St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

BLADE FULL R MINIBLADE

Facility

$128.66

Hospital Charge Code	40205959
Hospital Revenue Code	270
Min. Negotiated Rate	$45.03
Max. Negotiated Rate	$102.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$70.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$64.33
Rate for Payer: Aetna Government	$64.33
Rate for Payer: Brighton Health Commercial	$96.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$102.93
Rate for Payer: Cigna LocalPlus Benefit Plan	$87.49
Rate for Payer: Group Health Inc Commercial	$64.33
Rate for Payer: Group Health Inc Medicare	$45.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$64.33
Rate for Payer: Hamaspik Choice Inc Medicare	$64.33

BLADE GLIDESCPE GVL3STAT SMALL

Facility

$45.00

Hospital Charge Code	64903378
Hospital Revenue Code	270
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$36.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$22.50
Rate for Payer: Aetna Government	$22.50
Rate for Payer: Brighton Health Commercial	$33.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$36.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.60
Rate for Payer: Group Health Inc Commercial	$22.50
Rate for Payer: Group Health Inc Medicare	$15.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.50
Rate for Payer: Hamaspik Choice Inc Medicare	$22.50

BLADE GLIDESCPE GVL4STAT LARGE

Facility

$45.00

Hospital Charge Code	64903380
Hospital Revenue Code	270
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$36.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$22.50
Rate for Payer: Aetna Government	$22.50
Rate for Payer: Brighton Health Commercial	$33.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$36.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.60
Rate for Payer: Group Health Inc Commercial	$22.50
Rate for Payer: Group Health Inc Medicare	$15.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.50
Rate for Payer: Hamaspik Choice Inc Medicare	$22.50

BLADE INCISOR 4.5MM

Facility

$110.32

Hospital Charge Code	40205977
Hospital Revenue Code	270
Min. Negotiated Rate	$38.61
Max. Negotiated Rate	$88.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$60.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$55.16
Rate for Payer: Aetna Government	$55.16
Rate for Payer: Brighton Health Commercial	$82.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$88.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$75.02
Rate for Payer: Group Health Inc Commercial	$55.16
Rate for Payer: Group Health Inc Medicare	$38.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$55.16
Rate for Payer: Hamaspik Choice Inc Medicare	$55.16

BLADE INCISOR 4.5 PLUS ELITE STR

Facility

$166.34

Hospital Charge Code	40205978
Hospital Revenue Code	270
Min. Negotiated Rate	$58.22
Max. Negotiated Rate	$133.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$91.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$83.17
Rate for Payer: Aetna Government	$83.17
Rate for Payer: Brighton Health Commercial	$124.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$113.11
Rate for Payer: Group Health Inc Commercial	$83.17
Rate for Payer: Group Health Inc Medicare	$58.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$83.17
Rate for Payer: Hamaspik Choice Inc Medicare	$83.17

BLADE INFERIOR TURBI 2.9MM

Facility

$619.50

Hospital Charge Code	64905975
Hospital Revenue Code	270
Min. Negotiated Rate	$216.82
Max. Negotiated Rate	$495.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$340.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$309.75
Rate for Payer: Aetna Government	$309.75
Rate for Payer: Brighton Health Commercial	$464.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$495.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$421.26
Rate for Payer: Group Health Inc Commercial	$309.75
Rate for Payer: Group Health Inc Medicare	$216.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$309.75
Rate for Payer: Hamaspik Choice Inc Medicare	$309.75

BLADE LARYNGOSCOPE STD LED MAC3

Facility

$47.50

Hospital Charge Code	64903506
Hospital Revenue Code	270
Min. Negotiated Rate	$16.62
Max. Negotiated Rate	$38.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.75
Rate for Payer: Aetna Government	$23.75
Rate for Payer: Brighton Health Commercial	$35.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$38.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.30
Rate for Payer: Group Health Inc Commercial	$23.75
Rate for Payer: Group Health Inc Medicare	$16.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.75
Rate for Payer: Hamaspik Choice Inc Medicare	$23.75

