St. Barnabas Hospital

All Charges

Charge

Type

Price

ZZ COIL/.035 DETACHABLE/3-5

Facility IP

$108.30

Service Code	HCPCS C1884
Hospital Charge Code	41569067
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/5-5

Facility OP

$108.30

Service Code	HCPCS C1884
Hospital Charge Code	41569068
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/5-5

Facility IP

$108.30

Service Code	HCPCS C1884
Hospital Charge Code	41569068
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 STANARD/4-3

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569074
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 STANARD/4-3

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569074
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/.035 STANDARD/1-2

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569069
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 STANDARD/1-2

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569069
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/.035 STANDARD/2-3

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569070
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 STANDARD/2-3

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569070
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/.035 STANDARD/3-2

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569071
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/.035 STANDARD/3-2

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569071
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 STANDARD/3-4

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569072
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 STANDARD/3-4

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569072
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/.035 STANDARD/3-5

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569073
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 STANDARD/3-5

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569073
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/.035 STANDARD/5-3

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569075
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/.035 STANDARD/5-3

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569075
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 STANDARD/5-5

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569076
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 STANDARD/5-5

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569076
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/.035 STANDARD/5-8

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569077
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/.035 STANDARD/5-8

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569077
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/.038 STANDARD/15-15

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569078
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/.038 STANDARD/15-15

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569078
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/.038 STANDARD/2-3

Facility OP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569079
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/.038 STANDARD/2-3

Facility IP

$92.82

Service Code	HCPCS C1884
Hospital Charge Code	41569079
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

Price Transparency.

All Charges