St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ADAPTER ATS TOURNIQUET

Facility

$12.75

Hospital Charge Code	64904549
Hospital Revenue Code	270
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$10.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.38
Rate for Payer: Aetna Government	$6.38
Rate for Payer: Brighton Health Commercial	$9.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.67
Rate for Payer: Group Health Inc Commercial	$6.38
Rate for Payer: Group Health Inc Medicare	$4.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.38
Rate for Payer: Hamaspik Choice Inc Medicare	$6.38

ADAPTER CO2 AIRWAY ENDTIDAL

Facility

$41.45

Hospital Charge Code	64901077
Hospital Revenue Code	270
Min. Negotiated Rate	$14.51
Max. Negotiated Rate	$33.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.72
Rate for Payer: Aetna Government	$20.72
Rate for Payer: Brighton Health Commercial	$31.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$33.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$28.19
Rate for Payer: Group Health Inc Commercial	$20.72
Rate for Payer: Group Health Inc Medicare	$14.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.72
Rate for Payer: Hamaspik Choice Inc Medicare	$20.72

ADAPTER EXTERNAL FIXATION S

Facility

$1,125.00

Hospital Charge Code	64905271
Hospital Revenue Code	270
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$900.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$618.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$562.50
Rate for Payer: Aetna Government	$562.50
Rate for Payer: Brighton Health Commercial	$843.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$900.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$765.00
Rate for Payer: Group Health Inc Commercial	$562.50
Rate for Payer: Group Health Inc Medicare	$393.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$562.50
Rate for Payer: Hamaspik Choice Inc Medicare	$562.50

ADAPTER FITTING SEVO

Facility

$142.62

Hospital Charge Code	64906827
Hospital Revenue Code	270
Min. Negotiated Rate	$49.92
Max. Negotiated Rate	$114.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$78.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$71.31
Rate for Payer: Aetna Government	$71.31
Rate for Payer: Brighton Health Commercial	$106.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$114.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$96.98
Rate for Payer: Group Health Inc Commercial	$71.31
Rate for Payer: Group Health Inc Medicare	$49.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.31
Rate for Payer: Hamaspik Choice Inc Medicare	$71.31

ADAPTER FOR HYSTEROSCOPE TELESCOP

Facility

$590.00

Hospital Charge Code	40200268
Hospital Revenue Code	270
Min. Negotiated Rate	$206.50
Max. Negotiated Rate	$472.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$324.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$295.00
Rate for Payer: Aetna Government	$295.00
Rate for Payer: Brighton Health Commercial	$442.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$472.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$401.20
Rate for Payer: Group Health Inc Commercial	$295.00
Rate for Payer: Group Health Inc Medicare	$206.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$295.00
Rate for Payer: Hamaspik Choice Inc Medicare	$295.00

ADAPTER FOR VACURETTE 14MM

Facility

$26.25

Hospital Charge Code	64904664
Hospital Revenue Code	270
Min. Negotiated Rate	$9.19
Max. Negotiated Rate	$21.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.12
Rate for Payer: Aetna Government	$13.12
Rate for Payer: Brighton Health Commercial	$19.69
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$17.85
Rate for Payer: Group Health Inc Commercial	$13.12
Rate for Payer: Group Health Inc Medicare	$9.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$13.12
Rate for Payer: Hamaspik Choice Inc Medicare	$13.12

ADAPTER LUER-LOCK PLUG R-2000

Facility

$30.31

Hospital Charge Code	64901170
Hospital Revenue Code	270
Min. Negotiated Rate	$10.61
Max. Negotiated Rate	$24.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.16
Rate for Payer: Aetna Government	$15.16
Rate for Payer: Brighton Health Commercial	$22.73
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.61
Rate for Payer: Group Health Inc Commercial	$15.16
Rate for Payer: Group Health Inc Medicare	$10.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.16
Rate for Payer: Hamaspik Choice Inc Medicare	$15.16

ADAPTER LUER-LOCK PLUG R-2000

Facility

$2.20

Hospital Charge Code	40209456
Hospital Revenue Code	270
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$1.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.10
Rate for Payer: Aetna Government	$1.10
Rate for Payer: Brighton Health Commercial	$1.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.50
Rate for Payer: Group Health Inc Commercial	$1.10
Rate for Payer: Group Health Inc Medicare	$0.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1.10