BLADE LG BONE SAG 85.0X20.5MM

Facility

$30.00

Hospital Charge Code	64904819
Hospital Revenue Code	270
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$24.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.00
Rate for Payer: Aetna Government	$15.00
Rate for Payer: Brighton Health Commercial	$22.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.40
Rate for Payer: Group Health Inc Commercial	$15.00
Rate for Payer: Group Health Inc Medicare	$10.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.00
Rate for Payer: Hamaspik Choice Inc Medicare	$15.00

BLADE MEDIUM-LONG

Facility

$83.35

Hospital Charge Code	64903963
Hospital Revenue Code	270
Min. Negotiated Rate	$29.17
Max. Negotiated Rate	$66.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$45.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$41.68
Rate for Payer: Aetna Government	$41.68
Rate for Payer: Brighton Health Commercial	$62.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$66.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$56.68
Rate for Payer: Group Health Inc Commercial	$41.68
Rate for Payer: Group Health Inc Medicare	$29.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$41.68
Rate for Payer: Hamaspik Choice Inc Medicare	$41.68

BLADE MICROSHARP 15DEG 3MM BLUE

Facility

$8.18

Hospital Charge Code	64904260
Hospital Revenue Code	270
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$6.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.09
Rate for Payer: Aetna Government	$4.09
Rate for Payer: Brighton Health Commercial	$6.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.56
Rate for Payer: Group Health Inc Commercial	$4.09
Rate for Payer: Group Health Inc Medicare	$2.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.09
Rate for Payer: Hamaspik Choice Inc Medicare	$4.09

BLADE MINI UNITONE

Facility

$22.40

Hospital Charge Code	64904039
Hospital Revenue Code	270
Min. Negotiated Rate	$7.84
Max. Negotiated Rate	$17.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.20
Rate for Payer: Aetna Government	$11.20
Rate for Payer: Brighton Health Commercial	$16.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$15.23
Rate for Payer: Group Health Inc Commercial	$11.20
Rate for Payer: Group Health Inc Medicare	$7.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.20
Rate for Payer: Hamaspik Choice Inc Medicare	$11.20

BLADE MIRCOSHARP 15DEG 3MM BLUE

Facility

$50.00

Hospital Charge Code	40201033
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 MYRINGOTOMY NARROW

Facility

$28.60

Hospital Charge Code	64902891
Hospital Revenue Code	270
Min. Negotiated Rate	$10.01
Max. Negotiated Rate	$22.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.30
Rate for Payer: Aetna Government	$14.30
Rate for Payer: Brighton Health Commercial	$21.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.45
Rate for Payer: Group Health Inc Commercial	$14.30
Rate for Payer: Group Health Inc Medicare	$10.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.30
Rate for Payer: Hamaspik Choice Inc Medicare	$14.30

BLADE OSTEMTOME-ZIMMER

Facility

$400.00

Service Code	HCPCS C1713
Hospital Charge Code	64907044
Hospital Revenue Code	278
Min. Negotiated Rate	$200.00
Max. Negotiated Rate	$200.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.00
Rate for Payer: Hamaspik Choice Inc Medicare	$200.00

BLADE OSTEMTOME-ZIMMER

Facility

$400.00

Service Code	HCPCS C1713
Hospital Charge Code	64907044
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$420.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$240.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$200.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.00
Rate for Payer: EmblemHealth Commercial	$200.00
Rate for Payer: Fidelis Medicare Advantage	$420.00
Rate for Payer: Group Health Inc Commercial	$200.00
Rate for Payer: Group Health Inc Medicare	$140.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.00
Rate for Payer: Hamaspik Choice Inc Medicare	$200.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$260.00

BLADE OSTEO SHORT 8MM WIDE

Facility

$400.00

Hospital Charge Code	64906179
Hospital Revenue Code	270
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$320.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$200.00
Rate for Payer: Aetna Government	$200.00
Rate for Payer: Brighton Health Commercial	$300.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$320.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$272.00
Rate for Payer: Group Health Inc Commercial	$200.00
Rate for Payer: Group Health Inc Medicare	$140.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.00
Rate for Payer: Hamaspik Choice Inc Medicare	$200.00

BLADE OSTEOTOME FLEX

Facility

$2,250.00

Hospital Charge Code	64907163
Hospital Revenue Code	270
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,800.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,237.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,125.00
Rate for Payer: Aetna Government	$1,125.00
Rate for Payer: Brighton Health Commercial	$1,687.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,800.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,530.00
Rate for Payer: Group Health Inc Commercial	$1,125.00
Rate for Payer: Group Health Inc Medicare	$787.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,125.00

