St. Barnabas Hospital

All Charges

Charge

Type

Price

CONNECTION SCREW FOR NCB PLT

Facility IP

$311.48

Service Code	HCPCS C1713
Hospital Charge Code	40007028
Hospital Revenue Code	278
Min. Negotiated Rate	$155.74
Max. Negotiated Rate	$155.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$155.74
Rate for Payer: Hamaspik Choice Inc Medicare	$155.74

CONNECTION SCREW FOR NCB PLT

Facility OP

$311.48

Service Code	HCPCS C1713
Hospital Charge Code	40007028
Hospital Revenue Code	278
Min. Negotiated Rate	$109.02
Max. Negotiated Rate	$327.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$171.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$155.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$179.10
Rate for Payer: Fidelis Medicare Advantage	$327.05
Rate for Payer: Group Health Inc Commercial	$155.74
Rate for Payer: Group Health Inc Medicare	$109.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$155.74
Rate for Payer: Hamaspik Choice Inc Medicare	$155.74
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$202.46

CONNECTIVE TISSUE DISORDERS WITH CC

Facility IP

$24,438.18

Service Code	MS-DRG 546
Min. Negotiated Rate	$10,284.00
Max. Negotiated Rate	$24,438.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17,683.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23,959.00
Rate for Payer: Aetna Government	$23,959.00
Rate for Payer: Brighton Health Commercial	$17,389.85
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$24,438.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20,710.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$17,091.37
Rate for Payer: Elderplan Medicare Advantage	$22,761.05
Rate for Payer: EmblemHealth Commercial	$10,284.00
Rate for Payer: Fidelis Medicare Advantage	$23,959.00
Rate for Payer: Group Health Inc Commercial	$23,959.00
Rate for Payer: Group Health Inc Medicare	$23,959.00
Rate for Payer: Hamaspik Choice Inc Medicare	$23,959.00
Rate for Payer: Healthfirst Medicare Advantage	$11,140.94
Rate for Payer: Senior Whole Health Medicare Advantage	$23,959.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$23,959.00
Rate for Payer: Wellcare Medicare	$22,761.05

CONNECTIVE TISSUE DISORDERS WITH MCC

Facility IP

$43,055.07

Service Code	MS-DRG 545
Min. Negotiated Rate	$19,484.43
Max. Negotiated Rate	$43,055.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$36,762.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$41,902.00
Rate for Payer: Aetna Government	$41,902.00
Rate for Payer: Brighton Health Commercial	$36,151.40
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$42,740.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43,055.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$35,530.89
Rate for Payer: Elderplan Medicare Advantage	$39,806.90
Rate for Payer: EmblemHealth Commercial	$21,379.20
Rate for Payer: Fidelis Medicare Advantage	$41,902.00
Rate for Payer: Group Health Inc Commercial	$41,902.00
Rate for Payer: Group Health Inc Medicare	$41,902.00
Rate for Payer: Hamaspik Choice Inc Medicare	$41,902.00
Rate for Payer: Healthfirst Medicare Advantage	$19,484.43
Rate for Payer: Senior Whole Health Medicare Advantage	$41,902.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$41,902.00
Rate for Payer: Wellcare Medicare	$39,806.90

CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC

Facility IP

$19,119.76

Service Code	MS-DRG 547
Min. Negotiated Rate	$6,974.91
Max. Negotiated Rate	$19,119.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11,993.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18,744.86
Rate for Payer: Aetna Government	$18,744.86
Rate for Payer: Brighton Health Commercial	$11,794.30
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$19,119.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$14,217.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$11,732.95
Rate for Payer: Elderplan Medicare Advantage	$17,807.62
Rate for Payer: EmblemHealth Commercial	$6,974.91
Rate for Payer: Fidelis Medicare Advantage	$18,744.86
Rate for Payer: Group Health Inc Commercial	$18,744.86
Rate for Payer: Group Health Inc Medicare	$18,744.86
Rate for Payer: Hamaspik Choice Inc Medicare	$18,744.86
Rate for Payer: Healthfirst Medicare Advantage	$8,716.36
Rate for Payer: Senior Whole Health Medicare Advantage	$18,744.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$18,744.86
Rate for Payer: Wellcare Medicare	$17,807.62

CONNECTOR 5-1 STRAIGHT

Facility OP

$0.44

Hospital Charge Code	64901683
Hospital Revenue Code	270
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.22
Rate for Payer: Aetna Government	$0.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.30
Rate for Payer: Group Health Inc Commercial	$0.22
Rate for Payer: Group Health Inc Medicare	$0.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.22
Rate for Payer: Hamaspik Choice Inc Medicare	$0.22

