St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ VACUUM PACKAGE W/TUB W/CAN

Facility

$42.50

Hospital Charge Code	41568864
Hospital Revenue Code	270
Min. Negotiated Rate	$14.88
Max. Negotiated Rate	$34.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$21.25
Rate for Payer: Aetna Government	$21.25
Rate for Payer: Brighton Health Commercial	$31.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$34.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$28.90
Rate for Payer: Group Health Inc Commercial	$21.25
Rate for Payer: Group Health Inc Medicare	$14.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.25
Rate for Payer: Hamaspik Choice Inc Medicare	$21.25

ZZ VALLEYLAB MWA ANTENNA 17CM

Facility

$3,880.00

Hospital Charge Code	41567761
Hospital Revenue Code	270
Min. Negotiated Rate	$1,358.00
Max. Negotiated Rate	$3,104.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,940.00
Rate for Payer: Aetna Government	$1,940.00
Rate for Payer: Brighton Health Commercial	$2,910.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,104.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,638.40
Rate for Payer: Group Health Inc Commercial	$1,940.00
Rate for Payer: Group Health Inc Medicare	$1,358.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,940.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,940.00

ZZ VASC ACCES CTH 7-65-20

Facility

$270.74

Hospital Charge Code	41567317
Hospital Revenue Code	270
Min. Negotiated Rate	$94.76
Max. Negotiated Rate	$216.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$148.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$135.37
Rate for Payer: Aetna Government	$135.37
Rate for Payer: Brighton Health Commercial	$203.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$216.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$184.10
Rate for Payer: Group Health Inc Commercial	$135.37
Rate for Payer: Group Health Inc Medicare	$94.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$135.37
Rate for Payer: Hamaspik Choice Inc Medicare	$135.37

ZZ VASC ACCS CTH 6-65-20

Facility

$270.74

Hospital Charge Code	41567316
Hospital Revenue Code	270
Min. Negotiated Rate	$94.76
Max. Negotiated Rate	$216.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$148.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$135.37
Rate for Payer: Aetna Government	$135.37
Rate for Payer: Brighton Health Commercial	$203.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$216.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$184.10
Rate for Payer: Group Health Inc Commercial	$135.37
Rate for Payer: Group Health Inc Medicare	$94.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$135.37
Rate for Payer: Hamaspik Choice Inc Medicare	$135.37

ZZ VASCA-CXK LT SUB 2 LUM

Facility

$198.81

Hospital Charge Code	41567178
Hospital Revenue Code	270
Min. Negotiated Rate	$69.58
Max. Negotiated Rate	$159.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$109.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$99.40
Rate for Payer: Aetna Government	$99.40
Rate for Payer: Brighton Health Commercial	$149.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$159.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$135.19
Rate for Payer: Group Health Inc Commercial	$99.40
Rate for Payer: Group Health Inc Medicare	$69.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$99.40
Rate for Payer: Hamaspik Choice Inc Medicare	$99.40

ZZ VASCATH-CXK RT FEMORAL

Facility

$198.81

Hospital Charge Code	41567180
Hospital Revenue Code	270
Min. Negotiated Rate	$69.58
Max. Negotiated Rate	$159.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$109.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$99.40
Rate for Payer: Aetna Government	$99.40
Rate for Payer: Brighton Health Commercial	$149.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$159.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$135.19
Rate for Payer: Group Health Inc Commercial	$99.40
Rate for Payer: Group Health Inc Medicare	$69.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$99.40
Rate for Payer: Hamaspik Choice Inc Medicare	$99.40

ZZ VASCATH-CXK RT SUBCLAV

Facility

$198.81

Hospital Charge Code	41567177
Hospital Revenue Code	270
Min. Negotiated Rate	$69.58
Max. Negotiated Rate	$159.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$109.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$99.40
Rate for Payer: Aetna Government	$99.40
Rate for Payer: Brighton Health Commercial	$149.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$159.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$135.19
Rate for Payer: Group Health Inc Commercial	$99.40
Rate for Payer: Group Health Inc Medicare	$69.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$99.40
Rate for Payer: Hamaspik Choice Inc Medicare	$99.40

ZZ VASCATH PC-02 19

Facility

$358.63

Hospital Charge Code	41567181
Hospital Revenue Code	270
Min. Negotiated Rate	$125.52
Max. Negotiated Rate	$286.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$197.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$179.32
Rate for Payer: Aetna Government	$179.32
Rate for Payer: Brighton Health Commercial	$268.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$286.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$243.87
Rate for Payer: Group Health Inc Commercial	$179.32
Rate for Payer: Group Health Inc Medicare	$125.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$179.32
Rate for Payer: Hamaspik Choice Inc Medicare	$179.32

