St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ SUB4 BALON 3.5-2/3.8/120

Facility

$1,206.29

Hospital Charge Code	41567203
Hospital Revenue Code	270
Min. Negotiated Rate	$422.20
Max. Negotiated Rate	$965.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$663.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$603.14
Rate for Payer: Aetna Government	$603.14
Rate for Payer: Brighton Health Commercial	$904.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$965.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$820.28
Rate for Payer: Group Health Inc Commercial	$603.14
Rate for Payer: Group Health Inc Medicare	$422.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$603.14
Rate for Payer: Hamaspik Choice Inc Medicare	$603.14

ZZ SUB4 BALON 3.5-4/3.8/120

Facility

$1,206.29

Hospital Charge Code	41567204
Hospital Revenue Code	270
Min. Negotiated Rate	$422.20
Max. Negotiated Rate	$965.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$663.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$603.14
Rate for Payer: Aetna Government	$603.14
Rate for Payer: Brighton Health Commercial	$904.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$965.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$820.28
Rate for Payer: Group Health Inc Commercial	$603.14
Rate for Payer: Group Health Inc Medicare	$422.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$603.14
Rate for Payer: Hamaspik Choice Inc Medicare	$603.14

ZZ SUB4 BALON 4.0-2/3.8/120

Facility

$1,206.29

Hospital Charge Code	41567205
Hospital Revenue Code	270
Min. Negotiated Rate	$422.20
Max. Negotiated Rate	$965.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$663.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$603.14
Rate for Payer: Aetna Government	$603.14
Rate for Payer: Brighton Health Commercial	$904.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$965.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$820.28
Rate for Payer: Group Health Inc Commercial	$603.14
Rate for Payer: Group Health Inc Medicare	$422.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$603.14
Rate for Payer: Hamaspik Choice Inc Medicare	$603.14

ZZ SUB4 BALON 4.0-2/3.8/80

Facility

$1,108.49

Hospital Charge Code	41567199
Hospital Revenue Code	270
Min. Negotiated Rate	$387.97
Max. Negotiated Rate	$886.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$609.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$554.24
Rate for Payer: Aetna Government	$554.24
Rate for Payer: Brighton Health Commercial	$831.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$886.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$753.77
Rate for Payer: Group Health Inc Commercial	$554.24
Rate for Payer: Group Health Inc Medicare	$387.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$554.24
Rate for Payer: Hamaspik Choice Inc Medicare	$554.24

ZZ SUB4 BALON 4.5-2/3.8/120

Facility

$1,206.29

Hospital Charge Code	41567206
Hospital Revenue Code	270
Min. Negotiated Rate	$422.20
Max. Negotiated Rate	$965.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$663.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$603.14
Rate for Payer: Aetna Government	$603.14
Rate for Payer: Brighton Health Commercial	$904.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$965.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$820.28
Rate for Payer: Group Health Inc Commercial	$603.14
Rate for Payer: Group Health Inc Medicare	$422.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$603.14
Rate for Payer: Hamaspik Choice Inc Medicare	$603.14

ZZ SUMP CATH 12 18 ACL

Facility

$322.83

Hospital Charge Code	41567190
Hospital Revenue Code	270
Min. Negotiated Rate	$112.99
Max. Negotiated Rate	$258.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$177.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$161.42
Rate for Payer: Aetna Government	$161.42
Rate for Payer: Brighton Health Commercial	$242.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$258.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$219.52
Rate for Payer: Group Health Inc Commercial	$161.42
Rate for Payer: Group Health Inc Medicare	$112.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$161.42
Rate for Payer: Hamaspik Choice Inc Medicare	$161.42

ZZ SUMP CATH 14 18 ACL

Facility

$322.83

Hospital Charge Code	41567191
Hospital Revenue Code	270
Min. Negotiated Rate	$112.99
Max. Negotiated Rate	$258.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$177.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$161.42
Rate for Payer: Aetna Government	$161.42
Rate for Payer: Brighton Health Commercial	$242.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$258.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$219.52
Rate for Payer: Group Health Inc Commercial	$161.42
Rate for Payer: Group Health Inc Medicare	$112.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$161.42
Rate for Payer: Hamaspik Choice Inc Medicare	$161.42

ZZ SUMP CATH 16 18 ACL

Facility

$322.83

Hospital Charge Code	41567192
Hospital Revenue Code	270
Min. Negotiated Rate	$112.99
Max. Negotiated Rate	$258.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$177.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$161.42
Rate for Payer: Aetna Government	$161.42
Rate for Payer: Brighton Health Commercial	$242.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$258.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$219.52
Rate for Payer: Group Health Inc Commercial	$161.42
Rate for Payer: Group Health Inc Medicare	$112.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$161.42
Rate for Payer: Hamaspik Choice Inc Medicare	$161.42

