St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ CATH/MULTIPURPOSE/5F/65C

Facility

$48.91

Service Code	HCPCS C1725
Hospital Charge Code	41569348
Hospital Revenue Code	278
Min. Negotiated Rate	$17.12
Max. Negotiated Rate	$51.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$29.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$28.12
Rate for Payer: EmblemHealth Commercial	$24.46
Rate for Payer: Fidelis Medicare Advantage	$51.36
Rate for Payer: Group Health Inc Commercial	$24.46
Rate for Payer: Group Health Inc Medicare	$17.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.46
Rate for Payer: Hamaspik Choice Inc Medicare	$24.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$31.79

ZZ CATH/MULTIPURPOSE/5F/65C

Facility

$48.91

Service Code	HCPCS C1725
Hospital Charge Code	41569348
Hospital Revenue Code	278
Min. Negotiated Rate	$24.46
Max. Negotiated Rate	$24.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.46
Rate for Payer: Hamaspik Choice Inc Medicare	$24.46

ZZ CATH/MULTIPURPOSE/6F

Facility

$37.21

Service Code	HCPCS C1725
Hospital Charge Code	41569349
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/MULTIPURPOSE/6F

Facility

$37.21

Service Code	HCPCS C1725
Hospital Charge Code	41569349
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 OMNIFLUSH 4FR 035-65

Facility

$42.24

Service Code	HCPCS C1725
Hospital Charge Code	41569668
Hospital Revenue Code	278
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$25.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.29
Rate for Payer: EmblemHealth Commercial	$21.12
Rate for Payer: Fidelis Medicare Advantage	$44.35
Rate for Payer: Group Health Inc Commercial	$21.12
Rate for Payer: Group Health Inc Medicare	$14.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.12
Rate for Payer: Hamaspik Choice Inc Medicare	$21.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$27.46

ZZ CATH OMNIFLUSH 4FR 035-65

Facility

$42.24

Service Code	HCPCS C1725
Hospital Charge Code	41569668
Hospital Revenue Code	278
Min. Negotiated Rate	$21.12
Max. Negotiated Rate	$21.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.12
Rate for Payer: Hamaspik Choice Inc Medicare	$21.12

ZZ CATH OMNIFLUSH 4FR 035-90

Facility

$42.24

Service Code	HCPCS C1725
Hospital Charge Code	41569669
Hospital Revenue Code	278
Min. Negotiated Rate	$21.12
Max. Negotiated Rate	$21.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.12
Rate for Payer: Hamaspik Choice Inc Medicare	$21.12

ZZ CATH OMNIFLUSH 4FR 035-90

Facility

$42.24

Service Code	HCPCS C1725
Hospital Charge Code	41569669
Hospital Revenue Code	278
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$25.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.29
Rate for Payer: EmblemHealth Commercial	$21.12
Rate for Payer: Fidelis Medicare Advantage	$44.35
Rate for Payer: Group Health Inc Commercial	$21.12
Rate for Payer: Group Health Inc Medicare	$14.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.12
Rate for Payer: Hamaspik Choice Inc Medicare	$21.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$27.46

ZZ CATH OMNIFLUSH 5FR 038-65

Facility

$45.08

Service Code	HCPCS C1725
Hospital Charge Code	41569670
Hospital Revenue Code	278
Min. Negotiated Rate	$15.78
Max. Negotiated Rate	$47.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$27.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.92
Rate for Payer: EmblemHealth Commercial	$22.54
Rate for Payer: Fidelis Medicare Advantage	$47.33
Rate for Payer: Group Health Inc Commercial	$22.54
Rate for Payer: Group Health Inc Medicare	$15.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.54
Rate for Payer: Hamaspik Choice Inc Medicare	$22.54
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$29.30

ZZ CATH OMNIFLUSH 5FR 038-65

Facility

$45.08

Service Code	HCPCS C1725
Hospital Charge Code	41569670
Hospital Revenue Code	278
Min. Negotiated Rate	$22.54
Max. Negotiated Rate	$22.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.54
Rate for Payer: Hamaspik Choice Inc Medicare	$22.54

ZZ CATH OMNIFLUSH 5FR 038-90

Facility

$42.24

Service Code	HCPCS C1725
Hospital Charge Code	41569671
Hospital Revenue Code	278
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$25.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.29
Rate for Payer: EmblemHealth Commercial	$21.12
Rate for Payer: Fidelis Medicare Advantage	$44.35
Rate for Payer: Group Health Inc Commercial	$21.12
Rate for Payer: Group Health Inc Medicare	$14.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.12
Rate for Payer: Hamaspik Choice Inc Medicare	$21.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$27.46

