St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ SUTURE REMOVAL KIT

Facility OP

$3.90

Hospital Charge Code	41568878
Hospital Revenue Code	270
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$3.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.95
Rate for Payer: Aetna Government	$1.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.65
Rate for Payer: Group Health Inc Commercial	$1.95
Rate for Payer: Group Health Inc Medicare	$1.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.95
Rate for Payer: Hamaspik Choice Inc Medicare	$1.95

ZZ SYMMETRY/SS/2-2-135

Facility OP

$827.12

Hospital Charge Code	41569097
Hospital Revenue Code	270
Min. Negotiated Rate	$289.49
Max. Negotiated Rate	$661.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$454.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$413.56
Rate for Payer: Aetna Government	$413.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$661.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$562.44
Rate for Payer: Group Health Inc Commercial	$413.56
Rate for Payer: Group Health Inc Medicare	$289.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$413.56
Rate for Payer: Hamaspik Choice Inc Medicare	$413.56

ZZ SYRINGE 20CC

Facility OP

$0.71

Hospital Charge Code	41567523
Hospital Revenue Code	270
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.36
Rate for Payer: Aetna Government	$0.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.48
Rate for Payer: Group Health Inc Commercial	$0.36
Rate for Payer: Group Health Inc Medicare	$0.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.36
Rate for Payer: Hamaspik Choice Inc Medicare	$0.36

ZZ SYRINGE 30CC

Facility OP

$0.71

Hospital Charge Code	41567524
Hospital Revenue Code	270
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.36
Rate for Payer: Aetna Government	$0.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.48
Rate for Payer: Group Health Inc Commercial	$0.36
Rate for Payer: Group Health Inc Medicare	$0.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.36
Rate for Payer: Hamaspik Choice Inc Medicare	$0.36

ZZ SYRINGE 60CC

Facility OP

$1.06

Hospital Charge Code	41567525
Hospital Revenue Code	270
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.53
Rate for Payer: Aetna Government	$0.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.85
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.72
Rate for Payer: Group Health Inc Commercial	$0.53
Rate for Payer: Group Health Inc Medicare	$0.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.53
Rate for Payer: Hamaspik Choice Inc Medicare	$0.53

ZZ SYRINGES 10CC

Facility OP

$0.36

Hospital Charge Code	41567521
Hospital Revenue Code	270
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.18
Rate for Payer: Aetna Government	$0.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.29
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.24
Rate for Payer: Group Health Inc Commercial	$0.18
Rate for Payer: Group Health Inc Medicare	$0.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.18
Rate for Payer: Hamaspik Choice Inc Medicare	$0.18

ZZ TAL PALINDROME 14.5FR/CHX19CM

Facility OP

$835.43

Hospital Charge Code	41561891
Hospital Revenue Code	272
Min. Negotiated Rate	$292.40
Max. Negotiated Rate	$668.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$459.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$417.72
Rate for Payer: Aetna Government	$417.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$668.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$568.09
Rate for Payer: Group Health Inc Commercial	$417.72
Rate for Payer: Group Health Inc Medicare	$292.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$417.72
Rate for Payer: Hamaspik Choice Inc Medicare	$417.72

ZZ TAL PALINDROME 14.5FR/CHX23CM

Facility OP

$835.43

Hospital Charge Code	41561892
Hospital Revenue Code	272
Min. Negotiated Rate	$292.40
Max. Negotiated Rate	$668.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$459.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$417.72
Rate for Payer: Aetna Government	$417.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$668.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$568.09
Rate for Payer: Group Health Inc Commercial	$417.72
Rate for Payer: Group Health Inc Medicare	$292.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$417.72
Rate for Payer: Hamaspik Choice Inc Medicare	$417.72

ZZ TECH., TIME 1ST HALF HOUR

Facility OP

$309.73

Hospital Charge Code	41546000
Hospital Revenue Code	360
Min. Negotiated Rate	$108.41
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$170.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$154.86
Rate for Payer: Aetna Government	$154.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Group Health Inc Commercial	$154.86
Rate for Payer: Group Health Inc Medicare	$108.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$154.86
Rate for Payer: Hamaspik Choice Inc Medicare	$154.86

