St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ ANGULAR BOLSTER ENDURA

Facility

$344.81

Hospital Charge Code	41567311
Hospital Revenue Code	270
Min. Negotiated Rate	$120.68
Max. Negotiated Rate	$275.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$189.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$172.40
Rate for Payer: Aetna Government	$172.40
Rate for Payer: Brighton Health Commercial	$258.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$275.85
Rate for Payer: Cigna LocalPlus Benefit Plan	$234.47
Rate for Payer: Group Health Inc Commercial	$172.40
Rate for Payer: Group Health Inc Medicare	$120.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$172.40
Rate for Payer: Hamaspik Choice Inc Medicare	$172.40

ZZ AP DRNG 10F

Facility

$212.77

Hospital Charge Code	41569639
Hospital Revenue Code	270
Min. Negotiated Rate	$74.47
Max. Negotiated Rate	$170.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$117.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$106.38
Rate for Payer: Aetna Government	$106.38
Rate for Payer: Brighton Health Commercial	$159.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$170.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$144.68
Rate for Payer: Group Health Inc Commercial	$106.38
Rate for Payer: Group Health Inc Medicare	$74.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$106.38
Rate for Payer: Hamaspik Choice Inc Medicare	$106.38

ZZ ARGON CLEANER 6F X 65CM

Facility

$500.00

Hospital Charge Code	41563507
Hospital Revenue Code	272
Min. Negotiated Rate	$175.00
Max. Negotiated Rate	$400.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$250.00
Rate for Payer: Aetna Government	$250.00
Rate for Payer: Brighton Health Commercial	$375.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$400.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$340.00
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$175.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$250.00

ZZ ARGON CO-AX INTRO NEEDLE

Facility

$15.52

Hospital Charge Code	41540610
Hospital Revenue Code	272
Min. Negotiated Rate	$5.43
Max. Negotiated Rate	$12.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.76
Rate for Payer: Aetna Government	$7.76
Rate for Payer: Brighton Health Commercial	$11.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.55
Rate for Payer: Group Health Inc Commercial	$7.76
Rate for Payer: Group Health Inc Medicare	$5.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.76
Rate for Payer: Hamaspik Choice Inc Medicare	$7.76

ZZ ARGON FULL CORE BX INSTRUMENT

Facility

$47.00

Hospital Charge Code	41540609
Hospital Revenue Code	272
Min. Negotiated Rate	$16.45
Max. Negotiated Rate	$37.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.50
Rate for Payer: Aetna Government	$23.50
Rate for Payer: Brighton Health Commercial	$35.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.96
Rate for Payer: Group Health Inc Commercial	$23.50
Rate for Payer: Group Health Inc Medicare	$16.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.50
Rate for Payer: Hamaspik Choice Inc Medicare	$23.50

ZZ ARGON SUPERCORE BX INSTRUMENT

Facility

$80.00

Hospital Charge Code	41563212
Hospital Revenue Code	272
Min. Negotiated Rate	$28.00
Max. Negotiated Rate	$64.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$40.00
Rate for Payer: Aetna Government	$40.00
Rate for Payer: Brighton Health Commercial	$60.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$64.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$54.40
Rate for Payer: Group Health Inc Commercial	$40.00
Rate for Payer: Group Health Inc Medicare	$28.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.00
Rate for Payer: Hamaspik Choice Inc Medicare	$40.00

ZZ ARGON VENA CAVA FILTER

Facility

$2,400.00

Service Code	HCPCS C1880
Hospital Charge Code	66520352
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$1,200.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,200.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,200.00

ZZ ARGON VENA CAVA FILTER

Facility

$2,400.00

Service Code	HCPCS C1880
Hospital Charge Code	66520352
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$2,520.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,320.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Brighton Health Commercial	$1,440.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,200.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,380.00
Rate for Payer: EmblemHealth Commercial	$1,200.00
Rate for Payer: Fidelis Medicare Advantage	$2,520.00
Rate for Payer: Group Health Inc Commercial	$1,200.00
Rate for Payer: Group Health Inc Medicare	$840.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,200.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,200.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,560.00

ZZ ARROW-TREROTOLA PTD KIT

Facility

$1,200.00

Hospital Charge Code	41568615
Hospital Revenue Code	279
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$960.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$660.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$600.00
Rate for Payer: Aetna Government	$600.00
Rate for Payer: Brighton Health Commercial	$900.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$960.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$816.00
Rate for Payer: Group Health Inc Commercial	$600.00
Rate for Payer: Group Health Inc Medicare	$420.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$600.00
Rate for Payer: Hamaspik Choice Inc Medicare	$600.00

