St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SP ASPIRATION BREAST CYST

Facility

$1,847.58

Service Code	HCPCS 19000 TC
Hospital Charge Code	41549614
Hospital Revenue Code	361
Rate for Payer: Cash Price	$813.63

SP BALLOON DIL URETERAL STRICTURE

Facility

$2,804.37

Service Code	HCPCS 50706
Hospital Charge Code	41542913
Hospital Revenue Code	361
Min. Negotiated Rate	$227.74
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$227.74
Rate for Payer: Aetna Government	$227.74
Rate for Payer: Brighton Health Commercial	$2,103.28
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: Group Health Inc Commercial	$1,402.18
Rate for Payer: Group Health Inc Medicare	$981.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,402.18
Rate for Payer: Hamaspik Choice Inc Medicare	$1,402.18

SP BIATERAL LE VENOUS

Facility

$705.83

Service Code	HCPCS 93970 TC
Hospital Charge Code	41201170
Hospital Revenue Code	920
Min. Negotiated Rate	$247.04
Max. Negotiated Rate	$564.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$388.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$352.92
Rate for Payer: Aetna Government	$352.92
Rate for Payer: Brighton Health Commercial	$529.37
Rate for Payer: Cash Price	$283.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$564.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$479.96
Rate for Payer: Group Health Inc Commercial	$352.92
Rate for Payer: Group Health Inc Medicare	$247.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$352.92
Rate for Payer: Hamaspik Choice Inc Medicare	$352.92

SP BIATERAL LE VENOUS

Facility

$705.83

Service Code	HCPCS 93970 TC
Hospital Charge Code	41201170
Hospital Revenue Code	920
Rate for Payer: Cash Price	$283.37

SP BILAT LE ARTERIAL

Facility

$705.83

Service Code	HCPCS 93925 TC
Hospital Charge Code	41201166
Hospital Revenue Code	920
Rate for Payer: Cash Price	$283.37

SP BILAT LE ARTERIAL

Facility

$705.83

Service Code	HCPCS 93925 TC
Hospital Charge Code	41201166
Hospital Revenue Code	920
Min. Negotiated Rate	$247.04
Max. Negotiated Rate	$564.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$388.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$352.92
Rate for Payer: Aetna Government	$352.92
Rate for Payer: Brighton Health Commercial	$529.37
Rate for Payer: Cash Price	$283.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$564.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$479.96
Rate for Payer: Group Health Inc Commercial	$352.92
Rate for Payer: Group Health Inc Medicare	$247.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$352.92
Rate for Payer: Hamaspik Choice Inc Medicare	$352.92

SP BIOPSY OF BREAST, NEEDLE

Facility

$4,157.25

Service Code	HCPCS 19100 TC
Hospital Charge Code	41546005
Hospital Revenue Code	361
Rate for Payer: Cash Price	$1,874.89

SP BIOPSY OF BREAST, NEEDLE

Facility

$4,157.25

Service Code	HCPCS 19100 TC
Hospital Charge Code	41546005
Hospital Revenue Code	361
Min. Negotiated Rate	$1,455.04
Max. Negotiated Rate	$3,117.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,286.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,078.62
Rate for Payer: Aetna Government	$2,078.62
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: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Group Health Inc Commercial	$2,078.62
Rate for Payer: Group Health Inc Medicare	$1,455.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,078.62
Rate for Payer: Hamaspik Choice Inc Medicare	$2,078.62

SP BIOPSY SOFT TISSUE NECK/THROAT

Facility

$4,157.25

Service Code	HCPCS 21550 TC
Hospital Charge Code	41548758
Hospital Revenue Code	361
Min. Negotiated Rate	$1,455.04
Max. Negotiated Rate	$3,117.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,286.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,078.62
Rate for Payer: Aetna Government	$2,078.62
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: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Group Health Inc Commercial	$2,078.62
Rate for Payer: Group Health Inc Medicare	$1,455.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,078.62
Rate for Payer: Hamaspik Choice Inc Medicare	$2,078.62

SP BIOPSY SOFT TISSUE NECK/THROAT

Facility

$4,157.25

Service Code	HCPCS 21550 TC
Hospital Charge Code	41548758
Hospital Revenue Code	361
Rate for Payer: Cash Price	$1,874.89

