St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SYRINGE ASSEMBLY 100 UL SAMPLE

Facility

$795.00

Hospital Charge Code	64902659
Hospital Revenue Code	270
Min. Negotiated Rate	$278.25
Max. Negotiated Rate	$636.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$437.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$397.50
Rate for Payer: Aetna Government	$397.50
Rate for Payer: Brighton Health Commercial	$596.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$636.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$540.60
Rate for Payer: Group Health Inc Commercial	$397.50
Rate for Payer: Group Health Inc Medicare	$278.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$397.50
Rate for Payer: Hamaspik Choice Inc Medicare	$397.50

SYRINGE BULB IRRIGATION 60ML

Facility

$1.48

Hospital Charge Code	64901451
Hospital Revenue Code	270
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$1.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.74
Rate for Payer: Aetna Government	$0.74
Rate for Payer: Brighton Health Commercial	$1.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.01
Rate for Payer: Group Health Inc Commercial	$0.74
Rate for Payer: Group Health Inc Medicare	$0.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.74
Rate for Payer: Hamaspik Choice Inc Medicare	$0.74

SYRINGE,CATHETER TIP,2 0Z

Facility

$0.75

Hospital Charge Code	64901426
Hospital Revenue Code	279
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.38
Rate for Payer: Aetna Government	$0.38
Rate for Payer: Brighton Health Commercial	$0.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.51
Rate for Payer: Group Health Inc Commercial	$0.38
Rate for Payer: Group Health Inc Medicare	$0.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.38
Rate for Payer: Hamaspik Choice Inc Medicare	$0.38

SYRINGE EAR & ULCER 2OZ

Facility

$1.35

Hospital Charge Code	64901816
Hospital Revenue Code	270
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$1.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.68
Rate for Payer: Aetna Government	$0.68
Rate for Payer: Brighton Health Commercial	$1.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.92
Rate for Payer: Group Health Inc Commercial	$0.68
Rate for Payer: Group Health Inc Medicare	$0.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.68
Rate for Payer: Hamaspik Choice Inc Medicare	$0.68

SYRINGE - IMBIBE 10 CC

Facility

$394.33

Hospital Charge Code	64906028
Hospital Revenue Code	270
Min. Negotiated Rate	$138.02
Max. Negotiated Rate	$315.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$216.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$197.16
Rate for Payer: Aetna Government	$197.16
Rate for Payer: Brighton Health Commercial	$295.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$315.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$268.14
Rate for Payer: Group Health Inc Commercial	$197.16
Rate for Payer: Group Health Inc Medicare	$138.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$197.16
Rate for Payer: Hamaspik Choice Inc Medicare	$197.16

SYRINGE INFLATION ALLI 60ML

Facility

$1,472.41

Hospital Charge Code	64904007
Hospital Revenue Code	270
Min. Negotiated Rate	$515.34
Max. Negotiated Rate	$1,177.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$809.83
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$736.20
Rate for Payer: Aetna Government	$736.20
Rate for Payer: Brighton Health Commercial	$1,104.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,177.93
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,001.24
Rate for Payer: Group Health Inc Commercial	$736.20
Rate for Payer: Group Health Inc Medicare	$515.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$736.20
Rate for Payer: Hamaspik Choice Inc Medicare	$736.20

SYRINGE,INSULIN,VANISHPO,1ML

Facility

$0.79

Hospital Charge Code	64901091
Hospital Revenue Code	270
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.43
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.40
Rate for Payer: Aetna Government	$0.40
Rate for Payer: Brighton Health Commercial	$0.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.54
Rate for Payer: Group Health Inc Commercial	$0.40
Rate for Payer: Group Health Inc Medicare	$0.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.40
Rate for Payer: Hamaspik Choice Inc Medicare	$0.40

SYRINGE,LL, STERILE, 5ML

Facility

$0.16

Hospital Charge Code	64901434
Hospital Revenue Code	270
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$0.13
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.08
Rate for Payer: Aetna Government	$0.08
Rate for Payer: Brighton Health Commercial	$0.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.13
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.11
Rate for Payer: Group Health Inc Commercial	$0.08
Rate for Payer: Group Health Inc Medicare	$0.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.08
Rate for Payer: Hamaspik Choice Inc Medicare	$0.08

