St. Barnabas Hospital

All Charges

Charge

Type

Price

CATH, QUICKXSUPPRT .014/150CM

Facility OP

$2,150.00

Hospital Charge Code	64906090
Hospital Revenue Code	279
Min. Negotiated Rate	$752.50
Max. Negotiated Rate	$1,720.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,182.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,075.00
Rate for Payer: Aetna Government	$1,075.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,720.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,462.00
Rate for Payer: Group Health Inc Commercial	$1,075.00
Rate for Payer: Group Health Inc Medicare	$752.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,075.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,075.00

CATH, QUICKXSUPPRT .018/135CM

Facility OP

$2,150.00

Hospital Charge Code	64906092
Hospital Revenue Code	279
Min. Negotiated Rate	$752.50
Max. Negotiated Rate	$1,720.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,182.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,075.00
Rate for Payer: Aetna Government	$1,075.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,720.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,462.00
Rate for Payer: Group Health Inc Commercial	$1,075.00
Rate for Payer: Group Health Inc Medicare	$752.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,075.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,075.00

CATH, QUICKXSUPPRT .018/150CM

Facility OP

$2,150.00

Hospital Charge Code	64906093
Hospital Revenue Code	279
Min. Negotiated Rate	$752.50
Max. Negotiated Rate	$1,720.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,182.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,075.00
Rate for Payer: Aetna Government	$1,075.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,720.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,462.00
Rate for Payer: Group Health Inc Commercial	$1,075.00
Rate for Payer: Group Health Inc Medicare	$752.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,075.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,075.00

CATH, QUICKXSUPPRT .018/90CM

Facility OP

$2,150.00

Hospital Charge Code	64906091
Hospital Revenue Code	279
Min. Negotiated Rate	$752.50
Max. Negotiated Rate	$1,720.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,182.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,075.00
Rate for Payer: Aetna Government	$1,075.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,720.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,462.00
Rate for Payer: Group Health Inc Commercial	$1,075.00
Rate for Payer: Group Health Inc Medicare	$752.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,075.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,075.00

CATH, QUICKXSUPPRT .035/135CM

Facility OP

$2,150.00

Hospital Charge Code	64906095
Hospital Revenue Code	279
Min. Negotiated Rate	$752.50
Max. Negotiated Rate	$1,720.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,182.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,075.00
Rate for Payer: Aetna Government	$1,075.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,720.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,462.00
Rate for Payer: Group Health Inc Commercial	$1,075.00
Rate for Payer: Group Health Inc Medicare	$752.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,075.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,075.00

CATH, QUICKXSUPPRT .035/150CM

Facility OP

$2,150.00

Hospital Charge Code	64906096
Hospital Revenue Code	279
Min. Negotiated Rate	$752.50
Max. Negotiated Rate	$1,720.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,182.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,075.00
Rate for Payer: Aetna Government	$1,075.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,720.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,462.00
Rate for Payer: Group Health Inc Commercial	$1,075.00
Rate for Payer: Group Health Inc Medicare	$752.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,075.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,075.00

CATH, QUICKXSUPPRT .035/90CM

Facility OP

$2,150.00

Hospital Charge Code	64906094
Hospital Revenue Code	279
Min. Negotiated Rate	$752.50
Max. Negotiated Rate	$1,720.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,182.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,075.00
Rate for Payer: Aetna Government	$1,075.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,720.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,462.00
Rate for Payer: Group Health Inc Commercial	$1,075.00
Rate for Payer: Group Health Inc Medicare	$752.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,075.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,075.00

CATH RADIAL ARTERY 18G X 1 1/2

Facility OP

$23.61

Hospital Charge Code	64901070
Hospital Revenue Code	279
Min. Negotiated Rate	$8.26
Max. Negotiated Rate	$18.89
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.80
Rate for Payer: Aetna Government	$11.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$18.89
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.05
Rate for Payer: Group Health Inc Commercial	$11.80
Rate for Payer: Group Health Inc Medicare	$8.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.80
Rate for Payer: Hamaspik Choice Inc Medicare	$11.80

CATH REDDICK CYSTIC DUCT 4FR

Facility OP

$220.00

Hospital Charge Code	40205984
Hospital Revenue Code	270
Min. Negotiated Rate	$77.00
Max. Negotiated Rate	$176.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$121.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$110.00
Rate for Payer: Aetna Government	$110.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$176.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$149.60
Rate for Payer: Group Health Inc Commercial	$110.00
Rate for Payer: Group Health Inc Medicare	$77.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$110.00
Rate for Payer: Hamaspik Choice Inc Medicare	$110.00

CATH SILICON FOLEY 10FR L/F 3CC

Facility OP

$16.60

Service Code	HCPCS C1758
Hospital Charge Code	64902545
Hospital Revenue Code	279
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$13.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.13
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	$13.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.29
Rate for Payer: Group Health Inc Commercial	$8.30
Rate for Payer: Group Health Inc Medicare	$5.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.30
Rate for Payer: Hamaspik Choice Inc Medicare	$8.30

CATH SILICON FOLEY 12FR L/F 5CC

Facility OP

$7.95

Service Code	HCPCS C1758
Hospital Charge Code	64902546
Hospital Revenue Code	279
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$6.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.37
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	$6.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.41
Rate for Payer: Group Health Inc Commercial	$3.98
Rate for Payer: Group Health Inc Medicare	$2.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.98
Rate for Payer: Hamaspik Choice Inc Medicare	$3.98

