St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ COIL/.018 HILAL/6-7

Facility OP

$142.46

Service Code	HCPCS C1884
Hospital Charge Code	41569055
Hospital Revenue Code	278
Min. Negotiated Rate	$49.86
Max. Negotiated Rate	$180.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$78.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$180.07
Rate for Payer: Aetna Government	$180.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$71.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.91
Rate for Payer: Fidelis Medicare Advantage	$149.58
Rate for Payer: Group Health Inc Commercial	$71.23
Rate for Payer: Group Health Inc Medicare	$49.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.23
Rate for Payer: Hamaspik Choice Inc Medicare	$71.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$92.60

ZZ COIL/.018 HILAL/6-7

Facility IP

$142.46

Service Code	HCPCS C1884
Hospital Charge Code	41569055
Hospital Revenue Code	278
Min. Negotiated Rate	$71.23
Max. Negotiated Rate	$71.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.23
Rate for Payer: Hamaspik Choice Inc Medicare	$71.23

ZZ COIL/.018 TORNADO/3-2

Facility OP

$156.74

Service Code	HCPCS C1884
Hospital Charge Code	41569056
Hospital Revenue Code	278
Min. Negotiated Rate	$54.86
Max. Negotiated Rate	$180.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$180.07
Rate for Payer: Aetna Government	$180.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$78.37
Rate for Payer: Cigna LocalPlus Benefit Plan	$90.13
Rate for Payer: Fidelis Medicare Advantage	$164.58
Rate for Payer: Group Health Inc Commercial	$78.37
Rate for Payer: Group Health Inc Medicare	$54.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.37
Rate for Payer: Hamaspik Choice Inc Medicare	$78.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$101.88

ZZ COIL/.018 TORNADO/3-2

Facility IP

$156.74

Service Code	HCPCS C1884
Hospital Charge Code	41569056
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$78.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.37
Rate for Payer: Hamaspik Choice Inc Medicare	$78.37

ZZ COIL/.018 TORNADO/4-2

Facility IP

$156.74

Service Code	HCPCS C1884
Hospital Charge Code	41569057
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$78.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.37
Rate for Payer: Hamaspik Choice Inc Medicare	$78.37

ZZ COIL/.018 TORNADO/4-2

Facility OP

$156.74

Service Code	HCPCS C1884
Hospital Charge Code	41569057
Hospital Revenue Code	278
Min. Negotiated Rate	$54.86
Max. Negotiated Rate	$180.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$180.07
Rate for Payer: Aetna Government	$180.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$78.37
Rate for Payer: Cigna LocalPlus Benefit Plan	$90.13
Rate for Payer: Fidelis Medicare Advantage	$164.58
Rate for Payer: Group Health Inc Commercial	$78.37
Rate for Payer: Group Health Inc Medicare	$54.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.37
Rate for Payer: Hamaspik Choice Inc Medicare	$78.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$101.88

ZZ COIL/.018 TORNADO/5-2

Facility IP

$156.74

Service Code	HCPCS C1884
Hospital Charge Code	41569059
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$78.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.37
Rate for Payer: Hamaspik Choice Inc Medicare	$78.37

ZZ COIL/.018 TORNADO/5-2

Facility OP

$156.74

Service Code	HCPCS C1884
Hospital Charge Code	41569059
Hospital Revenue Code	278
Min. Negotiated Rate	$54.86
Max. Negotiated Rate	$180.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$180.07
Rate for Payer: Aetna Government	$180.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$78.37
Rate for Payer: Cigna LocalPlus Benefit Plan	$90.13
Rate for Payer: Fidelis Medicare Advantage	$164.58
Rate for Payer: Group Health Inc Commercial	$78.37
Rate for Payer: Group Health Inc Medicare	$54.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.37
Rate for Payer: Hamaspik Choice Inc Medicare	$78.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$101.88

ZZ COIL/.018 TORNADO/6-2

Facility IP

$156.74

Service Code	HCPCS C1884
Hospital Charge Code	41569058
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$78.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.37
Rate for Payer: Hamaspik Choice Inc Medicare	$78.37

ZZ COIL/.018 TORNADO/6-2

Facility OP

$156.74

Service Code	HCPCS C1884
Hospital Charge Code	41569058
Hospital Revenue Code	278
Min. Negotiated Rate	$54.86
Max. Negotiated Rate	$180.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$180.07
Rate for Payer: Aetna Government	$180.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$78.37
Rate for Payer: Cigna LocalPlus Benefit Plan	$90.13
Rate for Payer: Fidelis Medicare Advantage	$164.58
Rate for Payer: Group Health Inc Commercial	$78.37
Rate for Payer: Group Health Inc Medicare	$54.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.37
Rate for Payer: Hamaspik Choice Inc Medicare	$78.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$101.88

ZZ COIL/.025 STANDARD/1.2-2

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569060
Hospital Revenue Code	278
Min. Negotiated Rate	$32.49
Max. Negotiated Rate	$180.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$51.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$180.07
Rate for Payer: Aetna Government	$180.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$53.37
Rate for Payer: Fidelis Medicare Advantage	$97.46
Rate for Payer: Group Health Inc Commercial	$46.41
Rate for Payer: Group Health Inc Medicare	$32.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.41
Rate for Payer: Hamaspik Choice Inc Medicare	$46.41
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$60.33

ZZ COIL/.025 STANDARD/1.2-2

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569060
Hospital Revenue Code	278
Min. Negotiated Rate	$46.41
Max. Negotiated Rate	$46.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.41
Rate for Payer: Hamaspik Choice Inc Medicare	$46.41

ZZ COIL/.025 STANDARD/2-3

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569061
Hospital Revenue Code	278
Min. Negotiated Rate	$46.41
Max. Negotiated Rate	$46.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.41
Rate for Payer: Hamaspik Choice Inc Medicare	$46.41

