St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ TEMNO ADJ BX 20X20

Facility

$119.50

Hospital Charge Code	41569642
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 TENNIS RAC CTH 65 5.35

Facility

$51.74

Hospital Charge Code	41567244
Hospital Revenue Code	272
Min. Negotiated Rate	$18.11
Max. Negotiated Rate	$41.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.87
Rate for Payer: Aetna Government	$25.87
Rate for Payer: Brighton Health Commercial	$38.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$35.18
Rate for Payer: Group Health Inc Commercial	$25.87
Rate for Payer: Group Health Inc Medicare	$18.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.87
Rate for Payer: Hamaspik Choice Inc Medicare	$25.87

ZZ TERUMO GLIDE CATH. 5FR. X100CM

Facility

$103.50

Hospital Charge Code	41567733
Hospital Revenue Code	270
Min. Negotiated Rate	$36.22
Max. Negotiated Rate	$82.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$56.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$51.75
Rate for Payer: Aetna Government	$51.75
Rate for Payer: Brighton Health Commercial	$77.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$82.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$70.38
Rate for Payer: Group Health Inc Commercial	$51.75
Rate for Payer: Group Health Inc Medicare	$36.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$51.75
Rate for Payer: Hamaspik Choice Inc Medicare	$51.75

ZZ TFE COATCURV 0.25/200/15MM

Facility

$80.80

Hospital Charge Code	41569822
Hospital Revenue Code	270
Min. Negotiated Rate	$28.28
Max. Negotiated Rate	$64.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$40.40
Rate for Payer: Aetna Government	$40.40
Rate for Payer: Brighton Health Commercial	$60.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$64.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$54.94
Rate for Payer: Group Health Inc Commercial	$40.40
Rate for Payer: Group Health Inc Medicare	$28.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.40
Rate for Payer: Hamaspik Choice Inc Medicare	$40.40

ZZ THOMBOLYSIS/MTI INFUSION/10CM

Facility

$180.74

Hospital Charge Code	41569194
Hospital Revenue Code	270
Min. Negotiated Rate	$63.26
Max. Negotiated Rate	$144.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$90.37
Rate for Payer: Aetna Government	$90.37
Rate for Payer: Brighton Health Commercial	$135.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$144.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$122.90
Rate for Payer: Group Health Inc Commercial	$90.37
Rate for Payer: Group Health Inc Medicare	$63.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.37
Rate for Payer: Hamaspik Choice Inc Medicare	$90.37

ZZ THORACENTESIS CATH SET

Facility

$101.00

Hospital Charge Code	41567319
Hospital Revenue Code	272
Min. Negotiated Rate	$35.35
Max. Negotiated Rate	$80.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.50
Rate for Payer: Aetna Government	$50.50
Rate for Payer: Brighton Health Commercial	$75.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.68
Rate for Payer: Group Health Inc Commercial	$50.50
Rate for Payer: Group Health Inc Medicare	$35.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50
Rate for Payer: Hamaspik Choice Inc Medicare	$50.50

ZZ THORACIC VENT

Facility

$635.75

Hospital Charge Code	41567326
Hospital Revenue Code	270
Min. Negotiated Rate	$222.51
Max. Negotiated Rate	$508.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$349.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$317.88
Rate for Payer: Aetna Government	$317.88
Rate for Payer: Brighton Health Commercial	$476.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$508.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$432.31
Rate for Payer: Group Health Inc Commercial	$317.88
Rate for Payer: Group Health Inc Medicare	$222.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$317.88
Rate for Payer: Hamaspik Choice Inc Medicare	$317.88

ZZ THROBOLYSIS/INFUSION/4F/5CM

Facility

$202.00

Hospital Charge Code	41569195
Hospital Revenue Code	270
Min. Negotiated Rate	$70.70
Max. Negotiated Rate	$161.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$111.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$101.00
Rate for Payer: Aetna Government	$101.00
Rate for Payer: Brighton Health Commercial	$151.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$161.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$137.36
Rate for Payer: Group Health Inc Commercial	$101.00
Rate for Payer: Group Health Inc Medicare	$70.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$101.00
Rate for Payer: Hamaspik Choice Inc Medicare	$101.00

