St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

DEVICE CLSURE VAC 6/7FR

Facility

$484.10

Hospital Charge Code	64906744
Hospital Revenue Code	279
Min. Negotiated Rate	$169.44
Max. Negotiated Rate	$387.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$266.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$242.05
Rate for Payer: Aetna Government	$242.05
Rate for Payer: Brighton Health Commercial	$363.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$387.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$329.19
Rate for Payer: Group Health Inc Commercial	$242.05
Rate for Payer: Group Health Inc Medicare	$169.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$242.05
Rate for Payer: Hamaspik Choice Inc Medicare	$242.05

DEVICE DECOMP COFLEX SZ 10

Facility

$13,125.00

Hospital Charge Code	64904956
Hospital Revenue Code	279
Min. Negotiated Rate	$4,593.75
Max. Negotiated Rate	$10,500.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,218.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6,562.50
Rate for Payer: Aetna Government	$6,562.50
Rate for Payer: Brighton Health Commercial	$9,843.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10,500.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$8,925.00
Rate for Payer: Group Health Inc Commercial	$6,562.50
Rate for Payer: Group Health Inc Medicare	$4,593.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,562.50
Rate for Payer: Hamaspik Choice Inc Medicare	$6,562.50

DEVICE EZ-CLIP MONO 10X10X10

Facility

$3,385.00

Hospital Charge Code	64902595
Hospital Revenue Code	279
Min. Negotiated Rate	$1,184.75
Max. Negotiated Rate	$2,708.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,861.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,692.50
Rate for Payer: Aetna Government	$1,692.50
Rate for Payer: Brighton Health Commercial	$2,538.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,708.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,301.80
Rate for Payer: Group Health Inc Commercial	$1,692.50
Rate for Payer: Group Health Inc Medicare	$1,184.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,692.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,692.50

DEVICE EZ-CLIP MONOCORT 8X8X8

Facility

$2,312.50

Hospital Charge Code	64902593
Hospital Revenue Code	279
Min. Negotiated Rate	$809.38
Max. Negotiated Rate	$1,850.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,271.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,156.25
Rate for Payer: Aetna Government	$1,156.25
Rate for Payer: Brighton Health Commercial	$1,734.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,850.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,572.50
Rate for Payer: Group Health Inc Commercial	$1,156.25
Rate for Payer: Group Health Inc Medicare	$809.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,156.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,156.25

DEVICE FIXATION

Facility

$13,818.35

Hospital Charge Code	64907141
Hospital Revenue Code	270
Min. Negotiated Rate	$4,836.42
Max. Negotiated Rate	$11,054.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,600.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6,909.18
Rate for Payer: Aetna Government	$6,909.18
Rate for Payer: Brighton Health Commercial	$10,363.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11,054.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$9,396.48
Rate for Payer: Group Health Inc Commercial	$6,909.18
Rate for Payer: Group Health Inc Medicare	$4,836.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,909.18
Rate for Payer: Hamaspik Choice Inc Medicare	$6,909.18

DEVICE FIXATION PROTACK MESH

Facility

$4,320.00

Service Code	HCPCS C1781
Hospital Charge Code	40200796
Hospital Revenue Code	278
Min. Negotiated Rate	$2,160.00
Max. Negotiated Rate	$2,160.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,160.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,160.00

DEVICE FIXATION PROTACK MESH

Facility

$4,320.00

Service Code	HCPCS C1781
Hospital Charge Code	40200796
Hospital Revenue Code	278
Min. Negotiated Rate	$69.35
Max. Negotiated Rate	$4,536.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,376.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$69.35
Rate for Payer: Aetna Government	$69.35
Rate for Payer: Brighton Health Commercial	$2,592.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,160.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,484.00
Rate for Payer: EmblemHealth Commercial	$2,160.00
Rate for Payer: Fidelis Medicare Advantage	$4,536.00
Rate for Payer: Group Health Inc Commercial	$2,160.00
Rate for Payer: Group Health Inc Medicare	$1,512.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,160.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,160.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,808.00

DEVICE, FUSION 11X11 5MM H

Facility

$6,560.00

Hospital Charge Code	64905243
Hospital Revenue Code	279
Min. Negotiated Rate	$2,296.00
Max. Negotiated Rate	$5,248.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,608.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,280.00
Rate for Payer: Aetna Government	$3,280.00
Rate for Payer: Brighton Health Commercial	$4,920.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,248.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,460.80
Rate for Payer: Group Health Inc Commercial	$3,280.00
Rate for Payer: Group Health Inc Medicare	$2,296.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,280.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,280.00

