St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ CENTRAL VENOUS/HICKMAN/45CM

Facility

$427.38

Hospital Charge Code	41569036
Hospital Revenue Code	270
Min. Negotiated Rate	$149.58
Max. Negotiated Rate	$341.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$235.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$213.69
Rate for Payer: Aetna Government	$213.69
Rate for Payer: Brighton Health Commercial	$320.54
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$341.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$290.62
Rate for Payer: Group Health Inc Commercial	$213.69
Rate for Payer: Group Health Inc Medicare	$149.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69

ZZ CENTRAL VENOUS/HICKMAN/50CM

Facility

$444.39

Hospital Charge Code	41569037
Hospital Revenue Code	270
Min. Negotiated Rate	$155.54
Max. Negotiated Rate	$355.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$244.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$222.20
Rate for Payer: Aetna Government	$222.20
Rate for Payer: Brighton Health Commercial	$333.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$355.51
Rate for Payer: Cigna LocalPlus Benefit Plan	$302.19
Rate for Payer: Group Health Inc Commercial	$222.20
Rate for Payer: Group Health Inc Medicare	$155.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$222.20
Rate for Payer: Hamaspik Choice Inc Medicare	$222.20

ZZ CENTRAL VENOUS/LEONARD

Facility

$393.36

Hospital Charge Code	41569038
Hospital Revenue Code	270
Min. Negotiated Rate	$137.68
Max. Negotiated Rate	$314.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$216.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$196.68
Rate for Payer: Aetna Government	$196.68
Rate for Payer: Brighton Health Commercial	$295.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$314.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$267.48
Rate for Payer: Group Health Inc Commercial	$196.68
Rate for Payer: Group Health Inc Medicare	$137.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$196.68
Rate for Payer: Hamaspik Choice Inc Medicare	$196.68

ZZ CENTRAL VENOUS/REPAIR KIT/HICK

Facility

$148.84

Hospital Charge Code	41569040
Hospital Revenue Code	270
Min. Negotiated Rate	$52.09
Max. Negotiated Rate	$119.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$81.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$74.42
Rate for Payer: Aetna Government	$74.42
Rate for Payer: Brighton Health Commercial	$111.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$119.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$101.21
Rate for Payer: Group Health Inc Commercial	$74.42
Rate for Payer: Group Health Inc Medicare	$52.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.42
Rate for Payer: Hamaspik Choice Inc Medicare	$74.42

ZZ CENTRAL VENOUS/REPAIR KIT/LEN

Facility

$219.01

Hospital Charge Code	41569039
Hospital Revenue Code	270
Min. Negotiated Rate	$76.65
Max. Negotiated Rate	$175.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$120.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$109.50
Rate for Payer: Aetna Government	$109.50
Rate for Payer: Brighton Health Commercial	$164.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$175.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$148.93
Rate for Payer: Group Health Inc Commercial	$109.50
Rate for Payer: Group Health Inc Medicare	$76.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.50
Rate for Payer: Hamaspik Choice Inc Medicare	$109.50

ZZ CENTRAL VENOUS/REPAIR KIT/LFD

Facility

$150.97

Hospital Charge Code	41569041
Hospital Revenue Code	270
Min. Negotiated Rate	$52.84
Max. Negotiated Rate	$120.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$83.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$75.48
Rate for Payer: Aetna Government	$75.48
Rate for Payer: Brighton Health Commercial	$113.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$102.66
Rate for Payer: Group Health Inc Commercial	$75.48
Rate for Payer: Group Health Inc Medicare	$52.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.48
Rate for Payer: Hamaspik Choice Inc Medicare	$75.48

ZZ CENTURION SORBAVIEW 2000

Facility

$3.16

Hospital Charge Code	41561893
Hospital Revenue Code	270
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$2.53
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.58
Rate for Payer: Aetna Government	$1.58
Rate for Payer: Brighton Health Commercial	$2.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.53
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.15
Rate for Payer: Group Health Inc Commercial	$1.58
Rate for Payer: Group Health Inc Medicare	$1.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.58
Rate for Payer: Hamaspik Choice Inc Medicare	$1.58

ZZ CHEMO-PORT SMALL TITANIUM

Facility

$893.03

Hospital Charge Code	41569815
Hospital Revenue Code	270
Min. Negotiated Rate	$312.56
Max. Negotiated Rate	$714.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$491.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$446.52
Rate for Payer: Aetna Government	$446.52
Rate for Payer: Brighton Health Commercial	$669.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$714.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$607.26
Rate for Payer: Group Health Inc Commercial	$446.52
Rate for Payer: Group Health Inc Medicare	$312.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$446.52
Rate for Payer: Hamaspik Choice Inc Medicare	$446.52