ZZ THROMBOLYSIS/MEWISSEN/10CM

Facility

$169.04

Hospital Charge Code	41569197
Hospital Revenue Code	270
Min. Negotiated Rate	$59.16
Max. Negotiated Rate	$135.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$92.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$84.52
Rate for Payer: Aetna Government	$84.52
Rate for Payer: Brighton Health Commercial	$126.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$135.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$114.95
Rate for Payer: Group Health Inc Commercial	$84.52
Rate for Payer: Group Health Inc Medicare	$59.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$84.52
Rate for Payer: Hamaspik Choice Inc Medicare	$84.52

ZZ THROMBOLYSIS/MTI INFUSION/5CM

Facility

$180.74

Hospital Charge Code	41569198
Hospital Revenue Code	270
Min. Negotiated Rate	$63.26
Max. Negotiated Rate	$144.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$90.37
Rate for Payer: Aetna Government	$90.37
Rate for Payer: Brighton Health Commercial	$135.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$144.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$122.90
Rate for Payer: Group Health Inc Commercial	$90.37
Rate for Payer: Group Health Inc Medicare	$63.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.37
Rate for Payer: Hamaspik Choice Inc Medicare	$90.37

ZZ THRUWAY GUIDEWIRE 018-190CM

Facility

$200.66

Service Code	HCPCS C1769
Hospital Charge Code	41569870
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$210.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$110.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$120.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$100.33
Rate for Payer: Cigna LocalPlus Benefit Plan	$115.38
Rate for Payer: EmblemHealth Commercial	$100.33
Rate for Payer: Fidelis Medicare Advantage	$210.69
Rate for Payer: Group Health Inc Commercial	$100.33
Rate for Payer: Group Health Inc Medicare	$70.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.33
Rate for Payer: Hamaspik Choice Inc Medicare	$100.33
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$130.43

ZZ THRUWAY GUIDEWIRE 018-190CM

Facility

$200.66

Service Code	HCPCS C1769
Hospital Charge Code	41569870
Hospital Revenue Code	278
Min. Negotiated Rate	$100.33
Max. Negotiated Rate	$100.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.33
Rate for Payer: Hamaspik Choice Inc Medicare	$100.33

ZZ TLA NEEDLE SHEATH 19G/20CM

Facility

$67.34

Hospital Charge Code	41569722
Hospital Revenue Code	270
Min. Negotiated Rate	$23.57
Max. Negotiated Rate	$53.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$37.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$33.67
Rate for Payer: Aetna Government	$33.67
Rate for Payer: Brighton Health Commercial	$50.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.87
Rate for Payer: Cigna LocalPlus Benefit Plan	$45.79
Rate for Payer: Group Health Inc Commercial	$33.67
Rate for Payer: Group Health Inc Medicare	$23.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$33.67
Rate for Payer: Hamaspik Choice Inc Medicare	$33.67

ZZ TNT GUID CATH 7/40/CL1

Facility

$277.13

Hospital Charge Code	41567215
Hospital Revenue Code	272
Min. Negotiated Rate	$97.00
Max. Negotiated Rate	$221.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$152.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$138.56
Rate for Payer: Aetna Government	$138.56
Rate for Payer: Brighton Health Commercial	$207.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$221.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$188.45
Rate for Payer: Group Health Inc Commercial	$138.56
Rate for Payer: Group Health Inc Medicare	$97.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.56
Rate for Payer: Hamaspik Choice Inc Medicare	$138.56

ZZ TNT GUID CATH 8/40/CL1

Facility

$277.13

Hospital Charge Code	41567216
Hospital Revenue Code	272
Min. Negotiated Rate	$97.00
Max. Negotiated Rate	$221.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$152.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$138.56
Rate for Payer: Aetna Government	$138.56
Rate for Payer: Brighton Health Commercial	$207.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$221.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$188.45
Rate for Payer: Group Health Inc Commercial	$138.56
Rate for Payer: Group Health Inc Medicare	$97.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.56
Rate for Payer: Hamaspik Choice Inc Medicare	$138.56

ZZ TORCON ADVANTAGE CATHETER

Facility

$37.00

Service Code	HCPCS C1725
Hospital Charge Code	41567743
Hospital Revenue Code	278
Min. Negotiated Rate	$12.95
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$22.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$18.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.28
Rate for Payer: EmblemHealth Commercial	$18.50
Rate for Payer: Fidelis Medicare Advantage	$38.85
Rate for Payer: Group Health Inc Commercial	$18.50
Rate for Payer: Group Health Inc Medicare	$12.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.50
Rate for Payer: Hamaspik Choice Inc Medicare	$18.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$24.05