DEVICE FUSION TM-S 11X11 7M

Facility

$6,560.00

Hospital Charge Code	64905427
Hospital Revenue Code	279
Min. Negotiated Rate	$2,296.00
Max. Negotiated Rate	$5,248.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,608.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,280.00
Rate for Payer: Aetna Government	$3,280.00
Rate for Payer: Brighton Health Commercial	$4,920.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,248.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,460.80
Rate for Payer: Group Health Inc Commercial	$3,280.00
Rate for Payer: Group Health Inc Medicare	$2,296.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,280.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,280.00

DEVICE LOCKING

Facility

$41.74

Hospital Charge Code	64904035
Hospital Revenue Code	270
Min. Negotiated Rate	$14.61
Max. Negotiated Rate	$33.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.87
Rate for Payer: Aetna Government	$20.87
Rate for Payer: Brighton Health Commercial	$31.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$33.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$28.38
Rate for Payer: Group Health Inc Commercial	$20.87
Rate for Payer: Group Health Inc Medicare	$14.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.87
Rate for Payer: Hamaspik Choice Inc Medicare	$20.87

DEVICE, LUER ACTIVATED, NEUT

Facility

$5.82

Hospital Charge Code	64902139
Hospital Revenue Code	270
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$4.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.91
Rate for Payer: Aetna Government	$2.91
Rate for Payer: Brighton Health Commercial	$4.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.96
Rate for Payer: Group Health Inc Commercial	$2.91
Rate for Payer: Group Health Inc Medicare	$2.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.91
Rate for Payer: Hamaspik Choice Inc Medicare	$2.91

DEVICE, PRESTO INFLATION

Facility

$80.00

Hospital Charge Code	64906114
Hospital Revenue Code	270
Min. Negotiated Rate	$28.00
Max. Negotiated Rate	$64.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$40.00
Rate for Payer: Aetna Government	$40.00
Rate for Payer: Brighton Health Commercial	$60.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$64.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$54.40
Rate for Payer: Group Health Inc Commercial	$40.00
Rate for Payer: Group Health Inc Medicare	$28.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.00
Rate for Payer: Hamaspik Choice Inc Medicare	$40.00

DEVICE RETRACT LIGASURE

Facility

$269.83

Hospital Charge Code	64907092
Hospital Revenue Code	270
Min. Negotiated Rate	$94.44
Max. Negotiated Rate	$215.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$148.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.92
Rate for Payer: Aetna Government	$134.92
Rate for Payer: Brighton Health Commercial	$202.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$215.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$183.48
Rate for Payer: Group Health Inc Commercial	$134.92
Rate for Payer: Group Health Inc Medicare	$94.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$134.92
Rate for Payer: Hamaspik Choice Inc Medicare	$134.92

DEVICE RETRIEVAL

Facility

$123.30

Hospital Charge Code	64907091
Hospital Revenue Code	270
Min. Negotiated Rate	$43.16
Max. Negotiated Rate	$98.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$67.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$61.65
Rate for Payer: Aetna Government	$61.65
Rate for Payer: Brighton Health Commercial	$92.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$98.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$83.84
Rate for Payer: Group Health Inc Commercial	$61.65
Rate for Payer: Group Health Inc Medicare	$43.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.65
Rate for Payer: Hamaspik Choice Inc Medicare	$61.65

DEVICE SKIN ALLERG MULT COMFORTEN

Facility

$33.84

Hospital Charge Code	64903376
Hospital Revenue Code	270
Min. Negotiated Rate	$11.84
Max. Negotiated Rate	$27.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$18.61
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.92
Rate for Payer: Aetna Government	$16.92
Rate for Payer: Brighton Health Commercial	$25.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$27.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.01
Rate for Payer: Group Health Inc Commercial	$16.92
Rate for Payer: Group Health Inc Medicare	$11.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.92
Rate for Payer: Hamaspik Choice Inc Medicare	$16.92

DEVICE, STATLOCK, ARTERIAL(VADC)K

Facility

$7.23

Hospital Charge Code	64902520
Hospital Revenue Code	270
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$5.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.62
Rate for Payer: Aetna Government	$3.62
Rate for Payer: Brighton Health Commercial	$5.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.92
Rate for Payer: Group Health Inc Commercial	$3.62
Rate for Payer: Group Health Inc Medicare	$2.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.62
Rate for Payer: Hamaspik Choice Inc Medicare	$3.62

DEVICE SUTURING 10MM ENDOSTITCH

Facility

$685.73

Hospital Charge Code	64904378
Hospital Revenue Code	270
Min. Negotiated Rate	$240.01
Max. Negotiated Rate	$548.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$377.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$342.86
Rate for Payer: Aetna Government	$342.86
Rate for Payer: Brighton Health Commercial	$514.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$548.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$466.30
Rate for Payer: Group Health Inc Commercial	$342.86
Rate for Payer: Group Health Inc Medicare	$240.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$342.86
Rate for Payer: Hamaspik Choice Inc Medicare	$342.86

