St. Barnabas Hospital

All Charges

Charge

Type

Price

CC CORDIS GENESIS 7MM X 15MM

Facility OP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528547
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 15MM

Facility IP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528547
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 18MM

Facility OP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528546
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 18MM

Facility IP

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528546
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 29MM

Facility OP

$2,154.00

Service Code	HCPCS C1876
Hospital Charge Code	66528545
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,261.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,184.70
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	$1,077.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,238.55
Rate for Payer: Fidelis Medicare Advantage	$2,261.70
Rate for Payer: Group Health Inc Commercial	$1,077.00
Rate for Payer: Group Health Inc Medicare	$753.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,077.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,400.10

CC CORDIS GENESIS 7MM X 29MM

Facility IP

$2,154.00

Service Code	HCPCS C1876
Hospital Charge Code	66528545
Hospital Revenue Code	278
Min. Negotiated Rate	$1,077.00
Max. Negotiated Rate	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,077.00

CC CORDIS GENESIS 7MM X 39MM

Facility IP

$2,232.00

Service Code	HCPCS C1876
Hospital Charge Code	66528544
Hospital Revenue Code	278
Min. Negotiated Rate	$1,116.00
Max. Negotiated Rate	$1,116.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,116.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,116.00

CC CORDIS GENESIS 7MM X 39MM

Facility OP

$2,232.00

Service Code	HCPCS C1876
Hospital Charge Code	66528544
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,343.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,227.60
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	$1,116.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,283.40
Rate for Payer: Fidelis Medicare Advantage	$2,343.60
Rate for Payer: Group Health Inc Commercial	$1,116.00
Rate for Payer: Group Health Inc Medicare	$781.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,116.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,116.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,450.80

CC CORDIS GENESIS 8MM X 29MM

Facility OP

$2,154.00

Service Code	HCPCS C1876
Hospital Charge Code	66528543
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,261.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,184.70
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	$1,077.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,238.55
Rate for Payer: Fidelis Medicare Advantage	$2,261.70
Rate for Payer: Group Health Inc Commercial	$1,077.00
Rate for Payer: Group Health Inc Medicare	$753.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,077.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,400.10

CC CORDIS GENESIS 8MM X 29MM

Facility IP

$2,154.00

Service Code	HCPCS C1876
Hospital Charge Code	66528543
Hospital Revenue Code	278
Min. Negotiated Rate	$1,077.00
Max. Negotiated Rate	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,077.00

CC CORDIS GENESIS 8MM X 39MM

Facility OP

$2,232.00

Service Code	HCPCS C1876
Hospital Charge Code	66528542
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,343.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,227.60
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	$1,116.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,283.40
Rate for Payer: Fidelis Medicare Advantage	$2,343.60
Rate for Payer: Group Health Inc Commercial	$1,116.00
Rate for Payer: Group Health Inc Medicare	$781.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,116.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,116.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,450.80

CC CORDIS GENESIS 8MM X 39MM

Facility IP

$2,232.00

Service Code	HCPCS C1876
Hospital Charge Code	66528542
Hospital Revenue Code	278
Min. Negotiated Rate	$1,116.00
Max. Negotiated Rate	$1,116.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,116.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,116.00

CC CORDIS GENESIS 9MM X 29MM

Facility IP

$2,154.00

Service Code	HCPCS C1876
Hospital Charge Code	66528541
Hospital Revenue Code	278
Min. Negotiated Rate	$1,077.00
Max. Negotiated Rate	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,077.00

CC CORDIS GENESIS 9MM X 29MM

Facility OP

$2,154.00

Service Code	HCPCS C1876
Hospital Charge Code	66528541
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,261.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,184.70
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	$1,077.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,238.55
Rate for Payer: Fidelis Medicare Advantage	$2,261.70
Rate for Payer: Group Health Inc Commercial	$1,077.00
Rate for Payer: Group Health Inc Medicare	$753.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,077.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,400.10

CC CORDIS GENESIS 9MM X 39MM

Facility IP

$2,232.00

Service Code	HCPCS C1876
Hospital Charge Code	66528540
Hospital Revenue Code	278
Min. Negotiated Rate	$1,116.00
Max. Negotiated Rate	$1,116.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,116.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,116.00

