St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE, 25GX1.5, ECL,LUER-LOK

Facility

$0.37

Hospital Charge Code	64903300
Hospital Revenue Code	270
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.19
Rate for Payer: Aetna Government	$0.19
Rate for Payer: Brighton Health Commercial	$0.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.25
Rate for Payer: Group Health Inc Commercial	$0.19
Rate for Payer: Group Health Inc Medicare	$0.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.19
Rate for Payer: Hamaspik Choice Inc Medicare	$0.19

NEEDLE,25GX1,ECLIPSE,USE W LUER

Facility

$0.37

Hospital Charge Code	64901466
Hospital Revenue Code	270
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.19
Rate for Payer: Aetna Government	$0.19
Rate for Payer: Brighton Health Commercial	$0.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.25
Rate for Payer: Group Health Inc Commercial	$0.19
Rate for Payer: Group Health Inc Medicare	$0.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.19
Rate for Payer: Hamaspik Choice Inc Medicare	$0.19

NEEDLE ASPIRATE 8GA BAN 25

Facility

$1,667.50

Hospital Charge Code	64906100
Hospital Revenue Code	270
Min. Negotiated Rate	$583.62
Max. Negotiated Rate	$1,334.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$917.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$833.75
Rate for Payer: Aetna Government	$833.75
Rate for Payer: Brighton Health Commercial	$1,250.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,334.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,133.90
Rate for Payer: Group Health Inc Commercial	$833.75
Rate for Payer: Group Health Inc Medicare	$583.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$833.75
Rate for Payer: Hamaspik Choice Inc Medicare	$833.75

NEEDLE ASPIRATION 45CM

Facility

$787.50

Hospital Charge Code	64904836
Hospital Revenue Code	270
Min. Negotiated Rate	$275.62
Max. Negotiated Rate	$630.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$433.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$393.75
Rate for Payer: Aetna Government	$393.75
Rate for Payer: Brighton Health Commercial	$590.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$630.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$535.50
Rate for Payer: Group Health Inc Commercial	$393.75
Rate for Payer: Group Health Inc Medicare	$275.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$393.75
Rate for Payer: Hamaspik Choice Inc Medicare	$393.75

NEEDLE ASPRTN EZ SHT3 PLS

Facility

$280.00

Hospital Charge Code	64906261
Hospital Revenue Code	270
Min. Negotiated Rate	$98.00
Max. Negotiated Rate	$224.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$154.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$140.00
Rate for Payer: Aetna Government	$140.00
Rate for Payer: Brighton Health Commercial	$210.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$224.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$190.40
Rate for Payer: Group Health Inc Commercial	$140.00
Rate for Payer: Group Health Inc Medicare	$98.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$140.00

NEEDLE BIOPSY 18G PROSTATE

Facility

$87.62

Hospital Charge Code	64904597
Hospital Revenue Code	270
Min. Negotiated Rate	$30.67
Max. Negotiated Rate	$70.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$48.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$43.81
Rate for Payer: Aetna Government	$43.81
Rate for Payer: Brighton Health Commercial	$65.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$70.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$59.58
Rate for Payer: Group Health Inc Commercial	$43.81
Rate for Payer: Group Health Inc Medicare	$30.67
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.81
Rate for Payer: Hamaspik Choice Inc Medicare	$43.81

NEEDLE BIOPSY LUNG

Facility

$4,157.25

Service Code	HCPCS 32408
Hospital Charge Code	40043207
Hospital Revenue Code	360
Min. Negotiated Rate	$1,312.42
Max. Negotiated Rate	$3,117.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,412.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,874.89
Rate for Payer: Aetna Government	$1,874.89
Rate for Payer: Affinity Essential Plan 1&2	$1,312.42
Rate for Payer: Affinity Essential Plan 3&4	$1,312.42
Rate for Payer: Affinity Medicaid/CHP/HARP	$1,312.42
Rate for Payer: Brighton Health Commercial	$3,117.94
Rate for Payer: Cash Price	$1,874.89
Rate for Payer: Cash Price	$1,874.89
Rate for Payer: Cash Price	$1,874.89
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$1,874.89
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	$1,874.89
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$1,593.66
Rate for Payer: Fidelis Essential Plan QHP	$1,668.65
Rate for Payer: Fidelis Medicare Advantage	$1,874.89
Rate for Payer: Fidelis Qualified Health Plan	$1,668.65
Rate for Payer: Group Health Inc Commercial	$1,874.89
Rate for Payer: Group Health Inc Medicare	$1,874.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,078.62
Rate for Payer: Hamaspik Choice Inc Medicare	$1,874.89
Rate for Payer: Healthfirst Medicare Advantage	$1,593.66
Rate for Payer: Healthfirst QHP	$1,874.89
Rate for Payer: Humana Medicare	$1,912.39
Rate for Payer: Senior Whole Health Medicare Advantage	$1,874.89
Rate for Payer: United Healthcare Commercial	$1,409.00
Rate for Payer: United Healthcare Medicare Advantage	$1,874.89
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,874.89
Rate for Payer: Wellcare CHP/FHP/Medicaid	$1,499.91
Rate for Payer: Wellcare Medicare	$1,781.15