DEVICE TARGETING TIBIA

Facility

$3,787.00

Hospital Charge Code	40202423
Hospital Revenue Code	270
Min. Negotiated Rate	$1,325.45
Max. Negotiated Rate	$3,029.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,082.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,893.50
Rate for Payer: Aetna Government	$1,893.50
Rate for Payer: Brighton Health Commercial	$2,840.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,029.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,575.16
Rate for Payer: Group Health Inc Commercial	$1,893.50
Rate for Payer: Group Health Inc Medicare	$1,325.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,893.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,893.50

DEVICE, THUNDERBEAT 20CM 5MM

Facility

$1,187.50

Hospital Charge Code	64905691
Hospital Revenue Code	270
Min. Negotiated Rate	$415.62
Max. Negotiated Rate	$950.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$653.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$593.75
Rate for Payer: Aetna Government	$593.75
Rate for Payer: Brighton Health Commercial	$890.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$950.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$807.50
Rate for Payer: Group Health Inc Commercial	$593.75
Rate for Payer: Group Health Inc Medicare	$415.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$593.75
Rate for Payer: Hamaspik Choice Inc Medicare	$593.75

DEVICE, THUNDERBEAT 35CM 5MM

Facility

$1,050.00

Hospital Charge Code	64905693
Hospital Revenue Code	270
Min. Negotiated Rate	$367.50
Max. Negotiated Rate	$840.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$577.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$525.00
Rate for Payer: Aetna Government	$525.00
Rate for Payer: Brighton Health Commercial	$787.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$840.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$714.00
Rate for Payer: Group Health Inc Commercial	$525.00
Rate for Payer: Group Health Inc Medicare	$367.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$525.00
Rate for Payer: Hamaspik Choice Inc Medicare	$525.00

DEVICE, THUNDERBEAT 45CM 5MM

Facility

$1,050.00

Hospital Charge Code	64905695
Hospital Revenue Code	270
Min. Negotiated Rate	$367.50
Max. Negotiated Rate	$840.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$577.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$525.00
Rate for Payer: Aetna Government	$525.00
Rate for Payer: Brighton Health Commercial	$787.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$840.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$714.00
Rate for Payer: Group Health Inc Commercial	$525.00
Rate for Payer: Group Health Inc Medicare	$367.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$525.00
Rate for Payer: Hamaspik Choice Inc Medicare	$525.00

DEVICE TORQUE (TD01)

Facility

$29.50

Hospital Charge Code	64906323
Hospital Revenue Code	270
Min. Negotiated Rate	$10.32
Max. Negotiated Rate	$23.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.75
Rate for Payer: Aetna Government	$14.75
Rate for Payer: Brighton Health Commercial	$22.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.06
Rate for Payer: Group Health Inc Commercial	$14.75
Rate for Payer: Group Health Inc Medicare	$10.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.75
Rate for Payer: Hamaspik Choice Inc Medicare	$14.75

DEVICE TRCHNTRC 4HL 23X232MM

Facility

$4,408.00

Hospital Charge Code	64906268
Hospital Revenue Code	270
Min. Negotiated Rate	$1,542.80
Max. Negotiated Rate	$3,526.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,424.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,204.00
Rate for Payer: Aetna Government	$2,204.00
Rate for Payer: Brighton Health Commercial	$3,306.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,526.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,997.44
Rate for Payer: Group Health Inc Commercial	$2,204.00
Rate for Payer: Group Health Inc Medicare	$1,542.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,204.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,204.00

DEVICE, VASC CLOSE 6F-7F MYNX

Facility

$1,000.00

Hospital Charge Code	64906107
Hospital Revenue Code	270
Min. Negotiated Rate	$350.00
Max. Negotiated Rate	$800.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$550.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$500.00
Rate for Payer: Aetna Government	$500.00
Rate for Payer: Brighton Health Commercial	$750.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$800.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$680.00
Rate for Payer: Group Health Inc Commercial	$500.00
Rate for Payer: Group Health Inc Medicare	$350.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$500.00

DEVICE, WOUND CLOSR, MYNX 5F GR

Facility

$1,000.00

Hospital Charge Code	64906097
Hospital Revenue Code	270
Min. Negotiated Rate	$350.00
Max. Negotiated Rate	$800.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$550.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$500.00
Rate for Payer: Aetna Government	$500.00
Rate for Payer: Brighton Health Commercial	$750.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$800.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$680.00
Rate for Payer: Group Health Inc Commercial	$500.00
Rate for Payer: Group Health Inc Medicare	$350.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$500.00

Know your out-of-pocket cost for care.

All Charges