charge Code	41567315
Hospital Revenue Code	278
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$171.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$89.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.08
Rate for Payer: Aetna Government	$7.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$81.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$93.73
Rate for Payer: Fidelis Medicare Advantage	$171.16
Rate for Payer: Group Health Inc Commercial	$81.50
Rate for Payer: Group Health Inc Medicare	$57.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.50
Rate for Payer: Hamaspik Choice Inc Medicare	$81.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$105.96

ZZ PICC LINES 5, 2 LUMEN

Facility OP

$221.84

Service Code	HCPCS C1751
Hospital Charge Code	41567314
Hospital Revenue Code	278
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$232.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$122.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.08
Rate for Payer: Aetna Government	$7.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$110.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$127.56
Rate for Payer: Fidelis Medicare Advantage	$232.93
Rate for Payer: Group Health Inc Commercial	$110.92
Rate for Payer: Group Health Inc Medicare	$77.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$110.92
Rate for Payer: Hamaspik Choice Inc Medicare	$110.92
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$144.20

ZZ PICC LINES 5, 2 LUMEN

Facility IP

$221.84

Service Code	HCPCS C1751
Hospital Charge Code	41567314
Hospital Revenue Code	278
Min. Negotiated Rate	$110.92
Max. Negotiated Rate	$110.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$110.92
Rate for Payer: Hamaspik Choice Inc Medicare	$110.92

ZZ PIGTAIL CATHETER 4

Facility IP

$97.10

Service Code	HCPCS C1725
Hospital Charge Code	41567162
Hospital Revenue Code	278
Min. Negotiated Rate	$48.55
Max. Negotiated Rate	$48.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$48.55
Rate for Payer: Hamaspik Choice Inc Medicare	$48.55

ZZ PIGTAIL CATHETER 4

Facility OP

$97.10

Service Code	HCPCS C1725
Hospital Charge Code	41567162
Hospital Revenue Code	278
Min. Negotiated Rate	$33.98
Max. Negotiated Rate	$101.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$53.40
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	$48.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$55.83
Rate for Payer: Fidelis Medicare Advantage	$101.96
Rate for Payer: Group Health Inc Commercial	$48.55
Rate for Payer: Group Health Inc Medicare	$33.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$48.55
Rate for Payer: Hamaspik Choice Inc Medicare	$48.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$63.12

ZZ PIX CATHETER SET

Facility OP

$225.03

Hospital Charge Code	41567318
Hospital Revenue Code	270
Min. Negotiated Rate	$78.76
Max. Negotiated Rate	$180.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$123.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$112.52
Rate for Payer: Aetna Government	$112.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$180.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.02
Rate for Payer: Group Health Inc Commercial	$112.52
Rate for Payer: Group Health Inc Medicare	$78.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.52
Rate for Payer: Hamaspik Choice Inc Medicare	$112.52

ZZ PLATINU PLUS WR 18-180

Facility OP

$277.13

Service Code	HCPCS C1769
Hospital Charge Code	41567127
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$290.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$152.42
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	$138.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$159.35
Rate for Payer: Fidelis Medicare Advantage	$290.99
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
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$180.13

ZZ PLATINU PLUS WR 18-180

Facility IP

$277.13

Service Code	HCPCS C1769
Hospital Charge Code	41567127
Hospital Revenue Code	278
Min. Negotiated Rate	$138.56
Max. Negotiated Rate	$138.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.56
Rate for Payer: Hamaspik Choice Inc Medicare	$138.56

ZZ PLEUREX DRNG KIT

Facility OP

$136.08

Hospital Charge Code	41569636
Hospital Revenue Code	270
Min. Negotiated Rate	$47.63
Max. Negotiated Rate	$108.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$74.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$68.04
Rate for Payer: Aetna Government	$68.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$108.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.53
Rate for Payer: Group Health Inc Commercial	$68.04
Rate for Payer: Group Health Inc Medicare	$47.63
Rate for Payer: Hamaspik Choice Inc Medicaid	$68.04
Rate for Payer: Hamaspik Choice Inc Medicare	$68.04

ZZ PLEUREX PIR CAT KIT

Facility OP

$722.93

Hospital Charge Code	41569635
Hospital Revenue Code	270
Min. Negotiated Rate	$253.03
Max. Negotiated Rate	$578.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$397.61
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$361.46
Rate for Payer: Aetna Government	$361.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$578.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$491.59
Rate for Payer: Group Health Inc Commercial	$361.46
Rate for Payer: Group Health Inc Medicare	$253.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$361.46
Rate for Payer: Hamaspik Choice Inc Medicare	$361.46