ZZ CK FLIII INT 4.5 35 13

Facility

$57.76

Hospital Charge Code	41567032
Hospital Revenue Code	270
Min. Negotiated Rate	$20.22
Max. Negotiated Rate	$46.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.88
Rate for Payer: Aetna Government	$28.88
Rate for Payer: Brighton Health Commercial	$43.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.28
Rate for Payer: Group Health Inc Commercial	$28.88
Rate for Payer: Group Health Inc Medicare	$20.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.88
Rate for Payer: Hamaspik Choice Inc Medicare	$28.88

ZZ CK FLIII INT S 4 35 13

Facility

$57.76

Hospital Charge Code	41567031
Hospital Revenue Code	270
Min. Negotiated Rate	$20.22
Max. Negotiated Rate	$46.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.88
Rate for Payer: Aetna Government	$28.88
Rate for Payer: Brighton Health Commercial	$43.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.28
Rate for Payer: Group Health Inc Commercial	$28.88
Rate for Payer: Group Health Inc Medicare	$20.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.88
Rate for Payer: Hamaspik Choice Inc Medicare	$28.88

ZZ CK FLIII INT S 7 38 45

Facility

$119.78

Hospital Charge Code	41567024
Hospital Revenue Code	270
Min. Negotiated Rate	$41.92
Max. Negotiated Rate	$95.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$65.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$59.89
Rate for Payer: Aetna Government	$59.89
Rate for Payer: Brighton Health Commercial	$89.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$95.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.45
Rate for Payer: Group Health Inc Commercial	$59.89
Rate for Payer: Group Health Inc Medicare	$41.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.89
Rate for Payer: Hamaspik Choice Inc Medicare	$59.89

ZZ CK FLIII INT SET 4 3.5

Facility

$59.54

Hospital Charge Code	41567020
Hospital Revenue Code	270
Min. Negotiated Rate	$20.84
Max. Negotiated Rate	$47.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$32.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$29.77
Rate for Payer: Aetna Government	$29.77
Rate for Payer: Brighton Health Commercial	$44.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$47.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.49
Rate for Payer: Group Health Inc Commercial	$29.77
Rate for Payer: Group Health Inc Medicare	$20.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.77
Rate for Payer: Hamaspik Choice Inc Medicare	$29.77

ZZ CK FLIII INT SET 6 35

Facility

$59.54

Hospital Charge Code	41567022
Hospital Revenue Code	270
Min. Negotiated Rate	$20.84
Max. Negotiated Rate	$47.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$32.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$29.77
Rate for Payer: Aetna Government	$29.77
Rate for Payer: Brighton Health Commercial	$44.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$47.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.49
Rate for Payer: Group Health Inc Commercial	$29.77
Rate for Payer: Group Health Inc Medicare	$20.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.77
Rate for Payer: Hamaspik Choice Inc Medicare	$29.77

ZZ CK FLIII INT ST 5 18 5

Facility

$74.07

Hospital Charge Code	41567025
Hospital Revenue Code	270
Min. Negotiated Rate	$25.92
Max. Negotiated Rate	$59.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$40.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$37.04
Rate for Payer: Aetna Government	$37.04
Rate for Payer: Brighton Health Commercial	$55.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$59.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$50.37
Rate for Payer: Group Health Inc Commercial	$37.04
Rate for Payer: Group Health Inc Medicare	$25.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$37.04
Rate for Payer: Hamaspik Choice Inc Medicare	$37.04

ZZ CK FLIII INT ST 5 35 5

Facility

$59.54

Hospital Charge Code	41567021
Hospital Revenue Code	270
Min. Negotiated Rate	$20.84
Max. Negotiated Rate	$47.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$32.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$29.77
Rate for Payer: Aetna Government	$29.77
Rate for Payer: Brighton Health Commercial	$44.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$47.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.49
Rate for Payer: Group Health Inc Commercial	$29.77
Rate for Payer: Group Health Inc Medicare	$20.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.77
Rate for Payer: Hamaspik Choice Inc Medicare	$29.77

ZZ CK FLIII INT ST 5.5 38

Facility

$53.16

Hospital Charge Code	41567027
Hospital Revenue Code	270
Min. Negotiated Rate	$18.61
Max. Negotiated Rate	$42.53
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.58
Rate for Payer: Aetna Government	$26.58
Rate for Payer: Brighton Health Commercial	$39.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$42.53
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.15
Rate for Payer: Group Health Inc Commercial	$26.58
Rate for Payer: Group Health Inc Medicare	$18.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.58
Rate for Payer: Hamaspik Choice Inc Medicare	$26.58

