St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ VENACAVA FILTER SYSTEM 9FR70CM

Facility OP

$3,331.13

Service Code	HCPCS C1880
Hospital Charge Code	41569663
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$3,497.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,832.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,665.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,915.40
Rate for Payer: Fidelis Medicare Advantage	$3,497.69
Rate for Payer: Group Health Inc Commercial	$1,665.56
Rate for Payer: Group Health Inc Medicare	$1,165.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,665.56
Rate for Payer: Hamaspik Choice Inc Medicare	$1,665.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,165.23

ZZ VENATECH VENACAVAL FIL

Facility IP

$3,048.34

Service Code	HCPCS C1880
Hospital Charge Code	41567132
Hospital Revenue Code	278
Min. Negotiated Rate	$1,524.17
Max. Negotiated Rate	$1,524.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,524.17
Rate for Payer: Hamaspik Choice Inc Medicare	$1,524.17

ZZ VENATECH VENACAVAL FIL

Facility OP

$3,048.34

Service Code	HCPCS C1880
Hospital Charge Code	41567132
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$3,200.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,676.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,524.17
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,752.80
Rate for Payer: Fidelis Medicare Advantage	$3,200.76
Rate for Payer: Group Health Inc Commercial	$1,524.17
Rate for Payer: Group Health Inc Medicare	$1,066.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,524.17
Rate for Payer: Hamaspik Choice Inc Medicare	$1,524.17
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,981.42

ZZ VENOUS PORT/DUAL LUMEN

Facility OP

$1,477.75

Hospital Charge Code	41569206
Hospital Revenue Code	270
Min. Negotiated Rate	$517.21
Max. Negotiated Rate	$1,182.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$812.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$738.88
Rate for Payer: Aetna Government	$738.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,182.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,004.87
Rate for Payer: Group Health Inc Commercial	$738.88
Rate for Payer: Group Health Inc Medicare	$517.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$738.88
Rate for Payer: Hamaspik Choice Inc Medicare	$738.88

ZZ VENOUS PORT/SLIM TITANIUM

Facility OP

$1,082.27

Hospital Charge Code	41569208
Hospital Revenue Code	270
Min. Negotiated Rate	$378.79
Max. Negotiated Rate	$865.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$595.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$541.14
Rate for Payer: Aetna Government	$541.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$865.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$735.94
Rate for Payer: Group Health Inc Commercial	$541.14
Rate for Payer: Group Health Inc Medicare	$378.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$541.14
Rate for Payer: Hamaspik Choice Inc Medicare	$541.14

ZZ VENOUS PORT/VITAL DUAL LUMEN

Facility OP

$1,206.54

Hospital Charge Code	41569209
Hospital Revenue Code	270
Min. Negotiated Rate	$422.29
Max. Negotiated Rate	$965.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$663.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$603.27
Rate for Payer: Aetna Government	$603.27
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$965.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$820.45
Rate for Payer: Group Health Inc Commercial	$603.27
Rate for Payer: Group Health Inc Medicare	$422.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$603.27
Rate for Payer: Hamaspik Choice Inc Medicare	$603.27

ZZ VENOUS PORT/VITAL MINI

Facility OP

$931.30

Hospital Charge Code	41569210
Hospital Revenue Code	270
Min. Negotiated Rate	$325.96
Max. Negotiated Rate	$745.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$512.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$465.65
Rate for Payer: Aetna Government	$465.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$745.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$633.28
Rate for Payer: Group Health Inc Commercial	$465.65
Rate for Payer: Group Health Inc Medicare	$325.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$465.65
Rate for Payer: Hamaspik Choice Inc Medicare	$465.65

ZZ VENOUS PORT/VITAL PETITE

Facility OP

$835.31

Hospital Charge Code	41569211
Hospital Revenue Code	270
Min. Negotiated Rate	$292.36
Max. Negotiated Rate	$668.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$459.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$417.66
Rate for Payer: Aetna Government	$417.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$668.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$568.01
Rate for Payer: Group Health Inc Commercial	$417.66
Rate for Payer: Group Health Inc Medicare	$292.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$417.66
Rate for Payer: Hamaspik Choice Inc Medicare	$417.66

ZZ VETEFIX COOK

Facility OP

$430.00

Hospital Charge Code	41569966
Hospital Revenue Code	279
Min. Negotiated Rate	$150.50
Max. Negotiated Rate	$344.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$236.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$215.00
Rate for Payer: Aetna Government	$215.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$344.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$292.40
Rate for Payer: Group Health Inc Commercial	$215.00
Rate for Payer: Group Health Inc Medicare	$150.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$215.00
Rate for Payer: Hamaspik Choice Inc Medicare	$215.00

