St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SP PERC BIL DRAIN (EXTER)

Facility

$9,417.43

Service Code	HCPCS 47533 TC
Hospital Charge Code	41542720
Hospital Revenue Code	361
Min. Negotiated Rate	$2,477.75
Max. Negotiated Rate	$7,063.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,179.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4,708.72
Rate for Payer: Aetna Government	$4,708.72
Rate for Payer: Brighton Health Commercial	$7,063.07
Rate for Payer: Cash Price	$4,000.83
Rate for Payer: Cash Price	$4,000.83
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	$4,708.72
Rate for Payer: Group Health Inc Medicare	$3,296.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,708.72
Rate for Payer: Hamaspik Choice Inc Medicare	$4,708.72

SP PERC BIL DRAIN (EXTER)

Facility

$9,417.43

Service Code	HCPCS 47533 TC
Hospital Charge Code	41542720
Hospital Revenue Code	361
Rate for Payer: Cash Price	$4,000.83

SP PERC BIL DRAIN (INT/EXT)

Facility

$1,714.43

Hospital Charge Code	41542722
Hospital Revenue Code	361
Min. Negotiated Rate	$600.05
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$942.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$857.22
Rate for Payer: Aetna Government	$857.22
Rate for Payer: Brighton Health Commercial	$1,285.82
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	$857.22
Rate for Payer: Group Health Inc Medicare	$600.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$857.22
Rate for Payer: Hamaspik Choice Inc Medicare	$857.22

SP PERC. CHOLECYSTOTOMY

Facility

$9,417.43

Service Code	HCPCS 47490 TC
Hospital Charge Code	41547451
Hospital Revenue Code	361
Rate for Payer: Cash Price	$4,000.83

SP PERC. CHOLECYSTOTOMY

Facility

$9,417.43

Service Code	HCPCS 47490 TC
Hospital Charge Code	41547451
Hospital Revenue Code	361
Min. Negotiated Rate	$2,477.75
Max. Negotiated Rate	$7,063.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,179.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4,708.72
Rate for Payer: Aetna Government	$4,708.72
Rate for Payer: Brighton Health Commercial	$7,063.07
Rate for Payer: Cash Price	$4,000.83
Rate for Payer: Cash Price	$4,000.83
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	$4,708.72
Rate for Payer: Group Health Inc Medicare	$3,296.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,708.72
Rate for Payer: Hamaspik Choice Inc Medicare	$4,708.72

SP PERC DILA BIL STRICT W/O STENT

Facility

$9,417.43

Service Code	HCPCS 47555 TC
Hospital Charge Code	41547669
Hospital Revenue Code	361
Min. Negotiated Rate	$745.00
Max. Negotiated Rate	$7,063.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,179.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4,708.72
Rate for Payer: Aetna Government	$4,708.72
Rate for Payer: Brighton Health Commercial	$7,063.07
Rate for Payer: Cash Price	$4,000.83
Rate for Payer: Cash Price	$4,000.83
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	$4,708.72
Rate for Payer: Group Health Inc Medicare	$3,296.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,708.72
Rate for Payer: Hamaspik Choice Inc Medicare	$4,708.72

SP PERC DILA BIL STRICT W/O STENT

Facility

$9,417.43

Service Code	HCPCS 47555 TC
Hospital Charge Code	41547669
Hospital Revenue Code	361
Rate for Payer: Cash Price	$4,000.83

SP PERC DILA BIL STRICT W STENT

Facility

$14,640.10

Service Code	HCPCS 47556 TC
Hospital Charge Code	41547671
Hospital Revenue Code	361
Rate for Payer: Cash Price	$11,903.87

SP PERC DILA BIL STRICT W STENT

Facility

$14,640.10

Service Code	HCPCS 47556 TC
Hospital Charge Code	41547671
Hospital Revenue Code	361
Min. Negotiated Rate	$745.00
Max. Negotiated Rate	$10,980.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8,052.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7,320.05
Rate for Payer: Aetna Government	$7,320.05
Rate for Payer: Brighton Health Commercial	$10,980.08
Rate for Payer: Cash Price	$11,903.87
Rate for Payer: Cash Price	$11,903.87
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	$7,320.05
Rate for Payer: Group Health Inc Medicare	$5,124.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$7,320.05
Rate for Payer: Hamaspik Choice Inc Medicare	$7,320.05

