St. Barnabas Hospital

All Charges

Charge

Type

Price

CC CORDIS AVIATOR 6.0MM X 20MM

Facility IP

$354.20

Service Code	HCPCS C1876
Hospital Charge Code	66528557
Hospital Revenue Code	278
Min. Negotiated Rate	$177.10
Max. Negotiated Rate	$177.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.10
Rate for Payer: Hamaspik Choice Inc Medicare	$177.10

CC CORDIS AVIATOR 6.0MM X 20MM

Facility OP

$354.20

Service Code	HCPCS C1876
Hospital Charge Code	66528557
Hospital Revenue Code	278
Min. Negotiated Rate	$123.97
Max. Negotiated Rate	$398.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$194.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$177.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$203.66
Rate for Payer: Fidelis Medicare Advantage	$371.91
Rate for Payer: Group Health Inc Commercial	$177.10
Rate for Payer: Group Health Inc Medicare	$123.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.10
Rate for Payer: Hamaspik Choice Inc Medicare	$177.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$230.23

CC CORDIS AVIATOR 7.0MM X 15MM

Facility OP

$354.20

Service Code	HCPCS C1876
Hospital Charge Code	66528556
Hospital Revenue Code	278
Min. Negotiated Rate	$123.97
Max. Negotiated Rate	$398.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$194.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$177.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$203.66
Rate for Payer: Fidelis Medicare Advantage	$371.91
Rate for Payer: Group Health Inc Commercial	$177.10
Rate for Payer: Group Health Inc Medicare	$123.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.10
Rate for Payer: Hamaspik Choice Inc Medicare	$177.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$230.23

CC CORDIS AVIATOR 7.0MM X 15MM

Facility IP

$354.20

Service Code	HCPCS C1876
Hospital Charge Code	66528556
Hospital Revenue Code	278
Min. Negotiated Rate	$177.10
Max. Negotiated Rate	$177.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.10
Rate for Payer: Hamaspik Choice Inc Medicare	$177.10

CC CORDIS AVIATOR 7.0MM X 20MM

Facility IP

$354.20

Service Code	HCPCS C1876
Hospital Charge Code	66528555
Hospital Revenue Code	278
Min. Negotiated Rate	$177.10
Max. Negotiated Rate	$177.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.10
Rate for Payer: Hamaspik Choice Inc Medicare	$177.10

CC CORDIS AVIATOR 7.0MM X 20MM

Facility OP

$354.20

Service Code	HCPCS C1876
Hospital Charge Code	66528555
Hospital Revenue Code	278
Min. Negotiated Rate	$123.97
Max. Negotiated Rate	$398.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$194.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$177.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$203.66
Rate for Payer: Fidelis Medicare Advantage	$371.91
Rate for Payer: Group Health Inc Commercial	$177.10
Rate for Payer: Group Health Inc Medicare	$123.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.10
Rate for Payer: Hamaspik Choice Inc Medicare	$177.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$230.23

CC CORDIS EM 035 FIXED CORE PTFE

Facility OP

$44.20

Hospital Charge Code	66528409
Hospital Revenue Code	480
Min. Negotiated Rate	$15.47
Max. Negotiated Rate	$35.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$22.10
Rate for Payer: Aetna Government	$22.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$35.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.06
Rate for Payer: Group Health Inc Commercial	$22.10
Rate for Payer: Group Health Inc Medicare	$15.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.10
Rate for Payer: Hamaspik Choice Inc Medicare	$22.10

CC CORDIS EM. 035 STD JTIP 260CM

Facility OP

$44.20

Hospital Charge Code	66529930
Hospital Revenue Code	270
Min. Negotiated Rate	$15.47
Max. Negotiated Rate	$35.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$22.10
Rate for Payer: Aetna Government	$22.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$35.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.06
Rate for Payer: Group Health Inc Commercial	$22.10
Rate for Payer: Group Health Inc Medicare	$15.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.10
Rate for Payer: Hamaspik Choice Inc Medicare	$22.10

CC CORDIS EMERAL .035 JTIP 150CM

Facility OP

$20.60

Hospital Charge Code	66528259
Hospital Revenue Code	270
Min. Negotiated Rate	$7.21
Max. Negotiated Rate	$16.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.30
Rate for Payer: Aetna Government	$10.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.01
Rate for Payer: Group Health Inc Commercial	$10.30
Rate for Payer: Group Health Inc Medicare	$7.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.30
Rate for Payer: Hamaspik Choice Inc Medicare	$10.30

CC CORDIS EMERALD .035X260CM

Facility IP

$42.00

Service Code	HCPCS C1769
Hospital Charge Code	66528502
Hospital Revenue Code	278
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$21.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.00
Rate for Payer: Hamaspik Choice Inc Medicare	$21.00

CC CORDIS EMERALD .035X260CM

Facility OP

$42.00

Service Code	HCPCS C1769
Hospital Charge Code	66528502
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$44.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.15
Rate for Payer: Fidelis Medicare Advantage	$44.10
Rate for Payer: Group Health Inc Commercial	$21.00
Rate for Payer: Group Health Inc Medicare	$14.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.00
Rate for Payer: Hamaspik Choice Inc Medicare	$21.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$27.30

CC CORDIS GENESIS 5MM X 12MM

Facility OP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528554
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 5MM X 12MM

Facility IP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528554
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 5MM X 15MM

Facility OP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528553
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 5MM X 15MM

Facility IP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528553
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 5MM X 18MM

Facility OP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528552
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 5MM X 18MM

Facility IP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528552
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 6MM X 12MM

Facility IP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528551
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 6MM X 12MM

Facility OP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528551
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 6MM X 15MM

Facility OP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528550
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 6MM X 15MM

Facility IP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528550
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 6MM X 18MM

Facility IP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528549
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 6MM X 18MM

Facility OP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528549
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 7MM X 12MM

Facility IP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528548
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 7MM X 12MM

Facility OP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528548
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

Price Transparency.

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