St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ NEEDLE/FRANSEEN/22G/20CM

Facility

$56.00

Hospital Charge Code	41569713
Hospital Revenue Code	270
Min. Negotiated Rate	$19.60
Max. Negotiated Rate	$44.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.00
Rate for Payer: Aetna Government	$28.00
Rate for Payer: Brighton Health Commercial	$42.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$44.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$38.08
Rate for Payer: Group Health Inc Commercial	$28.00
Rate for Payer: Group Health Inc Medicare	$19.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.00
Rate for Payer: Hamaspik Choice Inc Medicare	$28.00

ZZ NEEDLE/FRANSEEN 23G/15CM

Facility

$58.83

Hospital Charge Code	41569714
Hospital Revenue Code	270
Min. Negotiated Rate	$20.59
Max. Negotiated Rate	$47.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$32.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$29.42
Rate for Payer: Aetna Government	$29.42
Rate for Payer: Brighton Health Commercial	$44.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$47.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.00
Rate for Payer: Group Health Inc Commercial	$29.42
Rate for Payer: Group Health Inc Medicare	$20.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.42
Rate for Payer: Hamaspik Choice Inc Medicare	$29.42

ZZ NEEDLE/LYMPHANGIO/30G

Facility

$17.34

Hospital Charge Code	41569270
Hospital Revenue Code	270
Min. Negotiated Rate	$6.07
Max. Negotiated Rate	$13.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.67
Rate for Payer: Aetna Government	$8.67
Rate for Payer: Brighton Health Commercial	$13.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.87
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.79
Rate for Payer: Group Health Inc Commercial	$8.67
Rate for Payer: Group Health Inc Medicare	$6.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.67
Rate for Payer: Hamaspik Choice Inc Medicare	$8.67

ZZ NEEDLE/POTTS/COURNANO 18G

Facility

$10.96

Hospital Charge Code	41569271
Hospital Revenue Code	270
Min. Negotiated Rate	$3.84
Max. Negotiated Rate	$8.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.48
Rate for Payer: Aetna Government	$5.48
Rate for Payer: Brighton Health Commercial	$8.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.77
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.45
Rate for Payer: Group Health Inc Commercial	$5.48
Rate for Payer: Group Health Inc Medicare	$3.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.48
Rate for Payer: Hamaspik Choice Inc Medicare	$5.48

ZZ NEEDLE/SELDINGER 18G

Facility

$10.96

Hospital Charge Code	41569272
Hospital Revenue Code	270
Min. Negotiated Rate	$3.84
Max. Negotiated Rate	$8.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.48
Rate for Payer: Aetna Government	$5.48
Rate for Payer: Brighton Health Commercial	$8.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.77
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.45
Rate for Payer: Group Health Inc Commercial	$5.48
Rate for Payer: Group Health Inc Medicare	$3.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.48
Rate for Payer: Hamaspik Choice Inc Medicare	$5.48

ZZ NEEDLE/TROCAR 18G/10CM

Facility

$32.60

Hospital Charge Code	41569708
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 NEEDLE TROCAR 18G\20CM

Facility

$32.60

Hospital Charge Code	41569709
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 NEEDLE TROCAR 20G\20CM

Facility

$34.02

Hospital Charge Code	41569710
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 NEPH PERC ASS SET 104

Facility

$185.69

Hospital Charge Code	41567014
Hospital Revenue Code	270
Min. Negotiated Rate	$64.99
Max. Negotiated Rate	$148.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$102.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$92.84
Rate for Payer: Aetna Government	$92.84
Rate for Payer: Brighton Health Commercial	$139.27
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$148.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$126.27
Rate for Payer: Group Health Inc Commercial	$92.84
Rate for Payer: Group Health Inc Medicare	$64.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$92.84
Rate for Payer: Hamaspik Choice Inc Medicare	$92.84

ZZ NEPHROURET STENT 10/22

Facility

$391.23

Hospital Charge Code	41567228
Hospital Revenue Code	270
Min. Negotiated Rate	$136.93
Max. Negotiated Rate	$312.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$215.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$195.62
Rate for Payer: Aetna Government	$195.62
Rate for Payer: Brighton Health Commercial	$293.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$312.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$266.04
Rate for Payer: Group Health Inc Commercial	$195.62
Rate for Payer: Group Health Inc Medicare	$136.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.62
Rate for Payer: Hamaspik Choice Inc Medicare	$195.62

