St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ FILTER/GREENFIELD SS/JUNGULAR

Facility

$2,513.23

Service Code	HCPCS C1880
Hospital Charge Code	41569501
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$2,638.89
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,382.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Brighton Health Commercial	$1,507.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,256.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,445.11
Rate for Payer: EmblemHealth Commercial	$1,256.62
Rate for Payer: Fidelis Medicare Advantage	$2,638.89
Rate for Payer: Group Health Inc Commercial	$1,256.62
Rate for Payer: Group Health Inc Medicare	$879.63
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,256.62
Rate for Payer: Hamaspik Choice Inc Medicare	$1,256.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,633.60

ZZ FILTER/NITINOL/FEMORAL

Facility

$2,023.13

Service Code	HCPCS C1880
Hospital Charge Code	41569502
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$2,124.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,112.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Brighton Health Commercial	$1,213.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,011.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,163.30
Rate for Payer: EmblemHealth Commercial	$1,011.56
Rate for Payer: Fidelis Medicare Advantage	$2,124.29
Rate for Payer: Group Health Inc Commercial	$1,011.56
Rate for Payer: Group Health Inc Medicare	$708.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,011.56
Rate for Payer: Hamaspik Choice Inc Medicare	$1,011.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,315.03

ZZ FILTER/NITINOL/FEMORAL

Facility

$2,023.13

Service Code	HCPCS C1880
Hospital Charge Code	41569502
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.56
Max. Negotiated Rate	$1,011.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,011.56
Rate for Payer: Hamaspik Choice Inc Medicare	$1,011.56

ZZ FILTER/NITINOL/JUGULAR

Facility

$2,023.13

Service Code	HCPCS C1880
Hospital Charge Code	41569503
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$2,124.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,112.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Brighton Health Commercial	$1,213.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,011.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,163.30
Rate for Payer: EmblemHealth Commercial	$1,011.56
Rate for Payer: Fidelis Medicare Advantage	$2,124.29
Rate for Payer: Group Health Inc Commercial	$1,011.56
Rate for Payer: Group Health Inc Medicare	$708.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,011.56
Rate for Payer: Hamaspik Choice Inc Medicare	$1,011.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,315.03

ZZ FILTER/NITINOL/JUGULAR

Facility

$2,023.13

Service Code	HCPCS C1880
Hospital Charge Code	41569503
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.56
Max. Negotiated Rate	$1,011.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,011.56
Rate for Payer: Hamaspik Choice Inc Medicare	$1,011.56

ZZ FILTER SET FEMORAL APPROACH

Facility

$2,500.00

Hospital Charge Code	41568879
Hospital Revenue Code	270
Min. Negotiated Rate	$875.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,375.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,250.00
Rate for Payer: Aetna Government	$1,250.00
Rate for Payer: Brighton Health Commercial	$1,875.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,000.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,700.00
Rate for Payer: Group Health Inc Commercial	$1,250.00
Rate for Payer: Group Health Inc Medicare	$875.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,250.00

ZZ FLEXCHFLO870

Facility

$164.29

Service Code	HCPCS C1725
Hospital Charge Code	41569814
Hospital Revenue Code	278
Min. Negotiated Rate	$82.14
Max. Negotiated Rate	$82.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.14
Rate for Payer: Hamaspik Choice Inc Medicare	$82.14

ZZ FLEXCHFLO870

Facility

$164.29

Service Code	HCPCS C1725
Hospital Charge Code	41569814
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$172.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$90.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$98.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$82.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$94.47
Rate for Payer: EmblemHealth Commercial	$82.14
Rate for Payer: Fidelis Medicare Advantage	$172.50
Rate for Payer: Group Health Inc Commercial	$82.14
Rate for Payer: Group Health Inc Medicare	$57.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.14
Rate for Payer: Hamaspik Choice Inc Medicare	$82.14
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$106.79

