St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE/FRANSEEN/20G/15CM

Facility

$56.00

Hospital Charge Code	41569712
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: Brighton Health Commercial	$42.00
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

NEEDLE GUIDE ENDOCAV PROBE LNG

Facility

$600.00

Hospital Charge Code	64904723
Hospital Revenue Code	270
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$480.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$330.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$300.00
Rate for Payer: Aetna Government	$300.00
Rate for Payer: Brighton Health Commercial	$450.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$480.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$408.00
Rate for Payer: Group Health Inc Commercial	$300.00
Rate for Payer: Group Health Inc Medicare	$210.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$300.00
Rate for Payer: Hamaspik Choice Inc Medicare	$300.00

NEEDLE,HYPO,21GX1,F/LL SYR ECL

Facility

$0.37

Hospital Charge Code	64901461
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, HYPO, 22GX1.5 ECLIPSE

Facility

$0.37

Hospital Charge Code	64901472
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,HYPODERMIC,ECL,18G X 1.5

Facility

$0.37

Hospital Charge Code	64901458
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, HYPODERMIC, ECL, 23G X 1

Facility

$0.37

Hospital Charge Code	64901464
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,HYPODERMIC,ECL,25G X 5/8

Facility

$0.37

Hospital Charge Code	64901468
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 INTJCT 7FR 23G 240CM

Facility

$70.01

Hospital Charge Code	64906820
Hospital Revenue Code	270
Min. Negotiated Rate	$24.50
Max. Negotiated Rate	$56.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$35.00
Rate for Payer: Aetna Government	$35.00
Rate for Payer: Brighton Health Commercial	$52.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$47.61
Rate for Payer: Group Health Inc Commercial	$35.00
Rate for Payer: Group Health Inc Medicare	$24.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.00
Rate for Payer: Hamaspik Choice Inc Medicare	$35.00

NEEDLEKNIFE RX 5MM

Facility

$410.00

Hospital Charge Code	40209770
Hospital Revenue Code	270
Min. Negotiated Rate	$143.50
Max. Negotiated Rate	$328.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$225.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$205.00
Rate for Payer: Aetna Government	$205.00
Rate for Payer: Brighton Health Commercial	$307.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$328.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$278.80
Rate for Payer: Group Health Inc Commercial	$205.00
Rate for Payer: Group Health Inc Medicare	$143.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$205.00
Rate for Payer: Hamaspik Choice Inc Medicare	$205.00

NEEDLEKNIFE RX SNG USE TRIP LUMEN

Facility

$495.00

Hospital Charge Code	64904509
Hospital Revenue Code	270
Min. Negotiated Rate	$173.25
Max. Negotiated Rate	$396.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$272.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$247.50
Rate for Payer: Aetna Government	$247.50
Rate for Payer: Brighton Health Commercial	$371.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$396.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$336.60
Rate for Payer: Group Health Inc Commercial	$247.50
Rate for Payer: Group Health Inc Medicare	$173.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$247.50
Rate for Payer: Hamaspik Choice Inc Medicare	$247.50

NEEDLE MONOFILAMENT STEEL 18 F2

Facility

$54.05

Hospital Charge Code	64903022
Hospital Revenue Code	270
Min. Negotiated Rate	$18.92
Max. Negotiated Rate	$43.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$27.02
Rate for Payer: Aetna Government	$27.02
Rate for Payer: Brighton Health Commercial	$40.54
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.75
Rate for Payer: Group Health Inc Commercial	$27.02
Rate for Payer: Group Health Inc Medicare	$18.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.02
Rate for Payer: Hamaspik Choice Inc Medicare	$27.02

NEEDLE MONOFILAMENT STEEL 18 FS2

Facility

$54.05

Hospital Charge Code	64903021
Hospital Revenue Code	270
Min. Negotiated Rate	$18.92
Max. Negotiated Rate	$43.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$27.02
Rate for Payer: Aetna Government	$27.02
Rate for Payer: Brighton Health Commercial	$40.54
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.75
Rate for Payer: Group Health Inc Commercial	$27.02
Rate for Payer: Group Health Inc Medicare	$18.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.02
Rate for Payer: Hamaspik Choice Inc Medicare	$27.02

NEEDLE MPIS-401 21G .018 WIRE

Facility

$77.83

Hospital Charge Code	64905024
Hospital Revenue Code	270
Min. Negotiated Rate	$27.24
Max. Negotiated Rate	$62.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$42.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$38.92
Rate for Payer: Aetna Government	$38.92
Rate for Payer: Brighton Health Commercial	$58.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$62.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$52.92
Rate for Payer: Group Health Inc Commercial	$38.92
Rate for Payer: Group Health Inc Medicare	$27.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$38.92
Rate for Payer: Hamaspik Choice Inc Medicare	$38.92

NEEDLE PRECIS GLIDE GA .25X1.5

Facility

$76.75

Hospital Charge Code	64903570
Hospital Revenue Code	270
Min. Negotiated Rate	$26.86
Max. Negotiated Rate	$61.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$42.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$38.38
Rate for Payer: Aetna Government	$38.38
Rate for Payer: Brighton Health Commercial	$57.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$61.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$52.19
Rate for Payer: Group Health Inc Commercial	$38.38
Rate for Payer: Group Health Inc Medicare	$26.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$38.38
Rate for Payer: Hamaspik Choice Inc Medicare	$38.38

