St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ CATH/STRAIGHT/4F/.035/10S

Facility

$37.21

Service Code	HCPCS C1725
Hospital Charge Code	41569522
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/STRAIGHT/5F/65/10SH

Facility

$37.21

Service Code	HCPCS C1725
Hospital Charge Code	41569523
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/STRAIGHT/5F/65/10SH

Facility

$37.21

Service Code	HCPCS C1725
Hospital Charge Code	41569523
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/STRAIGHT/5F/90/10SH

Facility

$32.32

Service Code	HCPCS C1725
Hospital Charge Code	41569524
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/STRAIGHT/5F/90/10SH

Facility

$32.32

Service Code	HCPCS C1725
Hospital Charge Code	41569524
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 STRAIGHT FLUSH 5FR 035-70

Facility

$46.78

Service Code	HCPCS C1725
Hospital Charge Code	41569698
Hospital Revenue Code	278
Min. Negotiated Rate	$23.39
Max. Negotiated Rate	$23.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.39
Rate for Payer: Hamaspik Choice Inc Medicare	$23.39

ZZ CATH STRAIGHT FLUSH 5FR 035-70

Facility

$46.78

Service Code	HCPCS C1725
Hospital Charge Code	41569698
Hospital Revenue Code	278
Min. Negotiated Rate	$16.37
Max. Negotiated Rate	$49.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$28.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$26.90
Rate for Payer: EmblemHealth Commercial	$23.39
Rate for Payer: Fidelis Medicare Advantage	$49.12
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
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$30.41

ZZ CATH/STRAIGHT/SIZING/SF

Facility

$61.14

Service Code	HCPCS C1725
Hospital Charge Code	41569026
Hospital Revenue Code	278
Min. Negotiated Rate	$30.57
Max. Negotiated Rate	$30.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.57
Rate for Payer: Hamaspik Choice Inc Medicare	$30.57

ZZ CATH/STRAIGHT/SIZING/SF

Facility

$61.14

Service Code	HCPCS C1725
Hospital Charge Code	41569026
Hospital Revenue Code	278
Min. Negotiated Rate	$21.40
Max. Negotiated Rate	$64.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$36.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$35.16
Rate for Payer: EmblemHealth Commercial	$30.57
Rate for Payer: Fidelis Medicare Advantage	$64.20
Rate for Payer: Group Health Inc Commercial	$30.57
Rate for Payer: Group Health Inc Medicare	$21.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.57
Rate for Payer: Hamaspik Choice Inc Medicare	$30.57
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$39.74

ZZ CATH TEGT 150/4 5FR 038-70

Facility

$85.76

Service Code	HCPCS C1725
Hospital Charge Code	41569667
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 TEGT 150/4 5FR 038-70

Facility

$85.76

Service Code	HCPCS C1725
Hospital Charge Code	41569667
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 THROBECTOMY/EMBO SEP 8

Facility

$3,990.00

Service Code	HCPCS C1757
Hospital Charge Code	41563141
Hospital Revenue Code	278
Min. Negotiated Rate	$1,995.00
Max. Negotiated Rate	$1,995.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,995.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,995.00

ZZ CATH THROBECTOMY/EMBO SEP 8

Facility

$3,990.00

Service Code	HCPCS C1757
Hospital Charge Code	41563141
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$4,189.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,194.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.33
Rate for Payer: Aetna Government	$16.33
Rate for Payer: Brighton Health Commercial	$2,394.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,995.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,294.25
Rate for Payer: EmblemHealth Commercial	$1,995.00
Rate for Payer: Fidelis Medicare Advantage	$4,189.50
Rate for Payer: Group Health Inc Commercial	$1,995.00
Rate for Payer: Group Health Inc Medicare	$1,396.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,995.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,995.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,593.50

ZZ CATH VISCERAL SELEC 5FR 038-80

Facility

$50.33

Hospital Charge Code	41569702
Hospital Revenue Code	270
Min. Negotiated Rate	$17.62
Max. Negotiated Rate	$40.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.16
Rate for Payer: Aetna Government	$25.16
Rate for Payer: Brighton Health Commercial	$37.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.22
Rate for Payer: Group Health Inc Commercial	$25.16
Rate for Payer: Group Health Inc Medicare	$17.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.16
Rate for Payer: Hamaspik Choice Inc Medicare	$25.16

ZZ CAX QK CR NDL 20 15 20

Facility

$120.49

Hospital Charge Code	41567083
Hospital Revenue Code	270
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$96.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$66.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$60.24
Rate for Payer: Aetna Government	$60.24
Rate for Payer: Brighton Health Commercial	$90.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$96.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.93
Rate for Payer: Group Health Inc Commercial	$60.24
Rate for Payer: Group Health Inc Medicare	$42.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$60.24
Rate for Payer: Hamaspik Choice Inc Medicare	$60.24

ZZ CELERO BIOPSY DEVICE (VAC-ASSI

Facility

$450.00

Hospital Charge Code	41568617
Hospital Revenue Code	270
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$360.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$247.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$225.00
Rate for Payer: Aetna Government	$225.00
Rate for Payer: Brighton Health Commercial	$337.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$360.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$306.00
Rate for Payer: Group Health Inc Commercial	$225.00
Rate for Payer: Group Health Inc Medicare	$157.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.00
Rate for Payer: Hamaspik Choice Inc Medicare	$225.00