ZZ TORCON ADVANTAGE CATHETER

Facility

$55.10

Service Code	HCPCS C1725
Hospital Charge Code	41567738
Hospital Revenue Code	278
Min. Negotiated Rate	$27.55
Max. Negotiated Rate	$27.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.55
Rate for Payer: Hamaspik Choice Inc Medicare	$27.55

ZZ TORCON ADVANTAGE CATHETER

Facility

$55.10

Service Code	HCPCS C1725
Hospital Charge Code	41567738
Hospital Revenue Code	278
Min. Negotiated Rate	$19.28
Max. Negotiated Rate	$57.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$33.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$27.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.68
Rate for Payer: EmblemHealth Commercial	$27.55
Rate for Payer: Fidelis Medicare Advantage	$57.86
Rate for Payer: Group Health Inc Commercial	$27.55
Rate for Payer: Group Health Inc Medicare	$19.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.55
Rate for Payer: Hamaspik Choice Inc Medicare	$27.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$35.82

ZZ TORCON ADVANTAGE CATHETER

Facility

$37.00

Service Code	HCPCS C1725
Hospital Charge Code	41567743
Hospital Revenue Code	278
Min. Negotiated Rate	$18.50
Max. Negotiated Rate	$18.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.50
Rate for Payer: Hamaspik Choice Inc Medicare	$18.50

ZZ TORQUE DEVICE

Facility

$13.93

Hospital Charge Code	41569200
Hospital Revenue Code	270
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$11.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.96
Rate for Payer: Aetna Government	$6.96
Rate for Payer: Brighton Health Commercial	$10.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.47
Rate for Payer: Group Health Inc Commercial	$6.96
Rate for Payer: Group Health Inc Medicare	$4.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.96
Rate for Payer: Hamaspik Choice Inc Medicare	$6.96

ZZ TRACKER/TURBOTRACKER

Facility

$627.25

Service Code	HCPCS C1887
Hospital Charge Code	41569201
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$658.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$344.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.21
Rate for Payer: Aetna Government	$3.21
Rate for Payer: Brighton Health Commercial	$376.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$313.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$360.67
Rate for Payer: EmblemHealth Commercial	$313.62
Rate for Payer: Fidelis Medicare Advantage	$658.61
Rate for Payer: Group Health Inc Commercial	$313.62
Rate for Payer: Group Health Inc Medicare	$219.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$313.62
Rate for Payer: Hamaspik Choice Inc Medicare	$313.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$407.71

ZZ TRACKER/TURBOTRACKER

Facility

$627.25

Service Code	HCPCS C1887
Hospital Charge Code	41569201
Hospital Revenue Code	278
Min. Negotiated Rate	$313.62
Max. Negotiated Rate	$313.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$313.62
Rate for Payer: Hamaspik Choice Inc Medicare	$313.62

ZZ TRAIN SELECTIVE 4FR

Facility

$26.00

Hospital Charge Code	41561805
Hospital Revenue Code	270
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$20.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.00
Rate for Payer: Aetna Government	$13.00
Rate for Payer: Brighton Health Commercial	$19.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$17.68
Rate for Payer: Group Health Inc Commercial	$13.00
Rate for Payer: Group Health Inc Medicare	$9.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$13.00
Rate for Payer: Hamaspik Choice Inc Medicare	$13.00

ZZ TRANSDUCER STERILE COVER

Facility

$16.31

Hospital Charge Code	41567312
Hospital Revenue Code	270
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$13.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.16
Rate for Payer: Aetna Government	$8.16
Rate for Payer: Brighton Health Commercial	$12.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.09
Rate for Payer: Group Health Inc Commercial	$8.16
Rate for Payer: Group Health Inc Medicare	$5.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.16
Rate for Payer: Hamaspik Choice Inc Medicare	$8.16

ZZ TRANSJUGLAR LA SET RUPS 100L

Facility

$536.25

Hospital Charge Code	41569202
Hospital Revenue Code	270
Min. Negotiated Rate	$187.69
Max. Negotiated Rate	$429.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$294.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$268.12
Rate for Payer: Aetna Government	$268.12
Rate for Payer: Brighton Health Commercial	$402.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$429.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$364.65
Rate for Payer: Group Health Inc Commercial	$268.12
Rate for Payer: Group Health Inc Medicare	$187.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$268.12
Rate for Payer: Hamaspik Choice Inc Medicare	$268.12

Know your out-of-pocket cost for care.

All Charges