St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ STERO HAWKINS 2 HARDWIRE 10CM

Facility OP

$60.00

Hospital Charge Code	41568722
Hospital Revenue Code	270
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$48.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.00
Rate for Payer: Aetna Government	$30.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.80
Rate for Payer: Group Health Inc Commercial	$30.00
Rate for Payer: Group Health Inc Medicare	$21.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.00
Rate for Payer: Hamaspik Choice Inc Medicare	$30.00

ZZ STERO HAWKINS 2 HARDWIRE 12.5C

Facility OP

$60.00

Hospital Charge Code	41568723
Hospital Revenue Code	270
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$48.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.00
Rate for Payer: Aetna Government	$30.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.80
Rate for Payer: Group Health Inc Commercial	$30.00
Rate for Payer: Group Health Inc Medicare	$21.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.00
Rate for Payer: Hamaspik Choice Inc Medicare	$30.00

ZZ STERO HOLOGIC NDL GUIDES/UNIT

Facility OP

$24.00

Hospital Charge Code	41568724
Hospital Revenue Code	270
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$19.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.00
Rate for Payer: Aetna Government	$12.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$19.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.32
Rate for Payer: Group Health Inc Commercial	$12.00
Rate for Payer: Group Health Inc Medicare	$8.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.00
Rate for Payer: Hamaspik Choice Inc Medicare	$12.00

ZZ STERO. MAMMOTOME VACUUM SET

Facility OP

$32.80

Hospital Charge Code	41568716
Hospital Revenue Code	270
Min. Negotiated Rate	$11.48
Max. Negotiated Rate	$26.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$18.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.40
Rate for Payer: Aetna Government	$16.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$22.30
Rate for Payer: Group Health Inc Commercial	$16.40
Rate for Payer: Group Health Inc Medicare	$11.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.40
Rate for Payer: Hamaspik Choice Inc Medicare	$16.40

ZZ STERO. MARK SITE 2 (2ND SITE)

Facility OP

$187.00

Hospital Charge Code	41568717
Hospital Revenue Code	270
Min. Negotiated Rate	$65.45
Max. Negotiated Rate	$149.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$102.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$93.50
Rate for Payer: Aetna Government	$93.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$149.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$127.16
Rate for Payer: Group Health Inc Commercial	$93.50
Rate for Payer: Group Health Inc Medicare	$65.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.50
Rate for Payer: Hamaspik Choice Inc Medicare	$93.50

ZZ STERO RABINOV SIALOGRAM P-12S

Facility OP

$70.82

Hospital Charge Code	41568725
Hospital Revenue Code	270
Min. Negotiated Rate	$24.79
Max. Negotiated Rate	$56.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$35.41
Rate for Payer: Aetna Government	$35.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$48.16
Rate for Payer: Group Health Inc Commercial	$35.41
Rate for Payer: Group Health Inc Medicare	$24.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.41
Rate for Payer: Hamaspik Choice Inc Medicare	$35.41

ZZ STERO RABINOV SIALOGRAM P-16S

Facility OP

$70.82

Hospital Charge Code	41568726
Hospital Revenue Code	270
Min. Negotiated Rate	$24.79
Max. Negotiated Rate	$56.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$35.41
Rate for Payer: Aetna Government	$35.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$48.16
Rate for Payer: Group Health Inc Commercial	$35.41
Rate for Payer: Group Health Inc Medicare	$24.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.41
Rate for Payer: Hamaspik Choice Inc Medicare	$35.41

ZZ STERO RABINOV SIALOGRAM P-22S

Facility OP

$70.82

Hospital Charge Code	41568727
Hospital Revenue Code	270
Min. Negotiated Rate	$24.79
Max. Negotiated Rate	$56.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$35.41
Rate for Payer: Aetna Government	$35.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$48.16
Rate for Payer: Group Health Inc Commercial	$35.41
Rate for Payer: Group Health Inc Medicare	$24.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.41
Rate for Payer: Hamaspik Choice Inc Medicare	$35.41

ZZ STOP COCK (MODEL VG1)

Facility OP

$2.84

Hospital Charge Code	41567507
Hospital Revenue Code	270
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$2.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.42
Rate for Payer: Aetna Government	$1.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.93
Rate for Payer: Group Health Inc Commercial	$1.42
Rate for Payer: Group Health Inc Medicare	$0.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.42
Rate for Payer: Hamaspik Choice Inc Medicare	$1.42

ZZ STRAIG CATH 4/ST/65/35

Facility OP

$48.55

Hospital Charge Code	41567243
Hospital Revenue Code	270
Min. Negotiated Rate	$16.99
Max. Negotiated Rate	$38.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$24.28
Rate for Payer: Aetna Government	$24.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$38.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.01
Rate for Payer: Group Health Inc Commercial	$24.28
Rate for Payer: Group Health Inc Medicare	$16.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.28
Rate for Payer: Hamaspik Choice Inc Medicare	$24.28

ZZ STRAIGHT FLUSH CATHETER

Facility OP

$97.10

Hospital Charge Code	41567163
Hospital Revenue Code	270
Min. Negotiated Rate	$33.98
Max. Negotiated Rate	$77.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$53.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$48.55
Rate for Payer: Aetna Government	$48.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$66.03
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

ZZ SUB4 BALON 2.5-4/3.8/120

Facility OP

$1,206.29

Hospital Charge Code	41567200
Hospital Revenue Code	270
Min. Negotiated Rate	$422.20
Max. Negotiated Rate	$965.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$663.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$603.14
Rate for Payer: Aetna Government	$603.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$965.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$820.28
Rate for Payer: Group Health Inc Commercial	$603.14
Rate for Payer: Group Health Inc Medicare	$422.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$603.14
Rate for Payer: Hamaspik Choice Inc Medicare	$603.14