ZZ CELERO INTRODUCER 12 GA

Facility

$38.00

Hospital Charge Code	41568618
Hospital Revenue Code	270
Min. Negotiated Rate	$13.30
Max. Negotiated Rate	$30.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.00
Rate for Payer: Aetna Government	$19.00
Rate for Payer: Brighton Health Commercial	$28.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.84
Rate for Payer: Group Health Inc Commercial	$19.00
Rate for Payer: Group Health Inc Medicare	$13.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.00
Rate for Payer: Hamaspik Choice Inc Medicare	$19.00

ZZ CELERO TISSUE MARKING SYSTEM

Facility

$150.00

Hospital Charge Code	41568619
Hospital Revenue Code	270
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$120.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$82.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$75.00
Rate for Payer: Aetna Government	$75.00
Rate for Payer: Brighton Health Commercial	$112.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$102.00
Rate for Payer: Group Health Inc Commercial	$75.00
Rate for Payer: Group Health Inc Medicare	$52.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.00
Rate for Payer: Hamaspik Choice Inc Medicare	$75.00

ZZ CENT BALL 8/4/75

Facility

$722.93

Hospital Charge Code	41569770
Hospital Revenue Code	270
Min. Negotiated Rate	$253.03
Max. Negotiated Rate	$578.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$397.61
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$361.46
Rate for Payer: Aetna Government	$361.46
Rate for Payer: Brighton Health Commercial	$542.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$578.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$491.59
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

ZZ CENTRAL VENOUS/10F INTRO KIT

Facility

$112.70

Hospital Charge Code	41569525
Hospital Revenue Code	270
Min. Negotiated Rate	$39.44
Max. Negotiated Rate	$90.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$61.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$56.35
Rate for Payer: Aetna Government	$56.35
Rate for Payer: Brighton Health Commercial	$84.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$90.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$76.64
Rate for Payer: Group Health Inc Commercial	$56.35
Rate for Payer: Group Health Inc Medicare	$39.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.35
Rate for Payer: Hamaspik Choice Inc Medicare	$56.35

ZZ CENTRAL VENOUS/14F INTRO KIT

Facility

$112.70

Hospital Charge Code	41569526
Hospital Revenue Code	270
Min. Negotiated Rate	$39.44
Max. Negotiated Rate	$90.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$61.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$56.35
Rate for Payer: Aetna Government	$56.35
Rate for Payer: Brighton Health Commercial	$84.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$90.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$76.64
Rate for Payer: Group Health Inc Commercial	$56.35
Rate for Payer: Group Health Inc Medicare	$39.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.35
Rate for Payer: Hamaspik Choice Inc Medicare	$56.35

ZZ CENTRAL VENOUS/BROVIAL/6.6F/SL

Facility

$333.83

Hospital Charge Code	41569033
Hospital Revenue Code	270
Min. Negotiated Rate	$116.84
Max. Negotiated Rate	$267.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.61
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$166.92
Rate for Payer: Aetna Government	$166.92
Rate for Payer: Brighton Health Commercial	$250.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$267.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$227.00
Rate for Payer: Group Health Inc Commercial	$166.92
Rate for Payer: Group Health Inc Medicare	$116.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.92
Rate for Payer: Hamaspik Choice Inc Medicare	$166.92

ZZ CENTRAL VENOUS CATH. KIT

Facility

$34.00

Hospital Charge Code	41568747
Hospital Revenue Code	270
Min. Negotiated Rate	$11.90
Max. Negotiated Rate	$27.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$18.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.00
Rate for Payer: Aetna Government	$17.00
Rate for Payer: Brighton Health Commercial	$25.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$27.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.12
Rate for Payer: Group Health Inc Commercial	$17.00
Rate for Payer: Group Health Inc Medicare	$11.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.00
Rate for Payer: Hamaspik Choice Inc Medicare	$17.00

ZZ CENTRAL VENOUS/HICKMAN/36CM

Facility

$440.14

Hospital Charge Code	41569527
Hospital Revenue Code	270
Min. Negotiated Rate	$154.05
Max. Negotiated Rate	$352.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$242.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$220.07
Rate for Payer: Aetna Government	$220.07
Rate for Payer: Brighton Health Commercial	$330.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$352.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$299.30
Rate for Payer: Group Health Inc Commercial	$220.07
Rate for Payer: Group Health Inc Medicare	$154.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$220.07
Rate for Payer: Hamaspik Choice Inc Medicare	$220.07

ZZ CENTRAL VENOUS/HICKMAN/40CM

Facility

$440.14

Hospital Charge Code	41569528
Hospital Revenue Code	270
Min. Negotiated Rate	$154.05
Max. Negotiated Rate	$352.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$242.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$220.07
Rate for Payer: Aetna Government	$220.07
Rate for Payer: Brighton Health Commercial	$330.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$352.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$299.30
Rate for Payer: Group Health Inc Commercial	$220.07
Rate for Payer: Group Health Inc Medicare	$154.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$220.07
Rate for Payer: Hamaspik Choice Inc Medicare	$220.07

Know your out-of-pocket cost for care.

All Charges