SP BONE DEEP PERCUTANEOUS

Facility

$4,157.25

Service Code	HCPCS 20225 TC
Hospital Charge Code	41542796
Hospital Revenue Code	361
Min. Negotiated Rate	$1,455.04
Max. Negotiated Rate	$3,117.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,286.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,078.62
Rate for Payer: Aetna Government	$2,078.62
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: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Group Health Inc Commercial	$2,078.62
Rate for Payer: Group Health Inc Medicare	$1,455.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,078.62
Rate for Payer: Hamaspik Choice Inc Medicare	$2,078.62

SP BONE DEEP PERCUTANEOUS

Facility

$4,157.25

Service Code	HCPCS 20225 TC
Hospital Charge Code	41542796
Hospital Revenue Code	361
Rate for Payer: Cash Price	$1,874.89

SP BONE SUPERFICIAL PERC.

Facility

$4,157.25

Service Code	HCPCS 20220 TC
Hospital Charge Code	41542797
Hospital Revenue Code	361
Rate for Payer: Cash Price	$1,874.89

SP BONE SUPERFICIAL PERC.

Facility

$4,157.25

Service Code	HCPCS 20220 TC
Hospital Charge Code	41542797
Hospital Revenue Code	361
Min. Negotiated Rate	$1,455.04
Max. Negotiated Rate	$3,117.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,286.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,078.62
Rate for Payer: Aetna Government	$2,078.62
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: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Group Health Inc Commercial	$2,078.62
Rate for Payer: Group Health Inc Medicare	$1,455.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,078.62
Rate for Payer: Hamaspik Choice Inc Medicare	$2,078.62

SP BRACHIO TRANSLUMBAR

Facility

$30,010.30

Service Code	HCPCS 0237T
Hospital Charge Code	41542772
Hospital Revenue Code	361
Rate for Payer: Cash Price	$12,721.98

SP BRACHIO TRANSLUMBAR

Facility

$30,010.30

Service Code	HCPCS 0237T
Hospital Charge Code	41542772
Hospital Revenue Code	361
Min. Negotiated Rate	$2,477.75
Max. Negotiated Rate	$22,507.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,065.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12,721.98
Rate for Payer: Aetna Government	$12,721.98
Rate for Payer: Brighton Health Commercial	$22,507.72
Rate for Payer: Cash Price	$12,721.98
Rate for Payer: Cash Price	$12,721.98
Rate for Payer: Cash Price	$12,721.98
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$12,721.98
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	$12,721.98
Rate for Payer: EmblemHealth Commercial	$12,721.98
Rate for Payer: Fidelis Essential Plan Aliesa	$10,813.68
Rate for Payer: Fidelis Essential Plan QHP	$11,322.56
Rate for Payer: Fidelis Medicare Advantage	$12,721.98
Rate for Payer: Fidelis Qualified Health Plan	$11,322.56
Rate for Payer: Group Health Inc Commercial	$12,721.98
Rate for Payer: Group Health Inc Medicare	$12,721.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$15,005.15
Rate for Payer: Hamaspik Choice Inc Medicare	$12,721.98
Rate for Payer: Healthfirst Medicare Advantage	$10,813.68
Rate for Payer: Healthfirst QHP	$12,721.98
Rate for Payer: Senior Whole Health Medicare Advantage	$12,721.98
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$12,721.98
Rate for Payer: Wellcare CHP/FHP/Medicaid	$10,177.58
Rate for Payer: Wellcare Medicare	$12,085.88

SP BRONCHOSCOPY W/STENT

Facility

$16,477.50

Service Code	HCPCS 31631 TC
Hospital Charge Code	41546009
Hospital Revenue Code	361
Rate for Payer: Cash Price	$7,914.90

SP BRONCHOSCOPY W/STENT

Facility

$16,477.50

Service Code	HCPCS 31631 TC
Hospital Charge Code	41546009
Hospital Revenue Code	361
Min. Negotiated Rate	$745.00
Max. Negotiated Rate	$12,358.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9,062.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8,238.75
Rate for Payer: Aetna Government	$8,238.75
Rate for Payer: Brighton Health Commercial	$12,358.12
Rate for Payer: Cash Price	$7,914.90
Rate for Payer: Cash Price	$7,914.90
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: EmblemHealth Commercial	$745.00
Rate for Payer: Group Health Inc Commercial	$8,238.75
Rate for Payer: Group Health Inc Medicare	$5,767.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$8,238.75
Rate for Payer: Hamaspik Choice Inc Medicare	$8,238.75