ZZ FLEXII FEM DL LUM KIT

Facility

$204.83

Service Code	HCPCS C1725
Hospital Charge Code	41567179
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$215.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$112.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$122.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$102.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$117.78
Rate for Payer: EmblemHealth Commercial	$102.42
Rate for Payer: Fidelis Medicare Advantage	$215.07
Rate for Payer: Group Health Inc Commercial	$102.42
Rate for Payer: Group Health Inc Medicare	$71.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$102.42
Rate for Payer: Hamaspik Choice Inc Medicare	$102.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$133.14

ZZ FLEXII FEM DL LUM KIT

Facility

$204.83

Service Code	HCPCS C1725
Hospital Charge Code	41567179
Hospital Revenue Code	278
Min. Negotiated Rate	$102.42
Max. Negotiated Rate	$102.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$102.42
Rate for Payer: Hamaspik Choice Inc Medicare	$102.42

ZZ FLEXIMA 10F 3.3MM APDL

Facility

$155.04

Service Code	HCPCS C1725
Hospital Charge Code	41569904
Hospital Revenue Code	278
Min. Negotiated Rate	$77.52
Max. Negotiated Rate	$77.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.52
Rate for Payer: Hamaspik Choice Inc Medicare	$77.52

ZZ FLEXIMA 10F 3.3MM APDL

Facility

$155.04

Service Code	HCPCS C1725
Hospital Charge Code	41569904
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$162.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$85.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$93.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.15
Rate for Payer: EmblemHealth Commercial	$77.52
Rate for Payer: Fidelis Medicare Advantage	$162.79
Rate for Payer: Group Health Inc Commercial	$77.52
Rate for Payer: Group Health Inc Medicare	$54.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.52
Rate for Payer: Hamaspik Choice Inc Medicare	$77.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$100.78

ZZ FLEXIMA 12F 4.0MM APDL

Facility

$155.04

Service Code	HCPCS C1725
Hospital Charge Code	41569905
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$162.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$85.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$93.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.15
Rate for Payer: EmblemHealth Commercial	$77.52
Rate for Payer: Fidelis Medicare Advantage	$162.79
Rate for Payer: Group Health Inc Commercial	$77.52
Rate for Payer: Group Health Inc Medicare	$54.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.52
Rate for Payer: Hamaspik Choice Inc Medicare	$77.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$100.78

ZZ FLEXIMA 12F 4.0MM APDL

Facility

$155.04

Service Code	HCPCS C1725
Hospital Charge Code	41569905
Hospital Revenue Code	278
Min. Negotiated Rate	$77.52
Max. Negotiated Rate	$77.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.52
Rate for Payer: Hamaspik Choice Inc Medicare	$77.52

ZZ FLEXIMA 14F 4.7MM APDL

Facility

$155.04

Service Code	HCPCS C1725
Hospital Charge Code	41569902
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$162.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$85.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$93.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.15
Rate for Payer: EmblemHealth Commercial	$77.52
Rate for Payer: Fidelis Medicare Advantage	$162.79
Rate for Payer: Group Health Inc Commercial	$77.52
Rate for Payer: Group Health Inc Medicare	$54.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.52
Rate for Payer: Hamaspik Choice Inc Medicare	$77.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$100.78

ZZ FLEXIMA 14F 4.7MM APDL

Facility

$155.04

Service Code	HCPCS C1725
Hospital Charge Code	41569902
Hospital Revenue Code	278
Min. Negotiated Rate	$77.52
Max. Negotiated Rate	$77.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.52
Rate for Payer: Hamaspik Choice Inc Medicare	$77.52

ZZ FLEXIMA 8F 2.7MM APD

Facility

$155.04

Service Code	HCPCS C1725
Hospital Charge Code	41569903
Hospital Revenue Code	278
Min. Negotiated Rate	$77.52
Max. Negotiated Rate	$77.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.52
Rate for Payer: Hamaspik Choice Inc Medicare	$77.52

