St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

US PREGNANCY LIMITED

Facility

$339.45

Service Code	HCPCS 76815 TC
Hospital Charge Code	41304008
Hospital Revenue Code	402
Rate for Payer: Cash Price	$127.14

US PVR ARTERIES UP/LOW EXTREM

Facility

$419.03

Service Code	HCPCS 93923 TC
Hospital Charge Code	41307392
Hospital Revenue Code	920
Rate for Payer: Cash Price	$180.64

US PVR ARTERIES UP/LOW EXTREM

Facility

$419.03

Service Code	HCPCS 93923 TC
Hospital Charge Code	41307392
Hospital Revenue Code	920
Min. Negotiated Rate	$146.66
Max. Negotiated Rate	$335.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$230.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$209.52
Rate for Payer: Aetna Government	$209.52
Rate for Payer: Brighton Health Commercial	$314.27
Rate for Payer: Cash Price	$180.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$335.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$284.94
Rate for Payer: Group Health Inc Commercial	$209.52
Rate for Payer: Group Health Inc Medicare	$146.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$209.52
Rate for Payer: Hamaspik Choice Inc Medicare	$209.52

US RETROPERITONEL COMPLETE

Facility

$339.45

Service Code	HCPCS 76770 TC
Hospital Charge Code	41304024
Hospital Revenue Code	402
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

US RETROPERITONEL COMPLETE

Facility

$339.45

Service Code	HCPCS 76770 TC
Hospital Charge Code	41304024
Hospital Revenue Code	402
Rate for Payer: Cash Price	$127.14

US RETROPERITONEL LIMITED

Facility

$339.45

Service Code	HCPCS 76775 TC
Hospital Charge Code	41304012
Hospital Revenue Code	402
Rate for Payer: Cash Price	$127.14

US RETROPERITONEL LIMITED

Facility

$339.45

Service Code	HCPCS 76775 TC
Hospital Charge Code	41304012
Hospital Revenue Code	402
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

US SCROTUM

Facility

$339.45

Service Code	HCPCS 76870 TC
Hospital Charge Code	41304034
Hospital Revenue Code	402
Rate for Payer: Cash Price	$127.14

US SCROTUM

Facility

$339.45

Service Code	HCPCS 76870 TC
Hospital Charge Code	41304034
Hospital Revenue Code	402
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

US SPINAL SONO

Facility

$339.45

Service Code	HCPCS 76800 TC
Hospital Charge Code	41304026
Hospital Revenue Code	402
Rate for Payer: Cash Price	$127.14

US SPINAL SONO

Facility

$339.45

Service Code	HCPCS 76800 TC
Hospital Charge Code	41304026
Hospital Revenue Code	402
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

USTEKINUMAB 130 MG/26ML IV SOLN [134899]

Facility

$93.44

Service Code	HCPCS J3358
Hospital Charge Code	57894005427
Hospital Revenue Code	278
Min. Negotiated Rate	$10.10
Max. Negotiated Rate	$60.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$51.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.62
Rate for Payer: Aetna Government	$12.62
Rate for Payer: Brighton Health Commercial	$56.06
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$12.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$53.73
Rate for Payer: Elderplan Medicare Advantage	$12.62
Rate for Payer: EmblemHealth Commercial	$46.72
Rate for Payer: Fidelis Medicare Advantage	$12.62
Rate for Payer: Group Health Inc Commercial	$12.62
Rate for Payer: Group Health Inc Medicare	$12.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.72
Rate for Payer: Hamaspik Choice Inc Medicare	$46.72
Rate for Payer: Healthfirst Medicare Advantage	$10.73
Rate for Payer: Healthfirst QHP	$12.62
Rate for Payer: Senior Whole Health Medicare Advantage	$12.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$60.74
Rate for Payer: Wellcare CHP/FHP/Medicaid	$10.10

USTEKINUMAB 130 MG/26ML IV SOLN [134899]

Facility

$93.44

Service Code	HCPCS J3358
Hospital Charge Code	57894005427
Hospital Revenue Code	278
Min. Negotiated Rate	$46.72
Max. Negotiated Rate	$46.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.72
Rate for Payer: Hamaspik Choice Inc Medicare	$46.72

