St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ MANIFOLD/RIGHT

Facility

$41.46

Hospital Charge Code	41569256
Hospital Revenue Code	270
Min. Negotiated Rate	$14.51
Max. Negotiated Rate	$33.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.73
Rate for Payer: Aetna Government	$20.73
Rate for Payer: Brighton Health Commercial	$31.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$33.17
Rate for Payer: Cigna LocalPlus Benefit Plan	$28.19
Rate for Payer: Group Health Inc Commercial	$20.73
Rate for Payer: Group Health Inc Medicare	$14.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.73
Rate for Payer: Hamaspik Choice Inc Medicare	$20.73

ZZ MARK 7ARTERION-SYRINGE

Facility

$19.50

Hospital Charge Code	41566953
Hospital Revenue Code	272
Min. Negotiated Rate	$6.82
Max. Negotiated Rate	$15.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$9.75
Rate for Payer: Aetna Government	$9.75
Rate for Payer: Brighton Health Commercial	$14.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$15.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.26
Rate for Payer: Group Health Inc Commercial	$9.75
Rate for Payer: Group Health Inc Medicare	$6.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.75
Rate for Payer: Hamaspik Choice Inc Medicare	$9.75

ZZ MCRONEST 18-14-10

Facility

$237.44

Hospital Charge Code	41569787
Hospital Revenue Code	270
Min. Negotiated Rate	$83.10
Max. Negotiated Rate	$189.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$130.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$118.72
Rate for Payer: Aetna Government	$118.72
Rate for Payer: Brighton Health Commercial	$178.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$189.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$161.46
Rate for Payer: Group Health Inc Commercial	$118.72
Rate for Payer: Group Health Inc Medicare	$83.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$118.72
Rate for Payer: Hamaspik Choice Inc Medicare	$118.72

ZZ MCRONEST 18-14-3

Facility

$237.44

Hospital Charge Code	41569788
Hospital Revenue Code	270
Min. Negotiated Rate	$83.10
Max. Negotiated Rate	$189.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$130.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$118.72
Rate for Payer: Aetna Government	$118.72
Rate for Payer: Brighton Health Commercial	$178.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$189.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$161.46
Rate for Payer: Group Health Inc Commercial	$118.72
Rate for Payer: Group Health Inc Medicare	$83.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$118.72
Rate for Payer: Hamaspik Choice Inc Medicare	$118.72

ZZ MCRONEST 18-14-4

Facility

$237.44

Hospital Charge Code	41569789
Hospital Revenue Code	270
Min. Negotiated Rate	$83.10
Max. Negotiated Rate	$189.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$130.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$118.72
Rate for Payer: Aetna Government	$118.72
Rate for Payer: Brighton Health Commercial	$178.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$189.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$161.46
Rate for Payer: Group Health Inc Commercial	$118.72
Rate for Payer: Group Health Inc Medicare	$83.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$118.72
Rate for Payer: Hamaspik Choice Inc Medicare	$118.72

ZZ MCRONEST 18-14-6

Facility

$237.44

Hospital Charge Code	41569790
Hospital Revenue Code	270
Min. Negotiated Rate	$83.10
Max. Negotiated Rate	$189.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$130.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$118.72
Rate for Payer: Aetna Government	$118.72
Rate for Payer: Brighton Health Commercial	$178.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$189.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$161.46
Rate for Payer: Group Health Inc Commercial	$118.72
Rate for Payer: Group Health Inc Medicare	$83.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$118.72
Rate for Payer: Hamaspik Choice Inc Medicare	$118.72

ZZ MCRONEST 18-14-8

Facility

$237.44

Hospital Charge Code	41569791
Hospital Revenue Code	270
Min. Negotiated Rate	$83.10
Max. Negotiated Rate	$189.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$130.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$118.72
Rate for Payer: Aetna Government	$118.72
Rate for Payer: Brighton Health Commercial	$178.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$189.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$161.46
Rate for Payer: Group Health Inc Commercial	$118.72
Rate for Payer: Group Health Inc Medicare	$83.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$118.72
Rate for Payer: Hamaspik Choice Inc Medicare	$118.72

ZZ MEDALLION SERIES SYRINGE

Facility

$4.79

Hospital Charge Code	41569257
Hospital Revenue Code	270
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$3.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.40
Rate for Payer: Aetna Government	$2.40
Rate for Payer: Brighton Health Commercial	$3.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.26
Rate for Payer: Group Health Inc Commercial	$2.40
Rate for Payer: Group Health Inc Medicare	$1.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.40
Rate for Payer: Hamaspik Choice Inc Medicare	$2.40