CONNECTOR BAR

Facility OP

$1,276.00

Service Code	HCPCS D6920
Hospital Charge Code	42303329
Hospital Revenue Code	361
Min. Negotiated Rate	$638.00
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$701.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,018.19
Rate for Payer: Aetna Government	$1,018.19
Rate for Payer: Cash Price	$1,018.19
Rate for Payer: Cash Price	$1,018.19
Rate for Payer: Cash Price	$1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$1,018.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Elderplan Medicare Advantage	$1,018.19
Rate for Payer: EmblemHealth Commercial	$1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa	$865.46
Rate for Payer: Fidelis Essential Plan QHP	$906.19
Rate for Payer: Fidelis Medicare Advantage	$1,018.19
Rate for Payer: Fidelis Qualified Health Plan	$906.19
Rate for Payer: Group Health Inc Commercial	$1,018.19
Rate for Payer: Group Health Inc Medicare	$1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$638.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,018.19
Rate for Payer: Healthfirst Medicare Advantage	$865.46
Rate for Payer: Healthfirst QHP	$1,018.19
Rate for Payer: Senior Whole Health Medicare Advantage	$1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$814.55
Rate for Payer: Wellcare Medicare	$967.28

CONNECTOR FOR MANOMETER METAL SET

Facility OP

$16.53

Hospital Charge Code	64901898
Hospital Revenue Code	270
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$13.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.26
Rate for Payer: Aetna Government	$8.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.24
Rate for Payer: Group Health Inc Commercial	$8.26
Rate for Payer: Group Health Inc Medicare	$5.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.26
Rate for Payer: Hamaspik Choice Inc Medicare	$8.26

CONNECTOR MM TRANS HK SLOTTED

Facility OP

$662.50

Hospital Charge Code	64904444
Hospital Revenue Code	270
Min. Negotiated Rate	$231.88
Max. Negotiated Rate	$530.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$364.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$331.25
Rate for Payer: Aetna Government	$331.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$530.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$450.50
Rate for Payer: Group Health Inc Commercial	$331.25
Rate for Payer: Group Health Inc Medicare	$231.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$331.25
Rate for Payer: Hamaspik Choice Inc Medicare	$331.25

CONNECTOR MUTLI AXIAL 43-54

Facility OP

$4,263.15

Hospital Charge Code	64905955
Hospital Revenue Code	270
Min. Negotiated Rate	$1,492.10
Max. Negotiated Rate	$3,410.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,344.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,131.58
Rate for Payer: Aetna Government	$2,131.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,410.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,898.94
Rate for Payer: Group Health Inc Commercial	$2,131.58
Rate for Payer: Group Health Inc Medicare	$1,492.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,131.58
Rate for Payer: Hamaspik Choice Inc Medicare	$2,131.58

CONNECTOR, NEEDLE-FREE, ONE-LINK

Facility OP

$4.92

Hospital Charge Code	64901284
Hospital Revenue Code	270
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$3.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.46
Rate for Payer: Aetna Government	$2.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.35
Rate for Payer: Group Health Inc Commercial	$2.46
Rate for Payer: Group Health Inc Medicare	$1.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.46
Rate for Payer: Hamaspik Choice Inc Medicare	$2.46

CONNECTOR SIDE-SPINE

Facility OP

$3,570.00

Hospital Charge Code	64907182
Hospital Revenue Code	279
Min. Negotiated Rate	$1,249.50
Max. Negotiated Rate	$2,856.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,963.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,785.00
Rate for Payer: Aetna Government	$1,785.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,856.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,427.60
Rate for Payer: Group Health Inc Commercial	$1,785.00
Rate for Payer: Group Health Inc Medicare	$1,249.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,785.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,785.00

CONNECTOR STRAIGHT 1.5MM NYLON

Facility OP

$197.50

Hospital Charge Code	64904176
Hospital Revenue Code	270
Min. Negotiated Rate	$69.12
Max. Negotiated Rate	$158.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$108.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$98.75
Rate for Payer: Aetna Government	$98.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$158.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.30
Rate for Payer: Group Health Inc Commercial	$98.75
Rate for Payer: Group Health Inc Medicare	$69.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.75
Rate for Payer: Hamaspik Choice Inc Medicare	$98.75

CONNECTOR VAC Y T.R.A.C.

Facility OP

$4.65

Hospital Charge Code	64901135
Hospital Revenue Code	270
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$3.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.32
Rate for Payer: Aetna Government	$2.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.16
Rate for Payer: Group Health Inc Commercial	$2.32
Rate for Payer: Group Health Inc Medicare	$1.63
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.32
Rate for Payer: Hamaspik Choice Inc Medicare	$2.32

CONNECTOR Y-TYPE LARGE

Facility OP

$101.00

Hospital Charge Code	40200404
Hospital Revenue Code	270
Min. Negotiated Rate	$35.35
Max. Negotiated Rate	$80.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.50
Rate for Payer: Aetna Government	$50.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.68
Rate for Payer: Group Health Inc Commercial	$50.50
Rate for Payer: Group Health Inc Medicare	$35.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50
Rate for Payer: Hamaspik Choice Inc Medicare	$50.50

