St. Barnabas Hospital

All Charges

Charge

Type

Price

CUP ACETABULAR 28MM BI-POL

Facility OP

$2,072.00

Service Code	HCPCS C1776
Hospital Charge Code	40209593
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,175.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,139.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,036.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,191.40
Rate for Payer: Fidelis Medicare Advantage	$2,175.60
Rate for Payer: Group Health Inc Commercial	$1,036.00
Rate for Payer: Group Health Inc Medicare	$725.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,036.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,036.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,346.80

CUP ACETABULAR 28MM BI-POL

Facility IP

$2,072.00

Service Code	HCPCS C1776
Hospital Charge Code	40209593
Hospital Revenue Code	278
Min. Negotiated Rate	$1,036.00
Max. Negotiated Rate	$1,036.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,036.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,036.00

CUP ACET OSTEOTOME

Facility OP

$1,321.25

Hospital Charge Code	64907268
Hospital Revenue Code	270
Min. Negotiated Rate	$462.44
Max. Negotiated Rate	$1,057.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$726.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$660.62
Rate for Payer: Aetna Government	$660.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,057.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$898.45
Rate for Payer: Group Health Inc Commercial	$660.62
Rate for Payer: Group Health Inc Medicare	$462.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$660.62
Rate for Payer: Hamaspik Choice Inc Medicare	$660.62

CUP,CERVICAL,VCARE,SM 32MM

Facility OP

$220.00

Hospital Charge Code	64902648
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

CUP HIP RIMFIT

Facility IP

$7,033.12

Service Code	HCPCS C1776
Hospital Charge Code	64907331
Hospital Revenue Code	278
Min. Negotiated Rate	$3,516.56
Max. Negotiated Rate	$3,516.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,516.56
Rate for Payer: Hamaspik Choice Inc Medicare	$3,516.56

CUP HIP RIMFIT

Facility OP

$7,033.12

Service Code	HCPCS C1776
Hospital Charge Code	64907331
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$7,384.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,868.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,516.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,044.04
Rate for Payer: Fidelis Medicare Advantage	$7,384.78
Rate for Payer: Group Health Inc Commercial	$3,516.56
Rate for Payer: Group Health Inc Medicare	$2,461.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,516.56
Rate for Payer: Hamaspik Choice Inc Medicare	$3,516.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,571.53

CUP PRIME TRIT CLSTR H 48MM

Facility OP

$8,185.50

Hospital Charge Code	64905732
Hospital Revenue Code	270
Min. Negotiated Rate	$2,864.92
Max. Negotiated Rate	$6,548.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,502.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4,092.75
Rate for Payer: Aetna Government	$4,092.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6,548.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$5,566.14
Rate for Payer: Group Health Inc Commercial	$4,092.75
Rate for Payer: Group Health Inc Medicare	$2,864.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,092.75
Rate for Payer: Hamaspik Choice Inc Medicare	$4,092.75

CUP RESTOR ADM INST

Facility IP

$3,375.00

Service Code	HCPCS C1776
Hospital Charge Code	64907199
Hospital Revenue Code	278
Min. Negotiated Rate	$1,687.50
Max. Negotiated Rate	$1,687.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,687.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,687.50

CUP RESTOR ADM INST

Facility OP

$3,375.00

Service Code	HCPCS C1776
Hospital Charge Code	64907199
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,543.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,856.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,687.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,940.62
Rate for Payer: Fidelis Medicare Advantage	$3,543.75
Rate for Payer: Group Health Inc Commercial	$1,687.50
Rate for Payer: Group Health Inc Medicare	$1,181.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,687.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,687.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,193.75

CUP STOOL

Facility OP

$0.34

Hospital Charge Code	64901867
Hospital Revenue Code	270
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$0.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.17
Rate for Payer: Aetna Government	$0.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.23
Rate for Payer: Group Health Inc Commercial	$0.17
Rate for Payer: Group Health Inc Medicare	$0.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.17
Rate for Payer: Hamaspik Choice Inc Medicare	$0.17

