St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

BLADE CLIPPER SURG REPLACEMENT 3M

Facility

$6.53

Hospital Charge Code	64904194
Hospital Revenue Code	270
Min. Negotiated Rate	$2.29
Max. Negotiated Rate	$5.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.26
Rate for Payer: Aetna Government	$3.26
Rate for Payer: Brighton Health Commercial	$4.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.44
Rate for Payer: Group Health Inc Commercial	$3.26
Rate for Payer: Group Health Inc Medicare	$2.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.26
Rate for Payer: Hamaspik Choice Inc Medicare	$3.26

BLADE,CLIPPER UNIVERSAL GRAY

Facility

$5.44

Hospital Charge Code	64906212
Hospital Revenue Code	270
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$4.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.72
Rate for Payer: Aetna Government	$2.72
Rate for Payer: Brighton Health Commercial	$4.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.70
Rate for Payer: Group Health Inc Commercial	$2.72
Rate for Payer: Group Health Inc Medicare	$1.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.72
Rate for Payer: Hamaspik Choice Inc Medicare	$2.72

BLADE DERMATOME

Facility

$120.00

Hospital Charge Code	64902776
Hospital Revenue Code	270
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$96.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$66.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$60.00
Rate for Payer: Aetna Government	$60.00
Rate for Payer: Brighton Health Commercial	$90.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$96.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.60
Rate for Payer: Group Health Inc Commercial	$60.00
Rate for Payer: Group Health Inc Medicare	$42.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$60.00
Rate for Payer: Hamaspik Choice Inc Medicare	$60.00

BLADE DERMATOME

Facility

$50.00

Hospital Charge Code	40205981
Hospital Revenue Code	270
Min. Negotiated Rate	$17.50
Max. Negotiated Rate	$40.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.00
Rate for Payer: Aetna Government	$25.00
Rate for Payer: Brighton Health Commercial	$37.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.00
Rate for Payer: Group Health Inc Commercial	$25.00
Rate for Payer: Group Health Inc Medicare	$17.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.00
Rate for Payer: Hamaspik Choice Inc Medicare	$25.00

BLADE DIAMOND V SST

Facility

$168.00

Hospital Charge Code	40200260
Hospital Revenue Code	270
Min. Negotiated Rate	$58.80
Max. Negotiated Rate	$134.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$92.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$84.00
Rate for Payer: Aetna Government	$84.00
Rate for Payer: Brighton Health Commercial	$126.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$134.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$114.24
Rate for Payer: Group Health Inc Commercial	$84.00
Rate for Payer: Group Health Inc Medicare	$58.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$84.00
Rate for Payer: Hamaspik Choice Inc Medicare	$84.00

BLADE DISPOSAB LP MAC 0 LED

Facility

$162.50

Hospital Charge Code	64903770
Hospital Revenue Code	270
Min. Negotiated Rate	$56.88
Max. Negotiated Rate	$130.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$89.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$81.25
Rate for Payer: Aetna Government	$81.25
Rate for Payer: Brighton Health Commercial	$121.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$130.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$110.50
Rate for Payer: Group Health Inc Commercial	$81.25
Rate for Payer: Group Health Inc Medicare	$56.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.25
Rate for Payer: Hamaspik Choice Inc Medicare	$81.25

BLADE DISPOSAB LP MAC 1 LED

Facility

$8.13

Hospital Charge Code	64903772
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Brighton Health Commercial	$6.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MAC 2 LED

Facility

$8.13

Hospital Charge Code	64903774
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Brighton Health Commercial	$6.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MAC 3 LED

Facility

$8.13

Hospital Charge Code	64903776
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Brighton Health Commercial	$6.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MAC 3 PLUS LED

Facility

$8.13

Hospital Charge Code	64903778
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Brighton Health Commercial	$6.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MAC 4 LED

Facility

$8.13

Hospital Charge Code	64903780
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Brighton Health Commercial	$6.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MILLER 000 LED

Facility

$8.13

Hospital Charge Code	64903794
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Brighton Health Commercial	$6.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MILLER 00 LED

Facility

$8.13

Hospital Charge Code	64903792
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Brighton Health Commercial	$6.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MILLER 0 LED

Facility

$8.13

Hospital Charge Code	64903782
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Brighton Health Commercial	$6.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MILLER 1 LED

Facility

$8.13

Hospital Charge Code	64903784
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Brighton Health Commercial	$6.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MILLER 2 LED