ZZ ASP & IRRIG DEVICE

Facility

$635.75

Hospital Charge Code	41567290
Hospital Revenue Code	270
Min. Negotiated Rate	$222.51
Max. Negotiated Rate	$508.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$349.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$317.88
Rate for Payer: Aetna Government	$317.88
Rate for Payer: Brighton Health Commercial	$476.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$508.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$432.31
Rate for Payer: Group Health Inc Commercial	$317.88
Rate for Payer: Group Health Inc Medicare	$222.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$317.88
Rate for Payer: Hamaspik Choice Inc Medicare	$317.88

ZZ ATHERECTOMY CATHETER

Facility

$2,575.60

Hospital Charge Code	41567196
Hospital Revenue Code	270
Min. Negotiated Rate	$901.46
Max. Negotiated Rate	$2,060.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,416.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,287.80
Rate for Payer: Aetna Government	$1,287.80
Rate for Payer: Brighton Health Commercial	$1,931.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,060.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,751.41
Rate for Payer: Group Health Inc Commercial	$1,287.80
Rate for Payer: Group Health Inc Medicare	$901.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,287.80
Rate for Payer: Hamaspik Choice Inc Medicare	$1,287.80

ZZ BACKUP MEIER GUIDEWIRE .035

Facility

$192.78

Hospital Charge Code	41569818
Hospital Revenue Code	270
Min. Negotiated Rate	$67.47
Max. Negotiated Rate	$154.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$106.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$96.39
Rate for Payer: Aetna Government	$96.39
Rate for Payer: Brighton Health Commercial	$144.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$154.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$131.09
Rate for Payer: Group Health Inc Commercial	$96.39
Rate for Payer: Group Health Inc Medicare	$67.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$96.39
Rate for Payer: Hamaspik Choice Inc Medicare	$96.39

ZZ BAL CTH 6MM X 4CM(40CM)

Facility

$766.16

Hospital Charge Code	41567512
Hospital Revenue Code	270
Min. Negotiated Rate	$268.16
Max. Negotiated Rate	$612.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$421.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$383.08
Rate for Payer: Aetna Government	$383.08
Rate for Payer: Brighton Health Commercial	$574.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$612.93
Rate for Payer: Cigna LocalPlus Benefit Plan	$520.99
Rate for Payer: Group Health Inc Commercial	$383.08
Rate for Payer: Group Health Inc Medicare	$268.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$383.08
Rate for Payer: Hamaspik Choice Inc Medicare	$383.08

ZZ BALKIN U&O 5.5 38 40

Facility

$101.00

Service Code	HCPCS C1894
Hospital Charge Code	41567016
Hospital Revenue Code	278
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$106.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.82
Rate for Payer: Aetna Government	$0.82
Rate for Payer: Brighton Health Commercial	$60.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$50.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$58.08
Rate for Payer: EmblemHealth Commercial	$50.50
Rate for Payer: Fidelis Medicare Advantage	$106.05
Rate for Payer: Group Health Inc Commercial	$50.50
Rate for Payer: Group Health Inc Medicare	$35.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50
Rate for Payer: Hamaspik Choice Inc Medicare	$50.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$65.65

ZZ BALKIN U&O 5.5 38 40

Facility

$101.00

Service Code	HCPCS C1894
Hospital Charge Code	41567016
Hospital Revenue Code	278
Min. Negotiated Rate	$50.50
Max. Negotiated Rate	$50.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50
Rate for Payer: Hamaspik Choice Inc Medicare	$50.50

ZZ BALKIN U&O 6 38 40

Facility

$101.00

Service Code	HCPCS C1894
Hospital Charge Code	41567018
Hospital Revenue Code	278
Min. Negotiated Rate	$50.50
Max. Negotiated Rate	$50.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50
Rate for Payer: Hamaspik Choice Inc Medicare	$50.50

