St. Barnabas Hospital

All Charges

Charge

Type

Price

CC GUIDEWIRE MAILMAN 182CM STR

Facility OP

$1,340.00

Service Code	HCPCS C1769
Hospital Charge Code	66520123
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$1,407.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$737.00
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	$670.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$770.50
Rate for Payer: Fidelis Medicare Advantage	$1,407.00
Rate for Payer: Group Health Inc Commercial	$670.00
Rate for Payer: Group Health Inc Medicare	$469.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$670.00
Rate for Payer: Hamaspik Choice Inc Medicare	$670.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$871.00

CC GUIDEWIRE MAILMAN 300CM STR

Facility OP

$1,638.00

Service Code	HCPCS C1769
Hospital Charge Code	66520124
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$1,719.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$900.90
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	$819.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$941.85
Rate for Payer: Fidelis Medicare Advantage	$1,719.90
Rate for Payer: Group Health Inc Commercial	$819.00
Rate for Payer: Group Health Inc Medicare	$573.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$819.00
Rate for Payer: Hamaspik Choice Inc Medicare	$819.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,064.70

CC GUIDEWIRE MAILMAN 300CM STR

Facility IP

$1,638.00

Service Code	HCPCS C1769
Hospital Charge Code	66520124
Hospital Revenue Code	278
Min. Negotiated Rate	$819.00
Max. Negotiated Rate	$819.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$819.00
Rate for Payer: Hamaspik Choice Inc Medicare	$819.00

CC GUIDEWIRE MOD SUP LUGE 182C ST

Facility OP

$1,340.00

Service Code	HCPCS C1769
Hospital Charge Code	66520122
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$1,407.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$737.00
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	$670.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$770.50
Rate for Payer: Fidelis Medicare Advantage	$1,407.00
Rate for Payer: Group Health Inc Commercial	$670.00
Rate for Payer: Group Health Inc Medicare	$469.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$670.00
Rate for Payer: Hamaspik Choice Inc Medicare	$670.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$871.00

CC GUIDEWIRE MOD SUP LUGE 182C ST

Facility IP

$1,340.00

Service Code	HCPCS C1769
Hospital Charge Code	66520122
Hospital Revenue Code	278
Min. Negotiated Rate	$670.00
Max. Negotiated Rate	$670.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$670.00
Rate for Payer: Hamaspik Choice Inc Medicare	$670.00

CC HAND CONTROLLER SHEATH

Facility OP

$326.50

Hospital Charge Code	66520248
Hospital Revenue Code	270
Min. Negotiated Rate	$114.28
Max. Negotiated Rate	$261.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$179.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$163.25
Rate for Payer: Aetna Government	$163.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$261.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$222.02
Rate for Payer: Group Health Inc Commercial	$163.25
Rate for Payer: Group Health Inc Medicare	$114.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$163.25
Rate for Payer: Hamaspik Choice Inc Medicare	$163.25

CC HIGH PRESSURE SYRINGE

Facility OP

$74.84

Hospital Charge Code	66520249
Hospital Revenue Code	480
Min. Negotiated Rate	$26.19
Max. Negotiated Rate	$59.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$41.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$37.42
Rate for Payer: Aetna Government	$37.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$59.87
Rate for Payer: Cigna LocalPlus Benefit Plan	$50.89
Rate for Payer: Group Health Inc Commercial	$37.42
Rate for Payer: Group Health Inc Medicare	$26.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$37.42
Rate for Payer: Hamaspik Choice Inc Medicare	$37.42

CC HOSPIRA 7FR THERMO. CATH 110CM

Facility OP

$57.88

Hospital Charge Code	66529925
Hospital Revenue Code	480
Min. Negotiated Rate	$20.26
Max. Negotiated Rate	$46.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.83
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.94
Rate for Payer: Aetna Government	$28.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.36
Rate for Payer: Group Health Inc Commercial	$28.94
Rate for Payer: Group Health Inc Medicare	$20.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.94
Rate for Payer: Hamaspik Choice Inc Medicare	$28.94

