St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STANDARD HARD PADDLES

Facility

$1,042.80

Hospital Charge Code	64902836
Hospital Revenue Code	270
Min. Negotiated Rate	$364.98
Max. Negotiated Rate	$834.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$573.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$521.40
Rate for Payer: Aetna Government	$521.40
Rate for Payer: Brighton Health Commercial	$782.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$834.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$709.10
Rate for Payer: Group Health Inc Commercial	$521.40
Rate for Payer: Group Health Inc Medicare	$364.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$521.40
Rate for Payer: Hamaspik Choice Inc Medicare	$521.40

STANDARD PEG KIT PUSH 20FR

Facility

$380.00

Hospital Charge Code	40209780
Hospital Revenue Code	270
Min. Negotiated Rate	$133.00
Max. Negotiated Rate	$304.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$209.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$190.00
Rate for Payer: Aetna Government	$190.00
Rate for Payer: Brighton Health Commercial	$285.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$304.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$258.40
Rate for Payer: Group Health Inc Commercial	$190.00
Rate for Payer: Group Health Inc Medicare	$133.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$190.00
Rate for Payer: Hamaspik Choice Inc Medicare	$190.00

STANDR POLY PATELLA SZ32 8.5MM

Facility

$2,269.50

Service Code	HCPCS C1776
Hospital Charge Code	40209933
Hospital Revenue Code	278
Min. Negotiated Rate	$1,134.75
Max. Negotiated Rate	$1,134.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,134.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,134.75

STANDR POLY PATELLA SZ32 8.5MM

Facility

$2,269.50

Service Code	HCPCS C1776
Hospital Charge Code	40209933
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,382.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,248.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,361.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,134.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,304.96
Rate for Payer: EmblemHealth Commercial	$1,134.75
Rate for Payer: Fidelis Medicare Advantage	$2,382.98
Rate for Payer: Group Health Inc Commercial	$1,134.75
Rate for Payer: Group Health Inc Medicare	$794.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,134.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,134.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,475.18

STAPLE 16MM STAPIX

Facility

$4,170.00

Service Code	HCPCS C1713
Hospital Charge Code	40006562
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,378.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,293.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,502.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,085.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,397.75
Rate for Payer: EmblemHealth Commercial	$2,085.00
Rate for Payer: Fidelis Medicare Advantage	$4,378.50
Rate for Payer: Group Health Inc Commercial	$2,085.00
Rate for Payer: Group Health Inc Medicare	$1,459.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,085.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,085.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,710.50

STAPLE 16MM STAPIX

Facility

$4,170.00

Service Code	HCPCS C1713
Hospital Charge Code	40006562
Hospital Revenue Code	278
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$2,085.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,085.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,085.00

STAPLE BARBED

Facility

$70.00

Service Code	HCPCS C1713
Hospital Charge Code	40202127
Hospital Revenue Code	278
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$35.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.00
Rate for Payer: Hamaspik Choice Inc Medicare	$35.00

STAPLE BARBED

Facility

$70.00

Service Code	HCPCS C1713
Hospital Charge Code	40202127
Hospital Revenue Code	278
Min. Negotiated Rate	$24.50
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$42.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$35.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.25
Rate for Payer: EmblemHealth Commercial	$35.00
Rate for Payer: Fidelis Medicare Advantage	$73.50
Rate for Payer: Group Health Inc Commercial	$35.00
Rate for Payer: Group Health Inc Medicare	$24.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.00
Rate for Payer: Hamaspik Choice Inc Medicare	$35.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$45.50

STAPLE BONE FIX LO PRO

Facility

$2.50

Service Code	HCPCS C1713
Hospital Charge Code	64907344
Hospital Revenue Code	278
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1.25

STAPLE BONE FIX LO PRO

Facility

$2.50

Service Code	HCPCS C1713
Hospital Charge Code	64907344
Hospital Revenue Code	278
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.44
Rate for Payer: EmblemHealth Commercial	$1.25
Rate for Payer: Fidelis Medicare Advantage	$2.62
Rate for Payer: Group Health Inc Commercial	$1.25
Rate for Payer: Group Health Inc Medicare	$0.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.62

STAPLE NITINOL

Facility

$6,255.00

Service Code	HCPCS C1889
Hospital Charge Code	64907484
Hospital Revenue Code	278
Min. Negotiated Rate	$3,127.50
Max. Negotiated Rate	$3,127.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,127.50
Rate for Payer: Hamaspik Choice Inc Medicare	$3,127.50

