St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

HOWMEDICA FEMORAL HEAD SHRT

Facility

$1,442.00

Service Code	HCPCS C1776
Hospital Charge Code	40209961
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,514.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$793.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$865.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$721.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$829.15
Rate for Payer: EmblemHealth Commercial	$721.00
Rate for Payer: Fidelis Medicare Advantage	$1,514.10
Rate for Payer: Group Health Inc Commercial	$721.00
Rate for Payer: Group Health Inc Medicare	$504.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$721.00
Rate for Payer: Hamaspik Choice Inc Medicare	$721.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$937.30

HOWMEDICA FEMORAL HEAD SHRT

Facility

$1,442.00

Service Code	HCPCS C1776
Hospital Charge Code	40209961
Hospital Revenue Code	278
Min. Negotiated Rate	$721.00
Max. Negotiated Rate	$721.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$721.00
Rate for Payer: Hamaspik Choice Inc Medicare	$721.00

HOWMEDICA HTH HIP SYSTEM

Facility

$10,972.87

Hospital Charge Code	40207013
Hospital Revenue Code	270
Min. Negotiated Rate	$3,840.50
Max. Negotiated Rate	$8,778.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6,035.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5,486.44
Rate for Payer: Aetna Government	$5,486.44
Rate for Payer: Brighton Health Commercial	$8,229.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8,778.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$7,461.55
Rate for Payer: Group Health Inc Commercial	$5,486.44
Rate for Payer: Group Health Inc Medicare	$3,840.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,486.44
Rate for Payer: Hamaspik Choice Inc Medicare	$5,486.44

HOWMEDICA NAIL TIBIAL 330MM

Facility

$2,209.20

Service Code	HCPCS C1713
Hospital Charge Code	40209934
Hospital Revenue Code	278
Min. Negotiated Rate	$1,104.60
Max. Negotiated Rate	$1,104.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,104.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,104.60

HOWMEDICA NAIL TIBIAL 330MM

Facility

$2,209.20

Service Code	HCPCS C1713
Hospital Charge Code	40209934
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,319.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,215.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,325.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,104.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,270.29
Rate for Payer: EmblemHealth Commercial	$1,104.60
Rate for Payer: Fidelis Medicare Advantage	$2,319.66
Rate for Payer: Group Health Inc Commercial	$1,104.60
Rate for Payer: Group Health Inc Medicare	$773.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,104.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,104.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,435.98

HOWMEDICANPIN APEX

Facility

$193.20

Service Code	HCPCS C1713
Hospital Charge Code	40209421
Hospital Revenue Code	278
Min. Negotiated Rate	$67.62
Max. Negotiated Rate	$202.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$106.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$115.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$96.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$111.09
Rate for Payer: EmblemHealth Commercial	$96.60
Rate for Payer: Fidelis Medicare Advantage	$202.86
Rate for Payer: Group Health Inc Commercial	$96.60
Rate for Payer: Group Health Inc Medicare	$67.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$96.60
Rate for Payer: Hamaspik Choice Inc Medicare	$96.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$125.58

HOWMEDICANPIN APEX

Facility

$193.20

Service Code	HCPCS C1713
Hospital Charge Code	40209421
Hospital Revenue Code	278
Min. Negotiated Rate	$96.60
Max. Negotiated Rate	$96.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$96.60
Rate for Payer: Hamaspik Choice Inc Medicare	$96.60

HOWMEDICA OSTEO FEM HEAD 26MMX4MM

Facility

$2,228.00

Service Code	HCPCS C1776
Hospital Charge Code	40206256
Hospital Revenue Code	278
Min. Negotiated Rate	$1,114.00
Max. Negotiated Rate	$1,114.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,114.00

HOWMEDICA OSTEO FEM HEAD 26MMX4MM

Facility

$2,228.00

Service Code	HCPCS C1776
Hospital Charge Code	40206256
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,339.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,225.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,336.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,114.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,281.10
Rate for Payer: EmblemHealth Commercial	$1,114.00
Rate for Payer: Fidelis Medicare Advantage	$2,339.40
Rate for Payer: Group Health Inc Commercial	$1,114.00
Rate for Payer: Group Health Inc Medicare	$779.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,114.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,448.20

HOWMEDICA SYMM PATELLA

Facility

$1,841.40

Hospital Charge Code	40024057
Hospital Revenue Code	270
Min. Negotiated Rate	$644.49
Max. Negotiated Rate	$1,473.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,012.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$920.70
Rate for Payer: Aetna Government	$920.70
Rate for Payer: Brighton Health Commercial	$1,381.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,473.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,252.15
Rate for Payer: Group Health Inc Commercial	$920.70
Rate for Payer: Group Health Inc Medicare	$644.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$920.70
Rate for Payer: Hamaspik Choice Inc Medicare	$920.70