CC HRT ART/GRFT ANGIO

Facility OP

$8,631.78

Service Code	HCPCS 93459 TC
Hospital Charge Code	66528889
Hospital Revenue Code	481
Min. Negotiated Rate	$881.45
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,747.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4,315.89
Rate for Payer: Aetna Government	$4,315.89
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cash Price	$3,768.27
Rate for Payer: Cash Price	$3,768.27
Rate for Payer: Cash Price	$3,768.27
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,959.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,215.78
Rate for Payer: Fidelis CHP/HARP/Medicaid	$881.45
Rate for Payer: Group Health Inc Commercial	$4,315.89
Rate for Payer: Group Health Inc Medicare	$3,021.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,315.89
Rate for Payer: Hamaspik Choice Inc Medicare	$4,315.89
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$979.39

CC HYDROCOAT HT J W MS .014190CM

Facility OP

$200.00

Service Code	HCPCS C1769
Hospital Charge Code	66529125
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$210.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$110.00
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	$100.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$115.00
Rate for Payer: Fidelis Medicare Advantage	$210.00
Rate for Payer: Group Health Inc Commercial	$100.00
Rate for Payer: Group Health Inc Medicare	$70.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$100.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$130.00

CC HYDROCOAT HT J W MS .014190CM

Facility IP

$200.00

Service Code	HCPCS C1769
Hospital Charge Code	66529125
Hospital Revenue Code	278
Min. Negotiated Rate	$100.00
Max. Negotiated Rate	$100.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$100.00

CC HYDROCOAT HT J W MS .014300CM

Facility IP

$200.00

Service Code	HCPCS C1769
Hospital Charge Code	66529126
Hospital Revenue Code	278
Min. Negotiated Rate	$100.00
Max. Negotiated Rate	$100.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$100.00

CC HYDROCOAT HT J W MS .014300CM

Facility OP

$200.00

Service Code	HCPCS C1769
Hospital Charge Code	66529126
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$210.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$110.00
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	$100.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$115.00
Rate for Payer: Fidelis Medicare Advantage	$210.00
Rate for Payer: Group Health Inc Commercial	$100.00
Rate for Payer: Group Health Inc Medicare	$70.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$100.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$130.00

CC IAB BALLOON 25CC

Facility OP

$1,880.00

Hospital Charge Code	66528370
Hospital Revenue Code	480
Min. Negotiated Rate	$658.00
Max. Negotiated Rate	$1,504.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,034.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$940.00
Rate for Payer: Aetna Government	$940.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,504.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,278.40
Rate for Payer: Group Health Inc Commercial	$940.00
Rate for Payer: Group Health Inc Medicare	$658.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$940.00
Rate for Payer: Hamaspik Choice Inc Medicare	$940.00

CC IAB BALLOON 40CC 8F

Facility OP

$1,880.00

Hospital Charge Code	66528372
Hospital Revenue Code	480
Min. Negotiated Rate	$658.00
Max. Negotiated Rate	$1,504.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,034.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$940.00
Rate for Payer: Aetna Government	$940.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,504.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,278.40
Rate for Payer: Group Health Inc Commercial	$940.00
Rate for Payer: Group Health Inc Medicare	$658.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$940.00
Rate for Payer: Hamaspik Choice Inc Medicare	$940.00

CC IAB CATH MAQUET LINEAR 7.5FR

Facility IP

$2,238.00

Service Code	HCPCS C1725
Hospital Charge Code	66522011
Hospital Revenue Code	278
Min. Negotiated Rate	$1,119.00
Max. Negotiated Rate	$1,119.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,119.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,119.00

CC IAB CATH MAQUET LINEAR 7.5FR

Facility OP

$2,238.00

Service Code	HCPCS C1725
Hospital Charge Code	66522011
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$2,349.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,230.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,119.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,286.85
Rate for Payer: Fidelis Medicare Advantage	$2,349.90
Rate for Payer: Group Health Inc Commercial	$1,119.00
Rate for Payer: Group Health Inc Medicare	$783.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,119.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,119.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,454.70

