St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ BARD BIOPSY TISSUE MARKER

Facility

$210.00

Hospital Charge Code	41562921
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.00
Rate for Payer: Aetna Government	$105.00
Rate for Payer: Brighton Health Commercial	$157.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.80
Rate for Payer: Group Health Inc Commercial	$105.00
Rate for Payer: Group Health Inc Medicare	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00

ZZ BARD CONQUEST BALLOON 10X4X75

Facility

$722.93

Service Code	HCPCS C1725
Hospital Charge Code	41569695
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$759.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$397.61
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$433.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$361.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$415.68
Rate for Payer: EmblemHealth Commercial	$361.46
Rate for Payer: Fidelis Medicare Advantage	$759.08
Rate for Payer: Group Health Inc Commercial	$361.46
Rate for Payer: Group Health Inc Medicare	$253.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$361.46
Rate for Payer: Hamaspik Choice Inc Medicare	$361.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$469.90

ZZ BARD CONQUEST BALLOON 10X4X75

Facility

$722.93

Service Code	HCPCS C1725
Hospital Charge Code	41569695
Hospital Revenue Code	278
Min. Negotiated Rate	$361.46
Max. Negotiated Rate	$361.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$361.46
Rate for Payer: Hamaspik Choice Inc Medicare	$361.46

ZZ BARD CONQUEST BALLOON 12X4X75

Facility

$779.63

Service Code	HCPCS C1725
Hospital Charge Code	41569696
Hospital Revenue Code	278
Min. Negotiated Rate	$389.82
Max. Negotiated Rate	$389.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$389.82
Rate for Payer: Hamaspik Choice Inc Medicare	$389.82

ZZ BARD CONQUEST BALLOON 12X4X75

Facility

$779.63

Service Code	HCPCS C1725
Hospital Charge Code	41569696
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$818.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$428.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$467.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$389.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$448.29
Rate for Payer: EmblemHealth Commercial	$389.82
Rate for Payer: Fidelis Medicare Advantage	$818.61
Rate for Payer: Group Health Inc Commercial	$389.82
Rate for Payer: Group Health Inc Medicare	$272.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$389.82
Rate for Payer: Hamaspik Choice Inc Medicare	$389.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$506.76

ZZ BARD CONQUEST BALLOON 7X4X75

Facility

$722.93

Service Code	HCPCS C1726
Hospital Charge Code	41569694
Hospital Revenue Code	278
Min. Negotiated Rate	$361.46
Max. Negotiated Rate	$361.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$361.46
Rate for Payer: Hamaspik Choice Inc Medicare	$361.46

ZZ BARD CONQUEST BALLOON 7X4X75

Facility

$722.93

Service Code	HCPCS C1726
Hospital Charge Code	41569694
Hospital Revenue Code	278
Min. Negotiated Rate	$17.43
Max. Negotiated Rate	$759.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$397.61
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.43
Rate for Payer: Aetna Government	$17.43
Rate for Payer: Brighton Health Commercial	$433.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$361.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$415.68
Rate for Payer: EmblemHealth Commercial	$361.46
Rate for Payer: Fidelis Medicare Advantage	$759.08
Rate for Payer: Group Health Inc Commercial	$361.46
Rate for Payer: Group Health Inc Medicare	$253.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$361.46
Rate for Payer: Hamaspik Choice Inc Medicare	$361.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$469.90

ZZ BARD CONQUEST BALLOON 8X4X75

Facility

$722.93

Service Code	HCPCS C1726
Hospital Charge Code	41569693
Hospital Revenue Code	278
Min. Negotiated Rate	$17.43
Max. Negotiated Rate	$759.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$397.61
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.43
Rate for Payer: Aetna Government	$17.43
Rate for Payer: Brighton Health Commercial	$433.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$361.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$415.68
Rate for Payer: EmblemHealth Commercial	$361.46
Rate for Payer: Fidelis Medicare Advantage	$759.08
Rate for Payer: Group Health Inc Commercial	$361.46
Rate for Payer: Group Health Inc Medicare	$253.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$361.46
Rate for Payer: Hamaspik Choice Inc Medicare	$361.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$469.90

ZZ BARD CONQUEST BALLOON 8X4X75

Facility

$722.93

Service Code	HCPCS C1726
Hospital Charge Code	41569693
Hospital Revenue Code	278
Min. Negotiated Rate	$361.46
Max. Negotiated Rate	$361.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$361.46
Rate for Payer: Hamaspik Choice Inc Medicare	$361.46

ZZ BARD CONQUEST BALLOON 9X4X75

Facility

$535.50

Service Code	HCPCS C1725
Hospital Charge Code	41569883
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$562.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$294.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$321.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$267.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$307.91
Rate for Payer: EmblemHealth Commercial	$267.75
Rate for Payer: Fidelis Medicare Advantage	$562.28
Rate for Payer: Group Health Inc Commercial	$267.75
Rate for Payer: Group Health Inc Medicare	$187.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$267.75
Rate for Payer: Hamaspik Choice Inc Medicare	$267.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$348.08

ZZ BARD CONQUEST BALLOON 9X4X75

Facility

$535.50

Service Code	HCPCS C1725
Hospital Charge Code	41569883
Hospital Revenue Code	278
Min. Negotiated Rate	$267.75
Max. Negotiated Rate	$267.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$267.75
Rate for Payer: Hamaspik Choice Inc Medicare	$267.75

