St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ 18G DOUBLE WALL NEEDLE

Facility

$18.07

Hospital Charge Code	41567505
Hospital Revenue Code	270
Min. Negotiated Rate	$6.32
Max. Negotiated Rate	$14.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$9.04
Rate for Payer: Aetna Government	$9.04
Rate for Payer: Brighton Health Commercial	$13.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$14.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$12.29
Rate for Payer: Group Health Inc Commercial	$9.04
Rate for Payer: Group Health Inc Medicare	$6.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.04
Rate for Payer: Hamaspik Choice Inc Medicare	$9.04

ZZ 19G PERC NDL 18 15 04

Facility

$55.28

Hospital Charge Code	41567008
Hospital Revenue Code	270
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$44.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$27.64
Rate for Payer: Aetna Government	$27.64
Rate for Payer: Brighton Health Commercial	$41.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$44.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$37.59
Rate for Payer: Group Health Inc Commercial	$27.64
Rate for Payer: Group Health Inc Medicare	$19.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.64
Rate for Payer: Hamaspik Choice Inc Medicare	$27.64

ZZ 36-260-3 BH EXCHG WR

Facility

$59.18

Service Code	HCPCS C1769
Hospital Charge Code	41567109
Hospital Revenue Code	278
Min. Negotiated Rate	$29.59
Max. Negotiated Rate	$29.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.59
Rate for Payer: Hamaspik Choice Inc Medicare	$29.59

ZZ 36-260-3 BH EXCHG WR

Facility

$59.18

Service Code	HCPCS C1769
Hospital Charge Code	41567109
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$62.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$32.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$35.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$29.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.03
Rate for Payer: EmblemHealth Commercial	$29.59
Rate for Payer: Fidelis Medicare Advantage	$62.14
Rate for Payer: Group Health Inc Commercial	$29.59
Rate for Payer: Group Health Inc Medicare	$20.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.59
Rate for Payer: Hamaspik Choice Inc Medicare	$29.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$38.47

ZZ 38-260-BH EXCH WR 15 2

Facility

$61.31

Service Code	HCPCS C1769
Hospital Charge Code	41567107
Hospital Revenue Code	278
Min. Negotiated Rate	$30.66
Max. Negotiated Rate	$30.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.66
Rate for Payer: Hamaspik Choice Inc Medicare	$30.66

ZZ 38-260-BH EXCH WR 15 2

Facility

$61.31

Service Code	HCPCS C1769
Hospital Charge Code	41567107
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$64.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$36.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$35.25
Rate for Payer: EmblemHealth Commercial	$30.66
Rate for Payer: Fidelis Medicare Advantage	$64.38
Rate for Payer: Group Health Inc Commercial	$30.66
Rate for Payer: Group Health Inc Medicare	$21.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.66
Rate for Payer: Hamaspik Choice Inc Medicare	$30.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$39.85

ZZ 38-260-BH EXCH WR 30 2

Facility

$61.31

Service Code	HCPCS C1769
Hospital Charge Code	41567108
Hospital Revenue Code	278
Min. Negotiated Rate	$30.66
Max. Negotiated Rate	$30.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.66
Rate for Payer: Hamaspik Choice Inc Medicare	$30.66

ZZ 38-260-BH EXCH WR 30 2

Facility

$61.31

Service Code	HCPCS C1769
Hospital Charge Code	41567108
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$64.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$36.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$35.25
Rate for Payer: EmblemHealth Commercial	$30.66
Rate for Payer: Fidelis Medicare Advantage	$64.38
Rate for Payer: Group Health Inc Commercial	$30.66
Rate for Payer: Group Health Inc Medicare	$21.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.66
Rate for Payer: Hamaspik Choice Inc Medicare	$30.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$39.85

ZZ 4 FR MICRO ACC KIT

Facility

$104.33

Hospital Charge Code	41569819
Hospital Revenue Code	270
Min. Negotiated Rate	$36.52
Max. Negotiated Rate	$83.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$57.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$52.16
Rate for Payer: Aetna Government	$52.16
Rate for Payer: Brighton Health Commercial	$78.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$83.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$70.94
Rate for Payer: Group Health Inc Commercial	$52.16
Rate for Payer: Group Health Inc Medicare	$36.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.16
Rate for Payer: Hamaspik Choice Inc Medicare	$52.16