SP PERC DIL BIL W/O STENT

Facility

$9,417.43

Service Code	HCPCS 47555 TC
Hospital Charge Code	41542716
Hospital Revenue Code	361
Rate for Payer: Cash Price	$4,000.83

SP PERC DIL BIL W/O STENT

Facility

$9,417.43

Service Code	HCPCS 47555 TC
Hospital Charge Code	41542716
Hospital Revenue Code	361
Min. Negotiated Rate	$745.00
Max. Negotiated Rate	$7,063.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,179.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4,708.72
Rate for Payer: Aetna Government	$4,708.72
Rate for Payer: Brighton Health Commercial	$7,063.07
Rate for Payer: Cash Price	$4,000.83
Rate for Payer: Cash Price	$4,000.83
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	$4,708.72
Rate for Payer: Group Health Inc Medicare	$3,296.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,708.72
Rate for Payer: Hamaspik Choice Inc Medicare	$4,708.72

SP PERC DIL BIL W/ STENT

Facility

$14,640.10

Service Code	HCPCS 47556 TC
Hospital Charge Code	41542718
Hospital Revenue Code	361
Min. Negotiated Rate	$745.00
Max. Negotiated Rate	$10,980.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8,052.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7,320.05
Rate for Payer: Aetna Government	$7,320.05
Rate for Payer: Brighton Health Commercial	$10,980.08
Rate for Payer: Cash Price	$11,903.87
Rate for Payer: Cash Price	$11,903.87
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	$7,320.05
Rate for Payer: Group Health Inc Medicare	$5,124.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$7,320.05
Rate for Payer: Hamaspik Choice Inc Medicare	$7,320.05

SP PERC DIL BIL W/ STENT

Facility

$14,640.10

Service Code	HCPCS 47556 TC
Hospital Charge Code	41542718
Hospital Revenue Code	361
Rate for Payer: Cash Price	$11,903.87

SP PERC OCCLUSION FEMORAL VEIN

Facility

$8,393.53

Service Code	HCPCS 37650 TC
Hospital Charge Code	41547691
Hospital Revenue Code	361
Rate for Payer: Cash Price	$3,686.08

SP PERC OCCLUSION FEMORAL VEIN

Facility

$8,393.53

Service Code	HCPCS 37650 TC
Hospital Charge Code	41547691
Hospital Revenue Code	361
Min. Negotiated Rate	$2,477.75
Max. Negotiated Rate	$6,295.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,616.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4,196.76
Rate for Payer: Aetna Government	$4,196.76
Rate for Payer: Brighton Health Commercial	$6,295.15
Rate for Payer: Cash Price	$3,686.08
Rate for Payer: Cash Price	$3,686.08
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	$4,196.76
Rate for Payer: Group Health Inc Medicare	$2,937.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,196.76
Rate for Payer: Hamaspik Choice Inc Medicare	$4,196.76

SP PERC OCCLUSION ILLIAC VEIN

Facility

$3,327.13

Service Code	HCPCS 37660 TC
Hospital Charge Code	41547692
Hospital Revenue Code	361
Min. Negotiated Rate	$1,164.50
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,829.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,663.56
Rate for Payer: Aetna Government	$1,663.56
Rate for Payer: Brighton Health Commercial	$2,495.35
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	$1,663.56
Rate for Payer: Group Health Inc Medicare	$1,164.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,663.56
Rate for Payer: Hamaspik Choice Inc Medicare	$1,663.56

SP PERC PLACE DUOD/JEJ TUBE

Facility

$4,716.98

Service Code	HCPCS 49441 TC
Hospital Charge Code	41561820
Hospital Revenue Code	361
Rate for Payer: Cash Price	$2,200.46

