St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ VIABAHN 8X10CM ENDOGRAFT

Facility

$5,240.00

Hospital Charge Code	41567570
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 8X5CM ENDOGRAFT

Facility

$5,240.00

Hospital Charge Code	41567569
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 8X5X75

Facility

$5,655.83

Hospital Charge Code	41569805
Hospital Revenue Code	279
Min. Negotiated Rate	$1,979.54
Max. Negotiated Rate	$4,524.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,110.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,827.92
Rate for Payer: Aetna Government	$2,827.92
Rate for Payer: Brighton Health Commercial	$4,241.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,524.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,845.96
Rate for Payer: Group Health Inc Commercial	$2,827.92
Rate for Payer: Group Health Inc Medicare	$1,979.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,827.92
Rate for Payer: Hamaspik Choice Inc Medicare	$2,827.92

ZZ VIABAHN ENCAT 8FX110X6

Facility

$6,789.83

Hospital Charge Code	41569807
Hospital Revenue Code	279
Min. Negotiated Rate	$2,376.44
Max. Negotiated Rate	$5,431.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,734.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,394.92
Rate for Payer: Aetna Government	$3,394.92
Rate for Payer: Brighton Health Commercial	$5,092.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,431.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,617.08
Rate for Payer: Group Health Inc Commercial	$3,394.92
Rate for Payer: Group Health Inc Medicare	$2,376.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,394.92
Rate for Payer: Hamaspik Choice Inc Medicare	$3,394.92

ZZ VIABAHN ENCAT 9FX75X7

Facility

$5,655.83

Hospital Charge Code	41569811
Hospital Revenue Code	279
Min. Negotiated Rate	$1,979.54
Max. Negotiated Rate	$4,524.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,110.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,827.92
Rate for Payer: Aetna Government	$2,827.92
Rate for Payer: Brighton Health Commercial	$4,241.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,524.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,845.96
Rate for Payer: Group Health Inc Commercial	$2,827.92
Rate for Payer: Group Health Inc Medicare	$1,979.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,827.92
Rate for Payer: Hamaspik Choice Inc Medicare	$2,827.92

ZZ VIABAHN ENCAT 9FX75X8

Facility

$5,655.83

Hospital Charge Code	41569808
Hospital Revenue Code	279
Min. Negotiated Rate	$1,979.54
Max. Negotiated Rate	$4,524.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,110.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,827.92
Rate for Payer: Aetna Government	$2,827.92
Rate for Payer: Brighton Health Commercial	$4,241.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,524.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,845.96
Rate for Payer: Group Health Inc Commercial	$2,827.92
Rate for Payer: Group Health Inc Medicare	$1,979.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,827.92
Rate for Payer: Hamaspik Choice Inc Medicare	$2,827.92

ZZ VIABAHN IX 7X5X75

Facility

$5,655.83

Hospital Charge Code	41569804
Hospital Revenue Code	279
Min. Negotiated Rate	$1,979.54
Max. Negotiated Rate	$4,524.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,110.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,827.92
Rate for Payer: Aetna Government	$2,827.92
Rate for Payer: Brighton Health Commercial	$4,241.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,524.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,845.96
Rate for Payer: Group Health Inc Commercial	$2,827.92
Rate for Payer: Group Health Inc Medicare	$1,979.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,827.92
Rate for Payer: Hamaspik Choice Inc Medicare	$2,827.92

ZZ VIATORR ENDOPROST 10M 6X 2CM

Facility

$6,241.20

Hospital Charge Code	41569860
Hospital Revenue Code	279
Min. Negotiated Rate	$2,184.42
Max. Negotiated Rate	$4,992.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,432.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,120.60
Rate for Payer: Aetna Government	$3,120.60
Rate for Payer: Brighton Health Commercial	$4,680.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,992.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,244.02
Rate for Payer: Group Health Inc Commercial	$3,120.60
Rate for Payer: Group Health Inc Medicare	$2,184.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,120.60
Rate for Payer: Hamaspik Choice Inc Medicare	$3,120.60

