St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ WIRE/COONS/.035/180CM

Facility

$44.87

Hospital Charge Code	41569149
Hospital Revenue Code	270
Min. Negotiated Rate	$15.70
Max. Negotiated Rate	$35.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$22.44
Rate for Payer: Aetna Government	$22.44
Rate for Payer: Brighton Health Commercial	$33.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$35.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.51
Rate for Payer: Group Health Inc Commercial	$22.44
Rate for Payer: Group Health Inc Medicare	$15.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.44
Rate for Payer: Hamaspik Choice Inc Medicare	$22.44

ZZ WIRE/COONS/.035/260CM

Facility

$54.67

Hospital Charge Code	41569150
Hospital Revenue Code	270
Min. Negotiated Rate	$19.13
Max. Negotiated Rate	$43.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$27.34
Rate for Payer: Aetna Government	$27.34
Rate for Payer: Brighton Health Commercial	$41.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$37.18
Rate for Payer: Group Health Inc Commercial	$27.34
Rate for Payer: Group Health Inc Medicare	$19.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.34
Rate for Payer: Hamaspik Choice Inc Medicare	$27.34

ZZ WIRE/COONS/.038/145CM

Facility

$40.74

Hospital Charge Code	41569151
Hospital Revenue Code	270
Min. Negotiated Rate	$14.26
Max. Negotiated Rate	$32.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.37
Rate for Payer: Aetna Government	$20.37
Rate for Payer: Brighton Health Commercial	$30.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$27.70
Rate for Payer: Group Health Inc Commercial	$20.37
Rate for Payer: Group Health Inc Medicare	$14.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.37
Rate for Payer: Hamaspik Choice Inc Medicare	$20.37

ZZ WIRE/COONS/.038/260CM

Facility

$54.67

Hospital Charge Code	41569152
Hospital Revenue Code	270
Min. Negotiated Rate	$19.13
Max. Negotiated Rate	$43.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$27.34
Rate for Payer: Aetna Government	$27.34
Rate for Payer: Brighton Health Commercial	$41.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$37.18
Rate for Payer: Group Health Inc Commercial	$27.34
Rate for Payer: Group Health Inc Medicare	$19.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.34
Rate for Payer: Hamaspik Choice Inc Medicare	$27.34

ZZ WIRE/COPE/.018/60CM

Facility

$60.84

Hospital Charge Code	41569153
Hospital Revenue Code	270
Min. Negotiated Rate	$21.29
Max. Negotiated Rate	$48.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.42
Rate for Payer: Aetna Government	$30.42
Rate for Payer: Brighton Health Commercial	$45.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.67
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.37
Rate for Payer: Group Health Inc Commercial	$30.42
Rate for Payer: Group Health Inc Medicare	$21.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.42
Rate for Payer: Hamaspik Choice Inc Medicare	$30.42

ZZ WIRE/EMBOLIZATION/.045/180CM

Facility

$14.95

Hospital Charge Code	41569155
Hospital Revenue Code	270
Min. Negotiated Rate	$5.23
Max. Negotiated Rate	$11.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.48
Rate for Payer: Aetna Government	$7.48
Rate for Payer: Brighton Health Commercial	$11.21
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.17
Rate for Payer: Group Health Inc Commercial	$7.48
Rate for Payer: Group Health Inc Medicare	$5.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.48
Rate for Payer: Hamaspik Choice Inc Medicare	$7.48

ZZ WIRE/FASDASHER/.014/195CM

Facility

$350.84

Hospital Charge Code	41569156
Hospital Revenue Code	270
Min. Negotiated Rate	$122.79
Max. Negotiated Rate	$280.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$192.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$175.42
Rate for Payer: Aetna Government	$175.42
Rate for Payer: Brighton Health Commercial	$263.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$280.67
Rate for Payer: Cigna LocalPlus Benefit Plan	$238.57
Rate for Payer: Group Health Inc Commercial	$175.42
Rate for Payer: Group Health Inc Medicare	$122.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$175.42
Rate for Payer: Hamaspik Choice Inc Medicare	$175.42

