St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ STENT/WALLSTENT/SCHNEIDER 1068

Facility IP

$2,400.54

Service Code	HCPCS C1876
Hospital Charge Code	41569251
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.27
Max. Negotiated Rate	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1,200.27

ZZ STENT/WALLSTENT/SCHNEIDER 1068

Facility OP

$2,400.54

Service Code	HCPCS C1876
Hospital Charge Code	41569251
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,520.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,320.30
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	$1,200.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,380.31
Rate for Payer: Fidelis Medicare Advantage	$2,520.57
Rate for Payer: Group Health Inc Commercial	$1,200.27
Rate for Payer: Group Health Inc Medicare	$840.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1,200.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,560.35

ZZ STENT/WALLSTENT/SCHNEIDER1260

Facility OP

$2,400.54

Service Code	HCPCS C1876
Hospital Charge Code	41569253
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,520.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,320.30
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	$1,200.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,380.31
Rate for Payer: Fidelis Medicare Advantage	$2,520.57
Rate for Payer: Group Health Inc Commercial	$1,200.27
Rate for Payer: Group Health Inc Medicare	$840.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1,200.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,560.35

ZZ STENT/WALLSTENT/SCHNEIDER1260

Facility IP

$2,400.54

Service Code	HCPCS C1876
Hospital Charge Code	41569253
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.27
Max. Negotiated Rate	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1,200.27

ZZ STENT/WALLSTENT/SCHNEIDER1455

Facility IP

$2,400.54

Service Code	HCPCS C1876
Hospital Charge Code	41569191
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.27
Max. Negotiated Rate	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1,200.27

ZZ STENT/WALLSTENT/SCHNEIDER1455

Facility OP

$2,400.54

Service Code	HCPCS C1876
Hospital Charge Code	41569191
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,520.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,320.30
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	$1,200.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,380.31
Rate for Payer: Fidelis Medicare Advantage	$2,520.57
Rate for Payer: Group Health Inc Commercial	$1,200.27
Rate for Payer: Group Health Inc Medicare	$840.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1,200.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,560.35

ZZ STENT/WALLSTENT/SCHNEIDER1660

Facility IP

$2,400.54

Service Code	HCPCS C1876
Hospital Charge Code	41569192
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.27
Max. Negotiated Rate	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1,200.27

ZZ STENT/WALLSTENT/SCHNEIDER1660

Facility OP

$2,400.54

Service Code	HCPCS C1876
Hospital Charge Code	41569192
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,520.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,320.30
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	$1,200.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,380.31
Rate for Payer: Fidelis Medicare Advantage	$2,520.57
Rate for Payer: Group Health Inc Commercial	$1,200.27
Rate for Payer: Group Health Inc Medicare	$840.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1,200.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,560.35

ZZ STENT/WALLSTENT/SCHNEIDER860

Facility OP

$2,400.54

Service Code	HCPCS C1876
Hospital Charge Code	41569193
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,520.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,320.30
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	$1,200.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,380.31
Rate for Payer: Fidelis Medicare Advantage	$2,520.57
Rate for Payer: Group Health Inc Commercial	$1,200.27
Rate for Payer: Group Health Inc Medicare	$840.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1,200.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,560.35

ZZ STENT/WALLSTENT/SCHNEIDER860

Facility IP

$2,400.54

Service Code	HCPCS C1876
Hospital Charge Code	41569193
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.27
Max. Negotiated Rate	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,200.27
Rate for Payer: Hamaspik Choice Inc Medicare	$1,200.27

ZZ STEREOTACTIC NEEDLE PROBE

Facility OP

$520.00

Hospital Charge Code	41569935
Hospital Revenue Code	279
Min. Negotiated Rate	$182.00
Max. Negotiated Rate	$416.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$286.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$260.00
Rate for Payer: Aetna Government	$260.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$416.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$353.60
Rate for Payer: Group Health Inc Commercial	$260.00
Rate for Payer: Group Health Inc Medicare	$182.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00

ZZ STEREOTACTIC TISSUE MARKER

Facility OP

$166.00

Hospital Charge Code	41569936
Hospital Revenue Code	279
Min. Negotiated Rate	$58.10
Max. Negotiated Rate	$132.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$91.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$83.00
Rate for Payer: Aetna Government	$83.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$132.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.88
Rate for Payer: Group Health Inc Commercial	$83.00
Rate for Payer: Group Health Inc Medicare	$58.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$83.00
Rate for Payer: Hamaspik Choice Inc Medicare	$83.00

ZZ STERI DRAPE 1012

Facility OP

$12.76

Hospital Charge Code	41567005
Hospital Revenue Code	270
Min. Negotiated Rate	$4.47
Max. Negotiated Rate	$10.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.38
Rate for Payer: Aetna Government	$6.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.68
Rate for Payer: Group Health Inc Commercial	$6.38
Rate for Payer: Group Health Inc Medicare	$4.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.38
Rate for Payer: Hamaspik Choice Inc Medicare	$6.38

ZZ STERI DRAPE 1092

Facility OP

$6.73

Hospital Charge Code	41567006
Hospital Revenue Code	270
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$5.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.36
Rate for Payer: Aetna Government	$3.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.58
Rate for Payer: Group Health Inc Commercial	$3.36
Rate for Payer: Group Health Inc Medicare	$2.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.36
Rate for Payer: Hamaspik Choice Inc Medicare	$3.36