ZZ VIATORR ENDOPROST 10M 7X 2CM

Facility

$7,246.00

Hospital Charge Code	41567849
Hospital Revenue Code	279
Min. Negotiated Rate	$2,536.10
Max. Negotiated Rate	$5,796.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,985.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,623.00
Rate for Payer: Aetna Government	$3,623.00
Rate for Payer: Brighton Health Commercial	$5,434.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,796.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,927.28
Rate for Payer: Group Health Inc Commercial	$3,623.00
Rate for Payer: Group Health Inc Medicare	$2,536.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,623.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,623.00

ZZ VIATORR ENDOPROST 10M 8X 2CM

Facility

$7,246.00

Hospital Charge Code	41567850
Hospital Revenue Code	279
Min. Negotiated Rate	$2,536.10
Max. Negotiated Rate	$5,796.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,985.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,623.00
Rate for Payer: Aetna Government	$3,623.00
Rate for Payer: Brighton Health Commercial	$5,434.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,796.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,927.28
Rate for Payer: Group Health Inc Commercial	$3,623.00
Rate for Payer: Group Health Inc Medicare	$2,536.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,623.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,623.00

ZZ VISIPAQUE(IODXANOL) INJ 320MG

Facility

$185.38

Hospital Charge Code	41569032
Hospital Revenue Code	255
Min. Negotiated Rate	$64.88
Max. Negotiated Rate	$148.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$101.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$92.69
Rate for Payer: Aetna Government	$92.69
Rate for Payer: Brighton Health Commercial	$139.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$148.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$126.06
Rate for Payer: Group Health Inc Commercial	$92.69
Rate for Payer: Group Health Inc Medicare	$64.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$92.69
Rate for Payer: Hamaspik Choice Inc Medicare	$92.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$120.50

ZZ VORTEX PORT SYSTEM

Facility

$790.00

Hospital Charge Code	41568616
Hospital Revenue Code	279
Min. Negotiated Rate	$276.50
Max. Negotiated Rate	$632.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$434.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$395.00
Rate for Payer: Aetna Government	$395.00
Rate for Payer: Brighton Health Commercial	$592.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$632.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$537.20
Rate for Payer: Group Health Inc Commercial	$395.00
Rate for Payer: Group Health Inc Medicare	$276.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$395.00
Rate for Payer: Hamaspik Choice Inc Medicare	$395.00

ZZ VTC-NEPH W/GLIX 10/25

Facility

$264.01

Hospital Charge Code	41567234
Hospital Revenue Code	270
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$211.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$145.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$132.00
Rate for Payer: Aetna Government	$132.00
Rate for Payer: Brighton Health Commercial	$198.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$211.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$179.53
Rate for Payer: Group Health Inc Commercial	$132.00
Rate for Payer: Group Health Inc Medicare	$92.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$132.00
Rate for Payer: Hamaspik Choice Inc Medicare	$132.00

ZZ VTC-NEPH W/GLIX 12/25

Facility

$264.01

Hospital Charge Code	41567235
Hospital Revenue Code	270
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$211.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$145.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$132.00
Rate for Payer: Aetna Government	$132.00
Rate for Payer: Brighton Health Commercial	$198.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$211.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$179.53
Rate for Payer: Group Health Inc Commercial	$132.00
Rate for Payer: Group Health Inc Medicare	$92.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$132.00
Rate for Payer: Hamaspik Choice Inc Medicare	$132.00

ZZ VTC-NEPH W/GLIX 8/25

Facility

$264.01

Hospital Charge Code	41567233
Hospital Revenue Code	270
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$211.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$145.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$132.00
Rate for Payer: Aetna Government	$132.00
Rate for Payer: Brighton Health Commercial	$198.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$211.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$179.53
Rate for Payer: Group Health Inc Commercial	$132.00
Rate for Payer: Group Health Inc Medicare	$92.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$132.00
Rate for Payer: Hamaspik Choice Inc Medicare	$132.00

ZZ VXCL TUNNLD CENTRL VEN.CATH 5F

Facility

$510.30

Hospital Charge Code	41569747
Hospital Revenue Code	270
Min. Negotiated Rate	$178.60
Max. Negotiated Rate	$408.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$280.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$255.15
Rate for Payer: Aetna Government	$255.15
Rate for Payer: Brighton Health Commercial	$382.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$408.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$347.00
Rate for Payer: Group Health Inc Commercial	$255.15
Rate for Payer: Group Health Inc Medicare	$178.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$255.15
Rate for Payer: Hamaspik Choice Inc Medicare	$255.15