SP PERC PLACE DUOD/JEJ TUBE

Facility

$4,716.98

Service Code	HCPCS 49441 TC
Hospital Charge Code	41561820
Hospital Revenue Code	361
Min. Negotiated Rate	$1,650.94
Max. Negotiated Rate	$3,537.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,594.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,358.49
Rate for Payer: Aetna Government	$2,358.49
Rate for Payer: Brighton Health Commercial	$3,537.74
Rate for Payer: Cash Price	$2,200.46
Rate for Payer: Cash Price	$2,200.46
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	$2,358.49
Rate for Payer: Group Health Inc Medicare	$1,650.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,358.49
Rate for Payer: Hamaspik Choice Inc Medicare	$2,358.49

SP PERC PLACE IVC FILTER

Facility

$13,920.70

Service Code	HCPCS 37191 TC
Hospital Charge Code	41542778
Hospital Revenue Code	361
Min. Negotiated Rate	$2,477.75
Max. Negotiated Rate	$10,440.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,656.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6,960.35
Rate for Payer: Aetna Government	$6,960.35
Rate for Payer: Brighton Health Commercial	$10,440.52
Rate for Payer: Cash Price	$6,354.94
Rate for Payer: Cash Price	$6,354.94
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	$6,960.35
Rate for Payer: Group Health Inc Medicare	$4,872.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,960.35
Rate for Payer: Hamaspik Choice Inc Medicare	$6,960.35

SP PERC PLACE IVC FILTER

Facility

$13,920.70

Service Code	HCPCS 37191 TC
Hospital Charge Code	41542778
Hospital Revenue Code	361
Rate for Payer: Cash Price	$6,354.94

SP PERC. RENAL CYST ASPIR.

Facility

$1,847.58

Service Code	HCPCS 50390 TC
Hospital Charge Code	41547459
Hospital Revenue Code	361
Min. Negotiated Rate	$646.65
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,016.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$923.79
Rate for Payer: Aetna Government	$923.79
Rate for Payer: Brighton Health Commercial	$1,385.68
Rate for Payer: Cash Price	$813.63
Rate for Payer: Cash Price	$813.63
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	$923.79
Rate for Payer: Group Health Inc Medicare	$646.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$923.79
Rate for Payer: Hamaspik Choice Inc Medicare	$923.79

SP PERC. RENAL CYST ASPIR.

Facility

$1,847.58

Service Code	HCPCS 50390 TC
Hospital Charge Code	41547459
Hospital Revenue Code	361
Rate for Payer: Cash Price	$813.63

SP PERC TRANSCATH RETR.

Facility

$8,393.53

Service Code	HCPCS 37197 TC
Hospital Charge Code	41542747
Hospital Revenue Code	361
Rate for Payer: Cash Price	$3,686.08

SP PERC TRANSCATH RETR.

Facility

$8,393.53

Service Code	HCPCS 37197 TC
Hospital Charge Code	41542747
Hospital Revenue Code	361
Min. Negotiated Rate	$2,477.75
Max. Negotiated Rate	$6,295.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,616.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4,196.76
Rate for Payer: Aetna Government	$4,196.76
Rate for Payer: Brighton Health Commercial	$6,295.15
Rate for Payer: Cash Price	$3,686.08
Rate for Payer: Cash Price	$3,686.08
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	$4,196.76
Rate for Payer: Group Health Inc Medicare	$2,937.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,196.76
Rate for Payer: Hamaspik Choice Inc Medicare	$4,196.76

SP PERC TRANSHEPATIC CHOLANGIOGR

Facility

$9,417.43

Service Code	HCPCS 47532 TC
Hospital Charge Code	41547682
Hospital Revenue Code	361
Min. Negotiated Rate	$2,477.75
Max. Negotiated Rate	$7,063.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,179.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4,708.72
Rate for Payer: Aetna Government	$4,708.72
Rate for Payer: Brighton Health Commercial	$7,063.07
Rate for Payer: Cash Price	$4,000.83
Rate for Payer: Cash Price	$4,000.83
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	$4,708.72
Rate for Payer: Group Health Inc Medicare	$3,296.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,708.72
Rate for Payer: Hamaspik Choice Inc Medicare	$4,708.72

Know your out-of-pocket cost for care.

All Charges