St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

WIRE KIRSCHNER TROCAR 150M

Facility

$42.08

Hospital Charge Code	64903012
Hospital Revenue Code	270
Min. Negotiated Rate	$14.73
Max. Negotiated Rate	$33.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$21.04
Rate for Payer: Aetna Government	$21.04
Rate for Payer: Brighton Health Commercial	$31.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$33.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$28.61
Rate for Payer: Group Health Inc Commercial	$21.04
Rate for Payer: Group Health Inc Medicare	$14.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.04
Rate for Payer: Hamaspik Choice Inc Medicare	$21.04

WIRE, K TROCAR TIP 1.2X150MM

Facility

$60.09

Hospital Charge Code	40004430
Hospital Revenue Code	272
Min. Negotiated Rate	$21.03
Max. Negotiated Rate	$48.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.04
Rate for Payer: Aetna Government	$30.04
Rate for Payer: Brighton Health Commercial	$45.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.86
Rate for Payer: Group Health Inc Commercial	$30.04
Rate for Payer: Group Health Inc Medicare	$21.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.04
Rate for Payer: Hamaspik Choice Inc Medicare	$30.04

WIRE, K TROCAR TIP 1.6X150MM

Facility

$60.09

Hospital Charge Code	40004431
Hospital Revenue Code	272
Min. Negotiated Rate	$21.03
Max. Negotiated Rate	$48.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.04
Rate for Payer: Aetna Government	$30.04
Rate for Payer: Brighton Health Commercial	$45.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.86
Rate for Payer: Group Health Inc Commercial	$30.04
Rate for Payer: Group Health Inc Medicare	$21.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.04
Rate for Payer: Hamaspik Choice Inc Medicare	$30.04

WIRE K TROC PT 2END.062X230M

Facility

$26.00

Service Code	HCPCS C1713
Hospital Charge Code	64906681
Hospital Revenue Code	278
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$13.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$13.00
Rate for Payer: Hamaspik Choice Inc Medicare	$13.00

WIRE K TROC PT 2END.062X230M

Facility

$26.00

Service Code	HCPCS C1713
Hospital Charge Code	64906681
Hospital Revenue Code	278
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$15.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.95
Rate for Payer: EmblemHealth Commercial	$13.00
Rate for Payer: Fidelis Medicare Advantage	$27.30
Rate for Payer: Group Health Inc Commercial	$13.00
Rate for Payer: Group Health Inc Medicare	$9.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$13.00
Rate for Payer: Hamaspik Choice Inc Medicare	$13.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$16.90

WIRE K TROC PT 2 ENDS 9X.062

Facility

$0.46

Service Code	HCPCS C1713
Hospital Charge Code	40200153
Hospital Revenue Code	278
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$0.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.26
Rate for Payer: EmblemHealth Commercial	$0.23
Rate for Payer: Fidelis Medicare Advantage	$0.48
Rate for Payer: Group Health Inc Commercial	$0.23
Rate for Payer: Group Health Inc Medicare	$0.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.23
Rate for Payer: Hamaspik Choice Inc Medicare	$0.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.30

WIRE K TROC PT 2 ENDS 9X.062

Facility

$0.46

Service Code	HCPCS C1713
Hospital Charge Code	40200153
Hospital Revenue Code	278
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.23
Rate for Payer: Hamaspik Choice Inc Medicare	$0.23

WIRE K W-STOPPER

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	64906246
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$262.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$137.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$150.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$125.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$143.75
Rate for Payer: EmblemHealth Commercial	$125.00
Rate for Payer: Fidelis Medicare Advantage	$262.50
Rate for Payer: Group Health Inc Commercial	$125.00
Rate for Payer: Group Health Inc Medicare	$87.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$125.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$162.50

WIRE K W-STOPPER

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	64906246
Hospital Revenue Code	278
Min. Negotiated Rate	$125.00
Max. Negotiated Rate	$125.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$125.00

