St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ PROHANCE 15ML

Facility

$1,197.79

Hospital Charge Code	41567532
Hospital Revenue Code	270
Min. Negotiated Rate	$419.23
Max. Negotiated Rate	$958.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$658.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$598.90
Rate for Payer: Aetna Government	$598.90
Rate for Payer: Brighton Health Commercial	$898.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$958.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$814.50
Rate for Payer: Group Health Inc Commercial	$598.90
Rate for Payer: Group Health Inc Medicare	$419.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$598.90
Rate for Payer: Hamaspik Choice Inc Medicare	$598.90

ZZ PROHANCE 20ML

Facility

$1,481.29

Hospital Charge Code	41567533
Hospital Revenue Code	270
Min. Negotiated Rate	$518.45
Max. Negotiated Rate	$1,185.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$814.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$740.64
Rate for Payer: Aetna Government	$740.64
Rate for Payer: Brighton Health Commercial	$1,110.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,185.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,007.28
Rate for Payer: Group Health Inc Commercial	$740.64
Rate for Payer: Group Health Inc Medicare	$518.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$740.64
Rate for Payer: Hamaspik Choice Inc Medicare	$740.64

ZZ PROTECT STAT W/CONTRAS

Facility

$57.06

Hospital Charge Code	41567310
Hospital Revenue Code	270
Min. Negotiated Rate	$19.97
Max. Negotiated Rate	$45.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.53
Rate for Payer: Aetna Government	$28.53
Rate for Payer: Brighton Health Commercial	$42.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$45.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$38.80
Rate for Payer: Group Health Inc Commercial	$28.53
Rate for Payer: Group Health Inc Medicare	$19.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.53
Rate for Payer: Hamaspik Choice Inc Medicare	$28.53

ZZ PULM CATH 5/38/100/10S

Facility

$58.47

Service Code	HCPCS C1725
Hospital Charge Code	41567258
Hospital Revenue Code	278
Min. Negotiated Rate	$29.24
Max. Negotiated Rate	$29.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.24
Rate for Payer: Hamaspik Choice Inc Medicare	$29.24

ZZ PULM CATH 5/38/100/10S

Facility

$58.47

Service Code	HCPCS C1725
Hospital Charge Code	41567258
Hospital Revenue Code	278
Min. Negotiated Rate	$20.46
Max. Negotiated Rate	$61.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$32.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$35.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$29.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.62
Rate for Payer: EmblemHealth Commercial	$29.24
Rate for Payer: Fidelis Medicare Advantage	$61.39
Rate for Payer: Group Health Inc Commercial	$29.24
Rate for Payer: Group Health Inc Medicare	$20.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.24
Rate for Payer: Hamaspik Choice Inc Medicare	$29.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$38.01

ZZ PULMONARY LUMAX GUID CAT SET

Facility

$249.38

Hospital Charge Code	41569884
Hospital Revenue Code	270
Min. Negotiated Rate	$87.28
Max. Negotiated Rate	$199.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$137.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$124.69
Rate for Payer: Aetna Government	$124.69
Rate for Payer: Brighton Health Commercial	$187.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$199.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$169.58
Rate for Payer: Group Health Inc Commercial	$124.69
Rate for Payer: Group Health Inc Medicare	$87.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$124.69
Rate for Payer: Hamaspik Choice Inc Medicare	$124.69

ZZ PULSED INFUS SYS CATH

Facility

$652.05

Hospital Charge Code	41567171
Hospital Revenue Code	270
Min. Negotiated Rate	$228.22
Max. Negotiated Rate	$521.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$358.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$326.02
Rate for Payer: Aetna Government	$326.02
Rate for Payer: Brighton Health Commercial	$489.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$521.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$443.39
Rate for Payer: Group Health Inc Commercial	$326.02
Rate for Payer: Group Health Inc Medicare	$228.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$326.02
Rate for Payer: Hamaspik Choice Inc Medicare	$326.02

ZZ PVA500-700 CONTOUR/MEDITECH

Facility

$403.99

Hospital Charge Code	41569471
Hospital Revenue Code	270
Min. Negotiated Rate	$141.40
Max. Negotiated Rate	$323.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$222.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$202.00
Rate for Payer: Aetna Government	$202.00
Rate for Payer: Brighton Health Commercial	$302.99
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$323.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$274.71
Rate for Payer: Group Health Inc Commercial	$202.00
Rate for Payer: Group Health Inc Medicare	$141.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$202.00
Rate for Payer: Hamaspik Choice Inc Medicare	$202.00