ZZ FLEXIMA 8F 2.7MM APD

Facility

$155.04

Service Code	HCPCS C1725
Hospital Charge Code	41569903
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$162.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$85.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$93.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.15
Rate for Payer: EmblemHealth Commercial	$77.52
Rate for Payer: Fidelis Medicare Advantage	$162.79
Rate for Payer: Group Health Inc Commercial	$77.52
Rate for Payer: Group Health Inc Medicare	$54.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.52
Rate for Payer: Hamaspik Choice Inc Medicare	$77.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$100.78

ZZ FLEXOR CHECK-FLO PERF INT SET

Facility

$129.68

Hospital Charge Code	41569861
Hospital Revenue Code	270
Min. Negotiated Rate	$45.39
Max. Negotiated Rate	$103.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$71.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$64.84
Rate for Payer: Aetna Government	$64.84
Rate for Payer: Brighton Health Commercial	$97.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$103.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$88.18
Rate for Payer: Group Health Inc Commercial	$64.84
Rate for Payer: Group Health Inc Medicare	$45.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$64.84
Rate for Payer: Hamaspik Choice Inc Medicare	$64.84

ZZ FLEX TRANSDUCER COVER

Facility

$20.20

Hospital Charge Code	41567292
Hospital Revenue Code	270
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$16.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.10
Rate for Payer: Aetna Government	$10.10
Rate for Payer: Brighton Health Commercial	$15.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.74
Rate for Payer: Group Health Inc Commercial	$10.10
Rate for Payer: Group Health Inc Medicare	$7.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.10
Rate for Payer: Hamaspik Choice Inc Medicare	$10.10

ZZ FLOW DIRECTED BALLOON CATHETER

Facility

$298.30

Service Code	HCPCS C1725
Hospital Charge Code	41548040
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$313.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$164.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$178.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$149.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$171.52
Rate for Payer: EmblemHealth Commercial	$149.15
Rate for Payer: Fidelis Medicare Advantage	$313.22
Rate for Payer: Group Health Inc Commercial	$149.15
Rate for Payer: Group Health Inc Medicare	$104.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$149.15
Rate for Payer: Hamaspik Choice Inc Medicare	$149.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$193.90

ZZ FLOW DIRECTED BALLOON CATHETER

Facility

$298.30

Service Code	HCPCS C1725
Hospital Charge Code	41548040
Hospital Revenue Code	278
Min. Negotiated Rate	$149.15
Max. Negotiated Rate	$149.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$149.15
Rate for Payer: Hamaspik Choice Inc Medicare	$149.15

ZZ FLOW SWITCH

Facility

$13.47

Hospital Charge Code	41567306
Hospital Revenue Code	270
Min. Negotiated Rate	$4.71
Max. Negotiated Rate	$10.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.74
Rate for Payer: Aetna Government	$6.74
Rate for Payer: Brighton Health Commercial	$10.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.16
Rate for Payer: Group Health Inc Commercial	$6.74
Rate for Payer: Group Health Inc Medicare	$4.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.74
Rate for Payer: Hamaspik Choice Inc Medicare	$6.74

ZZ FOGAR ART EMBOL 3 180

Facility

$107.03

Service Code	HCPCS C1757
Hospital Charge Code	41567183
Hospital Revenue Code	278
Min. Negotiated Rate	$53.52
Max. Negotiated Rate	$53.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.52
Rate for Payer: Hamaspik Choice Inc Medicare	$53.52

ZZ FOGAR ART EMBOL 3 180

Facility

$107.03

Service Code	HCPCS C1757
Hospital Charge Code	41567183
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$112.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.87
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.33
Rate for Payer: Aetna Government	$16.33
Rate for Payer: Brighton Health Commercial	$64.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$61.54
Rate for Payer: EmblemHealth Commercial	$53.52
Rate for Payer: Fidelis Medicare Advantage	$112.38
Rate for Payer: Group Health Inc Commercial	$53.52
Rate for Payer: Group Health Inc Medicare	$37.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.52
Rate for Payer: Hamaspik Choice Inc Medicare	$53.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$69.57

Know your out-of-pocket cost for care.

All Charges