WIRE, K X2 2.0

Facility

$47.48

Hospital Charge Code	40007544
Hospital Revenue Code	272
Min. Negotiated Rate	$16.62
Max. Negotiated Rate	$37.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.74
Rate for Payer: Aetna Government	$23.74
Rate for Payer: Brighton Health Commercial	$35.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.29
Rate for Payer: Group Health Inc Commercial	$23.74
Rate for Payer: Group Health Inc Medicare	$16.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.74
Rate for Payer: Hamaspik Choice Inc Medicare	$23.74

WIRE, KX2 2.0

Facility

$47.48

Hospital Charge Code	40204625
Hospital Revenue Code	272
Min. Negotiated Rate	$16.62
Max. Negotiated Rate	$37.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.74
Rate for Payer: Aetna Government	$23.74
Rate for Payer: Brighton Health Commercial	$35.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.29
Rate for Payer: Group Health Inc Commercial	$23.74
Rate for Payer: Group Health Inc Medicare	$16.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.74
Rate for Payer: Hamaspik Choice Inc Medicare	$23.74

WIRE LIGATURE

Facility

$23.85

Service Code	HCPCS C1769
Hospital Charge Code	64907428
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$25.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$14.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.71
Rate for Payer: EmblemHealth Commercial	$11.92
Rate for Payer: Fidelis Medicare Advantage	$25.04
Rate for Payer: Group Health Inc Commercial	$11.92
Rate for Payer: Group Health Inc Medicare	$8.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.92
Rate for Payer: Hamaspik Choice Inc Medicare	$11.92
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$15.50

WIRE LIGATURE

Facility

$23.85

Service Code	HCPCS C1769
Hospital Charge Code	64907428
Hospital Revenue Code	278
Min. Negotiated Rate	$11.92
Max. Negotiated Rate	$11.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.92
Rate for Payer: Hamaspik Choice Inc Medicare	$11.92

WIRE NITINOL PILOT

Facility

$350.18

Service Code	HCPCS C1889
Hospital Charge Code	64907490
Hospital Revenue Code	278
Min. Negotiated Rate	$122.56
Max. Negotiated Rate	$367.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$192.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$175.09
Rate for Payer: Aetna Government	$175.09
Rate for Payer: Brighton Health Commercial	$210.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$175.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$201.35
Rate for Payer: EmblemHealth Commercial	$175.09
Rate for Payer: Fidelis Medicare Advantage	$367.69
Rate for Payer: Group Health Inc Commercial	$175.09
Rate for Payer: Group Health Inc Medicare	$122.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$175.09
Rate for Payer: Hamaspik Choice Inc Medicare	$175.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$227.62

WIRE NITINOL PILOT

Facility

$350.18

Service Code	HCPCS C1889
Hospital Charge Code	64907490
Hospital Revenue Code	278
Min. Negotiated Rate	$175.09
Max. Negotiated Rate	$175.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$175.09
Rate for Payer: Hamaspik Choice Inc Medicare	$175.09

WIRE NUT

Facility

$252.50

Hospital Charge Code	64906017
Hospital Revenue Code	270
Min. Negotiated Rate	$88.38
Max. Negotiated Rate	$202.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$138.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$126.25
Rate for Payer: Aetna Government	$126.25
Rate for Payer: Brighton Health Commercial	$189.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$202.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$171.70
Rate for Payer: Group Health Inc Commercial	$126.25
Rate for Payer: Group Health Inc Medicare	$88.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$126.25
Rate for Payer: Hamaspik Choice Inc Medicare	$126.25

WIRE OLIVE 1.8

Facility

$803.85

Hospital Charge Code	64905980
Hospital Revenue Code	270
Min. Negotiated Rate	$281.35
Max. Negotiated Rate	$643.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$442.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$401.92
Rate for Payer: Aetna Government	$401.92
Rate for Payer: Brighton Health Commercial	$602.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$643.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$546.62
Rate for Payer: Group Health Inc Commercial	$401.92
Rate for Payer: Group Health Inc Medicare	$281.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$401.92
Rate for Payer: Hamaspik Choice Inc Medicare	$401.92

