St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SP SWAN GANZ CATHETER INSERTION

Facility

$4,940.28

Service Code	HCPCS 93503 TC
Hospital Charge Code	41561840
Hospital Revenue Code	489
Min. Negotiated Rate	$1,729.10
Max. Negotiated Rate	$3,952.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,717.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,470.14
Rate for Payer: Aetna Government	$2,470.14
Rate for Payer: Brighton Health Commercial	$3,705.21
Rate for Payer: Cash Price	$1,852.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,952.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,359.39
Rate for Payer: Group Health Inc Commercial	$2,470.14
Rate for Payer: Group Health Inc Medicare	$1,729.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,470.14
Rate for Payer: Hamaspik Choice Inc Medicare	$2,470.14

SP SWAN GANZ CATHETER INSERTION

Facility

$4,940.28

Service Code	HCPCS 93503 TC
Hospital Charge Code	41561840
Hospital Revenue Code	489
Rate for Payer: Cash Price	$1,852.05

SP TANKOFF CATH. REPOSITION

Facility

$2,425.06

Service Code	HCPCS 49427 TC
Hospital Charge Code	41547463
Hospital Revenue Code	361
Min. Negotiated Rate	$848.77
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,333.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,212.53
Rate for Payer: Aetna Government	$1,212.53
Rate for Payer: Brighton Health Commercial	$1,818.80
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	$1,212.53
Rate for Payer: Group Health Inc Medicare	$848.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,212.53
Rate for Payer: Hamaspik Choice Inc Medicare	$1,212.53

SP TAP BLOCK BI BY INFUSION

Facility

$1,529.68

Service Code	HCPCS 64489
Hospital Charge Code	41303223
Hospital Revenue Code	361
Min. Negotiated Rate	$102.58
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$102.58
Rate for Payer: Aetna Government	$102.58
Rate for Payer: Brighton Health Commercial	$1,147.26
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	$764.84
Rate for Payer: Group Health Inc Medicare	$535.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$764.84
Rate for Payer: Hamaspik Choice Inc Medicare	$764.84

SP TAP BLOCK BI INJECTION

Facility

$1,529.68

Service Code	HCPCS 64488
Hospital Charge Code	41303222
Hospital Revenue Code	361
Min. Negotiated Rate	$175.93
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$175.93
Rate for Payer: Aetna Government	$175.93
Rate for Payer: Brighton Health Commercial	$1,147.26
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	$764.84
Rate for Payer: Group Health Inc Medicare	$535.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$764.84
Rate for Payer: Hamaspik Choice Inc Medicare	$764.84

SP TAP BLOCK UNI BY INFUSION

Facility

$1,529.68

Service Code	HCPCS 64487
Hospital Charge Code	41303221
Hospital Revenue Code	361
Min. Negotiated Rate	$84.41
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$84.41
Rate for Payer: Aetna Government	$84.41
Rate for Payer: Brighton Health Commercial	$1,147.26
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	$764.84
Rate for Payer: Group Health Inc Medicare	$535.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$764.84
Rate for Payer: Hamaspik Choice Inc Medicare	$764.84

SP TAP BLOCK UNIL BY INJECTION

Facility

$1,529.68

Service Code	HCPCS 64486
Hospital Charge Code	41303220
Hospital Revenue Code	361
Min. Negotiated Rate	$71.93
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$71.93
Rate for Payer: Aetna Government	$71.93
Rate for Payer: Brighton Health Commercial	$1,147.26
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	$764.84
Rate for Payer: Group Health Inc Medicare	$535.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$764.84
Rate for Payer: Hamaspik Choice Inc Medicare	$764.84

SP TCD COMPLETE

Facility

$705.83

Service Code	HCPCS 93886 TC
Hospital Charge Code	41201162
Hospital Revenue Code	920
Rate for Payer: Cash Price	$283.37

SP TCD COMPLETE

Facility

$705.83

Service Code	HCPCS 93886 TC
Hospital Charge Code	41201162
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 TCD LIMITED

Facility

$339.45

Service Code	HCPCS 93888 TC
Hospital Charge Code	41201163
Hospital Revenue Code	920
Rate for Payer: Cash Price	$127.14

SP TCD LIMITED

Facility

$339.45

Service Code	HCPCS 93888 TC
Hospital Charge Code	41201163
Hospital Revenue Code	920
Min. Negotiated Rate	$118.81
Max. Negotiated Rate	$271.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$186.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$169.72
Rate for Payer: Aetna Government	$169.72
Rate for Payer: Brighton Health Commercial	$254.59
Rate for Payer: Cash Price	$127.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$271.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.83
Rate for Payer: Group Health Inc Commercial	$169.72
Rate for Payer: Group Health Inc Medicare	$118.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$169.72
Rate for Payer: Hamaspik Choice Inc Medicare	$169.72

SP THORACENTESIS TUBE/THOR

Facility

$1,909.65

Service Code	HCPCS 32555 TC
Hospital Charge Code	41542791
Hospital Revenue Code	361
Rate for Payer: Cash Price	$726.47