ZZ WIRE/GLIDE/.018/180CM

Facility

$669.77

Service Code	HCPCS C1769
Hospital Charge Code	41569162
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$703.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$368.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$401.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$334.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$385.12
Rate for Payer: EmblemHealth Commercial	$334.88
Rate for Payer: Fidelis Medicare Advantage	$703.26
Rate for Payer: Group Health Inc Commercial	$334.88
Rate for Payer: Group Health Inc Medicare	$234.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$334.88
Rate for Payer: Hamaspik Choice Inc Medicare	$334.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$435.35

ZZ WIRE/GLIDE/.018/180CM

Facility

$669.77

Service Code	HCPCS C1769
Hospital Charge Code	41569162
Hospital Revenue Code	278
Min. Negotiated Rate	$334.88
Max. Negotiated Rate	$334.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$334.88
Rate for Payer: Hamaspik Choice Inc Medicare	$334.88

ZZ WIRE/GLIDE/.025/180CM

Facility

$651.17

Service Code	HCPCS C1769
Hospital Charge Code	41569163
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$683.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$358.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$390.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$325.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$374.42
Rate for Payer: EmblemHealth Commercial	$325.58
Rate for Payer: Fidelis Medicare Advantage	$683.73
Rate for Payer: Group Health Inc Commercial	$325.58
Rate for Payer: Group Health Inc Medicare	$227.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$325.58
Rate for Payer: Hamaspik Choice Inc Medicare	$325.58
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$423.26

ZZ WIRE/GLIDE/.025/180CM

Facility

$651.17

Service Code	HCPCS C1769
Hospital Charge Code	41569163
Hospital Revenue Code	278
Min. Negotiated Rate	$325.58
Max. Negotiated Rate	$325.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$325.58
Rate for Payer: Hamaspik Choice Inc Medicare	$325.58

ZZ WIRE/GLIDE/.035/150CM

Facility

$356.69

Service Code	HCPCS C1769
Hospital Charge Code	41569164
Hospital Revenue Code	278
Min. Negotiated Rate	$178.34
Max. Negotiated Rate	$178.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.34
Rate for Payer: Hamaspik Choice Inc Medicare	$178.34

ZZ WIRE/GLIDE/.035/150CM

Facility

$356.69

Service Code	HCPCS C1769
Hospital Charge Code	41569164
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$374.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$196.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$214.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$178.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$205.10
Rate for Payer: EmblemHealth Commercial	$178.34
Rate for Payer: Fidelis Medicare Advantage	$374.52
Rate for Payer: Group Health Inc Commercial	$178.34
Rate for Payer: Group Health Inc Medicare	$124.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.34
Rate for Payer: Hamaspik Choice Inc Medicare	$178.34
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$231.85

ZZ WIRE/GLIDE/.038/150CM

Facility

$356.69

Hospital Charge Code	41569165
Hospital Revenue Code	270
Min. Negotiated Rate	$124.84
Max. Negotiated Rate	$285.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$196.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$178.34
Rate for Payer: Aetna Government	$178.34
Rate for Payer: Brighton Health Commercial	$267.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$285.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$242.55
Rate for Payer: Group Health Inc Commercial	$178.34
Rate for Payer: Group Health Inc Medicare	$124.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.34
Rate for Payer: Hamaspik Choice Inc Medicare	$178.34

ZZ WIRE/GLIDE SS/.035/180CM

Facility

$569.31

Service Code	HCPCS C1769
Hospital Charge Code	41569159
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$597.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$313.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$341.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$284.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$327.35
Rate for Payer: EmblemHealth Commercial	$284.66
Rate for Payer: Fidelis Medicare Advantage	$597.78
Rate for Payer: Group Health Inc Commercial	$284.66
Rate for Payer: Group Health Inc Medicare	$199.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$284.66
Rate for Payer: Hamaspik Choice Inc Medicare	$284.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$370.05

ZZ WIRE/GLIDE SS/.035/180CM

Facility

$569.31

Service Code	HCPCS C1769
Hospital Charge Code	41569159
Hospital Revenue Code	278
Min. Negotiated Rate	$284.66
Max. Negotiated Rate	$284.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$284.66
Rate for Payer: Hamaspik Choice Inc Medicare	$284.66

ZZ WIRE/GLIDE SS/.038/150CM

Facility

$548.05

Service Code	HCPCS C1769
Hospital Charge Code	41569161
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$575.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$301.43
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$328.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$274.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$315.13
Rate for Payer: EmblemHealth Commercial	$274.02
Rate for Payer: Fidelis Medicare Advantage	$575.45
Rate for Payer: Group Health Inc Commercial	$274.02
Rate for Payer: Group Health Inc Medicare	$191.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$274.02
Rate for Payer: Hamaspik Choice Inc Medicare	$274.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$356.23