ZZ CK FLIII INT ST 6 18 5

Facility

$74.07

Hospital Charge Code	41567026
Hospital Revenue Code	270
Min. Negotiated Rate	$25.92
Max. Negotiated Rate	$59.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$40.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$37.04
Rate for Payer: Aetna Government	$37.04
Rate for Payer: Brighton Health Commercial	$55.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$59.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$50.37
Rate for Payer: Group Health Inc Commercial	$37.04
Rate for Payer: Group Health Inc Medicare	$25.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$37.04
Rate for Payer: Hamaspik Choice Inc Medicare	$37.04

ZZ CK FLIII INT ST 6 35 5

Facility

$57.76

Hospital Charge Code	41567023
Hospital Revenue Code	270
Min. Negotiated Rate	$20.22
Max. Negotiated Rate	$46.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.88
Rate for Payer: Aetna Government	$28.88
Rate for Payer: Brighton Health Commercial	$43.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.28
Rate for Payer: Group Health Inc Commercial	$28.88
Rate for Payer: Group Health Inc Medicare	$20.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.88
Rate for Payer: Hamaspik Choice Inc Medicare	$28.88

ZZ CK FLIII INT ST 6.5 38

Facility

$53.16

Hospital Charge Code	41567028
Hospital Revenue Code	270
Min. Negotiated Rate	$18.61
Max. Negotiated Rate	$42.53
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.58
Rate for Payer: Aetna Government	$26.58
Rate for Payer: Brighton Health Commercial	$39.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$42.53
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.15
Rate for Payer: Group Health Inc Commercial	$26.58
Rate for Payer: Group Health Inc Medicare	$18.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.58
Rate for Payer: Hamaspik Choice Inc Medicare	$26.58

ZZ CK FLIII INT ST 7.5 38

Facility

$53.16

Hospital Charge Code	41567029
Hospital Revenue Code	270
Min. Negotiated Rate	$18.61
Max. Negotiated Rate	$42.53
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.58
Rate for Payer: Aetna Government	$26.58
Rate for Payer: Brighton Health Commercial	$39.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$42.53
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.15
Rate for Payer: Group Health Inc Commercial	$26.58
Rate for Payer: Group Health Inc Medicare	$18.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.58
Rate for Payer: Hamaspik Choice Inc Medicare	$26.58

ZZ CK FLWIII INTR SET 8.5 38

Facility

$53.16

Hospital Charge Code	41567030
Hospital Revenue Code	270
Min. Negotiated Rate	$18.61
Max. Negotiated Rate	$42.53
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.58
Rate for Payer: Aetna Government	$26.58
Rate for Payer: Brighton Health Commercial	$39.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$42.53
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.15
Rate for Payer: Group Health Inc Commercial	$26.58
Rate for Payer: Group Health Inc Medicare	$18.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.58
Rate for Payer: Hamaspik Choice Inc Medicare	$26.58

ZZ CLAMPLESS/10F/TRIPLE LUMEN

Facility

$2,360.14

Hospital Charge Code	41569043
Hospital Revenue Code	270
Min. Negotiated Rate	$826.05
Max. Negotiated Rate	$1,888.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,180.07
Rate for Payer: Aetna Government	$1,180.07
Rate for Payer: Brighton Health Commercial	$1,770.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,888.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,604.90
Rate for Payer: Group Health Inc Commercial	$1,180.07
Rate for Payer: Group Health Inc Medicare	$826.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.07
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.07

ZZ CLAMPLESS/6/DL PICC/60CM

Facility

$1,169.44

Hospital Charge Code	41569044
Hospital Revenue Code	270
Min. Negotiated Rate	$409.30
Max. Negotiated Rate	$935.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$643.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$584.72
Rate for Payer: Aetna Government	$584.72
Rate for Payer: Brighton Health Commercial	$877.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$935.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$795.22
Rate for Payer: Group Health Inc Commercial	$584.72
Rate for Payer: Group Health Inc Medicare	$409.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$584.72
Rate for Payer: Hamaspik Choice Inc Medicare	$584.72

ZZ CLASS BAL 6-2.5/4.8/75

Facility

$586.85

Hospital Charge Code	41567264
Hospital Revenue Code	270
Min. Negotiated Rate	$205.40
Max. Negotiated Rate	$469.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$322.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$293.42
Rate for Payer: Aetna Government	$293.42
Rate for Payer: Brighton Health Commercial	$440.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$469.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$399.06
Rate for Payer: Group Health Inc Commercial	$293.42
Rate for Payer: Group Health Inc Medicare	$205.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$293.42
Rate for Payer: Hamaspik Choice Inc Medicare	$293.42

ZZ CLASS BAL 9-4/5/75

Facility

$635.75

Hospital Charge Code	41567259
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

Know your out-of-pocket cost for care.

All Charges