St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ GUIDING CATHETER/J CURVE/6F

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569512
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/J CURVE/6F

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569512
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/RENAL 6F

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569513
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/RENAL 6F

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569513
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/RENAL 8F

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569514
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/RENAL 8F

Facility

$233.89

Service Code	HCPCS C1725
Hospital Charge Code	41569514
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

ZZGUNTHER TULIP VENA FLTR FEM.APP

Facility

$2,270.50

Hospital Charge Code	41567734
Hospital Revenue Code	270
Min. Negotiated Rate	$794.68
Max. Negotiated Rate	$1,816.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,248.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,135.25
Rate for Payer: Aetna Government	$1,135.25
Rate for Payer: Brighton Health Commercial	$1,702.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,816.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,543.94
Rate for Payer: Group Health Inc Commercial	$1,135.25
Rate for Payer: Group Health Inc Medicare	$794.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,135.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,135.25

ZZGUNTHER TULIP VENA FLTR JUG.APP

Facility

$2,270.50

Hospital Charge Code	41567732
Hospital Revenue Code	270
Min. Negotiated Rate	$794.68
Max. Negotiated Rate	$1,816.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,248.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,135.25
Rate for Payer: Aetna Government	$1,135.25
Rate for Payer: Brighton Health Commercial	$1,702.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,816.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,543.94
Rate for Payer: Group Health Inc Commercial	$1,135.25
Rate for Payer: Group Health Inc Medicare	$794.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,135.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,135.25

ZZ HAWKINS 3 HARDWR 10 CM

Facility

$53.87

Hospital Charge Code	41569633
Hospital Revenue Code	270
Min. Negotiated Rate	$18.85
Max. Negotiated Rate	$43.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.94
Rate for Payer: Aetna Government	$26.94
Rate for Payer: Brighton Health Commercial	$40.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.63
Rate for Payer: Group Health Inc Commercial	$26.94
Rate for Payer: Group Health Inc Medicare	$18.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.94
Rate for Payer: Hamaspik Choice Inc Medicare	$26.94

ZZ HAWKINS 3 HARDWR 12.5 CM

Facility

$53.87

Hospital Charge Code	41569634
Hospital Revenue Code	270
Min. Negotiated Rate	$18.85
Max. Negotiated Rate	$43.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.94
Rate for Payer: Aetna Government	$26.94
Rate for Payer: Brighton Health Commercial	$40.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.63
Rate for Payer: Group Health Inc Commercial	$26.94
Rate for Payer: Group Health Inc Medicare	$18.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.94
Rate for Payer: Hamaspik Choice Inc Medicare	$26.94

ZZ HAWKINS 3 HARDWR 7.5 CM

Facility

$53.87

Hospital Charge Code	41569632
Hospital Revenue Code	270
Min. Negotiated Rate	$18.85
Max. Negotiated Rate	$43.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.94
Rate for Payer: Aetna Government	$26.94
Rate for Payer: Brighton Health Commercial	$40.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.63
Rate for Payer: Group Health Inc Commercial	$26.94
Rate for Payer: Group Health Inc Medicare	$18.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.94
Rate for Payer: Hamaspik Choice Inc Medicare	$26.94

ZZ HD CATHETER 40 13.5 22

Facility

$684.65

Service Code	HCPCS C1725
Hospital Charge Code	41567176
Hospital Revenue Code	278
Min. Negotiated Rate	$342.32
Max. Negotiated Rate	$342.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$342.32
Rate for Payer: Hamaspik Choice Inc Medicare	$342.32

ZZ HD CATHETER 40 13.5 22

Facility

$684.65

Service Code	HCPCS C1725
Hospital Charge Code	41567176
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$718.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$376.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$410.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$342.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$393.67
Rate for Payer: EmblemHealth Commercial	$342.32
Rate for Payer: Fidelis Medicare Advantage	$718.88
Rate for Payer: Group Health Inc Commercial	$342.32
Rate for Payer: Group Health Inc Medicare	$239.63
Rate for Payer: Hamaspik Choice Inc Medicaid	$342.32
Rate for Payer: Hamaspik Choice Inc Medicare	$342.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$445.02

ZZ HD CATHETER 45 13.5 28

Facility

$674.73

Service Code	HCPCS C1725
Hospital Charge Code	41567173
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$708.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$371.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$404.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$337.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$387.97
Rate for Payer: EmblemHealth Commercial	$337.36
Rate for Payer: Fidelis Medicare Advantage	$708.47
Rate for Payer: Group Health Inc Commercial	$337.36
Rate for Payer: Group Health Inc Medicare	$236.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$337.36
Rate for Payer: Hamaspik Choice Inc Medicare	$337.36
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$438.57