CATH SILICON FOLEY 14FR L/F 5CC

Facility OP

$8.00

Service Code	HCPCS C1758
Hospital Charge Code	64902548
Hospital Revenue Code	279
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$6.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.40
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	$6.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.44
Rate for Payer: Group Health Inc Commercial	$4.00
Rate for Payer: Group Health Inc Medicare	$2.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4.00

CATH SILICON FOLEY 16FR L/F 5CC

Facility OP

$15.49

Service Code	HCPCS C1758
Hospital Charge Code	64902550
Hospital Revenue Code	279
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$12.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.52
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	$12.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.53
Rate for Payer: Group Health Inc Commercial	$7.74
Rate for Payer: Group Health Inc Medicare	$5.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.74
Rate for Payer: Hamaspik Choice Inc Medicare	$7.74

CATH SILICON FOLEY 8FR L/F 3CC

Facility OP

$25.98

Service Code	HCPCS C1758
Hospital Charge Code	64902543
Hospital Revenue Code	279
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$20.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14.29
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	$20.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$17.67
Rate for Payer: Group Health Inc Commercial	$12.99
Rate for Payer: Group Health Inc Medicare	$9.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.99
Rate for Payer: Hamaspik Choice Inc Medicare	$12.99

CATH. SIZE 16 F.R. 5CC BAG

Facility OP

$20.20

Hospital Charge Code	40200904
Hospital Revenue Code	270
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$16.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.10
Rate for Payer: Aetna Government	$10.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.74
Rate for Payer: Group Health Inc Commercial	$10.10
Rate for Payer: Group Health Inc Medicare	$7.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.10
Rate for Payer: Hamaspik Choice Inc Medicare	$10.10

CATH. SIZE 18 F.R. 5CC BAG

Facility OP

$20.20

Hospital Charge Code	40200905
Hospital Revenue Code	270
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$16.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.10
Rate for Payer: Aetna Government	$10.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.74
Rate for Payer: Group Health Inc Commercial	$10.10
Rate for Payer: Group Health Inc Medicare	$7.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.10
Rate for Payer: Hamaspik Choice Inc Medicare	$10.10

CATH. SIZE 22 F.R. 5CC BAG

Facility OP

$20.20

Hospital Charge Code	40200906
Hospital Revenue Code	270
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$16.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.10
Rate for Payer: Aetna Government	$10.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.74
Rate for Payer: Group Health Inc Commercial	$10.10
Rate for Payer: Group Health Inc Medicare	$7.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.10
Rate for Payer: Hamaspik Choice Inc Medicare	$10.10

CATH.SIZE 24 F.R. 5CC BAG

Facility OP

$20.20

Hospital Charge Code	40200907
Hospital Revenue Code	270
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$16.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.10
Rate for Payer: Aetna Government	$10.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.74
Rate for Payer: Group Health Inc Commercial	$10.10
Rate for Payer: Group Health Inc Medicare	$7.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.10
Rate for Payer: Hamaspik Choice Inc Medicare	$10.10

CATH SUCTION 10FR

Facility OP

$0.99

Hospital Charge Code	64902215
Hospital Revenue Code	279
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.67
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50

CATH SUCTION 14FR

Facility OP

$0.58

Service Code	HCPCS A4624
Hospital Charge Code	64902207
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$1.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.36
Rate for Payer: Aetna Government	$1.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.39
Rate for Payer: Group Health Inc Commercial	$0.29
Rate for Payer: Group Health Inc Medicare	$0.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.29
Rate for Payer: Hamaspik Choice Inc Medicare	$0.29

CATH SUCTION 18FR

Facility OP

$0.99

Hospital Charge Code	64902210
Hospital Revenue Code	279
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.67
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50

CATH SUCTION 6FR

Facility OP

$1.05

Hospital Charge Code	64902377
Hospital Revenue Code	279
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.53
Rate for Payer: Aetna Government	$0.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.71
Rate for Payer: Group Health Inc Commercial	$0.53
Rate for Payer: Group Health Inc Medicare	$0.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.53
Rate for Payer: Hamaspik Choice Inc Medicare	$0.53

CATH SUCTION 8FR

Facility OP

$0.58

Hospital Charge Code	64902333
Hospital Revenue Code	279
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.29
Rate for Payer: Aetna Government	$0.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.39
Rate for Payer: Group Health Inc Commercial	$0.29
Rate for Payer: Group Health Inc Medicare	$0.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.29
Rate for Payer: Hamaspik Choice Inc Medicare	$0.29

CATH SUCTION LEFT BRONCHIAL 14FR

Facility OP

$15.50

Hospital Charge Code	64902165
Hospital Revenue Code	279
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$12.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.75
Rate for Payer: Aetna Government	$7.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.54
Rate for Payer: Group Health Inc Commercial	$7.75
Rate for Payer: Group Health Inc Medicare	$5.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.75
Rate for Payer: Hamaspik Choice Inc Medicare	$7.75

CATH SUPRAPUBIC PERC 14FR

Facility OP

$180.00

Hospital Charge Code	40209787
Hospital Revenue Code	270
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$144.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$90.00
Rate for Payer: Aetna Government	$90.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$144.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$122.40
Rate for Payer: Group Health Inc Commercial	$90.00
Rate for Payer: Group Health Inc Medicare	$63.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00

Price Transparency.

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