ZZ WIRE/GLIDE SS/.038/150CM

Facility

$548.05

Service Code	HCPCS C1769
Hospital Charge Code	41569161
Hospital Revenue Code	278
Min. Negotiated Rate	$274.02
Max. Negotiated Rate	$274.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$274.02
Rate for Payer: Hamaspik Choice Inc Medicare	$274.02

ZZ WIRE/GLIDE SS/.038/260CM

Facility

$601.21

Hospital Charge Code	41569160
Hospital Revenue Code	270
Min. Negotiated Rate	$210.42
Max. Negotiated Rate	$480.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$330.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$300.60
Rate for Payer: Aetna Government	$300.60
Rate for Payer: Brighton Health Commercial	$450.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$480.97
Rate for Payer: Cigna LocalPlus Benefit Plan	$408.82
Rate for Payer: Group Health Inc Commercial	$300.60
Rate for Payer: Group Health Inc Medicare	$210.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$300.60
Rate for Payer: Hamaspik Choice Inc Medicare	$300.60

ZZ WIRE/GOLDGLIDE/.018/180CM/45

Facility

$372.10

Service Code	HCPCS C1769
Hospital Charge Code	41569166
Hospital Revenue Code	278
Min. Negotiated Rate	$186.05
Max. Negotiated Rate	$186.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$186.05
Rate for Payer: Hamaspik Choice Inc Medicare	$186.05

ZZ WIRE/GOLDGLIDE/.018/180CM/45

Facility

$372.10

Service Code	HCPCS C1769
Hospital Charge Code	41569166
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$390.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$204.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$223.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$186.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$213.96
Rate for Payer: EmblemHealth Commercial	$186.05
Rate for Payer: Fidelis Medicare Advantage	$390.70
Rate for Payer: Group Health Inc Commercial	$186.05
Rate for Payer: Group Health Inc Medicare	$130.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$186.05
Rate for Payer: Hamaspik Choice Inc Medicare	$186.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$241.86

ZZ WIRE/GOLDGLIDE/.018/180CM/70

Facility

$372.10

Service Code	HCPCS C1769
Hospital Charge Code	41569167
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$390.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$204.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$223.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$186.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$213.96
Rate for Payer: EmblemHealth Commercial	$186.05
Rate for Payer: Fidelis Medicare Advantage	$390.70
Rate for Payer: Group Health Inc Commercial	$186.05
Rate for Payer: Group Health Inc Medicare	$130.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$186.05
Rate for Payer: Hamaspik Choice Inc Medicare	$186.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$241.86

ZZ WIRE/GOLDGLIDE/.018/180CM/70

Facility

$372.10

Service Code	HCPCS C1769
Hospital Charge Code	41569167
Hospital Revenue Code	278
Min. Negotiated Rate	$186.05
Max. Negotiated Rate	$186.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$186.05
Rate for Payer: Hamaspik Choice Inc Medicare	$186.05

ZZ WIRE/MEASURING/.035/145CM

Facility

$10.83

Hospital Charge Code	41569172
Hospital Revenue Code	270
Min. Negotiated Rate	$3.79
Max. Negotiated Rate	$8.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.42
Rate for Payer: Aetna Government	$5.42
Rate for Payer: Brighton Health Commercial	$8.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.36
Rate for Payer: Group Health Inc Commercial	$5.42
Rate for Payer: Group Health Inc Medicare	$3.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.42
Rate for Payer: Hamaspik Choice Inc Medicare	$5.42

ZZ WIRE NEWTON LT 035-260CM

Facility

$60.95

Hospital Charge Code	41569672
Hospital Revenue Code	270
Min. Negotiated Rate	$21.33
Max. Negotiated Rate	$48.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.48
Rate for Payer: Aetna Government	$30.48
Rate for Payer: Brighton Health Commercial	$45.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.45
Rate for Payer: Group Health Inc Commercial	$30.48
Rate for Payer: Group Health Inc Medicare	$21.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.48
Rate for Payer: Hamaspik Choice Inc Medicare	$30.48

Know your out-of-pocket cost for care.

All Charges