SP BRUSH BIOPSY,TRANSCATH,RENAL

Facility

$9,142.40

Service Code	HCPCS 52007 TC
Hospital Charge Code	41547651
Hospital Revenue Code	361
Rate for Payer: Cash Price	$4,031.47

SP BRUSH BIOPSY,TRANSCATH,RENAL

Facility

$9,142.40

Service Code	HCPCS 52007 TC
Hospital Charge Code	41547651
Hospital Revenue Code	361
Min. Negotiated Rate	$745.00
Max. Negotiated Rate	$6,856.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,028.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4,571.20
Rate for Payer: Aetna Government	$4,571.20
Rate for Payer: Brighton Health Commercial	$6,856.80
Rate for Payer: Cash Price	$4,031.47
Rate for Payer: Cash Price	$4,031.47
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: EmblemHealth Commercial	$745.00
Rate for Payer: Group Health Inc Commercial	$4,571.20
Rate for Payer: Group Health Inc Medicare	$3,199.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,571.20
Rate for Payer: Hamaspik Choice Inc Medicare	$4,571.20

SP BYPASS GRAFT AORTA ILLIAC/BI I

Facility

$4,892.55

Service Code	HCPCS 35637 TC
Hospital Charge Code	41547696
Hospital Revenue Code	361
Min. Negotiated Rate	$1,712.39
Max. Negotiated Rate	$3,669.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,690.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,446.28
Rate for Payer: Aetna Government	$2,446.28
Rate for Payer: Brighton Health Commercial	$3,669.41
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: Group Health Inc Commercial	$2,446.28
Rate for Payer: Group Health Inc Medicare	$1,712.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,446.28
Rate for Payer: Hamaspik Choice Inc Medicare	$2,446.28

SP BYPASS GRAFT AORTOFEMORAL

Facility

$5,828.96

Service Code	HCPCS 35646 TC
Hospital Charge Code	41547799
Hospital Revenue Code	361
Min. Negotiated Rate	$2,040.14
Max. Negotiated Rate	$4,371.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,205.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,914.48
Rate for Payer: Aetna Government	$2,914.48
Rate for Payer: Brighton Health Commercial	$4,371.72
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: Group Health Inc Commercial	$2,914.48
Rate for Payer: Group Health Inc Medicare	$2,040.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,914.48
Rate for Payer: Hamaspik Choice Inc Medicare	$2,914.48

SP BYPASS GRAFT/FEMORAL POPLITEAL

Facility

$3,741.15

Service Code	HCPCS 35656 TC
Hospital Charge Code	41547700
Hospital Revenue Code	361
Min. Negotiated Rate	$1,309.40
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,057.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,870.58
Rate for Payer: Aetna Government	$1,870.58
Rate for Payer: Brighton Health Commercial	$2,805.86
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: Group Health Inc Commercial	$1,870.58
Rate for Payer: Group Health Inc Medicare	$1,309.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,870.58
Rate for Payer: Hamaspik Choice Inc Medicare	$1,870.58

SP BYPASS GRAFT/ILLEO FEMORAL

Facility

$3,931.75

Service Code	HCPCS 35665 TC
Hospital Charge Code	41547701
Hospital Revenue Code	361
Min. Negotiated Rate	$1,376.11
Max. Negotiated Rate	$2,948.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,162.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,965.88
Rate for Payer: Aetna Government	$1,965.88
Rate for Payer: Brighton Health Commercial	$2,948.81
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: Group Health Inc Commercial	$1,965.88
Rate for Payer: Group Health Inc Medicare	$1,376.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,965.88
Rate for Payer: Hamaspik Choice Inc Medicare	$1,965.88

SP BYPASS GRAFT SUBCLAVIAN

Facility

$3,043.37

Service Code	HCPCS 35612 TC
Hospital Charge Code	41547697
Hospital Revenue Code	361
Min. Negotiated Rate	$1,065.18
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,673.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,521.68
Rate for Payer: Aetna Government	$1,521.68
Rate for Payer: Brighton Health Commercial	$2,282.53
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: Group Health Inc Commercial	$1,521.68
Rate for Payer: Group Health Inc Medicare	$1,065.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,521.68
Rate for Payer: Hamaspik Choice Inc Medicare	$1,521.68

Know your out-of-pocket cost for care.

All Charges