SYRINGE, LL, STERILE, 60ML

Facility

$0.75

Hospital Charge Code	64901437
Hospital Revenue Code	270
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.38
Rate for Payer: Aetna Government	$0.38
Rate for Payer: Brighton Health Commercial	$0.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.51
Rate for Payer: Group Health Inc Commercial	$0.38
Rate for Payer: Group Health Inc Medicare	$0.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.38
Rate for Payer: Hamaspik Choice Inc Medicare	$0.38

SYRINGE, LL, STERILE,LF, 20ML

Facility

$0.44

Hospital Charge Code	64901440
Hospital Revenue Code	270
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.22
Rate for Payer: Aetna Government	$0.22
Rate for Payer: Brighton Health Commercial	$0.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.30
Rate for Payer: Group Health Inc Commercial	$0.22
Rate for Payer: Group Health Inc Medicare	$0.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.22
Rate for Payer: Hamaspik Choice Inc Medicare	$0.22

SYRINGE,LUER-LOK TIP,1ML

Facility

$0.66

Hospital Charge Code	64901084
Hospital Revenue Code	270
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.53
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.33
Rate for Payer: Aetna Government	$0.33
Rate for Payer: Brighton Health Commercial	$0.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.53
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.45
Rate for Payer: Group Health Inc Commercial	$0.33
Rate for Payer: Group Health Inc Medicare	$0.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.33
Rate for Payer: Hamaspik Choice Inc Medicare	$0.33

SYRINGE,NORMAL SALINE,3 ML

Facility

$0.60

Hospital Charge Code	64901009
Hospital Revenue Code	270
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.30
Rate for Payer: Aetna Government	$0.30
Rate for Payer: Brighton Health Commercial	$0.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.41
Rate for Payer: Group Health Inc Commercial	$0.30
Rate for Payer: Group Health Inc Medicare	$0.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.30
Rate for Payer: Hamaspik Choice Inc Medicare	$0.30

SYRINGE,NORML SALINE,POSIFL,3ML

Facility

$0.48

Hospital Charge Code	64901477
Hospital Revenue Code	270
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$0.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.24
Rate for Payer: Aetna Government	$0.24
Rate for Payer: Brighton Health Commercial	$0.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.33
Rate for Payer: Group Health Inc Commercial	$0.24
Rate for Payer: Group Health Inc Medicare	$0.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.24
Rate for Payer: Hamaspik Choice Inc Medicare	$0.24

SYRINGE ORISE GEL 10ML

Facility

$190.00

Hospital Charge Code	64906817
Hospital Revenue Code	270
Min. Negotiated Rate	$66.50
Max. Negotiated Rate	$152.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$104.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$95.00
Rate for Payer: Aetna Government	$95.00
Rate for Payer: Brighton Health Commercial	$142.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$152.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$129.20
Rate for Payer: Group Health Inc Commercial	$95.00
Rate for Payer: Group Health Inc Medicare	$66.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$95.00
Rate for Payer: Hamaspik Choice Inc Medicare	$95.00

SYRINGE, RETRACT, 3ML, 23G X 1

Facility

$3.71

Hospital Charge Code	64901482
Hospital Revenue Code	270
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$2.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.86
Rate for Payer: Aetna Government	$1.86
Rate for Payer: Brighton Health Commercial	$2.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.97
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.52
Rate for Payer: Group Health Inc Commercial	$1.86
Rate for Payer: Group Health Inc Medicare	$1.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.86
Rate for Payer: Hamaspik Choice Inc Medicare	$1.86

SYRINGE, RETRACT, 3ML, 25GX5/8

Facility

$0.93

Hospital Charge Code	64901480
Hospital Revenue Code	270
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$0.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.47
Rate for Payer: Aetna Government	$0.47
Rate for Payer: Brighton Health Commercial	$0.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.63
Rate for Payer: Group Health Inc Commercial	$0.47
Rate for Payer: Group Health Inc Medicare	$0.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.47
Rate for Payer: Hamaspik Choice Inc Medicare	$0.47

