St. Barnabas Hospital

All Charges

Charge

Type

Price

CATH EVRCR 035 7X100 80CM

Facility IP

$690.00

Service Code	HCPCS C1713
Hospital Charge Code	64906810
Hospital Revenue Code	278
Min. Negotiated Rate	$345.00
Max. Negotiated Rate	$345.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$345.00
Rate for Payer: Hamaspik Choice Inc Medicare	$345.00

CATH EXCHANGE AIRWAY

Facility OP

$281.12

Hospital Charge Code	64901652
Hospital Revenue Code	279
Min. Negotiated Rate	$98.39
Max. Negotiated Rate	$224.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$154.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$140.56
Rate for Payer: Aetna Government	$140.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$224.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.16
Rate for Payer: Group Health Inc Commercial	$140.56
Rate for Payer: Group Health Inc Medicare	$98.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$140.56
Rate for Payer: Hamaspik Choice Inc Medicare	$140.56

CATH EXT SET CLEARLINK LUER

Facility OP

$4.40

Hospital Charge Code	64901805
Hospital Revenue Code	279
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$3.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.20
Rate for Payer: Aetna Government	$2.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.99
Rate for Payer: Group Health Inc Commercial	$2.20
Rate for Payer: Group Health Inc Medicare	$1.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.20
Rate for Payer: Hamaspik Choice Inc Medicare	$2.20

CATH FOGARTY EMBO ARTERIAL 3FR

Facility OP

$95.50

Hospital Charge Code	40202176
Hospital Revenue Code	270
Min. Negotiated Rate	$33.42
Max. Negotiated Rate	$76.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$52.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$47.75
Rate for Payer: Aetna Government	$47.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$76.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$64.94
Rate for Payer: Group Health Inc Commercial	$47.75
Rate for Payer: Group Health Inc Medicare	$33.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$47.75
Rate for Payer: Hamaspik Choice Inc Medicare	$47.75

CATH FOGARTY EMBO ARTERIAL 4FR

Facility OP

$101.24

Hospital Charge Code	40202177
Hospital Revenue Code	270
Min. Negotiated Rate	$35.43
Max. Negotiated Rate	$80.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.62
Rate for Payer: Aetna Government	$50.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.99
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.84
Rate for Payer: Group Health Inc Commercial	$50.62
Rate for Payer: Group Health Inc Medicare	$35.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.62
Rate for Payer: Hamaspik Choice Inc Medicare	$50.62

CATH FOGARTY EMBOLECTOMY ART 5FR

Facility OP

$95.50

Hospital Charge Code	40202175
Hospital Revenue Code	270
Min. Negotiated Rate	$33.42
Max. Negotiated Rate	$76.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$52.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$47.75
Rate for Payer: Aetna Government	$47.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$76.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$64.94
Rate for Payer: Group Health Inc Commercial	$47.75
Rate for Payer: Group Health Inc Medicare	$33.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$47.75
Rate for Payer: Hamaspik Choice Inc Medicare	$47.75

CATH FOLEY 10FR 3CC 2 WAY 180010

Facility OP

$12.94

Service Code	HCPCS C1758
Hospital Charge Code	64902391
Hospital Revenue Code	279
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$10.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.97
Rate for Payer: Aetna Government	$2.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.80
Rate for Payer: Group Health Inc Commercial	$6.47
Rate for Payer: Group Health Inc Medicare	$4.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.47
Rate for Payer: Hamaspik Choice Inc Medicare	$6.47

CATH FOLEY 12FR 10ML LTX

Facility OP

$3.73

Service Code	HCPCS C1758
Hospital Charge Code	64902393
Hospital Revenue Code	279
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$2.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.97
Rate for Payer: Aetna Government	$2.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.54
Rate for Payer: Group Health Inc Commercial	$1.86
Rate for Payer: Group Health Inc Medicare	$1.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.86
Rate for Payer: Hamaspik Choice Inc Medicare	$1.86