CUPTO SHEET

Facility OP

$28.35

Hospital Charge Code	40200928
Hospital Revenue Code	270
Min. Negotiated Rate	$9.92
Max. Negotiated Rate	$22.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.18
Rate for Payer: Aetna Government	$14.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.28
Rate for Payer: Group Health Inc Commercial	$14.18
Rate for Payer: Group Health Inc Medicare	$9.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.18
Rate for Payer: Hamaspik Choice Inc Medicare	$14.18

CUP TRIDNT CLUSTERHOLE

Facility IP

$3,625.00

Service Code	HCPCS C1776
Hospital Charge Code	64907204
Hospital Revenue Code	278
Min. Negotiated Rate	$1,812.50
Max. Negotiated Rate	$1,812.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,812.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,812.50

CUP TRIDNT CLUSTERHOLE

Facility OP

$3,625.00

Service Code	HCPCS C1776
Hospital Charge Code	64907204
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,806.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,993.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,812.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,084.38
Rate for Payer: Fidelis Medicare Advantage	$3,806.25
Rate for Payer: Group Health Inc Commercial	$1,812.50
Rate for Payer: Group Health Inc Medicare	$1,268.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,812.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,812.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,356.25

CURAD PACK STRIP 1 IN X 5 YRD

Facility OP

$100.00

Hospital Charge Code	40204260
Hospital Revenue Code	272
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$80.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.00
Rate for Payer: Aetna Government	$50.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.00
Rate for Payer: Group Health Inc Commercial	$50.00
Rate for Payer: Group Health Inc Medicare	$35.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.00
Rate for Payer: Hamaspik Choice Inc Medicare	$50.00

CURETTAGE, POSTPARTUM

Facility OP

$7,566.13

Service Code	HCPCS 59160
Hospital Charge Code	40052247
Hospital Revenue Code	360
Min. Negotiated Rate	$224.95
Max. Negotiated Rate	$3,783.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,615.39
Rate for Payer: Aetna Government	$3,615.39
Rate for Payer: Cash Price	$3,615.39
Rate for Payer: Cash Price	$3,615.39
Rate for Payer: Cash Price	$3,615.39
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$3,615.39
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	$3,615.39
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid	$224.95
Rate for Payer: Fidelis Essential Plan Aliesa	$3,073.08
Rate for Payer: Fidelis Essential Plan QHP	$3,217.70
Rate for Payer: Fidelis Medicare Advantage	$3,615.39
Rate for Payer: Fidelis Qualified Health Plan	$3,217.70
Rate for Payer: Group Health Inc Commercial	$3,615.39
Rate for Payer: Group Health Inc Medicare	$3,615.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,783.06
Rate for Payer: Hamaspik Choice Inc Medicare	$3,615.39
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$249.94
Rate for Payer: Healthfirst Medicare Advantage	$3,073.08
Rate for Payer: Healthfirst QHP	$3,615.39
Rate for Payer: Senior Whole Health Medicare Advantage	$3,615.39
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,615.39
Rate for Payer: Wellcare CHP/FHP/Medicaid	$2,892.31
Rate for Payer: Wellcare Medicare	$3,434.62

CURETTE ANGLE LOOP RED

Facility OP

$2.31

Hospital Charge Code	64902508
Hospital Revenue Code	270
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$1.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.16
Rate for Payer: Aetna Government	$1.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.85
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.57
Rate for Payer: Group Health Inc Commercial	$1.16
Rate for Payer: Group Health Inc Medicare	$0.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.16
Rate for Payer: Hamaspik Choice Inc Medicare	$1.16

CURETTE CERASPOON YELLOW

Facility OP

$2.22

Hospital Charge Code	64902506
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

