St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ GROUNDING PAD

Facility

$5.84

Hospital Charge Code	41568532
Hospital Revenue Code	270
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$4.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.92
Rate for Payer: Aetna Government	$2.92
Rate for Payer: Brighton Health Commercial	$4.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.67
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.97
Rate for Payer: Group Health Inc Commercial	$2.92
Rate for Payer: Group Health Inc Medicare	$2.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.92
Rate for Payer: Hamaspik Choice Inc Medicare	$2.92

ZZ GT GUIDEWIRE

Facility

$342.00

Service Code	HCPCS C1769
Hospital Charge Code	41569961
Hospital Revenue Code	278
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$171.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$171.00
Rate for Payer: Hamaspik Choice Inc Medicare	$171.00

ZZ GT GUIDEWIRE

Facility

$342.00

Service Code	HCPCS C1769
Hospital Charge Code	41569961
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$359.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$188.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$205.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$171.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$196.65
Rate for Payer: EmblemHealth Commercial	$171.00
Rate for Payer: Fidelis Medicare Advantage	$359.10
Rate for Payer: Group Health Inc Commercial	$171.00
Rate for Payer: Group Health Inc Medicare	$119.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$171.00
Rate for Payer: Hamaspik Choice Inc Medicare	$171.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$222.30

ZZ GUIDE WIRE 35-145-3 BH

Facility

$39.33

Service Code	HCPCS C1769
Hospital Charge Code	41567100
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$41.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$21.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$23.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$19.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$22.61
Rate for Payer: EmblemHealth Commercial	$19.66
Rate for Payer: Fidelis Medicare Advantage	$41.30
Rate for Payer: Group Health Inc Commercial	$19.66
Rate for Payer: Group Health Inc Medicare	$13.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.66
Rate for Payer: Hamaspik Choice Inc Medicare	$19.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$25.56

ZZ GUIDE WIRE 35-145-3 BH

Facility

$39.33

Service Code	HCPCS C1769
Hospital Charge Code	41567100
Hospital Revenue Code	278
Min. Negotiated Rate	$19.66
Max. Negotiated Rate	$19.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.66
Rate for Payer: Hamaspik Choice Inc Medicare	$19.66

ZZ GUIDE WIRE 35-145 BH

Facility

$52.09

Service Code	HCPCS C1769
Hospital Charge Code	41567102
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$54.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$31.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$29.95
Rate for Payer: EmblemHealth Commercial	$26.04
Rate for Payer: Fidelis Medicare Advantage	$54.69
Rate for Payer: Group Health Inc Commercial	$26.04
Rate for Payer: Group Health Inc Medicare	$18.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.04
Rate for Payer: Hamaspik Choice Inc Medicare	$26.04
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$33.86

ZZ GUIDE WIRE 35-145 BH

Facility

$52.09

Service Code	HCPCS C1769
Hospital Charge Code	41567102
Hospital Revenue Code	278
Min. Negotiated Rate	$26.04
Max. Negotiated Rate	$26.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.04
Rate for Payer: Hamaspik Choice Inc Medicare	$26.04

ZZ GUIDE WIRE 35-180

Facility

$40.75

Service Code	HCPCS C1769
Hospital Charge Code	41567096
Hospital Revenue Code	278
Min. Negotiated Rate	$20.38
Max. Negotiated Rate	$20.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.38
Rate for Payer: Hamaspik Choice Inc Medicare	$20.38

ZZ GUIDE WIRE 35-180

Facility

$40.75

Service Code	HCPCS C1769
Hospital Charge Code	41567096
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$42.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$24.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.43
Rate for Payer: EmblemHealth Commercial	$20.38
Rate for Payer: Fidelis Medicare Advantage	$42.79
Rate for Payer: Group Health Inc Commercial	$20.38
Rate for Payer: Group Health Inc Medicare	$14.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.38
Rate for Payer: Hamaspik Choice Inc Medicare	$20.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$26.49

ZZ GUIDE WIRES LOC

Facility

$130.41

Service Code	HCPCS C1769
Hospital Charge Code	41567111
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$136.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$71.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$78.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$65.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$74.99
Rate for Payer: EmblemHealth Commercial	$65.20
Rate for Payer: Fidelis Medicare Advantage	$136.93
Rate for Payer: Group Health Inc Commercial	$65.20
Rate for Payer: Group Health Inc Medicare	$45.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.20
Rate for Payer: Hamaspik Choice Inc Medicare	$65.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$84.77

ZZ GUIDE WIRES LOC

Facility

$130.41

Service Code	HCPCS C1769
Hospital Charge Code	41567111
Hospital Revenue Code	278
Min. Negotiated Rate	$65.20
Max. Negotiated Rate	$65.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.20
Rate for Payer: Hamaspik Choice Inc Medicare	$65.20

ZZ GUIDE WIRES TAD2

Facility

$293.42

Service Code	HCPCS C1769
Hospital Charge Code	41567110
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$308.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$161.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$176.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$146.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$168.72
Rate for Payer: EmblemHealth Commercial	$146.71
Rate for Payer: Fidelis Medicare Advantage	$308.09
Rate for Payer: Group Health Inc Commercial	$146.71
Rate for Payer: Group Health Inc Medicare	$102.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$146.71
Rate for Payer: Hamaspik Choice Inc Medicare	$146.71
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$190.72