HOWMEDICA TIBIAL BASEPLATE

Facility

$4,228.20

Service Code	HCPCS C1713
Hospital Charge Code	40024056
Hospital Revenue Code	278
Min. Negotiated Rate	$2,114.10
Max. Negotiated Rate	$2,114.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,114.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2,114.10

HOWMEDICA TIBIAL BASEPLATE

Facility

$4,228.20

Service Code	HCPCS C1713
Hospital Charge Code	40024056
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,439.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,325.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,536.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,114.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,431.22
Rate for Payer: EmblemHealth Commercial	$2,114.10
Rate for Payer: Fidelis Medicare Advantage	$4,439.61
Rate for Payer: Group Health Inc Commercial	$2,114.10
Rate for Payer: Group Health Inc Medicare	$1,479.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,114.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2,114.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,748.33

HOWMEDICA TIBIAL INSERT

Facility

$3,439.80

Service Code	HCPCS C1713
Hospital Charge Code	40024055
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,611.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,891.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,063.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,719.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,977.88
Rate for Payer: EmblemHealth Commercial	$1,719.90
Rate for Payer: Fidelis Medicare Advantage	$3,611.79
Rate for Payer: Group Health Inc Commercial	$1,719.90
Rate for Payer: Group Health Inc Medicare	$1,203.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,719.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,719.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,235.87

HOWMEDICA TIBIAL INSERT

Facility

$3,439.80

Service Code	HCPCS C1713
Hospital Charge Code	40024055
Hospital Revenue Code	278
Min. Negotiated Rate	$1,719.90
Max. Negotiated Rate	$1,719.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,719.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,719.90

HOWMWDICA OSTEO FEM HEAD M 28MM

Facility

$2,228.00

Service Code	HCPCS C1776
Hospital Charge Code	40205535
Hospital Revenue Code	278
Min. Negotiated Rate	$1,114.00
Max. Negotiated Rate	$1,114.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,114.00

HOWMWDICA OSTEO FEM HEAD M 28MM

Facility

$2,228.00

Service Code	HCPCS C1776
Hospital Charge Code	40205535
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,339.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,225.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,336.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,114.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,281.10
Rate for Payer: EmblemHealth Commercial	$1,114.00
Rate for Payer: Fidelis Medicare Advantage	$2,339.40
Rate for Payer: Group Health Inc Commercial	$1,114.00
Rate for Payer: Group Health Inc Medicare	$779.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,114.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,448.20

HOYER LIFT CANVAS

Facility

$122.26

Hospital Charge Code	40200035
Hospital Revenue Code	270
Min. Negotiated Rate	$42.79
Max. Negotiated Rate	$97.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$67.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$61.13
Rate for Payer: Aetna Government	$61.13
Rate for Payer: Brighton Health Commercial	$91.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$97.81
Rate for Payer: Cigna LocalPlus Benefit Plan	$83.14
Rate for Payer: Group Health Inc Commercial	$61.13
Rate for Payer: Group Health Inc Medicare	$42.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.13
Rate for Payer: Hamaspik Choice Inc Medicare	$61.13

HPV 9-VALENT RECOMB VACCINE IM SUSY [127764]

Facility

$689.78

Service Code	NDC 00006412102
Hospital Charge Code	00006412102
Hospital Revenue Code	250
Min. Negotiated Rate	$241.42
Max. Negotiated Rate	$551.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$379.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$344.89
Rate for Payer: Aetna Government	$344.89
Rate for Payer: Brighton Health Commercial	$517.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$551.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$469.05
Rate for Payer: Group Health Inc Commercial	$344.89
Rate for Payer: Group Health Inc Medicare	$241.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$344.89
Rate for Payer: Hamaspik Choice Inc Medicare	$344.89
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$448.36

HPV DNA, HIGH RISK

Facility

$87.73

Service Code	HCPCS 87624
Hospital Charge Code	40728377
Hospital Revenue Code	300
Rate for Payer: Cash Price	$35.09

HPV DNA, HIGH RISK

Facility

$87.73

Service Code	HCPCS 87624
Hospital Charge Code	40728377
Hospital Revenue Code	300
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$70.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$48.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$35.09
Rate for Payer: Aetna Government	$35.09
Rate for Payer: Affinity Essential Plan 1&2	$24.56
Rate for Payer: Affinity Essential Plan 3&4	$24.56
Rate for Payer: Affinity Medicaid/CHP/HARP	$24.56
Rate for Payer: Brighton Health Commercial	$65.80
Rate for Payer: Cash Price	$35.09
Rate for Payer: Cash Price	$35.09
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$35.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$70.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$59.66
Rate for Payer: Elderplan Medicare Advantage	$35.09
Rate for Payer: EmblemHealth Commercial	$35.09
Rate for Payer: Fidelis Essential Plan Aliesa	$29.83
Rate for Payer: Fidelis Essential Plan QHP	$31.23
Rate for Payer: Fidelis Medicare Advantage	$35.09
Rate for Payer: Fidelis Qualified Health Plan	$31.23
Rate for Payer: Group Health Inc Commercial	$35.09
Rate for Payer: Group Health Inc Medicare	$35.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.86
Rate for Payer: Hamaspik Choice Inc Medicare	$35.09
Rate for Payer: Healthfirst Medicare Advantage	$35.09
Rate for Payer: Healthfirst QHP	$35.09
Rate for Payer: Humana Medicare	$35.79
Rate for Payer: Senior Whole Health Medicare Advantage	$35.09
Rate for Payer: United Healthcare Commercial	$42.98
Rate for Payer: United Healthcare Medicare Advantage	$35.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$35.09
Rate for Payer: Wellcare CHP/FHP/Medicaid	$28.07
Rate for Payer: Wellcare Medicare	$31.58