CURETTE,DERMAL,DISPOSABLE,3 MM

Facility OP

$4.31

Hospital Charge Code	64903522
Hospital Revenue Code	270
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$3.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.16
Rate for Payer: Aetna Government	$2.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.93
Rate for Payer: Group Health Inc Commercial	$2.16
Rate for Payer: Group Health Inc Medicare	$1.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.16
Rate for Payer: Hamaspik Choice Inc Medicare	$2.16

CURETTE, EAR, BLUE, INFANTSC

Facility OP

$2.53

Hospital Charge Code	64902499
Hospital Revenue Code	270
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$2.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.26
Rate for Payer: Aetna Government	$1.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.72
Rate for Payer: Group Health Inc Commercial	$1.26
Rate for Payer: Group Health Inc Medicare	$0.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.26
Rate for Payer: Hamaspik Choice Inc Medicare	$1.26

CURETTE, EAR, GREEN, MICROL, 50/B

Facility OP

$2.22

Hospital Charge Code	64902504
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

CURETTE ENDOMETRL SUCTION PIPELLE

Facility OP

$0.66

Hospital Charge Code	64902816
Hospital Revenue Code	270
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.53
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.33
Rate for Payer: Aetna Government	$0.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.53
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.45
Rate for Payer: Group Health Inc Commercial	$0.33
Rate for Payer: Group Health Inc Medicare	$0.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.33
Rate for Payer: Hamaspik Choice Inc Medicare	$0.33

CURETTE FLEXLOOP WHITE

Facility OP

$2.22

Hospital Charge Code	64902502
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

CURETTES 7MM FLEX VAC

Facility OP

$3.94

Hospital Charge Code	64904644
Hospital Revenue Code	270
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$3.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.97
Rate for Payer: Aetna Government	$1.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.68
Rate for Payer: Group Health Inc Commercial	$1.97
Rate for Payer: Group Health Inc Medicare	$1.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.97
Rate for Payer: Hamaspik Choice Inc Medicare	$1.97

CURETTE/TREAT CORNEA

Facility OP

$2,444.10

Service Code	HCPCS 65435
Hospital Charge Code	30306436
Hospital Revenue Code	510
Min. Negotiated Rate	$73.00
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$780.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,170.80
Rate for Payer: Aetna Government	$1,170.80
Rate for Payer: Brighton Health Commercial	$233.00
Rate for Payer: Cash Price	$1,170.80
Rate for Payer: Cash Price	$1,170.80
Rate for Payer: Cash Price	$1,170.80
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$1,170.80
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	$1,170.80
Rate for Payer: Fidelis CHP/HARP/Medicaid	$73.00
Rate for Payer: Fidelis Essential Plan Aliesa	$995.18
Rate for Payer: Fidelis Essential Plan QHP	$1,042.01
Rate for Payer: Fidelis Medicare Advantage	$1,170.80
Rate for Payer: Fidelis Qualified Health Plan	$1,042.01
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,222.05
Rate for Payer: Hamaspik Choice Inc Medicare	$1,170.80
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$81.11
Rate for Payer: Healthfirst Medicare Advantage	$995.18
Rate for Payer: Healthfirst QHP	$1,170.80
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$1,170.80
Rate for Payer: Senior Whole Health Medicare Advantage	$1,170.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,170.80
Rate for Payer: Wellcare CHP/FHP/Medicaid	$936.64
Rate for Payer: Wellcare Medicare	$1,112.26

CURVED DISSECTOR ENDO 5MM

Facility OP

$56.00

Hospital Charge Code	40200441
Hospital Revenue Code	270
Min. Negotiated Rate	$19.60
Max. Negotiated Rate	$44.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.00
Rate for Payer: Aetna Government	$28.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$44.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$38.08
Rate for Payer: Group Health Inc Commercial	$28.00
Rate for Payer: Group Health Inc Medicare	$19.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.00
Rate for Payer: Hamaspik Choice Inc Medicare	$28.00

Price Transparency.

All Charges