ZZ BARD DENALI FEM VANA-CAVA FILT

Facility

$2,200.00

Service Code	HCPCS C1880
Hospital Charge Code	41564612
Hospital Revenue Code	278
Min. Negotiated Rate	$1,100.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,100.00

ZZ BARD DENALI FEM VANA-CAVA FILT

Facility

$2,200.00

Service Code	HCPCS C1880
Hospital Charge Code	41564612
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$2,310.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,210.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Brighton Health Commercial	$1,320.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,100.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,265.00
Rate for Payer: EmblemHealth Commercial	$1,100.00
Rate for Payer: Fidelis Medicare Advantage	$2,310.00
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
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,430.00

ZZ BARD DENALI J/S VENA-CAVA FILT

Facility

$2,200.00

Service Code	HCPCS C1880
Hospital Charge Code	41564611
Hospital Revenue Code	278
Min. Negotiated Rate	$1,100.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,100.00

ZZ BARD DENALI J/S VENA-CAVA FILT

Facility

$2,200.00

Service Code	HCPCS C1880
Hospital Charge Code	41564611
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$2,310.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,210.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Brighton Health Commercial	$1,320.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,100.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,265.00
Rate for Payer: EmblemHealth Commercial	$1,100.00
Rate for Payer: Fidelis Medicare Advantage	$2,310.00
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
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,430.00

ZZ BARD DRNGE CATH 6F

Facility

$240.98

Service Code	HCPCS C1725
Hospital Charge Code	41569559
Hospital Revenue Code	278
Min. Negotiated Rate	$120.49
Max. Negotiated Rate	$120.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.49
Rate for Payer: Hamaspik Choice Inc Medicare	$120.49

ZZ BARD DRNGE CATH 6F

Facility

$240.98

Service Code	HCPCS C1725
Hospital Charge Code	41569559
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$253.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$144.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.56
Rate for Payer: EmblemHealth Commercial	$120.49
Rate for Payer: Fidelis Medicare Advantage	$253.03
Rate for Payer: Group Health Inc Commercial	$120.49
Rate for Payer: Group Health Inc Medicare	$84.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.49
Rate for Payer: Hamaspik Choice Inc Medicare	$120.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.64

ZZ BARD DRNGE CATH 8E

Facility

$240.98

Service Code	HCPCS C1725
Hospital Charge Code	41569565
Hospital Revenue Code	278
Min. Negotiated Rate	$120.49
Max. Negotiated Rate	$120.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.49
Rate for Payer: Hamaspik Choice Inc Medicare	$120.49

ZZ BARD DRNGE CATH 8E

Facility

$240.98

Service Code	HCPCS C1725
Hospital Charge Code	41569565
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$253.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$144.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.56
Rate for Payer: EmblemHealth Commercial	$120.49
Rate for Payer: Fidelis Medicare Advantage	$253.03
Rate for Payer: Group Health Inc Commercial	$120.49
Rate for Payer: Group Health Inc Medicare	$84.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.49
Rate for Payer: Hamaspik Choice Inc Medicare	$120.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.64

ZZ BARD FLEXX STNT 6X40

Facility

$3,118.50

Service Code	HCPCS C1876
Hospital Charge Code	41569557
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$3,274.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,715.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,871.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,559.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,793.14
Rate for Payer: EmblemHealth Commercial	$1,559.25
Rate for Payer: Fidelis Medicare Advantage	$3,274.42
Rate for Payer: Group Health Inc Commercial	$1,559.25
Rate for Payer: Group Health Inc Medicare	$1,091.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,559.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,027.02

ZZ BARD FLEXX STNT 6X40

Facility

$3,118.50

Service Code	HCPCS C1876
Hospital Charge Code	41569557
Hospital Revenue Code	278
Min. Negotiated Rate	$1,559.25
Max. Negotiated Rate	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,559.25

ZZ BARD FLEXX STNT 7X60

Facility

$3,402.00

Service Code	HCPCS C1876
Hospital Charge Code	41569556
Hospital Revenue Code	278
Min. Negotiated Rate	$1,701.00
Max. Negotiated Rate	$1,701.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,701.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,701.00

ZZ BARD FLEXX STNT 7X60

Facility

$3,402.00

Service Code	HCPCS C1876
Hospital Charge Code	41569556
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$3,572.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,871.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$2,041.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,701.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,956.15
Rate for Payer: EmblemHealth Commercial	$1,701.00
Rate for Payer: Fidelis Medicare Advantage	$3,572.10
Rate for Payer: Group Health Inc Commercial	$1,701.00
Rate for Payer: Group Health Inc Medicare	$1,190.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,701.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,701.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,211.30

ZZ BARD FLEXX STNT PBL 7X40

Facility

$3,118.50

Service Code	HCPCS C1876
Hospital Charge Code	41569558
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$3,274.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,715.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,871.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,559.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,793.14
Rate for Payer: EmblemHealth Commercial	$1,559.25
Rate for Payer: Fidelis Medicare Advantage	$3,274.42
Rate for Payer: Group Health Inc Commercial	$1,559.25
Rate for Payer: Group Health Inc Medicare	$1,091.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,559.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,027.02

ZZ BARD FLEXX STNT PBL 7X40

Facility

$3,118.50

Service Code	HCPCS C1876
Hospital Charge Code	41569558
Hospital Revenue Code	278
Min. Negotiated Rate	$1,559.25
Max. Negotiated Rate	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,559.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,559.25

Know your out-of-pocket cost for care.

All Charges