St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ PLEUREX DRNG KIT

Facility

$136.08

Hospital Charge Code	41569636
Hospital Revenue Code	270
Min. Negotiated Rate	$47.63
Max. Negotiated Rate	$108.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$74.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$68.04
Rate for Payer: Aetna Government	$68.04
Rate for Payer: Brighton Health Commercial	$102.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$108.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.53
Rate for Payer: Group Health Inc Commercial	$68.04
Rate for Payer: Group Health Inc Medicare	$47.63
Rate for Payer: Hamaspik Choice Inc Medicaid	$68.04
Rate for Payer: Hamaspik Choice Inc Medicare	$68.04

ZZ PLEUREX PIR CAT KIT

Facility

$722.93

Hospital Charge Code	41569635
Hospital Revenue Code	270
Min. Negotiated Rate	$253.03
Max. Negotiated Rate	$578.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$397.61
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$361.46
Rate for Payer: Aetna Government	$361.46
Rate for Payer: Brighton Health Commercial	$542.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$578.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$491.59
Rate for Payer: Group Health Inc Commercial	$361.46
Rate for Payer: Group Health Inc Medicare	$253.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$361.46
Rate for Payer: Hamaspik Choice Inc Medicare	$361.46

ZZ PLEURX CATHETER SYSTEM

Facility

$1,100.00

Hospital Charge Code	41561931
Hospital Revenue Code	279
Min. Negotiated Rate	$385.00
Max. Negotiated Rate	$880.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$605.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$550.00
Rate for Payer: Aetna Government	$550.00
Rate for Payer: Brighton Health Commercial	$825.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$880.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$748.00
Rate for Payer: Group Health Inc Commercial	$550.00
Rate for Payer: Group Health Inc Medicare	$385.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$550.00
Rate for Payer: Hamaspik Choice Inc Medicare	$550.00

ZZ PLEURX KIT 500ML

Facility

$1,140.00

Hospital Charge Code	41567741
Hospital Revenue Code	270
Min. Negotiated Rate	$399.00
Max. Negotiated Rate	$912.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$627.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$570.00
Rate for Payer: Aetna Government	$570.00
Rate for Payer: Brighton Health Commercial	$855.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$912.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$775.20
Rate for Payer: Group Health Inc Commercial	$570.00
Rate for Payer: Group Health Inc Medicare	$399.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$570.00
Rate for Payer: Hamaspik Choice Inc Medicare	$570.00

ZZ PNEUMSTAT CHEST DRAIN VALVE

Facility

$283.22

Hospital Charge Code	41569816
Hospital Revenue Code	270
Min. Negotiated Rate	$99.13
Max. Negotiated Rate	$226.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$155.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$141.61
Rate for Payer: Aetna Government	$141.61
Rate for Payer: Brighton Health Commercial	$212.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$226.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$192.59
Rate for Payer: Group Health Inc Commercial	$141.61
Rate for Payer: Group Health Inc Medicare	$99.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$141.61
Rate for Payer: Hamaspik Choice Inc Medicare	$141.61

ZZ PORTNER KOOLPE BILIARY BIOPSY

Facility

$54.76

Hospital Charge Code	41569470
Hospital Revenue Code	270
Min. Negotiated Rate	$19.17
Max. Negotiated Rate	$43.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$27.38
Rate for Payer: Aetna Government	$27.38
Rate for Payer: Brighton Health Commercial	$41.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.81
Rate for Payer: Cigna LocalPlus Benefit Plan	$37.24
Rate for Payer: Group Health Inc Commercial	$27.38
Rate for Payer: Group Health Inc Medicare	$19.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.38
Rate for Payer: Hamaspik Choice Inc Medicare	$27.38

ZZ POSIS MED PUMPSET

Facility

$637.88

Service Code	HCPCS C1757
Hospital Charge Code	41569560
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$669.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$350.83
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.33
Rate for Payer: Aetna Government	$16.33
Rate for Payer: Brighton Health Commercial	$382.73
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$318.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$366.78
Rate for Payer: EmblemHealth Commercial	$318.94
Rate for Payer: Fidelis Medicare Advantage	$669.77
Rate for Payer: Group Health Inc Commercial	$318.94
Rate for Payer: Group Health Inc Medicare	$223.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$318.94
Rate for Payer: Hamaspik Choice Inc Medicare	$318.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$414.62