ZZ PLEURX CATHETER SYSTEM

Facility OP

$1,100.00

Hospital Charge Code	41561931
Hospital Revenue Code	279
Min. Negotiated Rate	$385.00
Max. Negotiated Rate	$880.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$605.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$550.00
Rate for Payer: Aetna Government	$550.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$880.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$748.00
Rate for Payer: Group Health Inc Commercial	$550.00
Rate for Payer: Group Health Inc Medicare	$385.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$550.00
Rate for Payer: Hamaspik Choice Inc Medicare	$550.00

ZZ PLEURX KIT 500ML

Facility OP

$1,140.00

Hospital Charge Code	41567741
Hospital Revenue Code	270
Min. Negotiated Rate	$399.00
Max. Negotiated Rate	$912.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$627.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$570.00
Rate for Payer: Aetna Government	$570.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$912.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$775.20
Rate for Payer: Group Health Inc Commercial	$570.00
Rate for Payer: Group Health Inc Medicare	$399.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$570.00
Rate for Payer: Hamaspik Choice Inc Medicare	$570.00

ZZ PNEUMSTAT CHEST DRAIN VALVE

Facility OP

$283.22

Hospital Charge Code	41569816
Hospital Revenue Code	270
Min. Negotiated Rate	$99.13
Max. Negotiated Rate	$226.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$155.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$141.61
Rate for Payer: Aetna Government	$141.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$226.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$192.59
Rate for Payer: Group Health Inc Commercial	$141.61
Rate for Payer: Group Health Inc Medicare	$99.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$141.61
Rate for Payer: Hamaspik Choice Inc Medicare	$141.61

ZZ PORTNER KOOLPE BILIARY BIOPSY

Facility OP

$54.76

Hospital Charge Code	41569470
Hospital Revenue Code	270
Min. Negotiated Rate	$19.17
Max. Negotiated Rate	$43.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$27.38
Rate for Payer: Aetna Government	$27.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.81
Rate for Payer: Cigna LocalPlus Benefit Plan	$37.24
Rate for Payer: Group Health Inc Commercial	$27.38
Rate for Payer: Group Health Inc Medicare	$19.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.38
Rate for Payer: Hamaspik Choice Inc Medicare	$27.38

ZZ POSIS MED PUMPSET

Facility OP

$637.88

Service Code	HCPCS C1757
Hospital Charge Code	41569560
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$669.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$350.83
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.33
Rate for Payer: Aetna Government	$16.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$318.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$366.78
Rate for Payer: Fidelis Medicare Advantage	$669.77
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
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$414.62

ZZ POSIS MED PUMPSET

Facility IP

$637.88

Service Code	HCPCS C1757
Hospital Charge Code	41569560
Hospital Revenue Code	278
Min. Negotiated Rate	$318.94
Max. Negotiated Rate	$318.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$318.94
Rate for Payer: Hamaspik Choice Inc Medicare	$318.94

ZZ POSIS XPEEDIOR 100CM

Facility IP

$2,735.78

Service Code	HCPCS C1757
Hospital Charge Code	41569561
Hospital Revenue Code	278
Min. Negotiated Rate	$1,367.89
Max. Negotiated Rate	$1,367.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,367.89
Rate for Payer: Hamaspik Choice Inc Medicare	$1,367.89

ZZ POSIS XPEEDIOR 100CM

Facility OP

$2,735.78

Service Code	HCPCS C1757
Hospital Charge Code	41569561
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$2,872.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,504.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.33
Rate for Payer: Aetna Government	$16.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,367.89
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,573.07
Rate for Payer: Fidelis Medicare Advantage	$2,872.57
Rate for Payer: Group Health Inc Commercial	$1,367.89
Rate for Payer: Group Health Inc Medicare	$957.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,367.89
Rate for Payer: Hamaspik Choice Inc Medicare	$1,367.89
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,778.26

ZZ POSIS XPEEDIOR 135CM

Facility IP

$4,039.88

Service Code	HCPCS C1757
Hospital Charge Code	41569726
Hospital Revenue Code	278
Min. Negotiated Rate	$2,019.94
Max. Negotiated Rate	$2,019.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,019.94
Rate for Payer: Hamaspik Choice Inc Medicare	$2,019.94

Price Transparency.

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