St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ DILATOR/FASCIAL/18F

Facility

$60.71

Hospital Charge Code	41569307
Hospital Revenue Code	270
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$48.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.36
Rate for Payer: Aetna Government	$30.36
Rate for Payer: Brighton Health Commercial	$45.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.28
Rate for Payer: Group Health Inc Commercial	$30.36
Rate for Payer: Group Health Inc Medicare	$21.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.36
Rate for Payer: Hamaspik Choice Inc Medicare	$30.36

ZZ DILATOR/FASCIAL/20F

Facility

$40.30

Hospital Charge Code	41569308
Hospital Revenue Code	270
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$32.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.15
Rate for Payer: Aetna Government	$20.15
Rate for Payer: Brighton Health Commercial	$30.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$27.40
Rate for Payer: Group Health Inc Commercial	$20.15
Rate for Payer: Group Health Inc Medicare	$14.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.15
Rate for Payer: Hamaspik Choice Inc Medicare	$20.15

ZZ DILATOR/FASCIAL/22F

Facility

$38.57

Hospital Charge Code	41569309
Hospital Revenue Code	270
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$30.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$21.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.28
Rate for Payer: Aetna Government	$19.28
Rate for Payer: Brighton Health Commercial	$28.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$26.23
Rate for Payer: Group Health Inc Commercial	$19.28
Rate for Payer: Group Health Inc Medicare	$13.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.28
Rate for Payer: Hamaspik Choice Inc Medicare	$19.28

ZZ DILATOR/FASCIAL/24F

Facility

$40.30

Hospital Charge Code	41569310
Hospital Revenue Code	270
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$32.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.15
Rate for Payer: Aetna Government	$20.15
Rate for Payer: Brighton Health Commercial	$30.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$27.40
Rate for Payer: Group Health Inc Commercial	$20.15
Rate for Payer: Group Health Inc Medicare	$14.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.15
Rate for Payer: Hamaspik Choice Inc Medicare	$20.15

ZZ DILATOR/FASCIAL/26F

Facility

$58.47

Hospital Charge Code	41569311
Hospital Revenue Code	270
Min. Negotiated Rate	$20.46
Max. Negotiated Rate	$46.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$32.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$29.24
Rate for Payer: Aetna Government	$29.24
Rate for Payer: Brighton Health Commercial	$43.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.76
Rate for Payer: Group Health Inc Commercial	$29.24
Rate for Payer: Group Health Inc Medicare	$20.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.24
Rate for Payer: Hamaspik Choice Inc Medicare	$29.24

ZZ DILATOR/FASCIAL/30F

Facility

$58.47

Hospital Charge Code	41569313
Hospital Revenue Code	270
Min. Negotiated Rate	$20.46
Max. Negotiated Rate	$46.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$32.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$29.24
Rate for Payer: Aetna Government	$29.24
Rate for Payer: Brighton Health Commercial	$43.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.76
Rate for Payer: Group Health Inc Commercial	$29.24
Rate for Payer: Group Health Inc Medicare	$20.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.24
Rate for Payer: Hamaspik Choice Inc Medicare	$29.24

ZZ DILATOR/FASCIAL/6F

Facility

$60.71

Hospital Charge Code	41569407
Hospital Revenue Code	270
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$48.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.36
Rate for Payer: Aetna Government	$30.36
Rate for Payer: Brighton Health Commercial	$45.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.28
Rate for Payer: Group Health Inc Commercial	$30.36
Rate for Payer: Group Health Inc Medicare	$21.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.36
Rate for Payer: Hamaspik Choice Inc Medicare	$30.36

ZZ DILATOR/FASCIAL/8F

Facility

$60.71

Hospital Charge Code	41569408
Hospital Revenue Code	270
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$48.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.36
Rate for Payer: Aetna Government	$30.36
Rate for Payer: Brighton Health Commercial	$45.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.28
Rate for Payer: Group Health Inc Commercial	$30.36
Rate for Payer: Group Health Inc Medicare	$21.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.36
Rate for Payer: Hamaspik Choice Inc Medicare	$30.36

ZZ DILATOR SERIAL 20FR TELESCOPE

Facility

$244.48

Hospital Charge Code	41300333
Hospital Revenue Code	270
Min. Negotiated Rate	$85.57
Max. Negotiated Rate	$195.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$134.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$122.24
Rate for Payer: Aetna Government	$122.24
Rate for Payer: Brighton Health Commercial	$183.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$195.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$166.25
Rate for Payer: Group Health Inc Commercial	$122.24
Rate for Payer: Group Health Inc Medicare	$85.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$122.24
Rate for Payer: Hamaspik Choice Inc Medicare	$122.24