CATH FOLEY 12 FR 5 CC 2 WAY

Facility OP

$2.00

Hospital Charge Code	40201037
Hospital Revenue Code	270
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$1.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.00
Rate for Payer: Aetna Government	$1.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.36
Rate for Payer: Group Health Inc Commercial	$1.00
Rate for Payer: Group Health Inc Medicare	$0.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1.00

CATH FOLEY 14FR 5CC 2 WAY

Facility OP

$3.73

Service Code	HCPCS C1758
Hospital Charge Code	64902102
Hospital Revenue Code	279
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$2.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.97
Rate for Payer: Aetna Government	$2.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.54
Rate for Payer: Group Health Inc Commercial	$1.86
Rate for Payer: Group Health Inc Medicare	$1.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.86
Rate for Payer: Hamaspik Choice Inc Medicare	$1.86

CATH FOLEY 14FR 5CC 2WAY

Facility OP

$2.22

Hospital Charge Code	40201038
Hospital Revenue Code	270
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$1.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.11
Rate for Payer: Aetna Government	$1.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.51
Rate for Payer: Group Health Inc Commercial	$1.11
Rate for Payer: Group Health Inc Medicare	$0.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.11
Rate for Payer: Hamaspik Choice Inc Medicare	$1.11

CATH FOLEY 16FR 30CC 2 WAY

Facility OP

$6.97

Service Code	HCPCS C1758
Hospital Charge Code	64902095
Hospital Revenue Code	279
Min. Negotiated Rate	$2.44
Max. Negotiated Rate	$5.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.83
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.97
Rate for Payer: Aetna Government	$2.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.74
Rate for Payer: Group Health Inc Commercial	$3.48
Rate for Payer: Group Health Inc Medicare	$2.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.48
Rate for Payer: Hamaspik Choice Inc Medicare	$3.48

CATH FOLEY 16FR 5CC 2 WAY

Facility OP

$6.64

Service Code	HCPCS C1758
Hospital Charge Code	64902104
Hospital Revenue Code	279
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$5.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.97
Rate for Payer: Aetna Government	$2.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.31
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.52
Rate for Payer: Group Health Inc Commercial	$3.32
Rate for Payer: Group Health Inc Medicare	$2.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.32
Rate for Payer: Hamaspik Choice Inc Medicare	$3.32

CATH FOLEY 16FR 5CC 2 WAY

Facility OP

$2.36

Hospital Charge Code	40201040
Hospital Revenue Code	270
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$1.89
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.18
Rate for Payer: Aetna Government	$1.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.89
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.60
Rate for Payer: Group Health Inc Commercial	$1.18
Rate for Payer: Group Health Inc Medicare	$0.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.18
Rate for Payer: Hamaspik Choice Inc Medicare	$1.18

CATH FOLEY 18FR 5CC 2 WAY

Facility OP

$2.22

Hospital Charge Code	40201041
Hospital Revenue Code	270
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$1.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.11
Rate for Payer: Aetna Government	$1.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.51
Rate for Payer: Group Health Inc Commercial	$1.11
Rate for Payer: Group Health Inc Medicare	$0.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.11
Rate for Payer: Hamaspik Choice Inc Medicare	$1.11

CATH FOLEY 18FR 5CC 2 WAY

Facility OP

$3.73

Service Code	HCPCS C1758
Hospital Charge Code	64902106
Hospital Revenue Code	279
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$2.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.97
Rate for Payer: Aetna Government	$2.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.54
Rate for Payer: Group Health Inc Commercial	$1.86
Rate for Payer: Group Health Inc Medicare	$1.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.86
Rate for Payer: Hamaspik Choice Inc Medicare	$1.86

CATH FOLEY 20FR 30CC 2 WAY

Facility OP

$7.85

Service Code	HCPCS C1758
Hospital Charge Code	64902097
Hospital Revenue Code	279
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$6.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.97
Rate for Payer: Aetna Government	$2.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.34
Rate for Payer: Group Health Inc Commercial	$3.92
Rate for Payer: Group Health Inc Medicare	$2.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.92
Rate for Payer: Hamaspik Choice Inc Medicare	$3.92