ZZ MEDALLION SYRINGE #MSS011 LB

Facility

$18.96

Hospital Charge Code	41569015
Hospital Revenue Code	270
Min. Negotiated Rate	$6.64
Max. Negotiated Rate	$15.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10.43
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$9.48
Rate for Payer: Aetna Government	$9.48
Rate for Payer: Brighton Health Commercial	$14.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$15.17
Rate for Payer: Cigna LocalPlus Benefit Plan	$12.89
Rate for Payer: Group Health Inc Commercial	$9.48
Rate for Payer: Group Health Inc Medicare	$6.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.48
Rate for Payer: Hamaspik Choice Inc Medicare	$9.48

ZZ MEDI CATH HK 1.0 5X65

Facility

$50.89

Hospital Charge Code	41569628
Hospital Revenue Code	270
Min. Negotiated Rate	$17.81
Max. Negotiated Rate	$40.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.44
Rate for Payer: Aetna Government	$25.44
Rate for Payer: Brighton Health Commercial	$38.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.61
Rate for Payer: Group Health Inc Commercial	$25.44
Rate for Payer: Group Health Inc Medicare	$17.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.44
Rate for Payer: Hamaspik Choice Inc Medicare	$25.44

ZZ MEDI CATH RENE 130/20

Facility

$836.33

Hospital Charge Code	41569576
Hospital Revenue Code	270
Min. Negotiated Rate	$292.72
Max. Negotiated Rate	$669.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$459.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$418.16
Rate for Payer: Aetna Government	$418.16
Rate for Payer: Brighton Health Commercial	$627.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$669.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$568.70
Rate for Payer: Group Health Inc Commercial	$418.16
Rate for Payer: Group Health Inc Medicare	$292.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$418.16
Rate for Payer: Hamaspik Choice Inc Medicare	$418.16

ZZ MEDI CATH RENE 150/10

Facility

$836.33

Hospital Charge Code	41569577
Hospital Revenue Code	270
Min. Negotiated Rate	$292.72
Max. Negotiated Rate	$669.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$459.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$418.16
Rate for Payer: Aetna Government	$418.16
Rate for Payer: Brighton Health Commercial	$627.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$669.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$568.70
Rate for Payer: Group Health Inc Commercial	$418.16
Rate for Payer: Group Health Inc Medicare	$292.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$418.16
Rate for Payer: Hamaspik Choice Inc Medicare	$418.16

ZZ MEDI CATH RENE 150/20

Facility

$836.33

Hospital Charge Code	41569578
Hospital Revenue Code	270
Min. Negotiated Rate	$292.72
Max. Negotiated Rate	$669.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$459.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$418.16
Rate for Payer: Aetna Government	$418.16
Rate for Payer: Brighton Health Commercial	$627.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$669.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$568.70
Rate for Payer: Group Health Inc Commercial	$418.16
Rate for Payer: Group Health Inc Medicare	$292.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$418.16
Rate for Payer: Hamaspik Choice Inc Medicare	$418.16

ZZ MEDI SP CATHETER

Facility

$1,037.61

Hospital Charge Code	41569581
Hospital Revenue Code	270
Min. Negotiated Rate	$363.16
Max. Negotiated Rate	$830.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$570.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$518.80
Rate for Payer: Aetna Government	$518.80
Rate for Payer: Brighton Health Commercial	$778.21
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$830.09
Rate for Payer: Cigna LocalPlus Benefit Plan	$705.57
Rate for Payer: Group Health Inc Commercial	$518.80
Rate for Payer: Group Health Inc Medicare	$363.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$518.80
Rate for Payer: Hamaspik Choice Inc Medicare	$518.80

ZZ MEDITECH FLO SWITCH P

Facility

$12.26

Hospital Charge Code	41569604
Hospital Revenue Code	270
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$9.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.13
Rate for Payer: Aetna Government	$6.13
Rate for Payer: Brighton Health Commercial	$9.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.81
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.34
Rate for Payer: Group Health Inc Commercial	$6.13
Rate for Payer: Group Health Inc Medicare	$4.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.13
Rate for Payer: Hamaspik Choice Inc Medicare	$6.13

ZZ MEDITECH GLIDEWR

Facility

$419.86

Hospital Charge Code	41569603
Hospital Revenue Code	270
Min. Negotiated Rate	$146.95
Max. Negotiated Rate	$335.89
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$230.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$209.93
Rate for Payer: Aetna Government	$209.93
Rate for Payer: Brighton Health Commercial	$314.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$335.89
Rate for Payer: Cigna LocalPlus Benefit Plan	$285.50
Rate for Payer: Group Health Inc Commercial	$209.93
Rate for Payer: Group Health Inc Medicare	$146.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$209.93
Rate for Payer: Hamaspik Choice Inc Medicare	$209.93