BLADE OSTEOTOM SHORT 12MM WIDE

Facility

$400.00

Hospital Charge Code	64906198
Hospital Revenue Code	270
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$320.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$200.00
Rate for Payer: Aetna Government	$200.00
Rate for Payer: Brighton Health Commercial	$300.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$320.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$272.00
Rate for Payer: Group Health Inc Commercial	$200.00
Rate for Payer: Group Health Inc Medicare	$140.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.00
Rate for Payer: Hamaspik Choice Inc Medicare	$200.00

BLADE PATELLA 46MM W/PILOT

Facility

$408.00

Hospital Charge Code	64905000
Hospital Revenue Code	270
Min. Negotiated Rate	$142.80
Max. Negotiated Rate	$326.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$224.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$204.00
Rate for Payer: Aetna Government	$204.00
Rate for Payer: Brighton Health Commercial	$306.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$326.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$277.44
Rate for Payer: Group Health Inc Commercial	$204.00
Rate for Payer: Group Health Inc Medicare	$142.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.00
Rate for Payer: Hamaspik Choice Inc Medicare	$204.00

BLADE PATELLA SZ38 W/PILOT H

Facility

$408.00

Hospital Charge Code	64904438
Hospital Revenue Code	270
Min. Negotiated Rate	$142.80
Max. Negotiated Rate	$326.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$224.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$204.00
Rate for Payer: Aetna Government	$204.00
Rate for Payer: Brighton Health Commercial	$306.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$326.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$277.44
Rate for Payer: Group Health Inc Commercial	$204.00
Rate for Payer: Group Health Inc Medicare	$142.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.00
Rate for Payer: Hamaspik Choice Inc Medicare	$204.00

BLADE PATELLA SZ41 W/PILOT H

Facility

$408.00

Hospital Charge Code	64904440
Hospital Revenue Code	270
Min. Negotiated Rate	$142.80
Max. Negotiated Rate	$326.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$224.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$204.00
Rate for Payer: Aetna Government	$204.00
Rate for Payer: Brighton Health Commercial	$306.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$326.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$277.44
Rate for Payer: Group Health Inc Commercial	$204.00
Rate for Payer: Group Health Inc Medicare	$142.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.00
Rate for Payer: Hamaspik Choice Inc Medicare	$204.00

BLADE PATELLA SZ41 W/PILOT H

Facility

$326.40

Service Code	HCPCS C1776
Hospital Charge Code	40205060
Hospital Revenue Code	278
Min. Negotiated Rate	$163.20
Max. Negotiated Rate	$163.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$163.20
Rate for Payer: Hamaspik Choice Inc Medicare	$163.20

BLADE PATELLA SZ41 W/PILOT H

Facility

$326.40

Service Code	HCPCS C1776
Hospital Charge Code	40205060
Hospital Revenue Code	278
Min. Negotiated Rate	$114.24
Max. Negotiated Rate	$342.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$179.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$195.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$163.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$187.68
Rate for Payer: EmblemHealth Commercial	$163.20
Rate for Payer: Fidelis Medicare Advantage	$342.72
Rate for Payer: Group Health Inc Commercial	$163.20
Rate for Payer: Group Health Inc Medicare	$114.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$163.20
Rate for Payer: Hamaspik Choice Inc Medicare	$163.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$212.16

BLADE QUADCUT

Facility

$2,675.00

Hospital Charge Code	64905976
Hospital Revenue Code	270
Min. Negotiated Rate	$936.25
Max. Negotiated Rate	$2,140.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,471.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,337.50
Rate for Payer: Aetna Government	$1,337.50
Rate for Payer: Brighton Health Commercial	$2,006.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,140.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,819.00
Rate for Payer: Group Health Inc Commercial	$1,337.50
Rate for Payer: Group Health Inc Medicare	$936.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,337.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,337.50

BLADE REAMER PATELLA 35MM

Facility

$408.00

Service Code	HCPCS C1776
Hospital Charge Code	64901307
Hospital Revenue Code	278
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$204.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.00
Rate for Payer: Hamaspik Choice Inc Medicare	$204.00

Know your out-of-pocket cost for care.

All Charges