ZZ RENEGADE HIFLO MICROCATH135/20

Facility

$864.68

Service Code	HCPCS C1887
Hospital Charge Code	41569749
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$907.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$475.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.21
Rate for Payer: Aetna Government	$3.21
Rate for Payer: Brighton Health Commercial	$518.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$432.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$497.19
Rate for Payer: EmblemHealth Commercial	$432.34
Rate for Payer: Fidelis Medicare Advantage	$907.91
Rate for Payer: Group Health Inc Commercial	$432.34
Rate for Payer: Group Health Inc Medicare	$302.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$432.34
Rate for Payer: Hamaspik Choice Inc Medicare	$432.34
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$562.04

ZZ RENEGADE HIFLO MICROCATH135/20

Facility

$864.68

Service Code	HCPCS C1887
Hospital Charge Code	41569749
Hospital Revenue Code	278
Min. Negotiated Rate	$432.34
Max. Negotiated Rate	$432.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$432.34
Rate for Payer: Hamaspik Choice Inc Medicare	$432.34

ZZ RENO 60 100ML

Facility

$121.57

Hospital Charge Code	41567535
Hospital Revenue Code	270
Min. Negotiated Rate	$42.55
Max. Negotiated Rate	$97.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$66.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$60.78
Rate for Payer: Aetna Government	$60.78
Rate for Payer: Brighton Health Commercial	$91.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$97.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$82.67
Rate for Payer: Group Health Inc Commercial	$60.78
Rate for Payer: Group Health Inc Medicare	$42.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$60.78
Rate for Payer: Hamaspik Choice Inc Medicare	$60.78

ZZ RENO 60 150ML

Facility

$198.45

Hospital Charge Code	41567536
Hospital Revenue Code	270
Min. Negotiated Rate	$69.46
Max. Negotiated Rate	$158.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$109.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$99.22
Rate for Payer: Aetna Government	$99.22
Rate for Payer: Brighton Health Commercial	$148.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$158.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.95
Rate for Payer: Group Health Inc Commercial	$99.22
Rate for Payer: Group Health Inc Medicare	$69.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$99.22
Rate for Payer: Hamaspik Choice Inc Medicare	$99.22

ZZ RENO 60 50ML

Facility

$31.19

Hospital Charge Code	41567534
Hospital Revenue Code	270
Min. Negotiated Rate	$10.92
Max. Negotiated Rate	$24.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.60
Rate for Payer: Aetna Government	$15.60
Rate for Payer: Brighton Health Commercial	$23.39
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.21
Rate for Payer: Group Health Inc Commercial	$15.60
Rate for Payer: Group Health Inc Medicare	$10.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.60
Rate for Payer: Hamaspik Choice Inc Medicare	$15.60

ZZ RFA ABLATION SYSTEM CORE TIP

Facility

$3,360.00

Hospital Charge Code	41568744
Hospital Revenue Code	270
Min. Negotiated Rate	$1,176.00
Max. Negotiated Rate	$2,688.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,848.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,680.00
Rate for Payer: Aetna Government	$1,680.00
Rate for Payer: Brighton Health Commercial	$2,520.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,688.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,284.80
Rate for Payer: Group Health Inc Commercial	$1,680.00
Rate for Payer: Group Health Inc Medicare	$1,176.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,680.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,680.00

ZZ RING JUGULAR INTRAHEPATIC

Facility

$800.89

Hospital Charge Code	41567325
Hospital Revenue Code	270
Min. Negotiated Rate	$280.31
Max. Negotiated Rate	$640.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$440.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$400.44
Rate for Payer: Aetna Government	$400.44
Rate for Payer: Brighton Health Commercial	$600.67
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$640.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$544.61
Rate for Payer: Group Health Inc Commercial	$400.44
Rate for Payer: Group Health Inc Medicare	$280.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$400.44
Rate for Payer: Hamaspik Choice Inc Medicare	$400.44

ZZ ROAD RUNNER .018 GUIDE WIRE

Facility

$275.50

Service Code	HCPCS C1769
Hospital Charge Code	41567747
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$289.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$151.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$165.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$137.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$158.41
Rate for Payer: EmblemHealth Commercial	$137.75
Rate for Payer: Fidelis Medicare Advantage	$289.28
Rate for Payer: Group Health Inc Commercial	$137.75
Rate for Payer: Group Health Inc Medicare	$96.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$137.75
Rate for Payer: Hamaspik Choice Inc Medicare	$137.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$179.08