ZZ VASCATH PC-02 23

Facility

$358.63

Hospital Charge Code	41567182
Hospital Revenue Code	270
Min. Negotiated Rate	$125.52
Max. Negotiated Rate	$286.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$197.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$179.32
Rate for Payer: Aetna Government	$179.32
Rate for Payer: Brighton Health Commercial	$268.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$286.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$243.87
Rate for Payer: Group Health Inc Commercial	$179.32
Rate for Payer: Group Health Inc Medicare	$125.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$179.32
Rate for Payer: Hamaspik Choice Inc Medicare	$179.32

ZZ VASCULAR DILATOR 4

Facility

$15.24

Hospital Charge Code	41567308
Hospital Revenue Code	270
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$12.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.62
Rate for Payer: Aetna Government	$7.62
Rate for Payer: Brighton Health Commercial	$11.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.36
Rate for Payer: Group Health Inc Commercial	$7.62
Rate for Payer: Group Health Inc Medicare	$5.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.62
Rate for Payer: Hamaspik Choice Inc Medicare	$7.62

ZZ VENACAVA FILTER SYSTEM 9FR70CM

Facility

$3,331.13

Service Code	HCPCS C1880
Hospital Charge Code	41569663
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$3,497.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,832.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Brighton Health Commercial	$1,998.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,665.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,915.40
Rate for Payer: EmblemHealth Commercial	$1,665.56
Rate for Payer: Fidelis Medicare Advantage	$3,497.69
Rate for Payer: Group Health Inc Commercial	$1,665.56
Rate for Payer: Group Health Inc Medicare	$1,165.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,665.56
Rate for Payer: Hamaspik Choice Inc Medicare	$1,665.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,165.23

ZZ VENACAVA FILTER SYSTEM 9FR70CM

Facility

$3,331.13

Service Code	HCPCS C1880
Hospital Charge Code	41569663
Hospital Revenue Code	278
Min. Negotiated Rate	$1,665.56
Max. Negotiated Rate	$1,665.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,665.56
Rate for Payer: Hamaspik Choice Inc Medicare	$1,665.56

ZZ VENATECH VENACAVAL FIL

Facility

$3,048.34

Service Code	HCPCS C1880
Hospital Charge Code	41567132
Hospital Revenue Code	278
Min. Negotiated Rate	$1,524.17
Max. Negotiated Rate	$1,524.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,524.17
Rate for Payer: Hamaspik Choice Inc Medicare	$1,524.17

ZZ VENATECH VENACAVAL FIL

Facility

$3,048.34

Service Code	HCPCS C1880
Hospital Charge Code	41567132
Hospital Revenue Code	278
Min. Negotiated Rate	$57.08
Max. Negotiated Rate	$3,200.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,676.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.08
Rate for Payer: Aetna Government	$57.08
Rate for Payer: Brighton Health Commercial	$1,829.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,524.17
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,752.80
Rate for Payer: EmblemHealth Commercial	$1,524.17
Rate for Payer: Fidelis Medicare Advantage	$3,200.76
Rate for Payer: Group Health Inc Commercial	$1,524.17
Rate for Payer: Group Health Inc Medicare	$1,066.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,524.17
Rate for Payer: Hamaspik Choice Inc Medicare	$1,524.17
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,981.42

ZZ VENOUS PORT/DUAL LUMEN

Facility

$1,477.75

Hospital Charge Code	41569206
Hospital Revenue Code	270
Min. Negotiated Rate	$517.21
Max. Negotiated Rate	$1,182.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$812.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$738.88
Rate for Payer: Aetna Government	$738.88
Rate for Payer: Brighton Health Commercial	$1,108.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,182.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,004.87
Rate for Payer: Group Health Inc Commercial	$738.88
Rate for Payer: Group Health Inc Medicare	$517.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$738.88
Rate for Payer: Hamaspik Choice Inc Medicare	$738.88

ZZ VENOUS PORT/SLIM TITANIUM

Facility

$1,082.27

Hospital Charge Code	41569208
Hospital Revenue Code	270
Min. Negotiated Rate	$378.79
Max. Negotiated Rate	$865.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$595.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$541.14
Rate for Payer: Aetna Government	$541.14
Rate for Payer: Brighton Health Commercial	$811.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$865.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$735.94
Rate for Payer: Group Health Inc Commercial	$541.14
Rate for Payer: Group Health Inc Medicare	$378.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$541.14
Rate for Payer: Hamaspik Choice Inc Medicare	$541.14

ZZ VENOUS PORT/VITAL DUAL LUMEN

Facility

$1,206.54

Hospital Charge Code	41569209
Hospital Revenue Code	270
Min. Negotiated Rate	$422.29
Max. Negotiated Rate	$965.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$663.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$603.27
Rate for Payer: Aetna Government	$603.27
Rate for Payer: Brighton Health Commercial	$904.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$965.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$820.45
Rate for Payer: Group Health Inc Commercial	$603.27
Rate for Payer: Group Health Inc Medicare	$422.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$603.27
Rate for Payer: Hamaspik Choice Inc Medicare	$603.27