ADAPTER LUER MULTI

Facility

$0.50

Hospital Charge Code	64901670
Hospital Revenue Code	270
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$0.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.25
Rate for Payer: Aetna Government	$0.25
Rate for Payer: Brighton Health Commercial	$0.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.34
Rate for Payer: Group Health Inc Commercial	$0.25
Rate for Payer: Group Health Inc Medicare	$0.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.25
Rate for Payer: Hamaspik Choice Inc Medicare	$0.25

ADAPTER,NEBULIZER,1000ML

Facility

$5.80

Hospital Charge Code	64901862
Hospital Revenue Code	270
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$4.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.90
Rate for Payer: Aetna Government	$2.90
Rate for Payer: Brighton Health Commercial	$4.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.94
Rate for Payer: Group Health Inc Commercial	$2.90
Rate for Payer: Group Health Inc Medicare	$2.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.90
Rate for Payer: Hamaspik Choice Inc Medicare	$2.90

ADAPTER SET BANANA CLIP

Facility

$21.93

Hospital Charge Code	64903388
Hospital Revenue Code	270
Min. Negotiated Rate	$7.68
Max. Negotiated Rate	$17.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.96
Rate for Payer: Aetna Government	$10.96
Rate for Payer: Brighton Health Commercial	$16.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.91
Rate for Payer: Group Health Inc Commercial	$10.96
Rate for Payer: Group Health Inc Medicare	$7.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.96
Rate for Payer: Hamaspik Choice Inc Medicare	$10.96

ADAPTER STOMA LOW-PRESS 1-3/4

Facility

$1.02

Hospital Charge Code	64901346
Hospital Revenue Code	270
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.51
Rate for Payer: Aetna Government	$0.51
Rate for Payer: Brighton Health Commercial	$0.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.69
Rate for Payer: Group Health Inc Commercial	$0.51
Rate for Payer: Group Health Inc Medicare	$0.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.51
Rate for Payer: Hamaspik Choice Inc Medicare	$0.51

ADAPTER STOMA LOW-PRESS 2-3/4

Facility

$1.02

Hospital Charge Code	64901348
Hospital Revenue Code	270
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.51
Rate for Payer: Aetna Government	$0.51
Rate for Payer: Brighton Health Commercial	$0.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.69
Rate for Payer: Group Health Inc Commercial	$0.51
Rate for Payer: Group Health Inc Medicare	$0.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.51
Rate for Payer: Hamaspik Choice Inc Medicare	$0.51

ADAPTER TAPER 42-50MM HD SZ 3MM

Facility

$780.00

Service Code	HCPCS C1776
Hospital Charge Code	40206027
Hospital Revenue Code	278
Min. Negotiated Rate	$390.00
Max. Negotiated Rate	$390.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$390.00
Rate for Payer: Hamaspik Choice Inc Medicare	$390.00

ADAPTER TAPER 42-50MM HD SZ 3MM

Facility

$780.00

Service Code	HCPCS C1776
Hospital Charge Code	40206027
Hospital Revenue Code	278
Min. Negotiated Rate	$273.00
Max. Negotiated Rate	$819.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$429.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$468.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$390.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$448.50
Rate for Payer: EmblemHealth Commercial	$390.00
Rate for Payer: Fidelis Medicare Advantage	$819.00
Rate for Payer: Group Health Inc Commercial	$390.00
Rate for Payer: Group Health Inc Medicare	$273.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$390.00
Rate for Payer: Hamaspik Choice Inc Medicare	$390.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$507.00

ADAPTER TRACH AEROSOL DISP 1077

Facility

$0.30

Hospital Charge Code	64902235
Hospital Revenue Code	270
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$0.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.15
Rate for Payer: Aetna Government	$0.15
Rate for Payer: Brighton Health Commercial	$0.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.20
Rate for Payer: Group Health Inc Commercial	$0.15
Rate for Payer: Group Health Inc Medicare	$0.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.15
Rate for Payer: Hamaspik Choice Inc Medicare	$0.15

ADAPTER VIAL 13MM ORA

Facility

$1.64

Hospital Charge Code	64901569
Hospital Revenue Code	270
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$1.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.82
Rate for Payer: Aetna Government	$0.82
Rate for Payer: Brighton Health Commercial	$1.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.31
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.12
Rate for Payer: Group Health Inc Commercial	$0.82
Rate for Payer: Group Health Inc Medicare	$0.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.82
Rate for Payer: Hamaspik Choice Inc Medicare	$0.82