ZZ CATH OMNIFLUSH 5FR 038-90

Facility

$42.24

Service Code	HCPCS C1725
Hospital Charge Code	41569671
Hospital Revenue Code	278
Min. Negotiated Rate	$21.12
Max. Negotiated Rate	$21.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.12
Rate for Payer: Hamaspik Choice Inc Medicare	$21.12

ZZ CATH PIG CAVA 5FR 035-70

Facility

$85.76

Service Code	HCPCS C1725
Hospital Charge Code	41569700
Hospital Revenue Code	278
Min. Negotiated Rate	$30.02
Max. Negotiated Rate	$90.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$47.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$51.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$42.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$49.31
Rate for Payer: EmblemHealth Commercial	$42.88
Rate for Payer: Fidelis Medicare Advantage	$90.05
Rate for Payer: Group Health Inc Commercial	$42.88
Rate for Payer: Group Health Inc Medicare	$30.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.88
Rate for Payer: Hamaspik Choice Inc Medicare	$42.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$55.74

ZZ CATH PIG CAVA 5FR 035-70

Facility

$85.76

Service Code	HCPCS C1725
Hospital Charge Code	41569700
Hospital Revenue Code	278
Min. Negotiated Rate	$42.88
Max. Negotiated Rate	$42.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.88
Rate for Payer: Hamaspik Choice Inc Medicare	$42.88

ZZ CATH PIG CAVA 5FR 035-90

Facility

$85.76

Service Code	HCPCS C1725
Hospital Charge Code	41569701
Hospital Revenue Code	278
Min. Negotiated Rate	$42.88
Max. Negotiated Rate	$42.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.88
Rate for Payer: Hamaspik Choice Inc Medicare	$42.88

ZZ CATH PIG CAVA 5FR 035-90

Facility

$85.76

Service Code	HCPCS C1725
Hospital Charge Code	41569701
Hospital Revenue Code	278
Min. Negotiated Rate	$30.02
Max. Negotiated Rate	$90.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$47.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$51.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$42.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$49.31
Rate for Payer: EmblemHealth Commercial	$42.88
Rate for Payer: Fidelis Medicare Advantage	$90.05
Rate for Payer: Group Health Inc Commercial	$42.88
Rate for Payer: Group Health Inc Medicare	$30.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.88
Rate for Payer: Hamaspik Choice Inc Medicare	$42.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$55.74

ZZ CATH/PIGSIZING/5F/35/70

Facility

$54.67

Service Code	HCPCS C1725
Hospital Charge Code	41569352
Hospital Revenue Code	278
Min. Negotiated Rate	$27.34
Max. Negotiated Rate	$27.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.34
Rate for Payer: Hamaspik Choice Inc Medicare	$27.34

ZZ CATH/PIGSIZING/5F/35/70

Facility

$54.67

Service Code	HCPCS C1725
Hospital Charge Code	41569352
Hospital Revenue Code	278
Min. Negotiated Rate	$19.13
Max. Negotiated Rate	$57.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$32.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$27.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.44
Rate for Payer: EmblemHealth Commercial	$27.34
Rate for Payer: Fidelis Medicare Advantage	$57.40
Rate for Payer: Group Health Inc Commercial	$27.34
Rate for Payer: Group Health Inc Medicare	$19.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.34
Rate for Payer: Hamaspik Choice Inc Medicare	$27.34
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$35.54

ZZ CATH/PIGTAIL/5F/.035/90CM

Facility

$32.32

Service Code	HCPCS C1725
Hospital Charge Code	41569353
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/PIGTAIL/5F/.035/90CM

Facility

$32.32

Service Code	HCPCS C1725
Hospital Charge Code	41569353
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 PIGTAIL 5FR 035-70CM

Facility

$46.78

Hospital Charge Code	41569725
Hospital Revenue Code	270
Min. Negotiated Rate	$16.37
Max. Negotiated Rate	$37.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.39
Rate for Payer: Aetna Government	$23.39
Rate for Payer: Brighton Health Commercial	$35.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.81
Rate for Payer: Group Health Inc Commercial	$23.39
Rate for Payer: Group Health Inc Medicare	$16.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.39
Rate for Payer: Hamaspik Choice Inc Medicare	$23.39

ZZ CATH/PIGTAIL/6F/.038/90CM

Facility

$32.32

Service Code	HCPCS C1725
Hospital Charge Code	41569354
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/PIGTAIL/6F/.038/90CM

Facility

$32.32

Service Code	HCPCS C1725
Hospital Charge Code	41569354
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/PIGTAIL/7F

Facility

$32.32

Service Code	HCPCS C1725
Hospital Charge Code	41569351
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/PIGTAIL/7F

Facility

$32.32

Service Code	HCPCS C1725
Hospital Charge Code	41569351
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

Know your out-of-pocket cost for care.

All Charges