St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ CATH/GLIDE AT/5F/.038/100

Facility

$593.23

Service Code	HCPCS C1725
Hospital Charge Code	41569387
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$622.89
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$326.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$355.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$296.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$341.11
Rate for Payer: EmblemHealth Commercial	$296.62
Rate for Payer: Fidelis Medicare Advantage	$622.89
Rate for Payer: Group Health Inc Commercial	$296.62
Rate for Payer: Group Health Inc Medicare	$207.63
Rate for Payer: Hamaspik Choice Inc Medicaid	$296.62
Rate for Payer: Hamaspik Choice Inc Medicare	$296.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$385.60

ZZ CATH/GLIDE AT/5F/.038/100

Facility

$593.23

Service Code	HCPCS C1725
Hospital Charge Code	41569387
Hospital Revenue Code	278
Min. Negotiated Rate	$296.62
Max. Negotiated Rate	$296.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$296.62
Rate for Payer: Hamaspik Choice Inc Medicare	$296.62

ZZ CATH/GLIDECATH AT/4F/100

Facility

$584.72

Service Code	HCPCS C1725
Hospital Charge Code	41569389
Hospital Revenue Code	278
Min. Negotiated Rate	$292.36
Max. Negotiated Rate	$292.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$292.36
Rate for Payer: Hamaspik Choice Inc Medicare	$292.36

ZZ CATH/GLIDECATH AT/4F/100

Facility

$584.72

Service Code	HCPCS C1725
Hospital Charge Code	41569389
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$613.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$321.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$350.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$292.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$336.21
Rate for Payer: EmblemHealth Commercial	$292.36
Rate for Payer: Fidelis Medicare Advantage	$613.96
Rate for Payer: Group Health Inc Commercial	$292.36
Rate for Payer: Group Health Inc Medicare	$204.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$292.36
Rate for Payer: Hamaspik Choice Inc Medicare	$292.36
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$380.07

ZZ CATH/GLIDE CATH AT 4F/65CM

Facility

$542.20

Service Code	HCPCS C1725
Hospital Charge Code	41569390
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

ZZ CATH/GLIDE CATH AT 4F/65CM

Facility

$542.20

Service Code	HCPCS C1725
Hospital Charge Code	41569390
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$569.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$298.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$325.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$271.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$311.76
Rate for Payer: EmblemHealth Commercial	$271.10
Rate for Payer: Fidelis Medicare Advantage	$569.31
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
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$352.43

ZZ CATH/GLIDE CATH AT/5F/65CM

Facility

$558.14

Service Code	HCPCS C1725
Hospital Charge Code	41569391
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$586.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$306.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$334.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$279.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$320.93
Rate for Payer: EmblemHealth Commercial	$279.07
Rate for Payer: Fidelis Medicare Advantage	$586.05
Rate for Payer: Group Health Inc Commercial	$279.07
Rate for Payer: Group Health Inc Medicare	$195.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$279.07
Rate for Payer: Hamaspik Choice Inc Medicare	$279.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$362.79

ZZ CATH/GLIDE CATH AT/5F/65CM

Facility

$558.14

Service Code	HCPCS C1725
Hospital Charge Code	41569391
Hospital Revenue Code	278
Min. Negotiated Rate	$279.07
Max. Negotiated Rate	$279.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$279.07
Rate for Payer: Hamaspik Choice Inc Medicare	$279.07

ZZ CATHGLIDE COBRA I 4FR038 65CM

Facility

$9.11

Service Code	HCPCS C1725
Hospital Charge Code	41569665
Hospital Revenue Code	278
Min. Negotiated Rate	$4.56
Max. Negotiated Rate	$4.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.56
Rate for Payer: Hamaspik Choice Inc Medicare	$4.56

ZZ CATHGLIDE COBRA I 4FR038 65CM

Facility

$9.11

Service Code	HCPCS C1725
Hospital Charge Code	41569665
Hospital Revenue Code	278
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$5.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.24
Rate for Payer: EmblemHealth Commercial	$4.56
Rate for Payer: Fidelis Medicare Advantage	$9.57
Rate for Payer: Group Health Inc Commercial	$4.56
Rate for Payer: Group Health Inc Medicare	$3.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.56
Rate for Payer: Hamaspik Choice Inc Medicare	$4.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.92

ZZ CATHGLIDE COBRA I 5FR 65CM

Facility

$9.11

Hospital Charge Code	41569666
Hospital Revenue Code	270
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$7.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.56
Rate for Payer: Aetna Government	$4.56
Rate for Payer: Brighton Health Commercial	$6.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.29
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.19
Rate for Payer: Group Health Inc Commercial	$4.56
Rate for Payer: Group Health Inc Medicare	$3.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.56
Rate for Payer: Hamaspik Choice Inc Medicare	$4.56

ZZ CATH/GRALLMAN/7F/100CM

Facility

$37.21

Service Code	HCPCS C1725
Hospital Charge Code	41569393
Hospital Revenue Code	278
Min. Negotiated Rate	$13.02
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$22.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$18.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.40
Rate for Payer: EmblemHealth Commercial	$18.60
Rate for Payer: Fidelis Medicare Advantage	$39.07
Rate for Payer: Group Health Inc Commercial	$18.60
Rate for Payer: Group Health Inc Medicare	$13.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.60
Rate for Payer: Hamaspik Choice Inc Medicare	$18.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$24.19