ZZ MEDITECH GLIDEWR SS

Facility

$652.05

Hospital Charge Code	41569602
Hospital Revenue Code	270
Min. Negotiated Rate	$228.22
Max. Negotiated Rate	$521.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$358.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$326.02
Rate for Payer: Aetna Government	$326.02
Rate for Payer: Brighton Health Commercial	$489.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$521.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$443.39
Rate for Payer: Group Health Inc Commercial	$326.02
Rate for Payer: Group Health Inc Medicare	$228.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$326.02
Rate for Payer: Hamaspik Choice Inc Medicare	$326.02

ZZ MEDITECH OASIS THROMB. CATH

Facility

$1,641.47

Service Code	HCPCS C1757
Hospital Charge Code	41569547
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$1,723.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$902.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.33
Rate for Payer: Aetna Government	$16.33
Rate for Payer: Brighton Health Commercial	$984.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$820.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$943.85
Rate for Payer: EmblemHealth Commercial	$820.74
Rate for Payer: Fidelis Medicare Advantage	$1,723.54
Rate for Payer: Group Health Inc Commercial	$820.74
Rate for Payer: Group Health Inc Medicare	$574.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$820.74
Rate for Payer: Hamaspik Choice Inc Medicare	$820.74
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,066.96

ZZ MEDITECH OASIS THROMB. CATH

Facility

$1,641.47

Service Code	HCPCS C1757
Hospital Charge Code	41569547
Hospital Revenue Code	278
Min. Negotiated Rate	$820.74
Max. Negotiated Rate	$820.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$820.74
Rate for Payer: Hamaspik Choice Inc Medicare	$820.74

ZZ MEDITECH OASIS THROMB. KIT

Facility

$82.22

Service Code	HCPCS C1757
Hospital Charge Code	41569531
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$86.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$45.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.33
Rate for Payer: Aetna Government	$16.33
Rate for Payer: Brighton Health Commercial	$49.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$47.28
Rate for Payer: EmblemHealth Commercial	$41.11
Rate for Payer: Fidelis Medicare Advantage	$86.33
Rate for Payer: Group Health Inc Commercial	$41.11
Rate for Payer: Group Health Inc Medicare	$28.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$41.11
Rate for Payer: Hamaspik Choice Inc Medicare	$41.11
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$53.44

ZZ MEDITECH OASIS THROMB. KIT

Facility

$82.22

Service Code	HCPCS C1757
Hospital Charge Code	41569531
Hospital Revenue Code	278
Min. Negotiated Rate	$41.11
Max. Negotiated Rate	$41.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$41.11
Rate for Payer: Hamaspik Choice Inc Medicare	$41.11

ZZ MEDITECH RENEGADE 130/20/1 TIP

Facility

$836.33

Service Code	HCPCS C1769
Hospital Charge Code	41569542
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$878.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$459.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$501.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$418.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$480.89
Rate for Payer: EmblemHealth Commercial	$418.16
Rate for Payer: Fidelis Medicare Advantage	$878.15
Rate for Payer: Group Health Inc Commercial	$418.16
Rate for Payer: Group Health Inc Medicare	$292.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$418.16
Rate for Payer: Hamaspik Choice Inc Medicare	$418.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$543.61

ZZ MEDITECH RENEGADE 130/20/1 TIP

Facility

$836.33

Service Code	HCPCS C1769
Hospital Charge Code	41569542
Hospital Revenue Code	278
Min. Negotiated Rate	$418.16
Max. Negotiated Rate	$418.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$418.16
Rate for Payer: Hamaspik Choice Inc Medicare	$418.16

ZZ MEDITECH TRANSEND .018 GUIDWR

Facility

$467.78

Service Code	HCPCS C1769
Hospital Charge Code	41569541
Hospital Revenue Code	278
Min. Negotiated Rate	$233.89
Max. Negotiated Rate	$233.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.89
Rate for Payer: Hamaspik Choice Inc Medicare	$233.89

ZZ MEDITECH TRANSEND .018 GUIDWR

Facility

$467.78

Service Code	HCPCS C1769
Hospital Charge Code	41569541
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$491.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$257.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$280.67
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$233.89
Rate for Payer: Cigna LocalPlus Benefit Plan	$268.97
Rate for Payer: EmblemHealth Commercial	$233.89
Rate for Payer: Fidelis Medicare Advantage	$491.17
Rate for Payer: Group Health Inc Commercial	$233.89
Rate for Payer: Group Health Inc Medicare	$163.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.89
Rate for Payer: Hamaspik Choice Inc Medicare	$233.89
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$304.06

Know your out-of-pocket cost for care.

All Charges