STAPLE NITINOL

Facility

$6,255.00

Service Code	HCPCS C1889
Hospital Charge Code	64907484
Hospital Revenue Code	278
Min. Negotiated Rate	$2,189.25
Max. Negotiated Rate	$6,567.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,440.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,127.50
Rate for Payer: Aetna Government	$3,127.50
Rate for Payer: Brighton Health Commercial	$3,753.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,127.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,596.62
Rate for Payer: EmblemHealth Commercial	$3,127.50
Rate for Payer: Fidelis Medicare Advantage	$6,567.75
Rate for Payer: Group Health Inc Commercial	$3,127.50
Rate for Payer: Group Health Inc Medicare	$2,189.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,127.50
Rate for Payer: Hamaspik Choice Inc Medicare	$3,127.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,065.75

STAPLER 25MM DIAMETER

Facility

$802.03

Hospital Charge Code	64905134
Hospital Revenue Code	270
Min. Negotiated Rate	$280.71
Max. Negotiated Rate	$641.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$441.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$401.02
Rate for Payer: Aetna Government	$401.02
Rate for Payer: Brighton Health Commercial	$601.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$641.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$545.38
Rate for Payer: Group Health Inc Commercial	$401.02
Rate for Payer: Group Health Inc Medicare	$280.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$401.02
Rate for Payer: Hamaspik Choice Inc Medicare	$401.02

STAPLER CONTOUR CURVED CUTTER

Facility

$1,124.63

Hospital Charge Code	64905450
Hospital Revenue Code	270
Min. Negotiated Rate	$393.62
Max. Negotiated Rate	$899.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$618.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$562.32
Rate for Payer: Aetna Government	$562.32
Rate for Payer: Brighton Health Commercial	$843.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$899.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$764.75
Rate for Payer: Group Health Inc Commercial	$562.32
Rate for Payer: Group Health Inc Medicare	$393.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$562.32
Rate for Payer: Hamaspik Choice Inc Medicare	$562.32

STAPLER DST GIA C

Facility

$345.60

Hospital Charge Code	64907040
Hospital Revenue Code	270
Min. Negotiated Rate	$120.96
Max. Negotiated Rate	$276.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$190.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$172.80
Rate for Payer: Aetna Government	$172.80
Rate for Payer: Brighton Health Commercial	$259.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$276.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$235.01
Rate for Payer: Group Health Inc Commercial	$172.80
Rate for Payer: Group Health Inc Medicare	$120.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$172.80
Rate for Payer: Hamaspik Choice Inc Medicare	$172.80

STAPLER EEA CIRCULAR

Facility

$896.41

Hospital Charge Code	64904648
Hospital Revenue Code	270
Min. Negotiated Rate	$313.74
Max. Negotiated Rate	$717.13
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$493.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$448.20
Rate for Payer: Aetna Government	$448.20
Rate for Payer: Brighton Health Commercial	$672.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$717.13
Rate for Payer: Cigna LocalPlus Benefit Plan	$609.56
Rate for Payer: Group Health Inc Commercial	$448.20
Rate for Payer: Group Health Inc Medicare	$313.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$448.20
Rate for Payer: Hamaspik Choice Inc Medicare	$448.20

STAPLER EEA CIRCULAR (EEA28)

Facility

$1,946.70

Hospital Charge Code	40205111
Hospital Revenue Code	270
Min. Negotiated Rate	$681.34
Max. Negotiated Rate	$1,557.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,070.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$973.35
Rate for Payer: Aetna Government	$973.35
Rate for Payer: Brighton Health Commercial	$1,460.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,557.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,323.76
Rate for Payer: Group Health Inc Commercial	$973.35
Rate for Payer: Group Health Inc Medicare	$681.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$973.35
Rate for Payer: Hamaspik Choice Inc Medicare	$973.35

STAPLE RELOAD 45MM (SIG45CTAMT)

Facility

$1,119.58

Hospital Charge Code	64906557
Hospital Revenue Code	279
Min. Negotiated Rate	$391.85
Max. Negotiated Rate	$895.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$615.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$559.79
Rate for Payer: Aetna Government	$559.79
Rate for Payer: Brighton Health Commercial	$839.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$895.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$761.31
Rate for Payer: Group Health Inc Commercial	$559.79
Rate for Payer: Group Health Inc Medicare	$391.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$559.79
Rate for Payer: Hamaspik Choice Inc Medicare	$559.79

