St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZZ WIRE NITINOL 018-6CM

Facility

$7.00

Hospital Charge Code	41569673
Hospital Revenue Code	270
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$5.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.50
Rate for Payer: Aetna Government	$3.50
Rate for Payer: Brighton Health Commercial	$5.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.76
Rate for Payer: Group Health Inc Commercial	$3.50
Rate for Payer: Group Health Inc Medicare	$2.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.50
Rate for Payer: Hamaspik Choice Inc Medicare	$3.50

ZZ WIRE PLAT + 018-180

Facility

$215.43

Hospital Charge Code	41569674
Hospital Revenue Code	270
Min. Negotiated Rate	$75.40
Max. Negotiated Rate	$172.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$118.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$107.72
Rate for Payer: Aetna Government	$107.72
Rate for Payer: Brighton Health Commercial	$161.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$172.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$146.49
Rate for Payer: Group Health Inc Commercial	$107.72
Rate for Payer: Group Health Inc Medicare	$75.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$107.72
Rate for Payer: Hamaspik Choice Inc Medicare	$107.72

ZZ WIRE/PLAT+/018/260CM

Facility

$222.19

Hospital Charge Code	41569177
Hospital Revenue Code	270
Min. Negotiated Rate	$77.77
Max. Negotiated Rate	$177.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$122.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$111.10
Rate for Payer: Aetna Government	$111.10
Rate for Payer: Brighton Health Commercial	$166.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$177.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$151.09
Rate for Payer: Group Health Inc Commercial	$111.10
Rate for Payer: Group Health Inc Medicare	$77.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$111.10
Rate for Payer: Hamaspik Choice Inc Medicare	$111.10

ZZ WIRE PLAT+/018/80CM

Facility

$183.92

Hospital Charge Code	41569212
Hospital Revenue Code	270
Min. Negotiated Rate	$64.37
Max. Negotiated Rate	$147.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$101.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$91.96
Rate for Payer: Aetna Government	$91.96
Rate for Payer: Brighton Health Commercial	$137.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$147.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$125.07
Rate for Payer: Group Health Inc Commercial	$91.96
Rate for Payer: Group Health Inc Medicare	$64.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$91.96
Rate for Payer: Hamaspik Choice Inc Medicare	$91.96

ZZ WIRE/PLAT+/025/180CM

Facility

$222.19

Service Code	HCPCS C1769
Hospital Charge Code	41569178
Hospital Revenue Code	278
Min. Negotiated Rate	$111.10
Max. Negotiated Rate	$111.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$111.10
Rate for Payer: Hamaspik Choice Inc Medicare	$111.10

ZZ WIRE/PLAT+/025/180CM

Facility

$222.19

Service Code	HCPCS C1769
Hospital Charge Code	41569178
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$233.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$122.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$133.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$111.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$127.76
Rate for Payer: EmblemHealth Commercial	$111.10
Rate for Payer: Fidelis Medicare Advantage	$233.30
Rate for Payer: Group Health Inc Commercial	$111.10
Rate for Payer: Group Health Inc Medicare	$77.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$111.10
Rate for Payer: Hamaspik Choice Inc Medicare	$111.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$144.42

ZZ WIRE/ROADRUNNER/.018/180CM

Facility

$201.10

Hospital Charge Code	41569179
Hospital Revenue Code	270
Min. Negotiated Rate	$70.38
Max. Negotiated Rate	$160.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$110.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$100.55
Rate for Payer: Aetna Government	$100.55
Rate for Payer: Brighton Health Commercial	$150.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$160.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$136.75
Rate for Payer: Group Health Inc Commercial	$100.55
Rate for Payer: Group Health Inc Medicare	$70.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.55
Rate for Payer: Hamaspik Choice Inc Medicare	$100.55

ZZ WIRE/ROADRUNNER/.035/180CM

Facility

$51.57

Hospital Charge Code	41569181
Hospital Revenue Code	270
Min. Negotiated Rate	$18.05
Max. Negotiated Rate	$41.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.78
Rate for Payer: Aetna Government	$25.78
Rate for Payer: Brighton Health Commercial	$38.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$35.07
Rate for Payer: Group Health Inc Commercial	$25.78
Rate for Payer: Group Health Inc Medicare	$18.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.78
Rate for Payer: Hamaspik Choice Inc Medicare	$25.78

ZZ WIRE/ROADRUNNER LT/.035/180CM

Facility

$57.75

Hospital Charge Code	41569180
Hospital Revenue Code	270
Min. Negotiated Rate	$20.21
Max. Negotiated Rate	$46.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.88
Rate for Payer: Aetna Government	$28.88
Rate for Payer: Brighton Health Commercial	$43.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.27
Rate for Payer: Group Health Inc Commercial	$28.88
Rate for Payer: Group Health Inc Medicare	$20.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.88
Rate for Payer: Hamaspik Choice Inc Medicare	$28.88