ZZ SUB4 BALON 3.0-2/3.8/120

Facility OP

$1,206.29

Hospital Charge Code	41567201
Hospital Revenue Code	270
Min. Negotiated Rate	$422.20
Max. Negotiated Rate	$965.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$663.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$603.14
Rate for Payer: Aetna Government	$603.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$965.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$820.28
Rate for Payer: Group Health Inc Commercial	$603.14
Rate for Payer: Group Health Inc Medicare	$422.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$603.14
Rate for Payer: Hamaspik Choice Inc Medicare	$603.14

ZZ SUB4 BALON 3.0-4/3.8/120

Facility OP

$1,206.29

Hospital Charge Code	41567202
Hospital Revenue Code	270
Min. Negotiated Rate	$422.20
Max. Negotiated Rate	$965.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$663.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$603.14
Rate for Payer: Aetna Government	$603.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$965.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$820.28
Rate for Payer: Group Health Inc Commercial	$603.14
Rate for Payer: Group Health Inc Medicare	$422.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$603.14
Rate for Payer: Hamaspik Choice Inc Medicare	$603.14

ZZ SUB4 BALON 3.5-2/3.8/120

Facility OP

$1,206.29

Hospital Charge Code	41567203
Hospital Revenue Code	270
Min. Negotiated Rate	$422.20
Max. Negotiated Rate	$965.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$663.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$603.14
Rate for Payer: Aetna Government	$603.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$965.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$820.28
Rate for Payer: Group Health Inc Commercial	$603.14
Rate for Payer: Group Health Inc Medicare	$422.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$603.14
Rate for Payer: Hamaspik Choice Inc Medicare	$603.14

ZZ SUB4 BALON 3.5-4/3.8/120

Facility OP

$1,206.29

Hospital Charge Code	41567204
Hospital Revenue Code	270
Min. Negotiated Rate	$422.20
Max. Negotiated Rate	$965.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$663.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$603.14
Rate for Payer: Aetna Government	$603.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$965.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$820.28
Rate for Payer: Group Health Inc Commercial	$603.14
Rate for Payer: Group Health Inc Medicare	$422.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$603.14
Rate for Payer: Hamaspik Choice Inc Medicare	$603.14

ZZ SUB4 BALON 4.0-2/3.8/120

Facility OP

$1,206.29

Hospital Charge Code	41567205
Hospital Revenue Code	270
Min. Negotiated Rate	$422.20
Max. Negotiated Rate	$965.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$663.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$603.14
Rate for Payer: Aetna Government	$603.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$965.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$820.28
Rate for Payer: Group Health Inc Commercial	$603.14
Rate for Payer: Group Health Inc Medicare	$422.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$603.14
Rate for Payer: Hamaspik Choice Inc Medicare	$603.14

ZZ SUB4 BALON 4.0-2/3.8/80

Facility OP

$1,108.49

Hospital Charge Code	41567199
Hospital Revenue Code	270
Min. Negotiated Rate	$387.97
Max. Negotiated Rate	$886.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$609.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$554.24
Rate for Payer: Aetna Government	$554.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$886.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$753.77
Rate for Payer: Group Health Inc Commercial	$554.24
Rate for Payer: Group Health Inc Medicare	$387.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$554.24
Rate for Payer: Hamaspik Choice Inc Medicare	$554.24

ZZ SUB4 BALON 4.5-2/3.8/120

Facility OP

$1,206.29

Hospital Charge Code	41567206
Hospital Revenue Code	270
Min. Negotiated Rate	$422.20
Max. Negotiated Rate	$965.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$663.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$603.14
Rate for Payer: Aetna Government	$603.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$965.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$820.28
Rate for Payer: Group Health Inc Commercial	$603.14
Rate for Payer: Group Health Inc Medicare	$422.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$603.14
Rate for Payer: Hamaspik Choice Inc Medicare	$603.14

ZZ SUMP CATH 12 18 ACL

Facility OP

$322.83

Hospital Charge Code	41567190
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 SUMP CATH 14 18 ACL

Facility OP

$322.83

Hospital Charge Code	41567191
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 SUMP CATH 16 18 ACL

Facility OP

$322.83

Hospital Charge Code	41567192
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 SUPER AROW FLEX 10F/35

Facility OP

$179.32

Hospital Charge Code	41567333
Hospital Revenue Code	270
Min. Negotiated Rate	$62.76
Max. Negotiated Rate	$143.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$98.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$89.66
Rate for Payer: Aetna Government	$89.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$143.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$121.94
Rate for Payer: Group Health Inc Commercial	$89.66
Rate for Payer: Group Health Inc Medicare	$62.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$89.66
Rate for Payer: Hamaspik Choice Inc Medicare	$89.66

ZZ SUPER ARROW FLEX 8F/24

Facility OP

$124.04

Hospital Charge Code	41567327
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 SUTURE REMOVAL KIT

Facility OP

$241.73

Hospital Charge Code	41568874
Hospital Revenue Code	270
Min. Negotiated Rate	$84.61
Max. Negotiated Rate	$193.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$120.86
Rate for Payer: Aetna Government	$120.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$193.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$164.38
Rate for Payer: Group Health Inc Commercial	$120.86
Rate for Payer: Group Health Inc Medicare	$84.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.86
Rate for Payer: Hamaspik Choice Inc Medicare	$120.86

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