ZZ BALKIN U&O 6 38 40

Facility

$101.00

Service Code	HCPCS C1894
Hospital Charge Code	41567018
Hospital Revenue Code	278
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$106.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.82
Rate for Payer: Aetna Government	$0.82
Rate for Payer: Brighton Health Commercial	$60.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$50.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$58.08
Rate for Payer: EmblemHealth Commercial	$50.50
Rate for Payer: Fidelis Medicare Advantage	$106.05
Rate for Payer: Group Health Inc Commercial	$50.50
Rate for Payer: Group Health Inc Medicare	$35.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50
Rate for Payer: Hamaspik Choice Inc Medicare	$50.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$65.65

ZZ BALKIN U&O 7 38 40

Facility

$101.00

Service Code	HCPCS C1894
Hospital Charge Code	41567019
Hospital Revenue Code	278
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$106.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.82
Rate for Payer: Aetna Government	$0.82
Rate for Payer: Brighton Health Commercial	$60.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$50.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$58.08
Rate for Payer: EmblemHealth Commercial	$50.50
Rate for Payer: Fidelis Medicare Advantage	$106.05
Rate for Payer: Group Health Inc Commercial	$50.50
Rate for Payer: Group Health Inc Medicare	$35.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50
Rate for Payer: Hamaspik Choice Inc Medicare	$50.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$65.65

ZZ BALKIN U&O 7 38 40

Facility

$101.00

Service Code	HCPCS C1894
Hospital Charge Code	41567019
Hospital Revenue Code	278
Min. Negotiated Rate	$50.50
Max. Negotiated Rate	$50.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50
Rate for Payer: Hamaspik Choice Inc Medicare	$50.50

ZZ BALKIN U&O 8 38 40

Facility

$101.00

Service Code	HCPCS C1894
Hospital Charge Code	41567017
Hospital Revenue Code	278
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$106.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.82
Rate for Payer: Aetna Government	$0.82
Rate for Payer: Brighton Health Commercial	$60.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$50.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$58.08
Rate for Payer: EmblemHealth Commercial	$50.50
Rate for Payer: Fidelis Medicare Advantage	$106.05
Rate for Payer: Group Health Inc Commercial	$50.50
Rate for Payer: Group Health Inc Medicare	$35.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50
Rate for Payer: Hamaspik Choice Inc Medicare	$50.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$65.65

ZZ BALKIN U&O 8 38 40

Facility

$101.00

Service Code	HCPCS C1894
Hospital Charge Code	41567017
Hospital Revenue Code	278
Min. Negotiated Rate	$50.50
Max. Negotiated Rate	$50.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50
Rate for Payer: Hamaspik Choice Inc Medicare	$50.50

ZZ BALLON/UT/DIAMOND/8-4-40

Facility

$370.00

Service Code	HCPCS C1725
Hospital Charge Code	41567755
Hospital Revenue Code	278
Min. Negotiated Rate	$185.00
Max. Negotiated Rate	$185.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$185.00
Rate for Payer: Hamaspik Choice Inc Medicare	$185.00

ZZ BALLON/UT/DIAMOND/8-4-40

Facility

$370.00

Service Code	HCPCS C1725
Hospital Charge Code	41567755
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$388.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$203.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$222.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$185.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$212.75
Rate for Payer: EmblemHealth Commercial	$185.00
Rate for Payer: Fidelis Medicare Advantage	$388.50
Rate for Payer: Group Health Inc Commercial	$185.00
Rate for Payer: Group Health Inc Medicare	$129.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$185.00
Rate for Payer: Hamaspik Choice Inc Medicare	$185.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$240.50

ZZ BALLOON/5-2/90CM/5F/MARSHALL

Facility

$542.20

Hospital Charge Code	41569133
Hospital Revenue Code	270
Min. Negotiated Rate	$189.77
Max. Negotiated Rate	$433.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$298.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$271.10
Rate for Payer: Aetna Government	$271.10
Rate for Payer: Brighton Health Commercial	$406.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$433.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$368.70
Rate for Payer: Group Health Inc Commercial	$271.10
Rate for Payer: Group Health Inc Medicare	$189.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$271.10
Rate for Payer: Hamaspik Choice Inc Medicare	$271.10

ZZ BALLOON/6-2/90CM/5F/MARSHALL

Facility

$542.20

Service Code	HCPCS C1725
Hospital Charge Code	41569134
Hospital Revenue Code	278
Min. Negotiated Rate	$271.10
Max. Negotiated Rate	$271.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$271.10
Rate for Payer: Hamaspik Choice Inc Medicare	$271.10

Know your out-of-pocket cost for care.

All Charges