ZZ POSIS MED PUMPSET

Facility

$637.88

Service Code	HCPCS C1757
Hospital Charge Code	41569560
Hospital Revenue Code	278
Min. Negotiated Rate	$318.94
Max. Negotiated Rate	$318.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$318.94
Rate for Payer: Hamaspik Choice Inc Medicare	$318.94

ZZ POSIS XPEEDIOR 100CM

Facility

$2,735.78

Service Code	HCPCS C1757
Hospital Charge Code	41569561
Hospital Revenue Code	278
Min. Negotiated Rate	$1,367.89
Max. Negotiated Rate	$1,367.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,367.89
Rate for Payer: Hamaspik Choice Inc Medicare	$1,367.89

ZZ POSIS XPEEDIOR 100CM

Facility

$2,735.78

Service Code	HCPCS C1757
Hospital Charge Code	41569561
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$2,872.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,504.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.33
Rate for Payer: Aetna Government	$16.33
Rate for Payer: Brighton Health Commercial	$1,641.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,367.89
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,573.07
Rate for Payer: EmblemHealth Commercial	$1,367.89
Rate for Payer: Fidelis Medicare Advantage	$2,872.57
Rate for Payer: Group Health Inc Commercial	$1,367.89
Rate for Payer: Group Health Inc Medicare	$957.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,367.89
Rate for Payer: Hamaspik Choice Inc Medicare	$1,367.89
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,778.26

ZZ POSIS XPEEDIOR 135CM

Facility

$4,039.88

Service Code	HCPCS C1757
Hospital Charge Code	41569726
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$4,241.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,221.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.33
Rate for Payer: Aetna Government	$16.33
Rate for Payer: Brighton Health Commercial	$2,423.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,019.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,322.93
Rate for Payer: EmblemHealth Commercial	$2,019.94
Rate for Payer: Fidelis Medicare Advantage	$4,241.87
Rate for Payer: Group Health Inc Commercial	$2,019.94
Rate for Payer: Group Health Inc Medicare	$1,413.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,019.94
Rate for Payer: Hamaspik Choice Inc Medicare	$2,019.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,625.92

ZZ POSIS XPEEDIOR 135CM

Facility

$4,039.88

Service Code	HCPCS C1757
Hospital Charge Code	41569726
Hospital Revenue Code	278
Min. Negotiated Rate	$2,019.94
Max. Negotiated Rate	$2,019.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,019.94
Rate for Payer: Hamaspik Choice Inc Medicare	$2,019.94

ZZ POSIS XPEEDIOR 140 CM

Facility

$3,472.88

Service Code	HCPCS C1757
Hospital Charge Code	41569733
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$3,646.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,910.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.33
Rate for Payer: Aetna Government	$16.33
Rate for Payer: Brighton Health Commercial	$2,083.73
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,736.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,996.91
Rate for Payer: EmblemHealth Commercial	$1,736.44
Rate for Payer: Fidelis Medicare Advantage	$3,646.52
Rate for Payer: Group Health Inc Commercial	$1,736.44
Rate for Payer: Group Health Inc Medicare	$1,215.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,736.44
Rate for Payer: Hamaspik Choice Inc Medicare	$1,736.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,257.37

ZZ POSIS XPEEDIOR 140 CM

Facility

$3,472.88

Service Code	HCPCS C1757
Hospital Charge Code	41569733
Hospital Revenue Code	278
Min. Negotiated Rate	$1,736.44
Max. Negotiated Rate	$1,736.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,736.44
Rate for Payer: Hamaspik Choice Inc Medicare	$1,736.44

ZZ POSIS XPEEDIOR 60CM

Facility

$1,204.88

Service Code	HCPCS C1757
Hospital Charge Code	41569562
Hospital Revenue Code	278
Min. Negotiated Rate	$602.44
Max. Negotiated Rate	$602.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$602.44
Rate for Payer: Hamaspik Choice Inc Medicare	$602.44

ZZ POSIS XPEEDIOR 60CM

Facility

$1,204.88

Service Code	HCPCS C1757
Hospital Charge Code	41569562
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$1,265.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$662.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.33
Rate for Payer: Aetna Government	$16.33
Rate for Payer: Brighton Health Commercial	$722.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$602.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$692.81
Rate for Payer: EmblemHealth Commercial	$602.44
Rate for Payer: Fidelis Medicare Advantage	$1,265.12
Rate for Payer: Group Health Inc Commercial	$602.44
Rate for Payer: Group Health Inc Medicare	$421.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$602.44
Rate for Payer: Hamaspik Choice Inc Medicare	$602.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$783.17