ZZ WIRE/ROSEN/.035/180CM

Facility

$27.86

Hospital Charge Code	41569182
Hospital Revenue Code	270
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$22.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.93
Rate for Payer: Aetna Government	$13.93
Rate for Payer: Brighton Health Commercial	$20.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.29
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.94
Rate for Payer: Group Health Inc Commercial	$13.93
Rate for Payer: Group Health Inc Medicare	$9.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$13.93
Rate for Payer: Hamaspik Choice Inc Medicare	$13.93

ZZ WIRES 10/42 7F 135 160

Facility

$3,896.00

Hospital Charge Code	41567355
Hospital Revenue Code	270
Min. Negotiated Rate	$1,363.60
Max. Negotiated Rate	$3,116.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,142.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,948.00
Rate for Payer: Aetna Government	$1,948.00
Rate for Payer: Brighton Health Commercial	$2,922.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,116.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,649.28
Rate for Payer: Group Health Inc Commercial	$1,948.00
Rate for Payer: Group Health Inc Medicare	$1,363.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,948.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,948.00

ZZ WIRES 10/42 7F 75 110

Facility

$3,504.77

Hospital Charge Code	41567353
Hospital Revenue Code	270
Min. Negotiated Rate	$1,226.67
Max. Negotiated Rate	$2,803.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,927.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,752.38
Rate for Payer: Aetna Government	$1,752.38
Rate for Payer: Brighton Health Commercial	$2,628.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,803.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,383.24
Rate for Payer: Group Health Inc Commercial	$1,752.38
Rate for Payer: Group Health Inc Medicare	$1,226.67
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,752.38
Rate for Payer: Hamaspik Choice Inc Medicare	$1,752.38

ZZ WIRES 10/68 7F 135 160

Facility

$3,896.00

Hospital Charge Code	41567356
Hospital Revenue Code	270
Min. Negotiated Rate	$1,363.60
Max. Negotiated Rate	$3,116.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,142.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,948.00
Rate for Payer: Aetna Government	$1,948.00
Rate for Payer: Brighton Health Commercial	$2,922.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,116.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,649.28
Rate for Payer: Group Health Inc Commercial	$1,948.00
Rate for Payer: Group Health Inc Medicare	$1,363.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,948.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,948.00

ZZ WIRES 10/68 7F 75 110

Facility

$3,504.77

Hospital Charge Code	41567354
Hospital Revenue Code	270
Min. Negotiated Rate	$1,226.67
Max. Negotiated Rate	$2,803.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,927.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,752.38
Rate for Payer: Aetna Government	$1,752.38
Rate for Payer: Brighton Health Commercial	$2,628.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,803.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,383.24
Rate for Payer: Group Health Inc Commercial	$1,752.38
Rate for Payer: Group Health Inc Medicare	$1,226.67
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,752.38
Rate for Payer: Hamaspik Choice Inc Medicare	$1,752.38

ZZ WIRES 10/94 7F 75 110

Facility

$5,623.94

Hospital Charge Code	41567357
Hospital Revenue Code	270
Min. Negotiated Rate	$1,968.38
Max. Negotiated Rate	$4,499.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,093.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,811.97
Rate for Payer: Aetna Government	$2,811.97
Rate for Payer: Brighton Health Commercial	$4,217.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,499.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,824.28
Rate for Payer: Group Health Inc Commercial	$2,811.97
Rate for Payer: Group Health Inc Medicare	$1,968.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,811.97
Rate for Payer: Hamaspik Choice Inc Medicare	$2,811.97

ZZ WIRES 12/60 7F 75 110

Facility

$3,504.77

Hospital Charge Code	41567358
Hospital Revenue Code	270
Min. Negotiated Rate	$1,226.67
Max. Negotiated Rate	$2,803.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,927.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,752.38
Rate for Payer: Aetna Government	$1,752.38
Rate for Payer: Brighton Health Commercial	$2,628.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,803.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,383.24
Rate for Payer: Group Health Inc Commercial	$1,752.38
Rate for Payer: Group Health Inc Medicare	$1,226.67
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,752.38
Rate for Payer: Hamaspik Choice Inc Medicare	$1,752.38

ZZ WIRES 12/90 7F 75 110

Facility

$5,623.94

Hospital Charge Code	41567359
Hospital Revenue Code	270
Min. Negotiated Rate	$1,968.38
Max. Negotiated Rate	$4,499.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,093.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,811.97
Rate for Payer: Aetna Government	$2,811.97
Rate for Payer: Brighton Health Commercial	$4,217.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,499.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,824.28
Rate for Payer: Group Health Inc Commercial	$2,811.97
Rate for Payer: Group Health Inc Medicare	$1,968.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,811.97
Rate for Payer: Hamaspik Choice Inc Medicare	$2,811.97