SYRINGE,SALINE,10 ML,STER FIELD

Facility

$1.40

Hospital Charge Code	64901990
Hospital Revenue Code	270
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$1.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.70
Rate for Payer: Aetna Government	$0.70
Rate for Payer: Brighton Health Commercial	$1.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.95
Rate for Payer: Group Health Inc Commercial	$0.70
Rate for Payer: Group Health Inc Medicare	$0.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.70
Rate for Payer: Hamaspik Choice Inc Medicare	$0.70

SYRINGE TOOMEY 70CC

Facility

$4.07

Hospital Charge Code	64902798
Hospital Revenue Code	270
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$3.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.04
Rate for Payer: Aetna Government	$2.04
Rate for Payer: Brighton Health Commercial	$3.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.77
Rate for Payer: Group Health Inc Commercial	$2.04
Rate for Payer: Group Health Inc Medicare	$1.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.04
Rate for Payer: Hamaspik Choice Inc Medicare	$2.04

SYRINGE VANISHPNT 1ML 25G X 5/8

Facility

$0.79

Hospital Charge Code	64901086
Hospital Revenue Code	270
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.43
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.40
Rate for Payer: Aetna Government	$0.40
Rate for Payer: Brighton Health Commercial	$0.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.54
Rate for Payer: Group Health Inc Commercial	$0.40
Rate for Payer: Group Health Inc Medicare	$0.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.40
Rate for Payer: Hamaspik Choice Inc Medicare	$0.40

SYRINGE VANISHPNT 3ML 25G X 5/8

Facility

$0.93

Hospital Charge Code	64902568
Hospital Revenue Code	270
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$0.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.47
Rate for Payer: Aetna Government	$0.47
Rate for Payer: Brighton Health Commercial	$0.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.63
Rate for Payer: Group Health Inc Commercial	$0.47
Rate for Payer: Group Health Inc Medicare	$0.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.47
Rate for Payer: Hamaspik Choice Inc Medicare	$0.47

SYRINGE VANISHPOINT 3ML 23G X 1

Facility

$0.93

Hospital Charge Code	64902570
Hospital Revenue Code	270
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$0.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.47
Rate for Payer: Aetna Government	$0.47
Rate for Payer: Brighton Health Commercial	$0.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.63
Rate for Payer: Group Health Inc Commercial	$0.47
Rate for Payer: Group Health Inc Medicare	$0.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.47
Rate for Payer: Hamaspik Choice Inc Medicare	$0.47

SYRINGE, VANISHPO, TB, 1ML, 27GX

Facility

$0.79

Hospital Charge Code	64901088
Hospital Revenue Code	270
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.43
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.40
Rate for Payer: Aetna Government	$0.40
Rate for Payer: Brighton Health Commercial	$0.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.54
Rate for Payer: Group Health Inc Commercial	$0.40
Rate for Payer: Group Health Inc Medicare	$0.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.40
Rate for Payer: Hamaspik Choice Inc Medicare	$0.40

SYRNGE INFLTIN ALLIANCE 60ML

Facility

$83.60

Hospital Charge Code	40200269
Hospital Revenue Code	270
Min. Negotiated Rate	$29.26
Max. Negotiated Rate	$66.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$45.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$41.80
Rate for Payer: Aetna Government	$41.80
Rate for Payer: Brighton Health Commercial	$62.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$66.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$56.85
Rate for Payer: Group Health Inc Commercial	$41.80
Rate for Payer: Group Health Inc Medicare	$29.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$41.80
Rate for Payer: Hamaspik Choice Inc Medicare	$41.80

SYRYKER APEX PIN 5X200MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	40205755
Hospital Revenue Code	278
Min. Negotiated Rate	$91.14
Max. Negotiated Rate	$273.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$143.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$156.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$130.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$149.73
Rate for Payer: EmblemHealth Commercial	$130.20
Rate for Payer: Fidelis Medicare Advantage	$273.42
Rate for Payer: Group Health Inc Commercial	$130.20
Rate for Payer: Group Health Inc Medicare	$91.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$130.20
Rate for Payer: Hamaspik Choice Inc Medicare	$130.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$169.26

SYRYKER APEX PIN 5X200MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	40205755
Hospital Revenue Code	278
Min. Negotiated Rate	$130.20
Max. Negotiated Rate	$130.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$130.20
Rate for Payer: Hamaspik Choice Inc Medicare	$130.20

Know your out-of-pocket cost for care.

All Charges