ZZ SUPER AROW FLEX 10F/35

Facility

$179.32

Hospital Charge Code	41567333
Hospital Revenue Code	270
Min. Negotiated Rate	$62.76
Max. Negotiated Rate	$143.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$98.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$89.66
Rate for Payer: Aetna Government	$89.66
Rate for Payer: Brighton Health Commercial	$134.49
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$143.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$121.94
Rate for Payer: Group Health Inc Commercial	$89.66
Rate for Payer: Group Health Inc Medicare	$62.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$89.66
Rate for Payer: Hamaspik Choice Inc Medicare	$89.66

ZZ SUPER ARROW FLEX 8F/24

Facility

$124.04

Hospital Charge Code	41567327
Hospital Revenue Code	270
Min. Negotiated Rate	$43.41
Max. Negotiated Rate	$99.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$68.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$62.02
Rate for Payer: Aetna Government	$62.02
Rate for Payer: Brighton Health Commercial	$93.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$99.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$84.35
Rate for Payer: Group Health Inc Commercial	$62.02
Rate for Payer: Group Health Inc Medicare	$43.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.02
Rate for Payer: Hamaspik Choice Inc Medicare	$62.02

ZZ SUTURE REMOVAL KIT

Facility

$241.73

Hospital Charge Code	41568874
Hospital Revenue Code	270
Min. Negotiated Rate	$84.61
Max. Negotiated Rate	$193.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$120.86
Rate for Payer: Aetna Government	$120.86
Rate for Payer: Brighton Health Commercial	$181.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$193.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$164.38
Rate for Payer: Group Health Inc Commercial	$120.86
Rate for Payer: Group Health Inc Medicare	$84.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.86
Rate for Payer: Hamaspik Choice Inc Medicare	$120.86

ZZ SUTURE REMOVAL KIT

Facility

$3.90

Hospital Charge Code	41568878
Hospital Revenue Code	270
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$3.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.95
Rate for Payer: Aetna Government	$1.95
Rate for Payer: Brighton Health Commercial	$2.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.65
Rate for Payer: Group Health Inc Commercial	$1.95
Rate for Payer: Group Health Inc Medicare	$1.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.95
Rate for Payer: Hamaspik Choice Inc Medicare	$1.95

ZZ SYMMETRY/SS/2-2-135

Facility

$827.12

Hospital Charge Code	41569097
Hospital Revenue Code	270
Min. Negotiated Rate	$289.49
Max. Negotiated Rate	$661.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$454.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$413.56
Rate for Payer: Aetna Government	$413.56
Rate for Payer: Brighton Health Commercial	$620.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$661.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$562.44
Rate for Payer: Group Health Inc Commercial	$413.56
Rate for Payer: Group Health Inc Medicare	$289.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$413.56
Rate for Payer: Hamaspik Choice Inc Medicare	$413.56

ZZ SYRINGE 20CC

Facility

$0.71

Hospital Charge Code	41567523
Hospital Revenue Code	270
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.36
Rate for Payer: Aetna Government	$0.36
Rate for Payer: Brighton Health Commercial	$0.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.48
Rate for Payer: Group Health Inc Commercial	$0.36
Rate for Payer: Group Health Inc Medicare	$0.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.36
Rate for Payer: Hamaspik Choice Inc Medicare	$0.36

ZZ SYRINGE 30CC

Facility

$0.71

Hospital Charge Code	41567524
Hospital Revenue Code	270
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.36
Rate for Payer: Aetna Government	$0.36
Rate for Payer: Brighton Health Commercial	$0.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.48
Rate for Payer: Group Health Inc Commercial	$0.36
Rate for Payer: Group Health Inc Medicare	$0.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.36
Rate for Payer: Hamaspik Choice Inc Medicare	$0.36

ZZ SYRINGE 60CC

Facility

$1.06

Hospital Charge Code	41567525
Hospital Revenue Code	270
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.53
Rate for Payer: Aetna Government	$0.53
Rate for Payer: Brighton Health Commercial	$0.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.85
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.72
Rate for Payer: Group Health Inc Commercial	$0.53
Rate for Payer: Group Health Inc Medicare	$0.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.53
Rate for Payer: Hamaspik Choice Inc Medicare	$0.53

ZZ SYRINGES 10CC

Facility

$0.36

Hospital Charge Code	41567521
Hospital Revenue Code	270
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.18
Rate for Payer: Aetna Government	$0.18
Rate for Payer: Brighton Health Commercial	$0.27
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.29
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.24
Rate for Payer: Group Health Inc Commercial	$0.18
Rate for Payer: Group Health Inc Medicare	$0.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.18
Rate for Payer: Hamaspik Choice Inc Medicare	$0.18