ZZ VIABAHN 5X5CM ENDOGRAFT

Facility OP

$5,240.00

Hospital Charge Code	41567520
Hospital Revenue Code	279
Min. Negotiated Rate	$1,834.00
Max. Negotiated Rate	$4,192.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,882.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,620.00
Rate for Payer: Aetna Government	$2,620.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,192.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,563.20
Rate for Payer: Group Health Inc Commercial	$2,620.00
Rate for Payer: Group Health Inc Medicare	$1,834.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,620.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,620.00

ZZ VIABAHN 6X10CM ENDOGRAFT

Facility OP

$5,240.00

Hospital Charge Code	41567567
Hospital Revenue Code	279
Min. Negotiated Rate	$1,834.00
Max. Negotiated Rate	$4,192.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,882.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,620.00
Rate for Payer: Aetna Government	$2,620.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,192.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,563.20
Rate for Payer: Group Health Inc Commercial	$2,620.00
Rate for Payer: Group Health Inc Medicare	$1,834.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,620.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,620.00

ZZ VIABAHN 6X10CM ENDOGRAFT

Facility OP

$705.83

Hospital Charge Code	41567539
Hospital Revenue Code	279
Min. Negotiated Rate	$247.04
Max. Negotiated Rate	$564.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$388.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$352.92
Rate for Payer: Aetna Government	$352.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$564.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$479.96
Rate for Payer: Group Health Inc Commercial	$352.92
Rate for Payer: Group Health Inc Medicare	$247.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$352.92
Rate for Payer: Hamaspik Choice Inc Medicare	$352.92

ZZ VIABAHN 6X15CM ENDOGRAFT

Facility OP

$5,240.00

Hospital Charge Code	41567568
Hospital Revenue Code	279
Min. Negotiated Rate	$1,834.00
Max. Negotiated Rate	$4,192.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,882.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,620.00
Rate for Payer: Aetna Government	$2,620.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,192.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,563.20
Rate for Payer: Group Health Inc Commercial	$2,620.00
Rate for Payer: Group Health Inc Medicare	$1,834.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,620.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,620.00

ZZ VIABAHN 6X5CM ENDOGRAFT

Facility OP

$5,240.00

Hospital Charge Code	41567566
Hospital Revenue Code	279
Min. Negotiated Rate	$1,834.00
Max. Negotiated Rate	$4,192.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,882.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,620.00
Rate for Payer: Aetna Government	$2,620.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,192.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,563.20
Rate for Payer: Group Health Inc Commercial	$2,620.00
Rate for Payer: Group Health Inc Medicare	$1,834.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,620.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,620.00

ZZ VIABAHN 8X10CM ENDOGRAFT

Facility OP

$5,240.00

Hospital Charge Code	41567570
Hospital Revenue Code	279
Min. Negotiated Rate	$1,834.00
Max. Negotiated Rate	$4,192.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,882.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,620.00
Rate for Payer: Aetna Government	$2,620.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,192.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,563.20
Rate for Payer: Group Health Inc Commercial	$2,620.00
Rate for Payer: Group Health Inc Medicare	$1,834.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,620.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,620.00

ZZ VIABAHN 8X5CM ENDOGRAFT

Facility OP

$5,240.00

Hospital Charge Code	41567569
Hospital Revenue Code	279
Min. Negotiated Rate	$1,834.00
Max. Negotiated Rate	$4,192.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,882.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,620.00
Rate for Payer: Aetna Government	$2,620.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,192.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,563.20
Rate for Payer: Group Health Inc Commercial	$2,620.00
Rate for Payer: Group Health Inc Medicare	$1,834.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,620.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,620.00

ZZ VIABAHN 8X5X75

Facility OP

$5,655.83

Hospital Charge Code	41569805
Hospital Revenue Code	279
Min. Negotiated Rate	$1,979.54
Max. Negotiated Rate	$4,524.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,110.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,827.92
Rate for Payer: Aetna Government	$2,827.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,524.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,845.96
Rate for Payer: Group Health Inc Commercial	$2,827.92
Rate for Payer: Group Health Inc Medicare	$1,979.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,827.92
Rate for Payer: Hamaspik Choice Inc Medicare	$2,827.92