ZZ 4FT PRESSURE MONITORING LINE

Facility

$5.95

Hospital Charge Code	41569016
Hospital Revenue Code	270
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$4.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.98
Rate for Payer: Aetna Government	$2.98
Rate for Payer: Brighton Health Commercial	$4.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.05
Rate for Payer: Group Health Inc Commercial	$2.98
Rate for Payer: Group Health Inc Medicare	$2.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.98
Rate for Payer: Hamaspik Choice Inc Medicare	$2.98

ZZ ABBOTT CLINCHER

Facility

$56.70

Hospital Charge Code	41569533
Hospital Revenue Code	270
Min. Negotiated Rate	$19.84
Max. Negotiated Rate	$45.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.35
Rate for Payer: Aetna Government	$28.35
Rate for Payer: Brighton Health Commercial	$42.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$45.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$38.56
Rate for Payer: Group Health Inc Commercial	$28.35
Rate for Payer: Group Health Inc Medicare	$19.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.35
Rate for Payer: Hamaspik Choice Inc Medicare	$28.35

ZZ ABBOTT FC PTA CATH 7.0MM/40MM

Facility

$790.00

Hospital Charge Code	41561896
Hospital Revenue Code	270
Min. Negotiated Rate	$276.50
Max. Negotiated Rate	$632.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$434.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$395.00
Rate for Payer: Aetna Government	$395.00
Rate for Payer: Brighton Health Commercial	$592.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$632.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$537.20
Rate for Payer: Group Health Inc Commercial	$395.00
Rate for Payer: Group Health Inc Medicare	$276.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$395.00
Rate for Payer: Hamaspik Choice Inc Medicare	$395.00

ZZ ABBOTT PERCLOSE

Facility

$637.88

Hospital Charge Code	41569532
Hospital Revenue Code	270
Min. Negotiated Rate	$223.26
Max. Negotiated Rate	$510.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$350.83
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$318.94
Rate for Payer: Aetna Government	$318.94
Rate for Payer: Brighton Health Commercial	$478.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$510.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$433.76
Rate for Payer: Group Health Inc Commercial	$318.94
Rate for Payer: Group Health Inc Medicare	$223.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$318.94
Rate for Payer: Hamaspik Choice Inc Medicare	$318.94

ZZ ABBOTT PERCLOSE SNARED

Facility

$56.70

Service Code	HCPCS C1725
Hospital Charge Code	41569534
Hospital Revenue Code	278
Min. Negotiated Rate	$28.35
Max. Negotiated Rate	$28.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.35
Rate for Payer: Hamaspik Choice Inc Medicare	$28.35

ZZ ABBOTT PERCLOSE SNARED

Facility

$56.70

Service Code	HCPCS C1725
Hospital Charge Code	41569534
Hospital Revenue Code	278
Min. Negotiated Rate	$19.84
Max. Negotiated Rate	$59.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$34.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$28.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.60
Rate for Payer: EmblemHealth Commercial	$28.35
Rate for Payer: Fidelis Medicare Advantage	$59.54
Rate for Payer: Group Health Inc Commercial	$28.35
Rate for Payer: Group Health Inc Medicare	$19.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.35
Rate for Payer: Hamaspik Choice Inc Medicare	$28.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$36.86

ZZ ACCESS BEREN 5/.035140

Facility

$53.87

Service Code	HCPCS C1725
Hospital Charge Code	41567245
Hospital Revenue Code	278
Min. Negotiated Rate	$26.94
Max. Negotiated Rate	$26.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.94
Rate for Payer: Hamaspik Choice Inc Medicare	$26.94

ZZ ACCESS BEREN 5/.035140

Facility

$53.87

Service Code	HCPCS C1725
Hospital Charge Code	41567245
Hospital Revenue Code	278
Min. Negotiated Rate	$18.85
Max. Negotiated Rate	$56.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$32.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.98
Rate for Payer: EmblemHealth Commercial	$26.94
Rate for Payer: Fidelis Medicare Advantage	$56.56
Rate for Payer: Group Health Inc Commercial	$26.94
Rate for Payer: Group Health Inc Medicare	$18.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.94
Rate for Payer: Hamaspik Choice Inc Medicare	$26.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$35.02