USTEKINUMAB IV INJ

Facility

$76.95

Service Code	HCPCS J3358
Hospital Charge Code	41640211
Hospital Revenue Code	636
Min. Negotiated Rate	$10.10
Max. Negotiated Rate	$50.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$42.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.62
Rate for Payer: Aetna Government	$12.62
Rate for Payer: Brighton Health Commercial	$46.17
Rate for Payer: Cash Price	$12.62
Rate for Payer: Cash Price	$12.62
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$12.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$38.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$44.25
Rate for Payer: Elderplan Medicare Advantage	$12.62
Rate for Payer: EmblemHealth Commercial	$12.62
Rate for Payer: Fidelis CHP/HARP/Medicaid	$12.62
Rate for Payer: Fidelis Essential Plan Aliesa	$12.62
Rate for Payer: Fidelis Essential Plan QHP	$13.25
Rate for Payer: Fidelis Medicare Advantage	$12.62
Rate for Payer: Fidelis Qualified Health Plan	$13.25
Rate for Payer: Group Health Inc Commercial	$12.62
Rate for Payer: Group Health Inc Medicare	$12.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$38.48
Rate for Payer: Hamaspik Choice Inc Medicare	$38.48
Rate for Payer: Healthfirst Medicare Advantage	$10.73
Rate for Payer: Healthfirst QHP	$12.62
Rate for Payer: Senior Whole Health Medicare Advantage	$12.62
Rate for Payer: SOMOS CHP/HARP/Medicaid	$13.24
Rate for Payer: SOMOS Essential	$13.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$50.02
Rate for Payer: Wellcare CHP/FHP/Medicaid	$10.10
Rate for Payer: Wellcare Medicare	$11.99

USTEKINUMAB IV INJ

Facility

$76.95

Service Code	HCPCS J3358
Hospital Charge Code	41650211
Hospital Revenue Code	636
Min. Negotiated Rate	$10.10
Max. Negotiated Rate	$50.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$42.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.62
Rate for Payer: Aetna Government	$12.62
Rate for Payer: Brighton Health Commercial	$46.17
Rate for Payer: Cash Price	$12.62
Rate for Payer: Cash Price	$12.62
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$12.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$38.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$44.25
Rate for Payer: Elderplan Medicare Advantage	$12.62
Rate for Payer: EmblemHealth Commercial	$12.62
Rate for Payer: Fidelis CHP/HARP/Medicaid	$12.62
Rate for Payer: Fidelis Essential Plan Aliesa	$12.62
Rate for Payer: Fidelis Essential Plan QHP	$13.25
Rate for Payer: Fidelis Medicare Advantage	$12.62
Rate for Payer: Fidelis Qualified Health Plan	$13.25
Rate for Payer: Group Health Inc Commercial	$12.62
Rate for Payer: Group Health Inc Medicare	$12.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$38.48
Rate for Payer: Hamaspik Choice Inc Medicare	$38.48
Rate for Payer: Healthfirst Medicare Advantage	$10.73
Rate for Payer: Healthfirst QHP	$12.62
Rate for Payer: Senior Whole Health Medicare Advantage	$12.62
Rate for Payer: SOMOS CHP/HARP/Medicaid	$13.24
Rate for Payer: SOMOS Essential	$13.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$50.02
Rate for Payer: Wellcare CHP/FHP/Medicaid	$10.10
Rate for Payer: Wellcare Medicare	$11.99

USTEKINUMAB IV INJ

Facility

$76.95

Service Code	HCPCS J3358
Hospital Charge Code	41650211
Hospital Revenue Code	636
Min. Negotiated Rate	$38.48
Max. Negotiated Rate	$38.48
Rate for Payer: Cash Price	$12.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$38.48
Rate for Payer: Hamaspik Choice Inc Medicare	$38.48

USTEKINUMAB IV INJ

Facility

$76.95

Service Code	HCPCS J3358
Hospital Charge Code	41640211
Hospital Revenue Code	636
Min. Negotiated Rate	$38.48
Max. Negotiated Rate	$38.48
Rate for Payer: Cash Price	$12.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$38.48
Rate for Payer: Hamaspik Choice Inc Medicare	$38.48

US THORACENTESIS FOR ASPIRATION

Facility

$1,909.65

Service Code	HCPCS 32555
Hospital Charge Code	41304048
Hospital Revenue Code	361
Rate for Payer: Cash Price	$726.47

US THORACENTESIS FOR ASPIRATION

Facility

$1,909.65

Service Code	HCPCS 32555
Hospital Charge Code	41304048
Hospital Revenue Code	361
Min. Negotiated Rate	$581.18
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$780.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$726.47
Rate for Payer: Aetna Government	$726.47
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: Cash Price	$726.47
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$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: Elderplan Medicare Advantage	$726.47
Rate for Payer: EmblemHealth Commercial	$726.47
Rate for Payer: Fidelis Essential Plan Aliesa	$617.50
Rate for Payer: Fidelis Essential Plan QHP	$646.56
Rate for Payer: Fidelis Medicare Advantage	$726.47
Rate for Payer: Fidelis Qualified Health Plan	$646.56
Rate for Payer: Group Health Inc Commercial	$726.47
Rate for Payer: Group Health Inc Medicare	$726.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$954.82
Rate for Payer: Hamaspik Choice Inc Medicare	$726.47
Rate for Payer: Healthfirst Medicare Advantage	$617.50
Rate for Payer: Healthfirst QHP	$726.47
Rate for Payer: Senior Whole Health Medicare Advantage	$726.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$726.47
Rate for Payer: Wellcare CHP/FHP/Medicaid	$581.18
Rate for Payer: Wellcare Medicare	$690.15