ZZ DILATOR/VASCULAR/10F

Facility

$42.53

Hospital Charge Code	41569416
Hospital Revenue Code	270
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$34.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$21.26
Rate for Payer: Aetna Government	$21.26
Rate for Payer: Brighton Health Commercial	$31.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$34.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$28.92
Rate for Payer: Group Health Inc Commercial	$21.26
Rate for Payer: Group Health Inc Medicare	$14.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.26
Rate for Payer: Hamaspik Choice Inc Medicare	$21.26

ZZ DILATOR/VASCULAR/4F

Facility

$10.83

Hospital Charge Code	41569409
Hospital Revenue Code	270
Min. Negotiated Rate	$3.79
Max. Negotiated Rate	$8.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.42
Rate for Payer: Aetna Government	$5.42
Rate for Payer: Brighton Health Commercial	$8.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.36
Rate for Payer: Group Health Inc Commercial	$5.42
Rate for Payer: Group Health Inc Medicare	$3.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.42
Rate for Payer: Hamaspik Choice Inc Medicare	$5.42

ZZ DILATOR/VASCULAR/5F

Facility

$8.76

Hospital Charge Code	41569410
Hospital Revenue Code	270
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$7.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.38
Rate for Payer: Aetna Government	$4.38
Rate for Payer: Brighton Health Commercial	$6.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.96
Rate for Payer: Group Health Inc Commercial	$4.38
Rate for Payer: Group Health Inc Medicare	$3.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.38
Rate for Payer: Hamaspik Choice Inc Medicare	$4.38

ZZ DILATOR/VASCULAR/6F

Facility

$44.66

Hospital Charge Code	41569411
Hospital Revenue Code	270
Min. Negotiated Rate	$15.63
Max. Negotiated Rate	$35.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$22.33
Rate for Payer: Aetna Government	$22.33
Rate for Payer: Brighton Health Commercial	$33.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$35.73
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.37
Rate for Payer: Group Health Inc Commercial	$22.33
Rate for Payer: Group Health Inc Medicare	$15.63
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.33
Rate for Payer: Hamaspik Choice Inc Medicare	$22.33

ZZ DILATOR/VASCULAR/7F

Facility

$42.53

Hospital Charge Code	41569412
Hospital Revenue Code	270
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$34.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$21.26
Rate for Payer: Aetna Government	$21.26
Rate for Payer: Brighton Health Commercial	$31.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$34.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$28.92
Rate for Payer: Group Health Inc Commercial	$21.26
Rate for Payer: Group Health Inc Medicare	$14.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.26
Rate for Payer: Hamaspik Choice Inc Medicare	$21.26

ZZ DILATOR/VASCULAR/8F

Facility

$42.53

Hospital Charge Code	41569413
Hospital Revenue Code	270
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$34.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$21.26
Rate for Payer: Aetna Government	$21.26
Rate for Payer: Brighton Health Commercial	$31.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$34.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$28.92
Rate for Payer: Group Health Inc Commercial	$21.26
Rate for Payer: Group Health Inc Medicare	$14.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.26
Rate for Payer: Hamaspik Choice Inc Medicare	$21.26

ZZ DILATOR/VASCULAR/DES-HOF/4F

Facility

$51.57

Hospital Charge Code	41569414
Hospital Revenue Code	270
Min. Negotiated Rate	$18.05
Max. Negotiated Rate	$41.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.78
Rate for Payer: Aetna Government	$25.78
Rate for Payer: Brighton Health Commercial	$38.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$35.07
Rate for Payer: Group Health Inc Commercial	$25.78
Rate for Payer: Group Health Inc Medicare	$18.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.78
Rate for Payer: Hamaspik Choice Inc Medicare	$25.78

ZZ DILATOR/VASCULAR/SADDELENI/5F

Facility

$28.18

Hospital Charge Code	41569415
Hospital Revenue Code	270
Min. Negotiated Rate	$9.86
Max. Negotiated Rate	$22.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.09
Rate for Payer: Aetna Government	$14.09
Rate for Payer: Brighton Health Commercial	$21.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.16
Rate for Payer: Group Health Inc Commercial	$14.09
Rate for Payer: Group Health Inc Medicare	$9.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.09
Rate for Payer: Hamaspik Choice Inc Medicare	$14.09