ZZ CATH/GRALLMAN/7F/100CM

Facility

$37.21

Service Code	HCPCS C1725
Hospital Charge Code	41569393
Hospital Revenue Code	278
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.60
Rate for Payer: Hamaspik Choice Inc Medicare	$18.60

ZZ CATH/GUIDING/5CV/6F/55CM

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569395
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$245.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$128.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$140.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$116.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.49
Rate for Payer: EmblemHealth Commercial	$116.94
Rate for Payer: Fidelis Medicare Advantage	$245.58
Rate for Payer: Group Health Inc Commercial	$116.94
Rate for Payer: Group Health Inc Medicare	$81.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$152.03

ZZ CATH/GUIDING/5CV/6F/55CM

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569395
Hospital Revenue Code	278
Min. Negotiated Rate	$116.94
Max. Negotiated Rate	$116.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94

ZZ CATH/GUIDING/6F/MPA1/90CM

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569394
Hospital Revenue Code	278
Min. Negotiated Rate	$116.94
Max. Negotiated Rate	$116.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94

ZZ CATH/GUIDING/6F/MPA1/90CM

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569394
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$245.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$128.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$140.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$116.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.49
Rate for Payer: EmblemHealth Commercial	$116.94
Rate for Payer: Fidelis Medicare Advantage	$245.58
Rate for Payer: Group Health Inc Commercial	$116.94
Rate for Payer: Group Health Inc Medicare	$81.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$152.03

ZZ CATH/GUIDING/MPA/8F/90CM

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569396
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$245.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$128.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$140.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$116.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.49
Rate for Payer: EmblemHealth Commercial	$116.94
Rate for Payer: Fidelis Medicare Advantage	$245.58
Rate for Payer: Group Health Inc Commercial	$116.94
Rate for Payer: Group Health Inc Medicare	$81.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$152.03

ZZ CATH/GUIDING/MPA/8F/90CM

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569396
Hospital Revenue Code	278
Min. Negotiated Rate	$116.94
Max. Negotiated Rate	$116.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94

ZZ CATH/HIH/4F/.035/65CM

Facility

$32.32

Service Code	HCPCS C1725
Hospital Charge Code	41569397
Hospital Revenue Code	278
Min. Negotiated Rate	$16.16
Max. Negotiated Rate	$16.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.16
Rate for Payer: Hamaspik Choice Inc Medicare	$16.16

ZZ CATH/HIH/4F/.035/65CM

Facility

$32.32

Service Code	HCPCS C1725
Hospital Charge Code	41569397
Hospital Revenue Code	278
Min. Negotiated Rate	$11.31
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$19.39
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.58
Rate for Payer: EmblemHealth Commercial	$16.16
Rate for Payer: Fidelis Medicare Advantage	$33.94
Rate for Payer: Group Health Inc Commercial	$16.16
Rate for Payer: Group Health Inc Medicare	$11.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.16
Rate for Payer: Hamaspik Choice Inc Medicare	$16.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$21.01

ZZ CATH/HIH/5F/.035/100CM

Facility

$32.32

Service Code	HCPCS C1725
Hospital Charge Code	41569399
Hospital Revenue Code	278
Min. Negotiated Rate	$11.31
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$19.39
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.58
Rate for Payer: EmblemHealth Commercial	$16.16
Rate for Payer: Fidelis Medicare Advantage	$33.94
Rate for Payer: Group Health Inc Commercial	$16.16
Rate for Payer: Group Health Inc Medicare	$11.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.16
Rate for Payer: Hamaspik Choice Inc Medicare	$16.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$21.01

ZZ CATH/HIH/5F/.035/100CM

Facility

$32.32

Service Code	HCPCS C1725
Hospital Charge Code	41569399
Hospital Revenue Code	278
Min. Negotiated Rate	$16.16
Max. Negotiated Rate	$16.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.16
Rate for Payer: Hamaspik Choice Inc Medicare	$16.16

ZZ CATH/HIH/5F/.035/65CM

Facility

$32.32

Service Code	HCPCS C1725
Hospital Charge Code	41569398
Hospital Revenue Code	278
Min. Negotiated Rate	$16.16
Max. Negotiated Rate	$16.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.16
Rate for Payer: Hamaspik Choice Inc Medicare	$16.16

ZZ CATH/HIH/5F/.035/65CM

Facility

$32.32

Service Code	HCPCS C1725
Hospital Charge Code	41569398
Hospital Revenue Code	278
Min. Negotiated Rate	$11.31
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$19.39
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.58
Rate for Payer: EmblemHealth Commercial	$16.16
Rate for Payer: Fidelis Medicare Advantage	$33.94
Rate for Payer: Group Health Inc Commercial	$16.16
Rate for Payer: Group Health Inc Medicare	$11.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.16
Rate for Payer: Hamaspik Choice Inc Medicare	$16.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$21.01

Know your out-of-pocket cost for care.

All Charges