HPV E6/E7 QUANTASURE

Facility

$149.83

Service Code	HCPCS 88199
Hospital Charge Code	40639865
Hospital Revenue Code	310
Min. Negotiated Rate	$10.56
Max. Negotiated Rate	$82.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$82.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$62.66
Rate for Payer: Aetna Government	$62.66
Rate for Payer: Affinity Essential Plan 1&2	$43.86
Rate for Payer: Affinity Essential Plan 3&4	$43.86
Rate for Payer: Affinity Medicaid/CHP/HARP	$43.86
Rate for Payer: Brighton Health Commercial	$62.66
Rate for Payer: Cash Price	$62.66
Rate for Payer: Cash Price	$62.66
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$62.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.56
Rate for Payer: Elderplan Medicare Advantage	$62.66
Rate for Payer: EmblemHealth Commercial	$62.66
Rate for Payer: Fidelis Essential Plan Aliesa	$53.26
Rate for Payer: Fidelis Essential Plan QHP	$55.77
Rate for Payer: Fidelis Medicare Advantage	$62.66
Rate for Payer: Fidelis Qualified Health Plan	$55.77
Rate for Payer: Group Health Inc Commercial	$62.66
Rate for Payer: Group Health Inc Medicare	$62.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.92
Rate for Payer: Hamaspik Choice Inc Medicare	$62.66
Rate for Payer: Healthfirst Medicare Advantage	$62.66
Rate for Payer: Healthfirst QHP	$62.66
Rate for Payer: Humana Medicare	$63.91
Rate for Payer: Senior Whole Health Medicare Advantage	$62.66
Rate for Payer: United Healthcare Medicare Advantage	$62.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$62.66
Rate for Payer: Wellcare CHP/FHP/Medicaid	$50.13
Rate for Payer: Wellcare Medicare	$56.39

HPV E6/E7 QUANTASURE

Facility

$149.83

Service Code	HCPCS 88199
Hospital Charge Code	40639865
Hospital Revenue Code	310
Rate for Payer: Cash Price	$62.66

HPV, HIGH-RISK

Facility

$87.73

Service Code	HCPCS 87624
Hospital Charge Code	40619201
Hospital Revenue Code	300
Rate for Payer: Cash Price	$35.09

HPV, HIGH-RISK

Facility

$87.73

Service Code	HCPCS 87624
Hospital Charge Code	40619201
Hospital Revenue Code	300
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$70.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$48.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$35.09
Rate for Payer: Aetna Government	$35.09
Rate for Payer: Affinity Essential Plan 1&2	$24.56
Rate for Payer: Affinity Essential Plan 3&4	$24.56
Rate for Payer: Affinity Medicaid/CHP/HARP	$24.56
Rate for Payer: Brighton Health Commercial	$65.80
Rate for Payer: Cash Price	$35.09
Rate for Payer: Cash Price	$35.09
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$35.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$70.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$59.66
Rate for Payer: Elderplan Medicare Advantage	$35.09
Rate for Payer: EmblemHealth Commercial	$35.09
Rate for Payer: Fidelis Essential Plan Aliesa	$29.83
Rate for Payer: Fidelis Essential Plan QHP	$31.23
Rate for Payer: Fidelis Medicare Advantage	$35.09
Rate for Payer: Fidelis Qualified Health Plan	$31.23
Rate for Payer: Group Health Inc Commercial	$35.09
Rate for Payer: Group Health Inc Medicare	$35.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.86
Rate for Payer: Hamaspik Choice Inc Medicare	$35.09
Rate for Payer: Healthfirst Medicare Advantage	$35.09
Rate for Payer: Healthfirst QHP	$35.09
Rate for Payer: Humana Medicare	$35.79
Rate for Payer: Senior Whole Health Medicare Advantage	$35.09
Rate for Payer: United Healthcare Commercial	$42.98
Rate for Payer: United Healthcare Medicare Advantage	$35.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$35.09
Rate for Payer: Wellcare CHP/FHP/Medicaid	$28.07
Rate for Payer: Wellcare Medicare	$31.58

HPV VACC 9-VAL (VFC)

Facility

$0.01

Service Code	HCPCS 90651
Hospital Charge Code	41657927
Hospital Revenue Code	636
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01

Know your out-of-pocket cost for care.

All Charges