ZZ DISP CHIBA NDL 18G/10CM

Facility

$34.02

Hospital Charge Code	41569715
Hospital Revenue Code	270
Min. Negotiated Rate	$11.91
Max. Negotiated Rate	$27.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$18.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.01
Rate for Payer: Aetna Government	$17.01
Rate for Payer: Brighton Health Commercial	$25.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$27.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.13
Rate for Payer: Group Health Inc Commercial	$17.01
Rate for Payer: Group Health Inc Medicare	$11.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.01
Rate for Payer: Hamaspik Choice Inc Medicare	$17.01

ZZ DISP CHIBA NDL 18G/15CM

Facility

$32.60

Hospital Charge Code	41569716
Hospital Revenue Code	270
Min. Negotiated Rate	$11.41
Max. Negotiated Rate	$26.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.30
Rate for Payer: Aetna Government	$16.30
Rate for Payer: Brighton Health Commercial	$24.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$22.17
Rate for Payer: Group Health Inc Commercial	$16.30
Rate for Payer: Group Health Inc Medicare	$11.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.30
Rate for Payer: Hamaspik Choice Inc Medicare	$16.30

ZZ DISP CHIBA NDL 18G/20CM

Facility

$32.60

Hospital Charge Code	41569717
Hospital Revenue Code	270
Min. Negotiated Rate	$11.41
Max. Negotiated Rate	$26.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.30
Rate for Payer: Aetna Government	$16.30
Rate for Payer: Brighton Health Commercial	$24.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$22.17
Rate for Payer: Group Health Inc Commercial	$16.30
Rate for Payer: Group Health Inc Medicare	$11.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.30
Rate for Payer: Hamaspik Choice Inc Medicare	$16.30

ZZ DISP CHIBA NDL 20G/10CM

Facility

$32.60

Hospital Charge Code	41569718
Hospital Revenue Code	270
Min. Negotiated Rate	$11.41
Max. Negotiated Rate	$26.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.30
Rate for Payer: Aetna Government	$16.30
Rate for Payer: Brighton Health Commercial	$24.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$22.17
Rate for Payer: Group Health Inc Commercial	$16.30
Rate for Payer: Group Health Inc Medicare	$11.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.30
Rate for Payer: Hamaspik Choice Inc Medicare	$16.30

ZZ DISP CHIBA NDL 20G/15CM

Facility

$32.60

Hospital Charge Code	41569719
Hospital Revenue Code	270
Min. Negotiated Rate	$11.41
Max. Negotiated Rate	$26.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.30
Rate for Payer: Aetna Government	$16.30
Rate for Payer: Brighton Health Commercial	$24.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$22.17
Rate for Payer: Group Health Inc Commercial	$16.30
Rate for Payer: Group Health Inc Medicare	$11.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.30
Rate for Payer: Hamaspik Choice Inc Medicare	$16.30

ZZ DISP CHIBA NDL 22G/15CM

Facility

$32.60

Hospital Charge Code	41569721
Hospital Revenue Code	270
Min. Negotiated Rate	$11.41
Max. Negotiated Rate	$26.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.30
Rate for Payer: Aetna Government	$16.30
Rate for Payer: Brighton Health Commercial	$24.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$22.17
Rate for Payer: Group Health Inc Commercial	$16.30
Rate for Payer: Group Health Inc Medicare	$11.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.30
Rate for Payer: Hamaspik Choice Inc Medicare	$16.30

ZZ DISPOS CHIBA NDL 21 10

Facility

$21.98

Hospital Charge Code	41567085
Hospital Revenue Code	270
Min. Negotiated Rate	$7.69
Max. Negotiated Rate	$17.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.99
Rate for Payer: Aetna Government	$10.99
Rate for Payer: Brighton Health Commercial	$16.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.95
Rate for Payer: Group Health Inc Commercial	$10.99
Rate for Payer: Group Health Inc Medicare	$7.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.99
Rate for Payer: Hamaspik Choice Inc Medicare	$10.99

ZZ DISPOS CHIBA NDL 21 15

Facility

$21.98

Hospital Charge Code	41567086
Hospital Revenue Code	270
Min. Negotiated Rate	$7.69
Max. Negotiated Rate	$17.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.99
Rate for Payer: Aetna Government	$10.99
Rate for Payer: Brighton Health Commercial	$16.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.95
Rate for Payer: Group Health Inc Commercial	$10.99
Rate for Payer: Group Health Inc Medicare	$7.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.99
Rate for Payer: Hamaspik Choice Inc Medicare	$10.99

Know your out-of-pocket cost for care.

All Charges