ZZ COIL/.025 STANDARD/2-3

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569061
Hospital Revenue Code	278
Min. Negotiated Rate	$32.49
Max. Negotiated Rate	$180.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$51.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$180.07
Rate for Payer: Aetna Government	$180.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$53.37
Rate for Payer: Fidelis Medicare Advantage	$97.46
Rate for Payer: Group Health Inc Commercial	$46.41
Rate for Payer: Group Health Inc Medicare	$32.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.41
Rate for Payer: Hamaspik Choice Inc Medicare	$46.41
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$60.33

ZZ COIL/.025 STANDARD/2.5-2

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569062
Hospital Revenue Code	278
Min. Negotiated Rate	$46.41
Max. Negotiated Rate	$46.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.41
Rate for Payer: Hamaspik Choice Inc Medicare	$46.41

ZZ COIL/.025 STANDARD/2.5-2

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569062
Hospital Revenue Code	278
Min. Negotiated Rate	$32.49
Max. Negotiated Rate	$180.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$51.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$180.07
Rate for Payer: Aetna Government	$180.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$53.37
Rate for Payer: Fidelis Medicare Advantage	$97.46
Rate for Payer: Group Health Inc Commercial	$46.41
Rate for Payer: Group Health Inc Medicare	$32.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.41
Rate for Payer: Hamaspik Choice Inc Medicare	$46.41
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$60.33

ZZ COIL/.025 STANDARD/3-5

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569063
Hospital Revenue Code	278
Min. Negotiated Rate	$46.41
Max. Negotiated Rate	$46.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.41
Rate for Payer: Hamaspik Choice Inc Medicare	$46.41

ZZ COIL/.025 STANDARD/3-5

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569063
Hospital Revenue Code	278
Min. Negotiated Rate	$32.49
Max. Negotiated Rate	$180.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$51.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$180.07
Rate for Payer: Aetna Government	$180.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$53.37
Rate for Payer: Fidelis Medicare Advantage	$97.46
Rate for Payer: Group Health Inc Commercial	$46.41
Rate for Payer: Group Health Inc Medicare	$32.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.41
Rate for Payer: Hamaspik Choice Inc Medicare	$46.41
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$60.33

ZZ COIL/.025 STANDARD/4-3

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569065
Hospital Revenue Code	278
Min. Negotiated Rate	$32.49
Max. Negotiated Rate	$180.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$51.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$180.07
Rate for Payer: Aetna Government	$180.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$53.37
Rate for Payer: Fidelis Medicare Advantage	$97.46
Rate for Payer: Group Health Inc Commercial	$46.41
Rate for Payer: Group Health Inc Medicare	$32.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.41
Rate for Payer: Hamaspik Choice Inc Medicare	$46.41
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$60.33

ZZ COIL/.025 STANDARD/4-3

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569065
Hospital Revenue Code	278
Min. Negotiated Rate	$46.41
Max. Negotiated Rate	$46.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.41
Rate for Payer: Hamaspik Choice Inc Medicare	$46.41

ZZ COIL/.035 DETACHABLE

Facility IP

$108.30

Service Code	HCPCS C1884
Hospital Charge Code	41560053
Hospital Revenue Code	278
Min. Negotiated Rate	$54.15
Max. Negotiated Rate	$54.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.15
Rate for Payer: Hamaspik Choice Inc Medicare	$54.15

ZZ COIL/.035 DETACHABLE

Facility OP

$108.30

Service Code	HCPCS C1884
Hospital Charge Code	41560053
Hospital Revenue Code	278
Min. Negotiated Rate	$37.90
Max. Negotiated Rate	$180.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$59.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$180.07
Rate for Payer: Aetna Government	$180.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$54.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$62.27
Rate for Payer: Fidelis Medicare Advantage	$113.72
Rate for Payer: Group Health Inc Commercial	$54.15
Rate for Payer: Group Health Inc Medicare	$37.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.15
Rate for Payer: Hamaspik Choice Inc Medicare	$54.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$70.40

ZZ COIL/.035 DETACHABLE/3-4

Facility OP

$108.30

Service Code	HCPCS C1884
Hospital Charge Code	41569066
Hospital Revenue Code	278
Min. Negotiated Rate	$37.90
Max. Negotiated Rate	$180.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$59.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$180.07
Rate for Payer: Aetna Government	$180.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$54.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$62.27
Rate for Payer: Fidelis Medicare Advantage	$113.72
Rate for Payer: Group Health Inc Commercial	$54.15
Rate for Payer: Group Health Inc Medicare	$37.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.15
Rate for Payer: Hamaspik Choice Inc Medicare	$54.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$70.40

ZZ COIL/.035 DETACHABLE/3-4

Facility IP

$108.30

Service Code	HCPCS C1884
Hospital Charge Code	41569066
Hospital Revenue Code	278
Min. Negotiated Rate	$54.15
Max. Negotiated Rate	$54.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.15
Rate for Payer: Hamaspik Choice Inc Medicare	$54.15

ZZ COIL/.035 DETACHABLE/3-5

Facility OP

$108.30

Service Code	HCPCS C1884
Hospital Charge Code	41569067
Hospital Revenue Code	278
Min. Negotiated Rate	$37.90
Max. Negotiated Rate	$180.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$59.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$180.07
Rate for Payer: Aetna Government	$180.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$54.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$62.27
Rate for Payer: Fidelis Medicare Advantage	$113.72
Rate for Payer: Group Health Inc Commercial	$54.15
Rate for Payer: Group Health Inc Medicare	$37.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.15
Rate for Payer: Hamaspik Choice Inc Medicare	$54.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$70.40

Price Transparency.

All Charges