ZZ POWERPICC 5F SINGLUMEN

Facility

$262.50

Service Code	HCPCS C1887
Hospital Charge Code	41567894
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.25
Rate for Payer: Hamaspik Choice Inc Medicare	$131.25

ZZ POWERPICC 5F SINGLUMEN

Facility

$262.50

Service Code	HCPCS C1887
Hospital Charge Code	41567894
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$275.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$144.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.21
Rate for Payer: Aetna Government	$3.21
Rate for Payer: Brighton Health Commercial	$157.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$131.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$150.94
Rate for Payer: EmblemHealth Commercial	$131.25
Rate for Payer: Fidelis Medicare Advantage	$275.62
Rate for Payer: Group Health Inc Commercial	$131.25
Rate for Payer: Group Health Inc Medicare	$91.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.25
Rate for Payer: Hamaspik Choice Inc Medicare	$131.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$170.62

ZZ POWERPICC 6F DUALLUMEN

Facility

$294.00

Service Code	HCPCS C1887
Hospital Charge Code	41569871
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$308.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$161.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.21
Rate for Payer: Aetna Government	$3.21
Rate for Payer: Brighton Health Commercial	$176.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$147.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$169.05
Rate for Payer: EmblemHealth Commercial	$147.00
Rate for Payer: Fidelis Medicare Advantage	$308.70
Rate for Payer: Group Health Inc Commercial	$147.00
Rate for Payer: Group Health Inc Medicare	$102.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$147.00
Rate for Payer: Hamaspik Choice Inc Medicare	$147.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$191.10

ZZ POWERPICC 6F DUALLUMEN

Facility

$294.00

Service Code	HCPCS C1887
Hospital Charge Code	41569871
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$147.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$147.00
Rate for Payer: Hamaspik Choice Inc Medicare	$147.00

ZZ PROGLIDE 6F PERCLOSE

Facility

$590.00

Hospital Charge Code	41561923
Hospital Revenue Code	270
Min. Negotiated Rate	$206.50
Max. Negotiated Rate	$472.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$324.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$295.00
Rate for Payer: Aetna Government	$295.00
Rate for Payer: Brighton Health Commercial	$442.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$472.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$401.20
Rate for Payer: Group Health Inc Commercial	$295.00
Rate for Payer: Group Health Inc Medicare	$206.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$295.00
Rate for Payer: Hamaspik Choice Inc Medicare	$295.00

ZZ PROGREAT 2.8FR X 130CM

Facility

$1,080.00

Service Code	HCPCS C1887
Hospital Charge Code	41561918
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$1,134.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$594.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.21
Rate for Payer: Aetna Government	$3.21
Rate for Payer: Brighton Health Commercial	$648.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$540.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$621.00
Rate for Payer: EmblemHealth Commercial	$540.00
Rate for Payer: Fidelis Medicare Advantage	$1,134.00
Rate for Payer: Group Health Inc Commercial	$540.00
Rate for Payer: Group Health Inc Medicare	$378.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$540.00
Rate for Payer: Hamaspik Choice Inc Medicare	$540.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$702.00

ZZ PROGREAT 2.8FR X 130CM

Facility

$1,080.00

Service Code	HCPCS C1887
Hospital Charge Code	41561918
Hospital Revenue Code	278
Min. Negotiated Rate	$540.00
Max. Negotiated Rate	$540.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$540.00
Rate for Payer: Hamaspik Choice Inc Medicare	$540.00

ZZ PROGREAT. MIC. CATH. SYST.

Facility

$660.00

Service Code	HCPCS C1887
Hospital Charge Code	41569960
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$693.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$363.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.21
Rate for Payer: Aetna Government	$3.21
Rate for Payer: Brighton Health Commercial	$396.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$330.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$379.50
Rate for Payer: EmblemHealth Commercial	$330.00
Rate for Payer: Fidelis Medicare Advantage	$693.00
Rate for Payer: Group Health Inc Commercial	$330.00
Rate for Payer: Group Health Inc Medicare	$231.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$330.00
Rate for Payer: Hamaspik Choice Inc Medicare	$330.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$429.00

ZZ PROGREAT. MIC. CATH. SYST.

Facility

$660.00

Service Code	HCPCS C1887
Hospital Charge Code	41569960
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$330.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$330.00
Rate for Payer: Hamaspik Choice Inc Medicare	$330.00

Know your out-of-pocket cost for care.

All Charges