ZZ TECH. TIME ADD'L HALF HOUR

Facility OP

$285.27

Hospital Charge Code	41546001
Hospital Revenue Code	360
Min. Negotiated Rate	$99.84
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$156.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$142.64
Rate for Payer: Aetna Government	$142.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Group Health Inc Commercial	$142.64
Rate for Payer: Group Health Inc Medicare	$99.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$142.64
Rate for Payer: Hamaspik Choice Inc Medicare	$142.64

ZZ TECH. TIME ADD'L QR. HOUR

Facility OP

$142.81

Hospital Charge Code	41546002
Hospital Revenue Code	360
Min. Negotiated Rate	$49.98
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$78.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$71.40
Rate for Payer: Aetna Government	$71.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Group Health Inc Commercial	$71.40
Rate for Payer: Group Health Inc Medicare	$49.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.40
Rate for Payer: Hamaspik Choice Inc Medicare	$71.40

ZZ TEMNO

Facility OP

$116.95

Hospital Charge Code	41569817
Hospital Revenue Code	270
Min. Negotiated Rate	$40.93
Max. Negotiated Rate	$93.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$64.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$58.48
Rate for Payer: Aetna Government	$58.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$93.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$79.53
Rate for Payer: Group Health Inc Commercial	$58.48
Rate for Payer: Group Health Inc Medicare	$40.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$58.48
Rate for Payer: Hamaspik Choice Inc Medicare	$58.48

ZZ TEMNO ADJ BX 18X15

Facility OP

$119.50

Hospital Charge Code	41569641
Hospital Revenue Code	270
Min. Negotiated Rate	$41.82
Max. Negotiated Rate	$95.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$65.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$59.75
Rate for Payer: Aetna Government	$59.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$95.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.26
Rate for Payer: Group Health Inc Commercial	$59.75
Rate for Payer: Group Health Inc Medicare	$41.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.75
Rate for Payer: Hamaspik Choice Inc Medicare	$59.75

ZZ TEMNO ADJ BX 20X15

Facility OP

$119.50

Hospital Charge Code	41569643
Hospital Revenue Code	270
Min. Negotiated Rate	$41.82
Max. Negotiated Rate	$95.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$65.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$59.75
Rate for Payer: Aetna Government	$59.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$95.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.26
Rate for Payer: Group Health Inc Commercial	$59.75
Rate for Payer: Group Health Inc Medicare	$41.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.75
Rate for Payer: Hamaspik Choice Inc Medicare	$59.75

ZZ TEMNO ADJ BX 20X20

Facility OP

$119.50

Hospital Charge Code	41569642
Hospital Revenue Code	270
Min. Negotiated Rate	$41.82
Max. Negotiated Rate	$95.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$65.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$59.75
Rate for Payer: Aetna Government	$59.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$95.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.26
Rate for Payer: Group Health Inc Commercial	$59.75
Rate for Payer: Group Health Inc Medicare	$41.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.75
Rate for Payer: Hamaspik Choice Inc Medicare	$59.75

ZZ TENNIS RAC CTH 65 5.35

Facility OP

$51.74

Hospital Charge Code	41567244
Hospital Revenue Code	272
Min. Negotiated Rate	$18.11
Max. Negotiated Rate	$41.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.87
Rate for Payer: Aetna Government	$25.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$35.18
Rate for Payer: Group Health Inc Commercial	$25.87
Rate for Payer: Group Health Inc Medicare	$18.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.87
Rate for Payer: Hamaspik Choice Inc Medicare	$25.87

ZZ TERUMO GLIDE CATH. 5FR. X100CM

Facility OP

$103.50

Hospital Charge Code	41567733
Hospital Revenue Code	270
Min. Negotiated Rate	$36.22
Max. Negotiated Rate	$82.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$56.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$51.75
Rate for Payer: Aetna Government	$51.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$82.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$70.38
Rate for Payer: Group Health Inc Commercial	$51.75
Rate for Payer: Group Health Inc Medicare	$36.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$51.75
Rate for Payer: Hamaspik Choice Inc Medicare	$51.75