CONNECT QUICK MARQUETTE

Facility OP

$7.98

Hospital Charge Code	64901575
Hospital Revenue Code	270
Min. Negotiated Rate	$2.79
Max. Negotiated Rate	$6.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.99
Rate for Payer: Aetna Government	$3.99
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.43
Rate for Payer: Group Health Inc Commercial	$3.99
Rate for Payer: Group Health Inc Medicare	$2.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.99
Rate for Payer: Hamaspik Choice Inc Medicare	$3.99

CONQUEST40 10X40/75

Facility OP

$380.00

Service Code	HCPCS C1726
Hospital Charge Code	40004770
Hospital Revenue Code	278
Min. Negotiated Rate	$17.43
Max. Negotiated Rate	$399.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$209.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.43
Rate for Payer: Aetna Government	$17.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$190.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$218.50
Rate for Payer: Fidelis Medicare Advantage	$399.00
Rate for Payer: Group Health Inc Commercial	$190.00
Rate for Payer: Group Health Inc Medicare	$133.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$190.00
Rate for Payer: Hamaspik Choice Inc Medicare	$190.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$247.00

CONQUEST40 10X40/75

Facility IP

$380.00

Service Code	HCPCS C1726
Hospital Charge Code	40004770
Hospital Revenue Code	278
Min. Negotiated Rate	$190.00
Max. Negotiated Rate	$190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$190.00
Rate for Payer: Hamaspik Choice Inc Medicare	$190.00

CONQUEST40 12X40/75

Facility IP

$380.00

Service Code	HCPCS C1726
Hospital Charge Code	40004771
Hospital Revenue Code	278
Min. Negotiated Rate	$190.00
Max. Negotiated Rate	$190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$190.00
Rate for Payer: Hamaspik Choice Inc Medicare	$190.00

CONQUEST40 12X40/75

Facility OP

$380.00

Service Code	HCPCS C1726
Hospital Charge Code	40004771
Hospital Revenue Code	278
Min. Negotiated Rate	$17.43
Max. Negotiated Rate	$399.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$209.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.43
Rate for Payer: Aetna Government	$17.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$190.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$218.50
Rate for Payer: Fidelis Medicare Advantage	$399.00
Rate for Payer: Group Health Inc Commercial	$190.00
Rate for Payer: Group Health Inc Medicare	$133.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$190.00
Rate for Payer: Hamaspik Choice Inc Medicare	$190.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$247.00

CONQUEST40 6X40/75

Facility IP

$380.00

Service Code	HCPCS C1726
Hospital Charge Code	40004767
Hospital Revenue Code	278
Min. Negotiated Rate	$190.00
Max. Negotiated Rate	$190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$190.00
Rate for Payer: Hamaspik Choice Inc Medicare	$190.00

CONQUEST40 6X40/75

Facility OP

$380.00

Service Code	HCPCS C1726
Hospital Charge Code	40004767
Hospital Revenue Code	278
Min. Negotiated Rate	$17.43
Max. Negotiated Rate	$399.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$209.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.43
Rate for Payer: Aetna Government	$17.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$190.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$218.50
Rate for Payer: Fidelis Medicare Advantage	$399.00
Rate for Payer: Group Health Inc Commercial	$190.00
Rate for Payer: Group Health Inc Medicare	$133.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$190.00
Rate for Payer: Hamaspik Choice Inc Medicare	$190.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$247.00

CONQUEST40 7X80/75

Facility OP

$380.00

Service Code	HCPCS C1726
Hospital Charge Code	40004768
Hospital Revenue Code	278
Min. Negotiated Rate	$17.43
Max. Negotiated Rate	$399.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$209.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.43
Rate for Payer: Aetna Government	$17.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$190.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$218.50
Rate for Payer: Fidelis Medicare Advantage	$399.00
Rate for Payer: Group Health Inc Commercial	$190.00
Rate for Payer: Group Health Inc Medicare	$133.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$190.00
Rate for Payer: Hamaspik Choice Inc Medicare	$190.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$247.00

CONQUEST40 7X80/75

Facility IP

$380.00

Service Code	HCPCS C1726
Hospital Charge Code	40004768
Hospital Revenue Code	278
Min. Negotiated Rate	$190.00
Max. Negotiated Rate	$190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$190.00
Rate for Payer: Hamaspik Choice Inc Medicare	$190.00

CONQUEST40 8X40/75

Facility IP

$380.00

Service Code	HCPCS C1726
Hospital Charge Code	40004769
Hospital Revenue Code	278
Min. Negotiated Rate	$190.00
Max. Negotiated Rate	$190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$190.00
Rate for Payer: Hamaspik Choice Inc Medicare	$190.00

Price Transparency.

All Charges