ZZ NEPHROURET STENT 10/24

Facility

$391.23

Hospital Charge Code	41567229
Hospital Revenue Code	270
Min. Negotiated Rate	$136.93
Max. Negotiated Rate	$312.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$215.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$195.62
Rate for Payer: Aetna Government	$195.62
Rate for Payer: Brighton Health Commercial	$293.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$312.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$266.04
Rate for Payer: Group Health Inc Commercial	$195.62
Rate for Payer: Group Health Inc Medicare	$136.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.62
Rate for Payer: Hamaspik Choice Inc Medicare	$195.62

ZZ NEPHROURET STENT 8/22

Facility

$391.23

Hospital Charge Code	41567226
Hospital Revenue Code	270
Min. Negotiated Rate	$136.93
Max. Negotiated Rate	$312.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$215.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$195.62
Rate for Payer: Aetna Government	$195.62
Rate for Payer: Brighton Health Commercial	$293.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$312.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$266.04
Rate for Payer: Group Health Inc Commercial	$195.62
Rate for Payer: Group Health Inc Medicare	$136.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.62
Rate for Payer: Hamaspik Choice Inc Medicare	$195.62

ZZ NEPHROURET STENT 8/24

Facility

$391.23

Hospital Charge Code	41567227
Hospital Revenue Code	270
Min. Negotiated Rate	$136.93
Max. Negotiated Rate	$312.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$215.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$195.62
Rate for Payer: Aetna Government	$195.62
Rate for Payer: Brighton Health Commercial	$293.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$312.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$266.04
Rate for Payer: Group Health Inc Commercial	$195.62
Rate for Payer: Group Health Inc Medicare	$136.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.62
Rate for Payer: Hamaspik Choice Inc Medicare	$195.62

ZZ NESTOR EMBOLI COILS 38-14-12MM

Facility

$177.56

Hospital Charge Code	41569885
Hospital Revenue Code	279
Min. Negotiated Rate	$62.15
Max. Negotiated Rate	$142.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$97.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$88.78
Rate for Payer: Aetna Government	$88.78
Rate for Payer: Brighton Health Commercial	$133.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$142.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$120.74
Rate for Payer: Group Health Inc Commercial	$88.78
Rate for Payer: Group Health Inc Medicare	$62.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$88.78
Rate for Payer: Hamaspik Choice Inc Medicare	$88.78

ZZ NEST TM PLAT35-14-10

Facility

$226.10

Hospital Charge Code	41569792
Hospital Revenue Code	270
Min. Negotiated Rate	$79.14
Max. Negotiated Rate	$180.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$124.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$113.05
Rate for Payer: Aetna Government	$113.05
Rate for Payer: Brighton Health Commercial	$169.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$180.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.75
Rate for Payer: Group Health Inc Commercial	$113.05
Rate for Payer: Group Health Inc Medicare	$79.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.05
Rate for Payer: Hamaspik Choice Inc Medicare	$113.05

ZZ NEST TM PLAT35-14-12

Facility

$226.10

Hospital Charge Code	41569793
Hospital Revenue Code	270
Min. Negotiated Rate	$79.14
Max. Negotiated Rate	$180.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$124.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$113.05
Rate for Payer: Aetna Government	$113.05
Rate for Payer: Brighton Health Commercial	$169.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$180.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.75
Rate for Payer: Group Health Inc Commercial	$113.05
Rate for Payer: Group Health Inc Medicare	$79.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.05
Rate for Payer: Hamaspik Choice Inc Medicare	$113.05

ZZ NEST TM PLAT35-14-4

Facility

$226.10

Hospital Charge Code	41569794
Hospital Revenue Code	270
Min. Negotiated Rate	$79.14
Max. Negotiated Rate	$180.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$124.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$113.05
Rate for Payer: Aetna Government	$113.05
Rate for Payer: Brighton Health Commercial	$169.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$180.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.75
Rate for Payer: Group Health Inc Commercial	$113.05
Rate for Payer: Group Health Inc Medicare	$79.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.05
Rate for Payer: Hamaspik Choice Inc Medicare	$113.05