ZZ VIABAHN ENCAT 8FX110X6

Facility OP

$6,789.83

Hospital Charge Code	41569807
Hospital Revenue Code	279
Min. Negotiated Rate	$2,376.44
Max. Negotiated Rate	$5,431.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,734.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,394.92
Rate for Payer: Aetna Government	$3,394.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,431.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,617.08
Rate for Payer: Group Health Inc Commercial	$3,394.92
Rate for Payer: Group Health Inc Medicare	$2,376.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,394.92
Rate for Payer: Hamaspik Choice Inc Medicare	$3,394.92

ZZ VIABAHN ENCAT 9FX75X7

Facility OP

$5,655.83

Hospital Charge Code	41569811
Hospital Revenue Code	279
Min. Negotiated Rate	$1,979.54
Max. Negotiated Rate	$4,524.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,110.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,827.92
Rate for Payer: Aetna Government	$2,827.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,524.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,845.96
Rate for Payer: Group Health Inc Commercial	$2,827.92
Rate for Payer: Group Health Inc Medicare	$1,979.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,827.92
Rate for Payer: Hamaspik Choice Inc Medicare	$2,827.92

ZZ VIABAHN ENCAT 9FX75X8

Facility OP

$5,655.83

Hospital Charge Code	41569808
Hospital Revenue Code	279
Min. Negotiated Rate	$1,979.54
Max. Negotiated Rate	$4,524.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,110.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,827.92
Rate for Payer: Aetna Government	$2,827.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,524.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,845.96
Rate for Payer: Group Health Inc Commercial	$2,827.92
Rate for Payer: Group Health Inc Medicare	$1,979.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,827.92
Rate for Payer: Hamaspik Choice Inc Medicare	$2,827.92

ZZ VIABAHN IX 7X5X75

Facility OP

$5,655.83

Hospital Charge Code	41569804
Hospital Revenue Code	279
Min. Negotiated Rate	$1,979.54
Max. Negotiated Rate	$4,524.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,110.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,827.92
Rate for Payer: Aetna Government	$2,827.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,524.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,845.96
Rate for Payer: Group Health Inc Commercial	$2,827.92
Rate for Payer: Group Health Inc Medicare	$1,979.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,827.92
Rate for Payer: Hamaspik Choice Inc Medicare	$2,827.92

ZZ VIATORR ENDOPROST 10M 6X 2CM

Facility OP

$6,241.20

Hospital Charge Code	41569860
Hospital Revenue Code	279
Min. Negotiated Rate	$2,184.42
Max. Negotiated Rate	$4,992.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,432.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,120.60
Rate for Payer: Aetna Government	$3,120.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,992.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,244.02
Rate for Payer: Group Health Inc Commercial	$3,120.60
Rate for Payer: Group Health Inc Medicare	$2,184.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,120.60
Rate for Payer: Hamaspik Choice Inc Medicare	$3,120.60

ZZ VIATORR ENDOPROST 10M 7X 2CM

Facility OP

$7,246.00

Hospital Charge Code	41567849
Hospital Revenue Code	279
Min. Negotiated Rate	$2,536.10
Max. Negotiated Rate	$5,796.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,985.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,623.00
Rate for Payer: Aetna Government	$3,623.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,796.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,927.28
Rate for Payer: Group Health Inc Commercial	$3,623.00
Rate for Payer: Group Health Inc Medicare	$2,536.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,623.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,623.00

ZZ VIATORR ENDOPROST 10M 8X 2CM

Facility OP

$7,246.00

Hospital Charge Code	41567850
Hospital Revenue Code	279
Min. Negotiated Rate	$2,536.10
Max. Negotiated Rate	$5,796.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,985.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,623.00
Rate for Payer: Aetna Government	$3,623.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,796.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,927.28
Rate for Payer: Group Health Inc Commercial	$3,623.00
Rate for Payer: Group Health Inc Medicare	$2,536.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,623.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,623.00

ZZ VISIPAQUE(IODXANOL) INJ 320MG

Facility OP

$185.38

Hospital Charge Code	41569032
Hospital Revenue Code	255
Min. Negotiated Rate	$64.88
Max. Negotiated Rate	$148.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$101.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$92.69
Rate for Payer: Aetna Government	$92.69
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$148.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$126.06
Rate for Payer: Group Health Inc Commercial	$92.69
Rate for Payer: Group Health Inc Medicare	$64.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$92.69
Rate for Payer: Hamaspik Choice Inc Medicare	$92.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$120.50

Price Transparency.

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