STAPLE RELOAD 60MM

Facility

$2,704.00

Hospital Charge Code	64906292
Hospital Revenue Code	270
Min. Negotiated Rate	$946.40
Max. Negotiated Rate	$2,163.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,487.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,352.00
Rate for Payer: Aetna Government	$1,352.00
Rate for Payer: Brighton Health Commercial	$2,028.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,163.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,838.72
Rate for Payer: Group Health Inc Commercial	$1,352.00
Rate for Payer: Group Health Inc Medicare	$946.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,352.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,352.00

STAPLER ENDO ARTICUL 60MM ECHELON

Facility

$844.87

Hospital Charge Code	64904758
Hospital Revenue Code	270
Min. Negotiated Rate	$295.70
Max. Negotiated Rate	$675.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$464.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$422.44
Rate for Payer: Aetna Government	$422.44
Rate for Payer: Brighton Health Commercial	$633.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$675.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$574.51
Rate for Payer: Group Health Inc Commercial	$422.44
Rate for Payer: Group Health Inc Medicare	$295.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$422.44
Rate for Payer: Hamaspik Choice Inc Medicare	$422.44

STAPLER ENDO GIA C

Facility

$426.73

Hospital Charge Code	64907072
Hospital Revenue Code	270
Min. Negotiated Rate	$149.36
Max. Negotiated Rate	$341.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$234.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$213.36
Rate for Payer: Aetna Government	$213.36
Rate for Payer: Brighton Health Commercial	$320.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$341.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$290.18
Rate for Payer: Group Health Inc Commercial	$213.36
Rate for Payer: Group Health Inc Medicare	$149.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.36
Rate for Payer: Hamaspik Choice Inc Medicare	$213.36

STAPLER ENDO GIA UNIV 030449

Facility

$195.00

Hospital Charge Code	40206014
Hospital Revenue Code	270
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$156.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$97.50
Rate for Payer: Aetna Government	$97.50
Rate for Payer: Brighton Health Commercial	$146.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$156.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$132.60
Rate for Payer: Group Health Inc Commercial	$97.50
Rate for Payer: Group Health Inc Medicare	$68.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.50
Rate for Payer: Hamaspik Choice Inc Medicare	$97.50

STAPLER ENDO GIA UNIV 12MM 030449

Facility

$216.42

Hospital Charge Code	40206015
Hospital Revenue Code	270
Min. Negotiated Rate	$75.75
Max. Negotiated Rate	$173.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$119.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$108.21
Rate for Payer: Aetna Government	$108.21
Rate for Payer: Brighton Health Commercial	$162.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$173.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$147.17
Rate for Payer: Group Health Inc Commercial	$108.21
Rate for Payer: Group Health Inc Medicare	$75.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$108.21
Rate for Payer: Hamaspik Choice Inc Medicare	$108.21

STAPLER,ENDOSCOPIC,CRVD,INTRALU

Facility

$802.03

Hospital Charge Code	64905151
Hospital Revenue Code	270
Min. Negotiated Rate	$280.71
Max. Negotiated Rate	$641.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$441.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$401.02
Rate for Payer: Aetna Government	$401.02
Rate for Payer: Brighton Health Commercial	$601.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$641.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$545.38
Rate for Payer: Group Health Inc Commercial	$401.02
Rate for Payer: Group Health Inc Medicare	$280.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$401.02
Rate for Payer: Hamaspik Choice Inc Medicare	$401.02

STAPLER,HEAD,FIXED,35 WIDE,STRL

Facility

$17.50

Hospital Charge Code	64905623
Hospital Revenue Code	270
Min. Negotiated Rate	$6.12
Max. Negotiated Rate	$14.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.75
Rate for Payer: Aetna Government	$8.75
Rate for Payer: Brighton Health Commercial	$13.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$14.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.90
Rate for Payer: Group Health Inc Commercial	$8.75
Rate for Payer: Group Health Inc Medicare	$6.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.75
Rate for Payer: Hamaspik Choice Inc Medicare	$8.75

Know your out-of-pocket cost for care.

All Charges