ZZ VXCL TUNNLD CENTRL VEN.CATH 6F

Facility

$652.05

Hospital Charge Code	41569748
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 WALLGRAFT CATHETER 10X30

Facility

$5,528.25

Service Code	HCPCS C1876
Hospital Charge Code	41569678
Hospital Revenue Code	278
Min. Negotiated Rate	$2,764.12
Max. Negotiated Rate	$2,764.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,764.12
Rate for Payer: Hamaspik Choice Inc Medicare	$2,764.12

ZZ WALLGRAFT CATHETER 10X30

Facility

$5,528.25

Service Code	HCPCS C1876
Hospital Charge Code	41569678
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$5,804.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,040.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$3,316.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,764.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,178.74
Rate for Payer: EmblemHealth Commercial	$2,764.12
Rate for Payer: Fidelis Medicare Advantage	$5,804.66
Rate for Payer: Group Health Inc Commercial	$2,764.12
Rate for Payer: Group Health Inc Medicare	$1,934.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,764.12
Rate for Payer: Hamaspik Choice Inc Medicare	$2,764.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,593.36

ZZ WALLGRAFT CATHETER 10X70

Facility

$6,378.75

Service Code	HCPCS C1876
Hospital Charge Code	41569680
Hospital Revenue Code	278
Min. Negotiated Rate	$3,189.38
Max. Negotiated Rate	$3,189.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,189.38
Rate for Payer: Hamaspik Choice Inc Medicare	$3,189.38

ZZ WALLGRAFT CATHETER 10X70

Facility

$6,378.75

Service Code	HCPCS C1876
Hospital Charge Code	41569680
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$6,697.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,508.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$3,827.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,189.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,667.78
Rate for Payer: EmblemHealth Commercial	$3,189.38
Rate for Payer: Fidelis Medicare Advantage	$6,697.69
Rate for Payer: Group Health Inc Commercial	$3,189.38
Rate for Payer: Group Health Inc Medicare	$2,232.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,189.38
Rate for Payer: Hamaspik Choice Inc Medicare	$3,189.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,146.19

ZZ WALLGRAFT CATHETER 7X5

Facility

$5,528.25

Service Code	HCPCS C1876
Hospital Charge Code	41569679
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$5,804.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,040.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$3,316.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,764.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,178.74
Rate for Payer: EmblemHealth Commercial	$2,764.12
Rate for Payer: Fidelis Medicare Advantage	$5,804.66
Rate for Payer: Group Health Inc Commercial	$2,764.12
Rate for Payer: Group Health Inc Medicare	$1,934.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,764.12
Rate for Payer: Hamaspik Choice Inc Medicare	$2,764.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,593.36

ZZ WALLGRAFT CATHETER 7X5

Facility

$5,528.25

Service Code	HCPCS C1876
Hospital Charge Code	41569679
Hospital Revenue Code	278
Min. Negotiated Rate	$2,764.12
Max. Negotiated Rate	$2,764.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,764.12
Rate for Payer: Hamaspik Choice Inc Medicare	$2,764.12

ZZ WALL STENT 10X20 6F

Facility

$3,699.68

Service Code	HCPCS C1876
Hospital Charge Code	41569647
Hospital Revenue Code	278
Min. Negotiated Rate	$1,849.84
Max. Negotiated Rate	$1,849.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,849.84
Rate for Payer: Hamaspik Choice Inc Medicare	$1,849.84

ZZ WALL STENT 10X20 6F

Facility

$3,699.68

Service Code	HCPCS C1876
Hospital Charge Code	41569647
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$3,884.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,034.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$2,219.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,849.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,127.32
Rate for Payer: EmblemHealth Commercial	$1,849.84
Rate for Payer: Fidelis Medicare Advantage	$3,884.66
Rate for Payer: Group Health Inc Commercial	$1,849.84
Rate for Payer: Group Health Inc Medicare	$1,294.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,849.84
Rate for Payer: Hamaspik Choice Inc Medicare	$1,849.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,404.79

Know your out-of-pocket cost for care.

All Charges