ZZ VENOUS PORT/VITAL MINI

Facility

$931.30

Hospital Charge Code	41569210
Hospital Revenue Code	270
Min. Negotiated Rate	$325.96
Max. Negotiated Rate	$745.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$512.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$465.65
Rate for Payer: Aetna Government	$465.65
Rate for Payer: Brighton Health Commercial	$698.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$745.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$633.28
Rate for Payer: Group Health Inc Commercial	$465.65
Rate for Payer: Group Health Inc Medicare	$325.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$465.65
Rate for Payer: Hamaspik Choice Inc Medicare	$465.65

ZZ VENOUS PORT/VITAL PETITE

Facility

$835.31

Hospital Charge Code	41569211
Hospital Revenue Code	270
Min. Negotiated Rate	$292.36
Max. Negotiated Rate	$668.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$459.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$417.66
Rate for Payer: Aetna Government	$417.66
Rate for Payer: Brighton Health Commercial	$626.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$668.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$568.01
Rate for Payer: Group Health Inc Commercial	$417.66
Rate for Payer: Group Health Inc Medicare	$292.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$417.66
Rate for Payer: Hamaspik Choice Inc Medicare	$417.66

ZZ VETEFIX COOK

Facility

$430.00

Hospital Charge Code	41569966
Hospital Revenue Code	279
Min. Negotiated Rate	$150.50
Max. Negotiated Rate	$344.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$236.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$215.00
Rate for Payer: Aetna Government	$215.00
Rate for Payer: Brighton Health Commercial	$322.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$344.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$292.40
Rate for Payer: Group Health Inc Commercial	$215.00
Rate for Payer: Group Health Inc Medicare	$150.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$215.00
Rate for Payer: Hamaspik Choice Inc Medicare	$215.00

ZZ VIABAHN 5X5CM ENDOGRAFT

Facility

$5,240.00

Hospital Charge Code	41567520
Hospital Revenue Code	279
Min. Negotiated Rate	$1,834.00
Max. Negotiated Rate	$4,192.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,882.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,620.00
Rate for Payer: Aetna Government	$2,620.00
Rate for Payer: Brighton Health Commercial	$3,930.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,192.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,563.20
Rate for Payer: Group Health Inc Commercial	$2,620.00
Rate for Payer: Group Health Inc Medicare	$1,834.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,620.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,620.00

ZZ VIABAHN 6X10CM ENDOGRAFT

Facility

$5,240.00

Hospital Charge Code	41567567
Hospital Revenue Code	279
Min. Negotiated Rate	$1,834.00
Max. Negotiated Rate	$4,192.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,882.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,620.00
Rate for Payer: Aetna Government	$2,620.00
Rate for Payer: Brighton Health Commercial	$3,930.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,192.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,563.20
Rate for Payer: Group Health Inc Commercial	$2,620.00
Rate for Payer: Group Health Inc Medicare	$1,834.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,620.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,620.00

ZZ VIABAHN 6X10CM ENDOGRAFT

Facility

$705.83

Hospital Charge Code	41567539
Hospital Revenue Code	279
Min. Negotiated Rate	$247.04
Max. Negotiated Rate	$564.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$388.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$352.92
Rate for Payer: Aetna Government	$352.92
Rate for Payer: Brighton Health Commercial	$529.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$564.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$479.96
Rate for Payer: Group Health Inc Commercial	$352.92
Rate for Payer: Group Health Inc Medicare	$247.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$352.92
Rate for Payer: Hamaspik Choice Inc Medicare	$352.92

ZZ VIABAHN 6X15CM ENDOGRAFT

Facility

$5,240.00

Hospital Charge Code	41567568
Hospital Revenue Code	279
Min. Negotiated Rate	$1,834.00
Max. Negotiated Rate	$4,192.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,882.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,620.00
Rate for Payer: Aetna Government	$2,620.00
Rate for Payer: Brighton Health Commercial	$3,930.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,192.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,563.20
Rate for Payer: Group Health Inc Commercial	$2,620.00
Rate for Payer: Group Health Inc Medicare	$1,834.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,620.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,620.00

ZZ VIABAHN 6X5CM ENDOGRAFT

Facility

$5,240.00

Hospital Charge Code	41567566
Hospital Revenue Code	279
Min. Negotiated Rate	$1,834.00
Max. Negotiated Rate	$4,192.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,882.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,620.00
Rate for Payer: Aetna Government	$2,620.00
Rate for Payer: Brighton Health Commercial	$3,930.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,192.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,563.20
Rate for Payer: Group Health Inc Commercial	$2,620.00
Rate for Payer: Group Health Inc Medicare	$1,834.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,620.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,620.00

Know your out-of-pocket cost for care.

All Charges