ZZ ROAD RUNNER .018 GUIDE WIRE

Facility

$275.50

Service Code	HCPCS C1769
Hospital Charge Code	41567747
Hospital Revenue Code	278
Min. Negotiated Rate	$137.75
Max. Negotiated Rate	$137.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$137.75
Rate for Payer: Hamaspik Choice Inc Medicare	$137.75

ZZ ROOSEVELT TY ANG TRAY

Facility

$136.44

Hospital Charge Code	41567001
Hospital Revenue Code	270
Min. Negotiated Rate	$47.75
Max. Negotiated Rate	$109.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$75.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$68.22
Rate for Payer: Aetna Government	$68.22
Rate for Payer: Brighton Health Commercial	$102.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$109.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.78
Rate for Payer: Group Health Inc Commercial	$68.22
Rate for Payer: Group Health Inc Medicare	$47.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$68.22
Rate for Payer: Hamaspik Choice Inc Medicare	$68.22

ZZ ROSS INTRODUCER GT KIT 18FR

Facility

$333.60

Hospital Charge Code	41561803
Hospital Revenue Code	270
Min. Negotiated Rate	$116.76
Max. Negotiated Rate	$266.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$166.80
Rate for Payer: Aetna Government	$166.80
Rate for Payer: Brighton Health Commercial	$250.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$266.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$226.85
Rate for Payer: Group Health Inc Commercial	$166.80
Rate for Payer: Group Health Inc Medicare	$116.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.80
Rate for Payer: Hamaspik Choice Inc Medicare	$166.80

ZZ ROTATING Y ADAPTER

Facility

$73.01

Hospital Charge Code	41567305
Hospital Revenue Code	270
Min. Negotiated Rate	$25.55
Max. Negotiated Rate	$58.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$40.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$36.50
Rate for Payer: Aetna Government	$36.50
Rate for Payer: Brighton Health Commercial	$54.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$58.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$49.65
Rate for Payer: Group Health Inc Commercial	$36.50
Rate for Payer: Group Health Inc Medicare	$25.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$36.50
Rate for Payer: Hamaspik Choice Inc Medicare	$36.50

ZZ RPLC VALVE CAP

Facility

$11.34

Hospital Charge Code	41569638
Hospital Revenue Code	270
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$9.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.67
Rate for Payer: Aetna Government	$5.67
Rate for Payer: Brighton Health Commercial	$8.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.71
Rate for Payer: Group Health Inc Commercial	$5.67
Rate for Payer: Group Health Inc Medicare	$3.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.67
Rate for Payer: Hamaspik Choice Inc Medicare	$5.67

ZZ SAFE T CENTESIS 6FR CATH DRAIN

Facility

$147.38

Hospital Charge Code	41567571
Hospital Revenue Code	270
Min. Negotiated Rate	$51.58
Max. Negotiated Rate	$117.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$81.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$73.69
Rate for Payer: Aetna Government	$73.69
Rate for Payer: Brighton Health Commercial	$110.54
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$117.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$100.22
Rate for Payer: Group Health Inc Commercial	$73.69
Rate for Payer: Group Health Inc Medicare	$51.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.69
Rate for Payer: Hamaspik Choice Inc Medicare	$73.69

ZZ SANARUS 9G INTRO. NEEDLE

Facility

$24.00

Hospital Charge Code	41569958
Hospital Revenue Code	279
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$19.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.00
Rate for Payer: Aetna Government	$12.00
Rate for Payer: Brighton Health Commercial	$18.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$19.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.32
Rate for Payer: Group Health Inc Commercial	$12.00
Rate for Payer: Group Health Inc Medicare	$8.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.00
Rate for Payer: Hamaspik Choice Inc Medicare	$12.00

ZZ SENORX 0 MAKER 10G

Facility

$150.00

Hospital Charge Code	41568856
Hospital Revenue Code	270
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$120.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$82.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$75.00
Rate for Payer: Aetna Government	$75.00
Rate for Payer: Brighton Health Commercial	$112.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$102.00
Rate for Payer: Group Health Inc Commercial	$75.00
Rate for Payer: Group Health Inc Medicare	$52.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.00
Rate for Payer: Hamaspik Choice Inc Medicare	$75.00

ZZ SENORX 10G NEEDLE GUIDE

Facility

$13.00

Hospital Charge Code	41568853
Hospital Revenue Code	272
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$10.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.50
Rate for Payer: Aetna Government	$6.50
Rate for Payer: Brighton Health Commercial	$9.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.84
Rate for Payer: Group Health Inc Commercial	$6.50
Rate for Payer: Group Health Inc Medicare	$4.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.50
Rate for Payer: Hamaspik Choice Inc Medicare	$6.50

Know your out-of-pocket cost for care.

All Charges