Facility

$8.13

Hospital Charge Code	64903786
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Brighton Health Commercial	$6.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MILLER 3 LED

Facility

$8.13

Hospital Charge Code	64903788
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Brighton Health Commercial	$6.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DISPOSAB LP MILLER 4 LED

Facility

$8.13

Hospital Charge Code	64903790
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$6.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.06
Rate for Payer: Aetna Government	$4.06
Rate for Payer: Brighton Health Commercial	$6.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.53
Rate for Payer: Group Health Inc Commercial	$4.06
Rate for Payer: Group Health Inc Medicare	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.06
Rate for Payer: Hamaspik Choice Inc Medicare	$4.06

BLADE DVR

Facility

$786.70

Hospital Charge Code	64907185
Hospital Revenue Code	279
Min. Negotiated Rate	$275.34
Max. Negotiated Rate	$629.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$432.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$393.35
Rate for Payer: Aetna Government	$393.35
Rate for Payer: Brighton Health Commercial	$590.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$629.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$534.96
Rate for Payer: Group Health Inc Commercial	$393.35
Rate for Payer: Group Health Inc Medicare	$275.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$393.35
Rate for Payer: Hamaspik Choice Inc Medicare	$393.35

BLADE ELECTRODE EXTENDED

Facility

$7.42

Hospital Charge Code	64903010
Hospital Revenue Code	270
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$5.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.71
Rate for Payer: Aetna Government	$3.71
Rate for Payer: Brighton Health Commercial	$5.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.05
Rate for Payer: Group Health Inc Commercial	$3.71
Rate for Payer: Group Health Inc Medicare	$2.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.71
Rate for Payer: Hamaspik Choice Inc Medicare	$3.71

BLADE ELECTRODE EXTENDED

Facility

$258.00

Hospital Charge Code	40201032
Hospital Revenue Code	270
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$206.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$141.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$129.00
Rate for Payer: Aetna Government	$129.00
Rate for Payer: Brighton Health Commercial	$193.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$206.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$175.44
Rate for Payer: Group Health Inc Commercial	$129.00
Rate for Payer: Group Health Inc Medicare	$90.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$129.00
Rate for Payer: Hamaspik Choice Inc Medicare	$129.00

BLADE ENDOSCOPY ENDOTRAC

Facility

$587.50

Hospital Charge Code	64902860
Hospital Revenue Code	270
Min. Negotiated Rate	$205.62
Max. Negotiated Rate	$470.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$323.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$293.75
Rate for Payer: Aetna Government	$293.75
Rate for Payer: Brighton Health Commercial	$440.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$470.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$399.50
Rate for Payer: Group Health Inc Commercial	$293.75
Rate for Payer: Group Health Inc Medicare	$205.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$293.75
Rate for Payer: Hamaspik Choice Inc Medicare	$293.75

BLADE EXTRACTOR LONG 58MML

Facility

$2,280.00

Hospital Charge Code	64906197
Hospital Revenue Code	270
Min. Negotiated Rate	$798.00
Max. Negotiated Rate	$1,824.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,254.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,140.00
Rate for Payer: Aetna Government	$1,140.00
Rate for Payer: Brighton Health Commercial	$1,710.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,824.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,550.40
Rate for Payer: Group Health Inc Commercial	$1,140.00
Rate for Payer: Group Health Inc Medicare	$798.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,140.00

BLADE FULL EXPLANT 54MM

Facility

$2,280.00

Hospital Charge Code	64906178
Hospital Revenue Code	270
Min. Negotiated Rate	$798.00
Max. Negotiated Rate	$1,824.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,254.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,140.00
Rate for Payer: Aetna Government	$1,140.00
Rate for Payer: Brighton Health Commercial	$1,710.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,824.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,550.40
Rate for Payer: Group Health Inc Commercial	$1,140.00
Rate for Payer: Group Health Inc Medicare	$798.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,140.00

BLADE FULL EXPLANT 62MM

Facility

$2,280.00

Hospital Charge Code	64906177
Hospital Revenue Code	270
Min. Negotiated Rate	$798.00
Max. Negotiated Rate	$1,824.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,254.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,140.00
Rate for Payer: Aetna Government	$1,140.00
Rate for Payer: Brighton Health Commercial	$1,710.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,824.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,550.40
Rate for Payer: Group Health Inc Commercial	$1,140.00
Rate for Payer: Group Health Inc Medicare	$798.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,140.00

Know your out-of-pocket cost for care.

All Charges