CATH FOLEY 20FR 30CC 2 WAY

Facility OP

$2.06

Hospital Charge Code	40201042
Hospital Revenue Code	270
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$1.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.03
Rate for Payer: Aetna Government	$1.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.40
Rate for Payer: Group Health Inc Commercial	$1.03
Rate for Payer: Group Health Inc Medicare	$0.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.03
Rate for Payer: Hamaspik Choice Inc Medicare	$1.03

CATH FOLEY 20FR 5CC 2 WAY

Facility OP

$2.22

Hospital Charge Code	40201043
Hospital Revenue Code	270
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$1.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.11
Rate for Payer: Aetna Government	$1.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.51
Rate for Payer: Group Health Inc Commercial	$1.11
Rate for Payer: Group Health Inc Medicare	$0.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.11
Rate for Payer: Hamaspik Choice Inc Medicare	$1.11

CATH FOLEY 20FR 5CC 2 WAY

Facility OP

$3.73

Service Code	HCPCS C1758
Hospital Charge Code	64902108
Hospital Revenue Code	279
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$2.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.97
Rate for Payer: Aetna Government	$2.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.54
Rate for Payer: Group Health Inc Commercial	$1.86
Rate for Payer: Group Health Inc Medicare	$1.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.86
Rate for Payer: Hamaspik Choice Inc Medicare	$1.86

CATH FOLEY 22FR 30CC 2 WAY

Facility OP

$6.97

Service Code	HCPCS C1758
Hospital Charge Code	64902098
Hospital Revenue Code	279
Min. Negotiated Rate	$2.44
Max. Negotiated Rate	$5.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.83
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.97
Rate for Payer: Aetna Government	$2.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.74
Rate for Payer: Group Health Inc Commercial	$3.48
Rate for Payer: Group Health Inc Medicare	$2.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.48
Rate for Payer: Hamaspik Choice Inc Medicare	$3.48

CATH FOLEY 22FR 30CC 2 WAY

Facility OP

$2.36

Hospital Charge Code	40201044
Hospital Revenue Code	270
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$1.89
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.18
Rate for Payer: Aetna Government	$1.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.89
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.60
Rate for Payer: Group Health Inc Commercial	$1.18
Rate for Payer: Group Health Inc Medicare	$0.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.18
Rate for Payer: Hamaspik Choice Inc Medicare	$1.18

CATH FOLEY 22FR 5CC 2 WAY

Facility OP

$3.73

Service Code	HCPCS C1758
Hospital Charge Code	64902110
Hospital Revenue Code	279
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$2.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.97
Rate for Payer: Aetna Government	$2.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.54
Rate for Payer: Group Health Inc Commercial	$1.86
Rate for Payer: Group Health Inc Medicare	$1.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.86
Rate for Payer: Hamaspik Choice Inc Medicare	$1.86

CATH FOLEY 22FR 5CC 2 WAY

Facility OP

$3.04

Hospital Charge Code	40201045
Hospital Revenue Code	270
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$2.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.52
Rate for Payer: Aetna Government	$1.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.43
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.07
Rate for Payer: Group Health Inc Commercial	$1.52
Rate for Payer: Group Health Inc Medicare	$1.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.52
Rate for Payer: Hamaspik Choice Inc Medicare	$1.52

CATH FOLEY 24FR 30CC 2 WAY

Facility OP

$2.36

Hospital Charge Code	40201046
Hospital Revenue Code	270
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$1.89
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.18
Rate for Payer: Aetna Government	$1.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.89
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.60
Rate for Payer: Group Health Inc Commercial	$1.18
Rate for Payer: Group Health Inc Medicare	$0.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.18
Rate for Payer: Hamaspik Choice Inc Medicare	$1.18

Price Transparency.

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