ZZ NEST TM PLAT35-14-6

Facility

$226.10

Hospital Charge Code	41569795
Hospital Revenue Code	270
Min. Negotiated Rate	$79.14
Max. Negotiated Rate	$180.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$124.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$113.05
Rate for Payer: Aetna Government	$113.05
Rate for Payer: Brighton Health Commercial	$169.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$180.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.75
Rate for Payer: Group Health Inc Commercial	$113.05
Rate for Payer: Group Health Inc Medicare	$79.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.05
Rate for Payer: Hamaspik Choice Inc Medicare	$113.05

ZZ NEST TM PLAT35-14-8

Facility

$226.10

Hospital Charge Code	41569796
Hospital Revenue Code	270
Min. Negotiated Rate	$79.14
Max. Negotiated Rate	$180.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$124.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$113.05
Rate for Payer: Aetna Government	$113.05
Rate for Payer: Brighton Health Commercial	$169.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$180.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.75
Rate for Payer: Group Health Inc Commercial	$113.05
Rate for Payer: Group Health Inc Medicare	$79.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.05
Rate for Payer: Hamaspik Choice Inc Medicare	$113.05

ZZ NEST TM PLAT38-14-10

Facility

$226.10

Hospital Charge Code	41569797
Hospital Revenue Code	270
Min. Negotiated Rate	$79.14
Max. Negotiated Rate	$180.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$124.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$113.05
Rate for Payer: Aetna Government	$113.05
Rate for Payer: Brighton Health Commercial	$169.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$180.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.75
Rate for Payer: Group Health Inc Commercial	$113.05
Rate for Payer: Group Health Inc Medicare	$79.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.05
Rate for Payer: Hamaspik Choice Inc Medicare	$113.05

ZZ NEST TM PLAT38-14-12

Facility

$226.10

Hospital Charge Code	41569798
Hospital Revenue Code	270
Min. Negotiated Rate	$79.14
Max. Negotiated Rate	$180.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$124.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$113.05
Rate for Payer: Aetna Government	$113.05
Rate for Payer: Brighton Health Commercial	$169.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$180.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.75
Rate for Payer: Group Health Inc Commercial	$113.05
Rate for Payer: Group Health Inc Medicare	$79.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.05
Rate for Payer: Hamaspik Choice Inc Medicare	$113.05

ZZ NEST TM PLAT38-14-4

Facility

$226.10

Hospital Charge Code	41569799
Hospital Revenue Code	270
Min. Negotiated Rate	$79.14
Max. Negotiated Rate	$180.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$124.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$113.05
Rate for Payer: Aetna Government	$113.05
Rate for Payer: Brighton Health Commercial	$169.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$180.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.75
Rate for Payer: Group Health Inc Commercial	$113.05
Rate for Payer: Group Health Inc Medicare	$79.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.05
Rate for Payer: Hamaspik Choice Inc Medicare	$113.05

ZZ NEST TM PLAT38-14-6

Facility

$226.10

Hospital Charge Code	41569800
Hospital Revenue Code	270
Min. Negotiated Rate	$79.14
Max. Negotiated Rate	$180.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$124.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$113.05
Rate for Payer: Aetna Government	$113.05
Rate for Payer: Brighton Health Commercial	$169.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$180.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.75
Rate for Payer: Group Health Inc Commercial	$113.05
Rate for Payer: Group Health Inc Medicare	$79.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.05
Rate for Payer: Hamaspik Choice Inc Medicare	$113.05

ZZ NEST TM PLAT38-14-8

Facility

$226.10

Hospital Charge Code	41569801
Hospital Revenue Code	270
Min. Negotiated Rate	$79.14
Max. Negotiated Rate	$180.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$124.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$113.05
Rate for Payer: Aetna Government	$113.05
Rate for Payer: Brighton Health Commercial	$169.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$180.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.75
Rate for Payer: Group Health Inc Commercial	$113.05
Rate for Payer: Group Health Inc Medicare	$79.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.05
Rate for Payer: Hamaspik Choice Inc Medicare	$113.05

ZZ NITINOL BILIARY STENT

Facility

$5,103.00

Service Code	HCPCS C1876
Hospital Charge Code	41569273
Hospital Revenue Code	278
Min. Negotiated Rate	$2,551.50
Max. Negotiated Rate	$2,551.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,551.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2,551.50

Know your out-of-pocket cost for care.

All Charges