ADAPTER,VIAL-MATE,F/S DOSE VI,S

Facility

$3.61

Hospital Charge Code	64902290
Hospital Revenue Code	270
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$2.89
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.80
Rate for Payer: Aetna Government	$1.80
Rate for Payer: Brighton Health Commercial	$2.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.89
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.45
Rate for Payer: Group Health Inc Commercial	$1.80
Rate for Payer: Group Health Inc Medicare	$1.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.80
Rate for Payer: Hamaspik Choice Inc Medicare	$1.80

ADAPTER WIDE MOUTH UNIV

Facility

$0.03

Hospital Charge Code	64903670
Hospital Revenue Code	270
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.02
Rate for Payer: Aetna Government	$0.02
Rate for Payer: Brighton Health Commercial	$0.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.02
Rate for Payer: Group Health Inc Commercial	$0.02
Rate for Payer: Group Health Inc Medicare	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.02
Rate for Payer: Hamaspik Choice Inc Medicare	$0.02

ADAPTER WIRE BOLT

Facility

$468.75

Hospital Charge Code	64907388
Hospital Revenue Code	270
Min. Negotiated Rate	$164.06
Max. Negotiated Rate	$375.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$257.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$234.38
Rate for Payer: Aetna Government	$234.38
Rate for Payer: Brighton Health Commercial	$351.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$375.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$318.75
Rate for Payer: Group Health Inc Commercial	$234.38
Rate for Payer: Group Health Inc Medicare	$164.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$234.38
Rate for Payer: Hamaspik Choice Inc Medicare	$234.38

ADAPTIC-DRESSING

Facility

$25.52

Hospital Charge Code	40207619
Hospital Revenue Code	270
Min. Negotiated Rate	$8.93
Max. Negotiated Rate	$20.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.76
Rate for Payer: Aetna Government	$12.76
Rate for Payer: Brighton Health Commercial	$19.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$17.35
Rate for Payer: Group Health Inc Commercial	$12.76
Rate for Payer: Group Health Inc Medicare	$8.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.76
Rate for Payer: Hamaspik Choice Inc Medicare	$12.76

ADAPTOR #295

Facility

$99.23

Hospital Charge Code	40200309
Hospital Revenue Code	270
Min. Negotiated Rate	$34.73
Max. Negotiated Rate	$79.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$54.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$49.62
Rate for Payer: Aetna Government	$49.62
Rate for Payer: Brighton Health Commercial	$74.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$79.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$67.48
Rate for Payer: Group Health Inc Commercial	$49.62
Rate for Payer: Group Health Inc Medicare	$34.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.62
Rate for Payer: Hamaspik Choice Inc Medicare	$49.62

ADAPTOR HEAD FEMORAL

Facility

$460.00

Service Code	HCPCS C1776
Hospital Charge Code	64907109
Hospital Revenue Code	278
Min. Negotiated Rate	$230.00
Max. Negotiated Rate	$230.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$230.00
Rate for Payer: Hamaspik Choice Inc Medicare	$230.00

ADAPTOR HEAD FEMORAL

Facility

$460.00

Service Code	HCPCS C1776
Hospital Charge Code	64907109
Hospital Revenue Code	278
Min. Negotiated Rate	$161.00
Max. Negotiated Rate	$483.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$253.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$276.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$230.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$264.50
Rate for Payer: EmblemHealth Commercial	$230.00
Rate for Payer: Fidelis Medicare Advantage	$483.00
Rate for Payer: Group Health Inc Commercial	$230.00
Rate for Payer: Group Health Inc Medicare	$161.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$230.00
Rate for Payer: Hamaspik Choice Inc Medicare	$230.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$299.00

ADAPTOR UROLOCK

Facility

$3.69

Hospital Charge Code	64903083
Hospital Revenue Code	270
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$2.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.84
Rate for Payer: Aetna Government	$1.84
Rate for Payer: Brighton Health Commercial	$2.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.51
Rate for Payer: Group Health Inc Commercial	$1.84
Rate for Payer: Group Health Inc Medicare	$1.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.84
Rate for Payer: Hamaspik Choice Inc Medicare	$1.84

Know your out-of-pocket cost for care.

All Charges