SP THORACENTESIS TUBE/THOR

Facility

$1,909.65

Service Code	HCPCS 32555 TC
Hospital Charge Code	41542791
Hospital Revenue Code	361
Min. Negotiated Rate	$668.38
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,050.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$954.82
Rate for Payer: Aetna Government	$954.82
Rate for Payer: Brighton Health Commercial	$1,432.24
Rate for Payer: Cash Price	$726.47
Rate for Payer: Cash Price	$726.47
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: Group Health Inc Commercial	$954.82
Rate for Payer: Group Health Inc Medicare	$668.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$954.82
Rate for Payer: Hamaspik Choice Inc Medicare	$954.82

SP THRMBLYTC DECLOT VAS ACCESS

Facility

$937.70

Service Code	HCPCS 36593 TC
Hospital Charge Code	41548022
Hospital Revenue Code	361
Rate for Payer: Cash Price	$391.64

SP THRMBLYTC DECLOT VAS ACCESS

Facility

$937.70

Service Code	HCPCS 36593 TC
Hospital Charge Code	41548022
Hospital Revenue Code	361
Min. Negotiated Rate	$328.20
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$515.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$468.85
Rate for Payer: Aetna Government	$468.85
Rate for Payer: Brighton Health Commercial	$703.28
Rate for Payer: Cash Price	$391.64
Rate for Payer: Cash Price	$391.64
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	$468.85
Rate for Payer: Group Health Inc Medicare	$328.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$468.85
Rate for Payer: Hamaspik Choice Inc Medicare	$468.85

SP THRMBN INJ PSEUDOANEURYSM

Facility

$1,909.65

Service Code	HCPCS 36002 TC
Hospital Charge Code	41548023
Hospital Revenue Code	361
Rate for Payer: Cash Price	$726.47

SP THRMBN INJ PSEUDOANEURYSM

Facility

$1,909.65

Service Code	HCPCS 36002 TC
Hospital Charge Code	41548023
Hospital Revenue Code	361
Min. Negotiated Rate	$668.38
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,050.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$954.82
Rate for Payer: Aetna Government	$954.82
Rate for Payer: Brighton Health Commercial	$1,432.24
Rate for Payer: Cash Price	$726.47
Rate for Payer: Cash Price	$726.47
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: Group Health Inc Commercial	$954.82
Rate for Payer: Group Health Inc Medicare	$668.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$954.82
Rate for Payer: Hamaspik Choice Inc Medicare	$954.82

SP THROMB ART/VEN THERAPY SUBSEQ

Facility

$4,940.28

Service Code	HCPCS 37213 TC
Hospital Charge Code	41543302
Hospital Revenue Code	329
Rate for Payer: Cash Price	$3,686.08

SP THROMB ART/VEN THERAPY SUBSEQ

Facility

$4,940.28

Service Code	HCPCS 37213 TC
Hospital Charge Code	41543302
Hospital Revenue Code	329
Min. Negotiated Rate	$1,729.10
Max. Negotiated Rate	$3,705.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,717.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,470.14
Rate for Payer: Aetna Government	$2,470.14
Rate for Payer: Brighton Health Commercial	$3,705.21
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	$2,470.14
Rate for Payer: Group Health Inc Medicare	$1,729.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,470.14
Rate for Payer: Hamaspik Choice Inc Medicare	$2,470.14

SP THROMBECTOMY GRAFT

Facility

$13,920.70

Service Code	HCPCS 35875 TC
Hospital Charge Code	41547703
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 THROMBECTOMY GRAFT

Facility

$13,920.70

Service Code	HCPCS 35875 TC
Hospital Charge Code	41547703
Hospital Revenue Code	361
Rate for Payer: Cash Price	$6,354.94

SP THROMBO DECLOTTNG VASC ACCESS

Facility

$937.70

Service Code	HCPCS 36593 TC
Hospital Charge Code	41549872
Hospital Revenue Code	361
Min. Negotiated Rate	$328.20
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$515.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$468.85
Rate for Payer: Aetna Government	$468.85
Rate for Payer: Brighton Health Commercial	$703.28
Rate for Payer: Cash Price	$391.64
Rate for Payer: Cash Price	$391.64
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	$468.85
Rate for Payer: Group Health Inc Medicare	$328.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$468.85
Rate for Payer: Hamaspik Choice Inc Medicare	$468.85

SP THROMBO DECLOTTNG VASC ACCESS

Facility

$937.70

Service Code	HCPCS 36593 TC
Hospital Charge Code	41549872
Hospital Revenue Code	361
Rate for Payer: Cash Price	$391.64

SP THROMB OF ART/VEN GRAFT-PERC

Facility

$13,920.70

Service Code	HCPCS 35876 TC
Hospital Charge Code	41547719
Hospital Revenue Code	361
Rate for Payer: Cash Price	$6,354.94

SP THROMB OF ART/VEN GRAFT-PERC

Facility

$13,920.70

Service Code	HCPCS 35876 TC
Hospital Charge Code	41547719
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

Know your out-of-pocket cost for care.

All Charges