NEEDLE BIOPSY LUNG

Facility

$4,157.25

Service Code	HCPCS 32408
Hospital Charge Code	40043207
Hospital Revenue Code	360
Rate for Payer: Cash Price	$1,874.89

NEEDLE BIOPSY TRU CUT DISP 14GX6

Facility

$39.40

Hospital Charge Code	64901889
Hospital Revenue Code	270
Min. Negotiated Rate	$13.79
Max. Negotiated Rate	$31.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$21.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.70
Rate for Payer: Aetna Government	$19.70
Rate for Payer: Brighton Health Commercial	$29.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$31.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$26.79
Rate for Payer: Group Health Inc Commercial	$19.70
Rate for Payer: Group Health Inc Medicare	$13.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.70
Rate for Payer: Hamaspik Choice Inc Medicare	$19.70

NEEDLE BIOPSY TRU CUT DSP

Facility

$39.53

Hospital Charge Code	64904198
Hospital Revenue Code	270
Min. Negotiated Rate	$13.84
Max. Negotiated Rate	$31.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$21.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.76
Rate for Payer: Aetna Government	$19.76
Rate for Payer: Brighton Health Commercial	$29.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$31.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$26.88
Rate for Payer: Group Health Inc Commercial	$19.76
Rate for Payer: Group Health Inc Medicare	$13.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.76
Rate for Payer: Hamaspik Choice Inc Medicare	$19.76

NEEDLE BIOPSY TRU GUIDE

Facility

$30.00

Hospital Charge Code	40200978
Hospital Revenue Code	270
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$24.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.00
Rate for Payer: Aetna Government	$15.00
Rate for Payer: Brighton Health Commercial	$22.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.40
Rate for Payer: Group Health Inc Commercial	$15.00
Rate for Payer: Group Health Inc Medicare	$10.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.00
Rate for Payer: Hamaspik Choice Inc Medicare	$15.00

NEEDLE BLADDER 22G, 35CM

Facility

$72.00

Hospital Charge Code	64906923
Hospital Revenue Code	270
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$57.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$39.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$36.00
Rate for Payer: Aetna Government	$36.00
Rate for Payer: Brighton Health Commercial	$54.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$57.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$48.96
Rate for Payer: Group Health Inc Commercial	$36.00
Rate for Payer: Group Health Inc Medicare	$25.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$36.00
Rate for Payer: Hamaspik Choice Inc Medicare	$36.00

NEEDLE,BLUNT,FILL, 18GX1.5,STER

Facility

$0.18

Hospital Charge Code	64901048
Hospital Revenue Code	270
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$0.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.09
Rate for Payer: Aetna Government	$0.09
Rate for Payer: Brighton Health Commercial	$0.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.12
Rate for Payer: Group Health Inc Commercial	$0.09
Rate for Payer: Group Health Inc Medicare	$0.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.09
Rate for Payer: Hamaspik Choice Inc Medicare	$0.09

NEEDLE CHIBA 18GA 15

Facility

$20.65

Hospital Charge Code	64903554
Hospital Revenue Code	270
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$16.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.32
Rate for Payer: Aetna Government	$10.32
Rate for Payer: Brighton Health Commercial	$15.49
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.04
Rate for Payer: Group Health Inc Commercial	$10.32
Rate for Payer: Group Health Inc Medicare	$7.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.32
Rate for Payer: Hamaspik Choice Inc Medicare	$10.32

NEEDLE COUNTER (1330)

Facility

$0.03

Hospital Charge Code	64901079
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

NEEDLE DISSECT MICRO 3CM 3/32IN

Facility

$97.50

Hospital Charge Code	64904171
Hospital Revenue Code	270
Min. Negotiated Rate	$34.12
Max. Negotiated Rate	$78.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$53.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$48.75
Rate for Payer: Aetna Government	$48.75
Rate for Payer: Brighton Health Commercial	$73.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$78.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$66.30
Rate for Payer: Group Health Inc Commercial	$48.75
Rate for Payer: Group Health Inc Medicare	$34.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$48.75
Rate for Payer: Hamaspik Choice Inc Medicare	$48.75