ZZ ACCUSTICK-INTRO SYSTEM

Facility

$238.14

Hospital Charge Code	41567015
Hospital Revenue Code	270
Min. Negotiated Rate	$83.35
Max. Negotiated Rate	$190.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$130.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$119.07
Rate for Payer: Aetna Government	$119.07
Rate for Payer: Brighton Health Commercial	$178.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$190.51
Rate for Payer: Cigna LocalPlus Benefit Plan	$161.94
Rate for Payer: Group Health Inc Commercial	$119.07
Rate for Payer: Group Health Inc Medicare	$83.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$119.07
Rate for Payer: Hamaspik Choice Inc Medicare	$119.07

ZZ AD BIOFLO MIDLINE

Facility

$180.00

Hospital Charge Code	41563213
Hospital Revenue Code	272
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$144.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$90.00
Rate for Payer: Aetna Government	$90.00
Rate for Payer: Brighton Health Commercial	$135.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$144.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$122.40
Rate for Payer: Group Health Inc Commercial	$90.00
Rate for Payer: Group Health Inc Medicare	$63.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00

ZZ AGA VASCU PLUG 4

Facility

$2,100.00

Hospital Charge Code	41561334
Hospital Revenue Code	272
Min. Negotiated Rate	$735.00
Max. Negotiated Rate	$1,680.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,155.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,050.00
Rate for Payer: Aetna Government	$1,050.00
Rate for Payer: Brighton Health Commercial	$1,575.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,680.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,428.00
Rate for Payer: Group Health Inc Commercial	$1,050.00
Rate for Payer: Group Health Inc Medicare	$735.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,050.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,050.00

ZZ ALLEGRM BPSY NDL ACT

Facility

$110.78

Hospital Charge Code	41569564
Hospital Revenue Code	270
Min. Negotiated Rate	$38.77
Max. Negotiated Rate	$88.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$60.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$55.39
Rate for Payer: Aetna Government	$55.39
Rate for Payer: Brighton Health Commercial	$83.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$88.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$75.33
Rate for Payer: Group Health Inc Commercial	$55.39
Rate for Payer: Group Health Inc Medicare	$38.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$55.39
Rate for Payer: Hamaspik Choice Inc Medicare	$55.39

ZZ ALL PURP DRA CTH W/GLID

Facility

$225.03

Service Code	HCPCS C1725
Hospital Charge Code	41567198
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$236.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$123.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$135.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$112.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$129.39
Rate for Payer: EmblemHealth Commercial	$112.52
Rate for Payer: Fidelis Medicare Advantage	$236.28
Rate for Payer: Group Health Inc Commercial	$112.52
Rate for Payer: Group Health Inc Medicare	$78.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.52
Rate for Payer: Hamaspik Choice Inc Medicare	$112.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$146.27

ZZ ALL PURP DRA CTH W/GLID

Facility

$225.03

Service Code	HCPCS C1725
Hospital Charge Code	41567198
Hospital Revenue Code	278
Min. Negotiated Rate	$112.52
Max. Negotiated Rate	$112.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.52
Rate for Payer: Hamaspik Choice Inc Medicare	$112.52

ZZ AMPLATZER VASCULAR PLUG 2

Facility

$2,200.00

Hospital Charge Code	41563133
Hospital Revenue Code	272
Min. Negotiated Rate	$770.00
Max. Negotiated Rate	$1,760.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,210.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,100.00
Rate for Payer: Aetna Government	$1,100.00
Rate for Payer: Brighton Health Commercial	$1,650.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,760.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,496.00
Rate for Payer: Group Health Inc Commercial	$1,100.00
Rate for Payer: Group Health Inc Medicare	$770.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,100.00

ZZ AMPLATZ EX WR 38/S/260

Facility

$81.51

Service Code	HCPCS C1769
Hospital Charge Code	41567121
Hospital Revenue Code	278
Min. Negotiated Rate	$40.76
Max. Negotiated Rate	$40.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.76
Rate for Payer: Hamaspik Choice Inc Medicare	$40.76

Know your out-of-pocket cost for care.

All Charges