ZZ TFE COATCURV 0.25/200/15MM

Facility OP

$80.80

Hospital Charge Code	41569822
Hospital Revenue Code	270
Min. Negotiated Rate	$28.28
Max. Negotiated Rate	$64.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$40.40
Rate for Payer: Aetna Government	$40.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$64.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$54.94
Rate for Payer: Group Health Inc Commercial	$40.40
Rate for Payer: Group Health Inc Medicare	$28.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.40
Rate for Payer: Hamaspik Choice Inc Medicare	$40.40

ZZ THOMBOLYSIS/MTI INFUSION/10CM

Facility OP

$180.74

Hospital Charge Code	41569194
Hospital Revenue Code	270
Min. Negotiated Rate	$63.26
Max. Negotiated Rate	$144.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$90.37
Rate for Payer: Aetna Government	$90.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$144.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$122.90
Rate for Payer: Group Health Inc Commercial	$90.37
Rate for Payer: Group Health Inc Medicare	$63.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.37
Rate for Payer: Hamaspik Choice Inc Medicare	$90.37

ZZ THORACENTESIS CATH SET

Facility OP

$101.00

Hospital Charge Code	41567319
Hospital Revenue Code	272
Min. Negotiated Rate	$35.35
Max. Negotiated Rate	$80.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.50
Rate for Payer: Aetna Government	$50.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.68
Rate for Payer: Group Health Inc Commercial	$50.50
Rate for Payer: Group Health Inc Medicare	$35.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50
Rate for Payer: Hamaspik Choice Inc Medicare	$50.50

ZZ THORACIC VENT

Facility OP

$635.75

Hospital Charge Code	41567326
Hospital Revenue Code	270
Min. Negotiated Rate	$222.51
Max. Negotiated Rate	$508.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$349.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$317.88
Rate for Payer: Aetna Government	$317.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$508.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$432.31
Rate for Payer: Group Health Inc Commercial	$317.88
Rate for Payer: Group Health Inc Medicare	$222.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$317.88
Rate for Payer: Hamaspik Choice Inc Medicare	$317.88

ZZ THROBOLYSIS/INFUSION/4F/5CM

Facility OP

$202.00

Hospital Charge Code	41569195
Hospital Revenue Code	270
Min. Negotiated Rate	$70.70
Max. Negotiated Rate	$161.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$111.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$101.00
Rate for Payer: Aetna Government	$101.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$161.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$137.36
Rate for Payer: Group Health Inc Commercial	$101.00
Rate for Payer: Group Health Inc Medicare	$70.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$101.00
Rate for Payer: Hamaspik Choice Inc Medicare	$101.00

ZZ THROMBOLYSIS/MEWISSEN/10CM

Facility OP

$169.04

Hospital Charge Code	41569197
Hospital Revenue Code	270
Min. Negotiated Rate	$59.16
Max. Negotiated Rate	$135.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$92.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$84.52
Rate for Payer: Aetna Government	$84.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$135.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$114.95
Rate for Payer: Group Health Inc Commercial	$84.52
Rate for Payer: Group Health Inc Medicare	$59.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$84.52
Rate for Payer: Hamaspik Choice Inc Medicare	$84.52

ZZ THROMBOLYSIS/MTI INFUSION/5CM

Facility OP

$180.74

Hospital Charge Code	41569198
Hospital Revenue Code	270
Min. Negotiated Rate	$63.26
Max. Negotiated Rate	$144.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$90.37
Rate for Payer: Aetna Government	$90.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$144.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$122.90
Rate for Payer: Group Health Inc Commercial	$90.37
Rate for Payer: Group Health Inc Medicare	$63.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.37
Rate for Payer: Hamaspik Choice Inc Medicare	$90.37

ZZ THRUWAY GUIDEWIRE 018-190CM

Facility IP

$200.66

Service Code	HCPCS C1769
Hospital Charge Code	41569870
Hospital Revenue Code	278
Min. Negotiated Rate	$100.33
Max. Negotiated Rate	$100.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.33
Rate for Payer: Hamaspik Choice Inc Medicare	$100.33

Price Transparency.

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