ZZ STERO. 11GA APERTURE SLEEVE

Facility OP

$30.00

Hospital Charge Code	41568715
Hospital Revenue Code	270
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$24.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.00
Rate for Payer: Aetna Government	$15.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.40
Rate for Payer: Group Health Inc Commercial	$15.00
Rate for Payer: Group Health Inc Medicare	$10.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.00
Rate for Payer: Hamaspik Choice Inc Medicare	$15.00

ZZ STERO. 11GA MAMMOTOME PROBE

Facility OP

$488.00

Hospital Charge Code	41568713
Hospital Revenue Code	270
Min. Negotiated Rate	$170.80
Max. Negotiated Rate	$390.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$268.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$244.00
Rate for Payer: Aetna Government	$244.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$390.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$331.84
Rate for Payer: Group Health Inc Commercial	$244.00
Rate for Payer: Group Health Inc Medicare	$170.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$244.00
Rate for Payer: Hamaspik Choice Inc Medicare	$244.00

ZZ STERO. 11GA MAMMOTOME PROBE GU

Facility OP

$14.40

Hospital Charge Code	41568712
Hospital Revenue Code	270
Min. Negotiated Rate	$5.04
Max. Negotiated Rate	$11.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.20
Rate for Payer: Aetna Government	$7.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.79
Rate for Payer: Group Health Inc Commercial	$7.20
Rate for Payer: Group Health Inc Medicare	$5.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.20
Rate for Payer: Hamaspik Choice Inc Medicare	$7.20

ZZ STERO. 11GA MARK SITE-SING SIT

Facility OP

$174.00

Hospital Charge Code	41568714
Hospital Revenue Code	270
Min. Negotiated Rate	$60.90
Max. Negotiated Rate	$139.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$95.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$87.00
Rate for Payer: Aetna Government	$87.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$139.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$118.32
Rate for Payer: Group Health Inc Commercial	$87.00
Rate for Payer: Group Health Inc Medicare	$60.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.00
Rate for Payer: Hamaspik Choice Inc Medicare	$87.00

ZZ STERO. 1200CC VACUUM CANNISTER

Facility OP

$12.25

Hospital Charge Code	41568718
Hospital Revenue Code	270
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$9.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.12
Rate for Payer: Aetna Government	$6.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.33
Rate for Payer: Group Health Inc Commercial	$6.12
Rate for Payer: Group Health Inc Medicare	$4.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.12
Rate for Payer: Hamaspik Choice Inc Medicare	$6.12

ZZ STERO 27GA, 1.5 INCH NEEDLES

Facility OP

$0.10

Hospital Charge Code	41568719
Hospital Revenue Code	270
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.05
Rate for Payer: Aetna Government	$0.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.07
Rate for Payer: Group Health Inc Commercial	$0.05
Rate for Payer: Group Health Inc Medicare	$0.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.05
Rate for Payer: Hamaspik Choice Inc Medicare	$0.05

ZZ STERO. 8GA APERTURE SLEEVE

Facility OP

$30.00

Hospital Charge Code	41568711
Hospital Revenue Code	270
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$24.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.00
Rate for Payer: Aetna Government	$15.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.40
Rate for Payer: Group Health Inc Commercial	$15.00
Rate for Payer: Group Health Inc Medicare	$10.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.00
Rate for Payer: Hamaspik Choice Inc Medicare	$15.00

ZZ STERO 8GA MAMMOTOME PROBE GUID

Facility OP

$14.40

Hospital Charge Code	41568708
Hospital Revenue Code	270
Min. Negotiated Rate	$5.04
Max. Negotiated Rate	$11.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.20
Rate for Payer: Aetna Government	$7.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.79
Rate for Payer: Group Health Inc Commercial	$7.20
Rate for Payer: Group Health Inc Medicare	$5.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.20
Rate for Payer: Hamaspik Choice Inc Medicare	$7.20

ZZ STERO. 8GA MARK SITE-SING SITE

Facility OP

$174.00

Hospital Charge Code	41568710
Hospital Revenue Code	270
Min. Negotiated Rate	$60.90
Max. Negotiated Rate	$139.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$95.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$87.00
Rate for Payer: Aetna Government	$87.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$139.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$118.32
Rate for Payer: Group Health Inc Commercial	$87.00
Rate for Payer: Group Health Inc Medicare	$60.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.00
Rate for Payer: Hamaspik Choice Inc Medicare	$87.00

ZZ STERO. 8GA MMAMOTOME PROBE

Facility OP

$530.00

Hospital Charge Code	41568709
Hospital Revenue Code	270
Min. Negotiated Rate	$185.50
Max. Negotiated Rate	$424.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$291.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$265.00
Rate for Payer: Aetna Government	$265.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$424.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$360.40
Rate for Payer: Group Health Inc Commercial	$265.00
Rate for Payer: Group Health Inc Medicare	$185.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$265.00
Rate for Payer: Hamaspik Choice Inc Medicare	$265.00

ZZ STERO. CORETAINERS FOR SPECIME

Facility OP

$41.00

Hospital Charge Code	41568720
Hospital Revenue Code	270
Min. Negotiated Rate	$14.35
Max. Negotiated Rate	$32.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.50
Rate for Payer: Aetna Government	$20.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$27.88
Rate for Payer: Group Health Inc Commercial	$20.50
Rate for Payer: Group Health Inc Medicare	$14.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.50
Rate for Payer: Hamaspik Choice Inc Medicare	$20.50

Price Transparency.

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