ZZ GUIDE WIRES TAD2

Facility

$293.42

Service Code	HCPCS C1769
Hospital Charge Code	41567110
Hospital Revenue Code	278
Min. Negotiated Rate	$146.71
Max. Negotiated Rate	$146.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$146.71
Rate for Payer: Hamaspik Choice Inc Medicare	$146.71

ZZ GUIDE WR 35-145-1.5 BH

Facility

$37.92

Service Code	HCPCS C1769
Hospital Charge Code	41567099
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$39.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$22.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$18.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.80
Rate for Payer: EmblemHealth Commercial	$18.96
Rate for Payer: Fidelis Medicare Advantage	$39.82
Rate for Payer: Group Health Inc Commercial	$18.96
Rate for Payer: Group Health Inc Medicare	$13.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.96
Rate for Payer: Hamaspik Choice Inc Medicare	$18.96
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$24.65

ZZ GUIDE WR 35-145-1.5 BH

Facility

$37.92

Service Code	HCPCS C1769
Hospital Charge Code	41567099
Hospital Revenue Code	278
Min. Negotiated Rate	$18.96
Max. Negotiated Rate	$18.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.96
Rate for Payer: Hamaspik Choice Inc Medicare	$18.96

ZZ GUIDE WR 35-145-1.5 RO

Facility

$40.75

Service Code	HCPCS C1769
Hospital Charge Code	41567095
Hospital Revenue Code	278
Min. Negotiated Rate	$20.38
Max. Negotiated Rate	$20.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.38
Rate for Payer: Hamaspik Choice Inc Medicare	$20.38

ZZ GUIDE WR 35-145-1.5 RO

Facility

$40.75

Service Code	HCPCS C1769
Hospital Charge Code	41567095
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$42.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$24.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.43
Rate for Payer: EmblemHealth Commercial	$20.38
Rate for Payer: Fidelis Medicare Advantage	$42.79
Rate for Payer: Group Health Inc Commercial	$20.38
Rate for Payer: Group Health Inc Medicare	$14.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.38
Rate for Payer: Hamaspik Choice Inc Medicare	$20.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$26.49

ZZ GUIDE WR 35-180-1.5 RO

Facility

$42.88

Service Code	HCPCS C1769
Hospital Charge Code	41567097
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$45.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$25.73
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.66
Rate for Payer: EmblemHealth Commercial	$21.44
Rate for Payer: Fidelis Medicare Advantage	$45.02
Rate for Payer: Group Health Inc Commercial	$21.44
Rate for Payer: Group Health Inc Medicare	$15.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.44
Rate for Payer: Hamaspik Choice Inc Medicare	$21.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$27.87

ZZ GUIDE WR 35-180-1.5 RO

Facility

$42.88

Service Code	HCPCS C1769
Hospital Charge Code	41567097
Hospital Revenue Code	278
Min. Negotiated Rate	$21.44
Max. Negotiated Rate	$21.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.44
Rate for Payer: Hamaspik Choice Inc Medicare	$21.44

ZZ GUIDE WR 35-260-1.5 RO

Facility

$62.37

Service Code	HCPCS C1769
Hospital Charge Code	41567098
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$65.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$34.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$37.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$31.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$35.86
Rate for Payer: EmblemHealth Commercial	$31.18
Rate for Payer: Fidelis Medicare Advantage	$65.49
Rate for Payer: Group Health Inc Commercial	$31.18
Rate for Payer: Group Health Inc Medicare	$21.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.18
Rate for Payer: Hamaspik Choice Inc Medicare	$31.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$40.54

ZZ GUIDE WR 35-260-1.5 RO

Facility

$62.37

Service Code	HCPCS C1769
Hospital Charge Code	41567098
Hospital Revenue Code	278
Min. Negotiated Rate	$31.18
Max. Negotiated Rate	$31.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.18
Rate for Payer: Hamaspik Choice Inc Medicare	$31.18

ZZ GUIDING CATHETER/H-STICK/6F

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569511
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$245.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$128.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$140.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$116.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.49
Rate for Payer: EmblemHealth Commercial	$116.94
Rate for Payer: Fidelis Medicare Advantage	$245.58
Rate for Payer: Group Health Inc Commercial	$116.94
Rate for Payer: Group Health Inc Medicare	$81.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$152.03

ZZ GUIDING CATHETER/H-STICK/6F

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569511
Hospital Revenue Code	278
Min. Negotiated Rate	$116.94
Max. Negotiated Rate	$116.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94

ZZ GUIDING CATHETER/H-STICK/8F

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569510
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$245.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$128.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$140.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$116.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.49
Rate for Payer: EmblemHealth Commercial	$116.94
Rate for Payer: Fidelis Medicare Advantage	$245.58
Rate for Payer: Group Health Inc Commercial	$116.94
Rate for Payer: Group Health Inc Medicare	$81.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$152.03

ZZ GUIDING CATHETER/H-STICK/8F

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569510
Hospital Revenue Code	278
Min. Negotiated Rate	$116.94
Max. Negotiated Rate	$116.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.94
Rate for Payer: Hamaspik Choice Inc Medicare	$116.94

Know your out-of-pocket cost for care.

All Charges