ZZ TAL PALINDROME 14.5FR/CHX19CM

Facility

$835.43

Hospital Charge Code	41561891
Hospital Revenue Code	272
Min. Negotiated Rate	$292.40
Max. Negotiated Rate	$668.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$459.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$417.72
Rate for Payer: Aetna Government	$417.72
Rate for Payer: Brighton Health Commercial	$626.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$668.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$568.09
Rate for Payer: Group Health Inc Commercial	$417.72
Rate for Payer: Group Health Inc Medicare	$292.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$417.72
Rate for Payer: Hamaspik Choice Inc Medicare	$417.72

ZZ TAL PALINDROME 14.5FR/CHX23CM

Facility

$835.43

Hospital Charge Code	41561892
Hospital Revenue Code	272
Min. Negotiated Rate	$292.40
Max. Negotiated Rate	$668.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$459.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$417.72
Rate for Payer: Aetna Government	$417.72
Rate for Payer: Brighton Health Commercial	$626.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$668.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$568.09
Rate for Payer: Group Health Inc Commercial	$417.72
Rate for Payer: Group Health Inc Medicare	$292.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$417.72
Rate for Payer: Hamaspik Choice Inc Medicare	$417.72

ZZ TECH., TIME 1ST HALF HOUR

Facility

$309.73

Hospital Charge Code	41546000
Hospital Revenue Code	360
Min. Negotiated Rate	$108.41
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$170.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$154.86
Rate for Payer: Aetna Government	$154.86
Rate for Payer: Brighton Health Commercial	$232.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Group Health Inc Commercial	$154.86
Rate for Payer: Group Health Inc Medicare	$108.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$154.86
Rate for Payer: Hamaspik Choice Inc Medicare	$154.86

ZZ TECH. TIME ADD'L HALF HOUR

Facility

$285.27

Hospital Charge Code	41546001
Hospital Revenue Code	360
Min. Negotiated Rate	$99.84
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$156.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$142.64
Rate for Payer: Aetna Government	$142.64
Rate for Payer: Brighton Health Commercial	$213.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Group Health Inc Commercial	$142.64
Rate for Payer: Group Health Inc Medicare	$99.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$142.64
Rate for Payer: Hamaspik Choice Inc Medicare	$142.64

ZZ TECH. TIME ADD'L QR. HOUR

Facility

$142.81

Hospital Charge Code	41546002
Hospital Revenue Code	360
Min. Negotiated Rate	$49.98
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$78.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$71.40
Rate for Payer: Aetna Government	$71.40
Rate for Payer: Brighton Health Commercial	$107.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Group Health Inc Commercial	$71.40
Rate for Payer: Group Health Inc Medicare	$49.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.40
Rate for Payer: Hamaspik Choice Inc Medicare	$71.40

ZZ TEMNO

Facility

$116.95

Hospital Charge Code	41569817
Hospital Revenue Code	270
Min. Negotiated Rate	$40.93
Max. Negotiated Rate	$93.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$64.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$58.48
Rate for Payer: Aetna Government	$58.48
Rate for Payer: Brighton Health Commercial	$87.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$93.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$79.53
Rate for Payer: Group Health Inc Commercial	$58.48
Rate for Payer: Group Health Inc Medicare	$40.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$58.48
Rate for Payer: Hamaspik Choice Inc Medicare	$58.48

ZZ TEMNO ADJ BX 18X15

Facility

$119.50

Hospital Charge Code	41569641
Hospital Revenue Code	270
Min. Negotiated Rate	$41.82
Max. Negotiated Rate	$95.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$65.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$59.75
Rate for Payer: Aetna Government	$59.75
Rate for Payer: Brighton Health Commercial	$89.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$95.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.26
Rate for Payer: Group Health Inc Commercial	$59.75
Rate for Payer: Group Health Inc Medicare	$41.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.75
Rate for Payer: Hamaspik Choice Inc Medicare	$59.75

ZZ TEMNO ADJ BX 20X15

Facility

$119.50

Hospital Charge Code	41569643
Hospital Revenue Code	270
Min. Negotiated Rate	$41.82
Max. Negotiated Rate	$95.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$65.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$59.75
Rate for Payer: Aetna Government	$59.75
Rate for Payer: Brighton Health Commercial	$89.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$95.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.26
Rate for Payer: Group Health Inc Commercial	$59.75
Rate for Payer: Group Health Inc Medicare	$41.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.75
Rate for Payer: Hamaspik Choice Inc Medicare	$59.75

Know your out-of-pocket cost for care.

All Charges