NEEDLE PRECUNO 150

Facility

$30.88

Hospital Charge Code	64902935
Hospital Revenue Code	270
Min. Negotiated Rate	$10.81
Max. Negotiated Rate	$24.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.44
Rate for Payer: Aetna Government	$15.44
Rate for Payer: Brighton Health Commercial	$23.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.00
Rate for Payer: Group Health Inc Commercial	$15.44
Rate for Payer: Group Health Inc Medicare	$10.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.44
Rate for Payer: Hamaspik Choice Inc Medicare	$15.44

NEEDLE RETROBULBAR 25G X 1-1/2

Facility

$6.20

Hospital Charge Code	64904512
Hospital Revenue Code	270
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$4.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.10
Rate for Payer: Aetna Government	$3.10
Rate for Payer: Brighton Health Commercial	$4.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.22
Rate for Payer: Group Health Inc Commercial	$3.10
Rate for Payer: Group Health Inc Medicare	$2.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.10
Rate for Payer: Hamaspik Choice Inc Medicare	$3.10

NEEDLES 5 FORAMEN

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	64904958
Hospital Revenue Code	278
Min. Negotiated Rate	$50.00
Max. Negotiated Rate	$50.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.00
Rate for Payer: Hamaspik Choice Inc Medicare	$50.00

NEEDLES 5 FORAMEN

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	64904958
Hospital Revenue Code	278
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$60.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$50.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$57.50
Rate for Payer: EmblemHealth Commercial	$50.00
Rate for Payer: Fidelis Medicare Advantage	$105.00
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
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$65.00

NEEDLE,SAFETY G,20GX3/4

Facility

$9.09

Hospital Charge Code	64901057
Hospital Revenue Code	270
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$7.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.54
Rate for Payer: Aetna Government	$4.54
Rate for Payer: Brighton Health Commercial	$6.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.18
Rate for Payer: Group Health Inc Commercial	$4.54
Rate for Payer: Group Health Inc Medicare	$3.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.54
Rate for Payer: Hamaspik Choice Inc Medicare	$4.54

NEEDLE SCLEROTHERAPY 23G X 4MM

Facility

$715.00

Hospital Charge Code	64903294
Hospital Revenue Code	270
Min. Negotiated Rate	$250.25
Max. Negotiated Rate	$572.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$393.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$357.50
Rate for Payer: Aetna Government	$357.50
Rate for Payer: Brighton Health Commercial	$536.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$572.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$486.20
Rate for Payer: Group Health Inc Commercial	$357.50
Rate for Payer: Group Health Inc Medicare	$250.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$357.50
Rate for Payer: Hamaspik Choice Inc Medicare	$357.50

NEEDLE SPINAL 18GA X 3 1/2

Facility

$3.30

Hospital Charge Code	64901324
Hospital Revenue Code	270
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$2.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.65
Rate for Payer: Aetna Government	$1.65
Rate for Payer: Brighton Health Commercial	$2.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.24
Rate for Payer: Group Health Inc Commercial	$1.65
Rate for Payer: Group Health Inc Medicare	$1.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.65
Rate for Payer: Hamaspik Choice Inc Medicare	$1.65

NEEDLE SPINAL 20GA X 3 1/2

Facility

$7.92

Hospital Charge Code	64901035
Hospital Revenue Code	270
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$6.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.96
Rate for Payer: Aetna Government	$3.96
Rate for Payer: Brighton Health Commercial	$5.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.39
Rate for Payer: Group Health Inc Commercial	$3.96
Rate for Payer: Group Health Inc Medicare	$2.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.96
Rate for Payer: Hamaspik Choice Inc Medicare	$3.96

NEEDLE SPINAL 22GA 89MM LENGTH

Facility

$7.92

Hospital Charge Code	64901424
Hospital Revenue Code	270
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$6.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.96
Rate for Payer: Aetna Government	$3.96
Rate for Payer: Brighton Health Commercial	$5.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.39
Rate for Payer: Group Health Inc Commercial	$3.96
Rate for Payer: Group Health Inc Medicare	$2.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.96
Rate for Payer: Hamaspik Choice Inc Medicare	$3.96

NEEDLE SPINAL 22GA X 1 1/2 PED

Facility

$3.64

Hospital Charge Code	64901946
Hospital Revenue Code	270
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$2.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.82
Rate for Payer: Aetna Government	$1.82
Rate for Payer: Brighton Health Commercial	$2.73
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.91
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.48
Rate for Payer: Group Health Inc Commercial	$1.82
Rate for Payer: Group Health Inc Medicare	$1.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.82
Rate for Payer: Hamaspik Choice Inc Medicare	$1.82

NEEDLE SPINAL 22G X 5

Facility

$9.09

Hospital Charge Code	64904246
Hospital Revenue Code	270
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$7.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.54
Rate for Payer: Aetna Government	$4.54
Rate for Payer: Brighton Health Commercial	$6.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.18
Rate for Payer: Group Health Inc Commercial	$4.54
Rate for Payer: Group Health Inc Medicare	$3.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.54
Rate for Payer: Hamaspik Choice Inc Medicare	$4.54

Know your out-of-pocket cost for care.

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