CC CORDIS GENESIS 9MM X 39MM

Facility OP

$2,232.00

Service Code	HCPCS C1876
Hospital Charge Code	66528540
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,343.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,227.60
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	$1,116.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,283.40
Rate for Payer: Fidelis Medicare Advantage	$2,343.60
Rate for Payer: Group Health Inc Commercial	$1,116.00
Rate for Payer: Group Health Inc Medicare	$781.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,116.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,116.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,450.80

CC CORDIS INF. 4 FR JL 3.5 I 100C

Facility OP

$9.20

Hospital Charge Code	66528333
Hospital Revenue Code	270
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.60
Rate for Payer: Aetna Government	$4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.26
Rate for Payer: Group Health Inc Commercial	$4.60
Rate for Payer: Group Health Inc Medicare	$3.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.60
Rate for Payer: Hamaspik Choice Inc Medicare	$4.60

CC CORDIS INF 4 FR JL 4.0 I 100CM

Facility OP

$9.20

Hospital Charge Code	66528334
Hospital Revenue Code	270
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.60
Rate for Payer: Aetna Government	$4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.26
Rate for Payer: Group Health Inc Commercial	$4.60
Rate for Payer: Group Health Inc Medicare	$3.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.60
Rate for Payer: Hamaspik Choice Inc Medicare	$4.60

CC CORDIS INF 4 FR JR 4.0 100CM

Facility OP

$50.00

Hospital Charge Code	66528335
Hospital Revenue Code	270
Min. Negotiated Rate	$17.50
Max. Negotiated Rate	$40.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.00
Rate for Payer: Aetna Government	$25.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.00
Rate for Payer: Group Health Inc Commercial	$25.00
Rate for Payer: Group Health Inc Medicare	$17.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.00
Rate for Payer: Hamaspik Choice Inc Medicare	$25.00

CC CORDIS INF 4 FR MP A-2 100CM

Facility OP

$9.20

Hospital Charge Code	66528336
Hospital Revenue Code	270
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.60
Rate for Payer: Aetna Government	$4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.26
Rate for Payer: Group Health Inc Commercial	$4.60
Rate for Payer: Group Health Inc Medicare	$3.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.60
Rate for Payer: Hamaspik Choice Inc Medicare	$4.60

CC CORDIS INF 4FR PIG ANG MOD 110

Facility OP

$46.00

Hospital Charge Code	66528408
Hospital Revenue Code	270
Min. Negotiated Rate	$16.10
Max. Negotiated Rate	$36.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.00
Rate for Payer: Aetna Government	$23.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$36.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.28
Rate for Payer: Group Health Inc Commercial	$23.00
Rate for Payer: Group Health Inc Medicare	$16.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.00
Rate for Payer: Hamaspik Choice Inc Medicare	$23.00

CC CORDIS INF 4 FR PIG STR 100CM

Facility OP

$9.20

Hospital Charge Code	66528337
Hospital Revenue Code	270
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.60
Rate for Payer: Aetna Government	$4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.26
Rate for Payer: Group Health Inc Commercial	$4.60
Rate for Payer: Group Health Inc Medicare	$3.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.60
Rate for Payer: Hamaspik Choice Inc Medicare	$4.60

CC CORDIS INF 5 FR AL II 100CM

Facility OP

$9.20

Hospital Charge Code	66528339
Hospital Revenue Code	270
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.60
Rate for Payer: Aetna Government	$4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.26
Rate for Payer: Group Health Inc Commercial	$4.60
Rate for Payer: Group Health Inc Medicare	$3.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.60
Rate for Payer: Hamaspik Choice Inc Medicare	$4.60

CC CORDIS INF 5 FR AL III 100CM

Facility OP

$9.20

Hospital Charge Code	66528340
Hospital Revenue Code	270
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.60
Rate for Payer: Aetna Government	$4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.26
Rate for Payer: Group Health Inc Commercial	$4.60
Rate for Payer: Group Health Inc Medicare	$3.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.60
Rate for Payer: Hamaspik Choice Inc Medicare	$4.60

CC CORDIS INF 5 FR AR I 100CM

Facility OP

$9.20

Hospital Charge Code	66528341
Hospital Revenue Code	270
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.60
Rate for Payer: Aetna Government	$4.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.26
Rate for Payer: Group Health Inc Commercial	$4.60
Rate for Payer: Group Health Inc Medicare	$3.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.60
Rate for Payer: Hamaspik Choice Inc Medicare	$4.60

Price Transparency.

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