ZZ HD CATHETER 45 13.5 28

Facility

$674.73

Service Code	HCPCS C1725
Hospital Charge Code	41567173
Hospital Revenue Code	278
Min. Negotiated Rate	$337.36
Max. Negotiated Rate	$337.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$337.36
Rate for Payer: Hamaspik Choice Inc Medicare	$337.36

ZZ HD CATHETER 50 13.5 32

Facility

$684.65

Service Code	HCPCS C1725
Hospital Charge Code	41567174
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$718.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$376.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$410.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$342.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$393.67
Rate for Payer: EmblemHealth Commercial	$342.32
Rate for Payer: Fidelis Medicare Advantage	$718.88
Rate for Payer: Group Health Inc Commercial	$342.32
Rate for Payer: Group Health Inc Medicare	$239.63
Rate for Payer: Hamaspik Choice Inc Medicaid	$342.32
Rate for Payer: Hamaspik Choice Inc Medicare	$342.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$445.02

ZZ HD CATHETER 50 13.5 32

Facility

$684.65

Service Code	HCPCS C1725
Hospital Charge Code	41567174
Hospital Revenue Code	278
Min. Negotiated Rate	$342.32
Max. Negotiated Rate	$342.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$342.32
Rate for Payer: Hamaspik Choice Inc Medicare	$342.32

ZZ HD CATHETER 55 13.5 35

Facility

$700.96

Service Code	HCPCS C1725
Hospital Charge Code	41567175
Hospital Revenue Code	278
Min. Negotiated Rate	$350.48
Max. Negotiated Rate	$350.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$350.48
Rate for Payer: Hamaspik Choice Inc Medicare	$350.48

ZZ HD CATHETER 55 13.5 35

Facility

$700.96

Service Code	HCPCS C1725
Hospital Charge Code	41567175
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$736.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$385.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$420.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$350.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$403.05
Rate for Payer: EmblemHealth Commercial	$350.48
Rate for Payer: Fidelis Medicare Advantage	$736.01
Rate for Payer: Group Health Inc Commercial	$350.48
Rate for Payer: Group Health Inc Medicare	$245.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$350.48
Rate for Payer: Hamaspik Choice Inc Medicare	$350.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$455.62

ZZ HD CATHETER 60 13.5 40

Facility

$851.92

Service Code	HCPCS C1725
Hospital Charge Code	41567172
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$894.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$468.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$511.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$425.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$489.85
Rate for Payer: EmblemHealth Commercial	$425.96
Rate for Payer: Fidelis Medicare Advantage	$894.52
Rate for Payer: Group Health Inc Commercial	$425.96
Rate for Payer: Group Health Inc Medicare	$298.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$425.96
Rate for Payer: Hamaspik Choice Inc Medicare	$425.96
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$553.75

ZZ HD CATHETER 60 13.5 40

Facility

$851.92

Service Code	HCPCS C1725
Hospital Charge Code	41567172
Hospital Revenue Code	278
Min. Negotiated Rate	$425.96
Max. Negotiated Rate	$425.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$425.96
Rate for Payer: Hamaspik Choice Inc Medicare	$425.96

ZZ HEAVY DUT EX WR 35-180

Facility

$51.39

Service Code	HCPCS C1769
Hospital Charge Code	41567129
Hospital Revenue Code	278
Min. Negotiated Rate	$25.70
Max. Negotiated Rate	$25.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.70
Rate for Payer: Hamaspik Choice Inc Medicare	$25.70

ZZ HEAVY DUT EX WR 35-180

Facility

$51.39

Service Code	HCPCS C1769
Hospital Charge Code	41567129
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$53.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$30.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$25.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$29.55
Rate for Payer: EmblemHealth Commercial	$25.70
Rate for Payer: Fidelis Medicare Advantage	$53.96
Rate for Payer: Group Health Inc Commercial	$25.70
Rate for Payer: Group Health Inc Medicare	$17.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.70
Rate for Payer: Hamaspik Choice Inc Medicare	$25.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$33.40

ZZ HEMOSPLIT 14.5F 19CM

Facility

$1,114.81

Service Code	HCPCS C1725
Hospital Charge Code	41569880
Hospital Revenue Code	278
Min. Negotiated Rate	$557.40
Max. Negotiated Rate	$557.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$557.40
Rate for Payer: Hamaspik Choice Inc Medicare	$557.40

ZZ HEMOSPLIT 14.5F 19CM

Facility

$1,114.81

Service Code	HCPCS C1725
Hospital Charge Code	41569880
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$1,170.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$613.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$668.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$557.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$641.02
Rate for Payer: EmblemHealth Commercial	$557.40
Rate for Payer: Fidelis Medicare Advantage	$1,170.55
Rate for Payer: Group Health Inc Commercial	$557.40
Rate for Payer: Group Health Inc Medicare	$390.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$557.40
Rate for Payer: Hamaspik Choice Inc Medicare	$557.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$724.63

Know your out-of-pocket cost for care.

All Charges