NEEDLE ECHO NERVE BLOCK 20 X 4

Facility

$32.14

Hospital Charge Code	64903818
Hospital Revenue Code	270
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$25.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.07
Rate for Payer: Aetna Government	$16.07
Rate for Payer: Brighton Health Commercial	$24.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$25.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.86
Rate for Payer: Group Health Inc Commercial	$16.07
Rate for Payer: Group Health Inc Medicare	$11.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.07
Rate for Payer: Hamaspik Choice Inc Medicare	$16.07

NEEDLE ECHO NERVE BLOCK 20 X 6

Facility

$921.05

Hospital Charge Code	64903820
Hospital Revenue Code	270
Min. Negotiated Rate	$322.37
Max. Negotiated Rate	$736.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$506.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$460.52
Rate for Payer: Aetna Government	$460.52
Rate for Payer: Brighton Health Commercial	$690.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$736.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$626.31
Rate for Payer: Group Health Inc Commercial	$460.52
Rate for Payer: Group Health Inc Medicare	$322.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$460.52
Rate for Payer: Hamaspik Choice Inc Medicare	$460.52

NEEDLE ECHO NERVE BLOCK 22 X 2

Facility

$28.60

Hospital Charge Code	64903816
Hospital Revenue Code	270
Min. Negotiated Rate	$10.01
Max. Negotiated Rate	$22.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.30
Rate for Payer: Aetna Government	$14.30
Rate for Payer: Brighton Health Commercial	$21.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.45
Rate for Payer: Group Health Inc Commercial	$14.30
Rate for Payer: Group Health Inc Medicare	$10.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.30
Rate for Payer: Hamaspik Choice Inc Medicare	$14.30

NEEDLE ECLIPSE BLD COLLECTION

Facility

$0.55

Hospital Charge Code	64901429
Hospital Revenue Code	270
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$0.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.28
Rate for Payer: Aetna Government	$0.28
Rate for Payer: Brighton Health Commercial	$0.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.37
Rate for Payer: Group Health Inc Commercial	$0.28
Rate for Payer: Group Health Inc Medicare	$0.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.28
Rate for Payer: Hamaspik Choice Inc Medicare	$0.28

NEEDLE ECLIPSE BLOOD COLLECTION

Facility

$0.53

Hospital Charge Code	64901042
Hospital Revenue Code	270
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$0.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.27
Rate for Payer: Aetna Government	$0.27
Rate for Payer: Brighton Health Commercial	$0.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.36
Rate for Payer: Group Health Inc Commercial	$0.27
Rate for Payer: Group Health Inc Medicare	$0.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.27
Rate for Payer: Hamaspik Choice Inc Medicare	$0.27

NEEDLE ELECTRO SURGICAL STD

Facility

$2.55

Hospital Charge Code	64903151
Hospital Revenue Code	270
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$2.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.28
Rate for Payer: Aetna Government	$1.28
Rate for Payer: Brighton Health Commercial	$1.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.73
Rate for Payer: Group Health Inc Commercial	$1.28
Rate for Payer: Group Health Inc Medicare	$0.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.28
Rate for Payer: Hamaspik Choice Inc Medicare	$1.28

NEEDLE,ENDOPATH,PNEUMOPERITONEUM

Facility

$29.83

Hospital Charge Code	64905148
Hospital Revenue Code	270
Min. Negotiated Rate	$10.44
Max. Negotiated Rate	$23.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.92
Rate for Payer: Aetna Government	$14.92
Rate for Payer: Brighton Health Commercial	$22.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.28
Rate for Payer: Group Health Inc Commercial	$14.92
Rate for Payer: Group Health Inc Medicare	$10.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.92
Rate for Payer: Hamaspik Choice Inc Medicare	$14.92

NEEDLE FILTER 5MIC THIN 19G X 1

Facility

$0.58

Hospital Charge Code	64904577
Hospital Revenue Code	270
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.29
Rate for Payer: Aetna Government	$0.29
Rate for Payer: Brighton Health Commercial	$0.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.39
Rate for Payer: Group Health Inc Commercial	$0.29
Rate for Payer: Group Health Inc Medicare	$0.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.29
Rate for Payer: Hamaspik Choice Inc Medicare	$0.29

NEEDLE FLEX RP 360 DEG

Facility

$495.85

Hospital Charge Code	64904995
Hospital Revenue Code	270
Min. Negotiated Rate	$173.55
Max. Negotiated Rate	$396.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$272.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$247.92
Rate for Payer: Aetna Government	$247.92
Rate for Payer: Brighton Health Commercial	$371.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$396.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$337.18
Rate for Payer: Group Health Inc Commercial	$247.92
Rate for Payer: Group Health Inc Medicare	$173.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$247.92
Rate for Payer: Hamaspik Choice Inc Medicare	$247.92

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