US THORACENTESIS W/IMAGE GUIDE

Facility

$1,909.65

Service Code	HCPCS 32555
Hospital Charge Code	30105660
Hospital Revenue Code	450
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$780.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$726.47
Rate for Payer: Aetna Government	$726.47
Rate for Payer: Brighton Health Commercial	$874.00
Rate for Payer: Carelon Behavioral Health CHP/Medicaid	$726.47
Rate for Payer: Carelon Behavioral Health Medicare Advantage	$726.47
Rate for Payer: Cash Price	$726.47
Rate for Payer: Cash Price	$726.47
Rate for Payer: Cash Price	$726.47
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$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: Elderplan Medicare Advantage	$726.47
Rate for Payer: EmblemHealth Commercial	$525.00
Rate for Payer: Fidelis Essential Plan Aliesa	$617.50
Rate for Payer: Fidelis Essential Plan QHP	$646.56
Rate for Payer: Fidelis Medicare Advantage	$726.47
Rate for Payer: Fidelis Qualified Health Plan	$646.56
Rate for Payer: Group Health Inc Commercial	$525.00
Rate for Payer: Group Health Inc Medicare	$525.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$954.82
Rate for Payer: Hamaspik Choice Inc Medicare	$726.47
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$165.00
Rate for Payer: Healthfirst Medicare Advantage	$225.00
Rate for Payer: Healthfirst QHP	$726.47
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$726.47
Rate for Payer: Senior Whole Health Medicare Advantage	$726.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$726.47
Rate for Payer: Wellcare CHP/FHP/Medicaid	$581.18
Rate for Payer: Wellcare Medicare	$690.15

US THORACENTESIS W/IMAGE GUIDE

Facility

$1,909.65

Service Code	HCPCS 32555
Hospital Charge Code	30305660
Hospital Revenue Code	450
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$780.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$726.47
Rate for Payer: Aetna Government	$726.47
Rate for Payer: Brighton Health Commercial	$874.00
Rate for Payer: Carelon Behavioral Health CHP/Medicaid	$726.47
Rate for Payer: Carelon Behavioral Health Medicare Advantage	$726.47
Rate for Payer: Cash Price	$726.47
Rate for Payer: Cash Price	$726.47
Rate for Payer: Cash Price	$726.47
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$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: Elderplan Medicare Advantage	$726.47
Rate for Payer: EmblemHealth Commercial	$525.00
Rate for Payer: Fidelis Essential Plan Aliesa	$617.50
Rate for Payer: Fidelis Essential Plan QHP	$646.56
Rate for Payer: Fidelis Medicare Advantage	$726.47
Rate for Payer: Fidelis Qualified Health Plan	$646.56
Rate for Payer: Group Health Inc Commercial	$525.00
Rate for Payer: Group Health Inc Medicare	$525.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$954.82
Rate for Payer: Hamaspik Choice Inc Medicare	$726.47
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$165.00
Rate for Payer: Healthfirst Medicare Advantage	$225.00
Rate for Payer: Healthfirst QHP	$726.47
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$726.47
Rate for Payer: Senior Whole Health Medicare Advantage	$726.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$726.47
Rate for Payer: Wellcare CHP/FHP/Medicaid	$581.18
Rate for Payer: Wellcare Medicare	$690.15

US THORACENTESIS W/IMAGE GUIDE

Facility

$1,909.65

Service Code	HCPCS 32555
Hospital Charge Code	30305660
Hospital Revenue Code	450
Rate for Payer: Cash Price	$726.47

US THORACENTESIS W/IMAGE GUIDE

Facility

$1,909.65

Service Code	HCPCS 32555
Hospital Charge Code	30105660
Hospital Revenue Code	450
Rate for Payer: Cash Price	$726.47

US THYROID

Facility

$339.45

Service Code	HCPCS 76536 TC
Hospital Charge Code	41301509
Hospital Revenue Code	402
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

US THYROID

Facility

$339.45

Service Code	HCPCS 76536 TC
Hospital Charge Code	41301509
Hospital Revenue Code	402
Rate for Payer: Cash Price	$127.14

Know your out-of-pocket cost for care.

All Charges