WIRE, OLIVE THREAD 1.4MM

Facility

$227.01

Hospital Charge Code	40004432
Hospital Revenue Code	272
Min. Negotiated Rate	$79.45
Max. Negotiated Rate	$181.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$124.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$113.50
Rate for Payer: Aetna Government	$113.50
Rate for Payer: Brighton Health Commercial	$170.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$181.61
Rate for Payer: Cigna LocalPlus Benefit Plan	$154.37
Rate for Payer: Group Health Inc Commercial	$113.50
Rate for Payer: Group Health Inc Medicare	$79.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.50
Rate for Payer: Hamaspik Choice Inc Medicare	$113.50

WIRE RECON 11 3.2 X 400MM

Facility

$265.00

Hospital Charge Code	64904486
Hospital Revenue Code	270
Min. Negotiated Rate	$92.75
Max. Negotiated Rate	$212.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$145.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$132.50
Rate for Payer: Aetna Government	$132.50
Rate for Payer: Brighton Health Commercial	$198.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$212.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$180.20
Rate for Payer: Group Health Inc Commercial	$132.50
Rate for Payer: Group Health Inc Medicare	$92.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$132.50
Rate for Payer: Hamaspik Choice Inc Medicare	$132.50

WIRE SENSOR.038 150CM FLEX ANG

Facility

$149.50

Hospital Charge Code	64904882
Hospital Revenue Code	270
Min. Negotiated Rate	$52.32
Max. Negotiated Rate	$119.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$82.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$74.75
Rate for Payer: Aetna Government	$74.75
Rate for Payer: Brighton Health Commercial	$112.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$119.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$101.66
Rate for Payer: Group Health Inc Commercial	$74.75
Rate for Payer: Group Health Inc Medicare	$52.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.75
Rate for Payer: Hamaspik Choice Inc Medicare	$74.75

WIRE SENSOR.038 150CM FLEX STR

Facility

$109.47

Hospital Charge Code	64904884
Hospital Revenue Code	270
Min. Negotiated Rate	$38.31
Max. Negotiated Rate	$87.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$60.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$54.74
Rate for Payer: Aetna Government	$54.74
Rate for Payer: Brighton Health Commercial	$82.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$87.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$74.44
Rate for Payer: Group Health Inc Commercial	$54.74
Rate for Payer: Group Health Inc Medicare	$38.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.74
Rate for Payer: Hamaspik Choice Inc Medicare	$54.74

WIRE V-14 300CM

Facility

$227.00

Service Code	HCPCS C1713
Hospital Charge Code	64906316
Hospital Revenue Code	278
Min. Negotiated Rate	$113.50
Max. Negotiated Rate	$113.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.50
Rate for Payer: Hamaspik Choice Inc Medicare	$113.50

WIRE V-14 300CM

Facility

$227.00

Service Code	HCPCS C1713
Hospital Charge Code	64906316
Hospital Revenue Code	278
Min. Negotiated Rate	$79.45
Max. Negotiated Rate	$238.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$124.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$136.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$113.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$130.52
Rate for Payer: EmblemHealth Commercial	$113.50
Rate for Payer: Fidelis Medicare Advantage	$238.35
Rate for Payer: Group Health Inc Commercial	$113.50
Rate for Payer: Group Health Inc Medicare	$79.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.50
Rate for Payer: Hamaspik Choice Inc Medicare	$113.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$147.55

WIRE WITH OLIVE-DIA 2.0 X 45

Facility

$300.00

Hospital Charge Code	64905259
Hospital Revenue Code	270
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$240.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$165.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$150.00
Rate for Payer: Aetna Government	$150.00
Rate for Payer: Brighton Health Commercial	$225.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$240.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$204.00
Rate for Payer: Group Health Inc Commercial	$150.00
Rate for Payer: Group Health Inc Medicare	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00

WIRE X-RAY 31MM

Facility

$1,314.00

Service Code	HCPCS C1769
Hospital Charge Code	40209671
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$1,379.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$722.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$788.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$657.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$755.55
Rate for Payer: EmblemHealth Commercial	$657.00
Rate for Payer: Fidelis Medicare Advantage	$1,379.70
Rate for Payer: Group Health Inc Commercial	$657.00
Rate for Payer: Group Health Inc Medicare	$459.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$657.00
Rate for Payer: Hamaspik Choice Inc Medicare	$657.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$854.10

Know your out-of-pocket cost for care.

All Charges