ZZ WIRE TAD II 035-145

Facility

$255.15

Service Code	HCPCS C1725
Hospital Charge Code	41569675
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$267.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$140.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$153.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$127.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$146.71
Rate for Payer: EmblemHealth Commercial	$127.58
Rate for Payer: Fidelis Medicare Advantage	$267.91
Rate for Payer: Group Health Inc Commercial	$127.58
Rate for Payer: Group Health Inc Medicare	$89.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$127.58
Rate for Payer: Hamaspik Choice Inc Medicare	$127.58
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$165.85

ZZ WIRE TAD II 035-145

Facility

$255.15

Service Code	HCPCS C1725
Hospital Charge Code	41569675
Hospital Revenue Code	278
Min. Negotiated Rate	$127.58
Max. Negotiated Rate	$127.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$127.58
Rate for Payer: Hamaspik Choice Inc Medicare	$127.58

ZZ WIRE/TIP DEFLECTING/10CM

Facility

$77.35

Hospital Charge Code	41569186
Hospital Revenue Code	270
Min. Negotiated Rate	$27.07
Max. Negotiated Rate	$61.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$42.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$38.68
Rate for Payer: Aetna Government	$38.68
Rate for Payer: Brighton Health Commercial	$58.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$61.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$52.60
Rate for Payer: Group Health Inc Commercial	$38.68
Rate for Payer: Group Health Inc Medicare	$27.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$38.68
Rate for Payer: Hamaspik Choice Inc Medicare	$38.68

ZZ WIRE/TIP DEFLECTING/5CM

Facility

$90.91

Hospital Charge Code	41569187
Hospital Revenue Code	270
Min. Negotiated Rate	$31.82
Max. Negotiated Rate	$72.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$50.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$45.46
Rate for Payer: Aetna Government	$45.46
Rate for Payer: Brighton Health Commercial	$68.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$72.73
Rate for Payer: Cigna LocalPlus Benefit Plan	$61.82
Rate for Payer: Group Health Inc Commercial	$45.46
Rate for Payer: Group Health Inc Medicare	$31.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$45.46
Rate for Payer: Hamaspik Choice Inc Medicare	$45.46

ZZ XCELA DUAL PICC 5F

Facility

$390.00

Hospital Charge Code	41561938
Hospital Revenue Code	270
Min. Negotiated Rate	$136.50
Max. Negotiated Rate	$312.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$195.00
Rate for Payer: Aetna Government	$195.00
Rate for Payer: Brighton Health Commercial	$292.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$312.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$265.20
Rate for Payer: Group Health Inc Commercial	$195.00
Rate for Payer: Group Health Inc Medicare	$136.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.00
Rate for Payer: Hamaspik Choice Inc Medicare	$195.00

ZZ XCELA POWER PORT 6.6F

Facility

$680.00

Hospital Charge Code	41561934
Hospital Revenue Code	270
Min. Negotiated Rate	$238.00
Max. Negotiated Rate	$544.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$374.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$340.00
Rate for Payer: Aetna Government	$340.00
Rate for Payer: Brighton Health Commercial	$510.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$544.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$462.40
Rate for Payer: Group Health Inc Commercial	$340.00
Rate for Payer: Group Health Inc Medicare	$238.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$340.00
Rate for Payer: Hamaspik Choice Inc Medicare	$340.00

ZZ XCELA POWER PORT 8F

Facility

$680.00

Hospital Charge Code	41561935
Hospital Revenue Code	270
Min. Negotiated Rate	$238.00
Max. Negotiated Rate	$544.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$374.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$340.00
Rate for Payer: Aetna Government	$340.00
Rate for Payer: Brighton Health Commercial	$510.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$544.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$462.40
Rate for Payer: Group Health Inc Commercial	$340.00
Rate for Payer: Group Health Inc Medicare	$238.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$340.00
Rate for Payer: Hamaspik Choice Inc Medicare	$340.00

ZZ XCELA POWER PORT 9.6F

Facility

$1,600.00

Hospital Charge Code	41561936
Hospital Revenue Code	270
Min. Negotiated Rate	$560.00
Max. Negotiated Rate	$1,280.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$880.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$800.00
Rate for Payer: Aetna Government	$800.00
Rate for Payer: Brighton Health Commercial	$1,200.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,280.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,088.00
Rate for Payer: Group Health Inc Commercial	$800.00
Rate for Payer: Group Health Inc Medicare	$560.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$800.00
Rate for Payer: Hamaspik Choice Inc Medicare	$800.00

Know your out-of-pocket cost for care.

All Charges