CC ICD VIRTUOSO 11 VR D274VRC

Facility IP

$43,500.00

Service Code	HCPCS C1899
Hospital Charge Code	66528883
Hospital Revenue Code	278
Min. Negotiated Rate	$21,750.00
Max. Negotiated Rate	$21,750.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,750.00
Rate for Payer: Hamaspik Choice Inc Medicare	$21,750.00

CC ICD VIRTUOSO 11 VR D274VRC

Facility OP

$43,500.00

Service Code	HCPCS C1899
Hospital Charge Code	66528883
Hospital Revenue Code	278
Min. Negotiated Rate	$5,962.88
Max. Negotiated Rate	$45,675.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23,925.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5,962.88
Rate for Payer: Aetna Government	$5,962.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21,750.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$25,012.50
Rate for Payer: Fidelis Medicare Advantage	$45,675.00
Rate for Payer: Group Health Inc Commercial	$21,750.00
Rate for Payer: Group Health Inc Medicare	$15,225.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,750.00
Rate for Payer: Hamaspik Choice Inc Medicare	$21,750.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$28,275.00

CC INJECT CONGENITAL CARD CATH

Facility OP

$170.00

Service Code	HCPCS 93563
Hospital Charge Code	66528863
Hospital Revenue Code	481
Min. Negotiated Rate	$53.93
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$93.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$53.93
Rate for Payer: Aetna Government	$53.93
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,959.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,215.78
Rate for Payer: Fidelis CHP/HARP/Medicaid	$57.10
Rate for Payer: Group Health Inc Commercial	$85.00
Rate for Payer: Group Health Inc Medicare	$59.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$85.00
Rate for Payer: Hamaspik Choice Inc Medicare	$85.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$63.45

CC INJECT CONGENITAL CARD CATH

Facility OP

$158.10

Service Code	HCPCS 93563
Hospital Charge Code	66528885
Hospital Revenue Code	481
Min. Negotiated Rate	$53.93
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$53.93
Rate for Payer: Aetna Government	$53.93
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,959.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,215.78
Rate for Payer: Fidelis CHP/HARP/Medicaid	$57.10
Rate for Payer: Group Health Inc Commercial	$79.05
Rate for Payer: Group Health Inc Medicare	$55.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$79.05
Rate for Payer: Hamaspik Choice Inc Medicare	$79.05
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$63.45

CC INJECT HRT CONGNTL ART/GRFT

Facility OP

$161.25

Service Code	HCPCS 93564
Hospital Charge Code	66528866
Hospital Revenue Code	481
Min. Negotiated Rate	$56.44
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.22
Rate for Payer: Aetna Government	$57.22
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,959.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,215.78
Rate for Payer: Fidelis CHP/HARP/Medicaid	$62.29
Rate for Payer: Group Health Inc Commercial	$80.62
Rate for Payer: Group Health Inc Medicare	$56.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.62
Rate for Payer: Hamaspik Choice Inc Medicare	$80.62
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$69.21

CC INJECTION FOR HEART XRAY LEFT

Facility OP

$249.43

Service Code	HCPCS 93565
Hospital Charge Code	66528221
Hospital Revenue Code	481
Min. Negotiated Rate	$30.83
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$137.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$42.31
Rate for Payer: Aetna Government	$42.31
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,959.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,215.78
Rate for Payer: Fidelis CHP/HARP/Medicaid	$30.83
Rate for Payer: Group Health Inc Commercial	$124.72
Rate for Payer: Group Health Inc Medicare	$87.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$124.72
Rate for Payer: Hamaspik Choice Inc Medicare	$124.72
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$34.26

CC INJECT L VENTR/ATRIAL ANGIO

Facility OP

$249.43

Service Code	HCPCS 93565
Hospital Charge Code	66528890
Hospital Revenue Code	481
Min. Negotiated Rate	$30.83
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$137.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$42.31
Rate for Payer: Aetna Government	$42.31
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,959.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,215.78
Rate for Payer: Fidelis CHP/HARP/Medicaid	$30.83
Rate for Payer: Group Health Inc Commercial	$124.72
Rate for Payer: Group Health Inc Medicare	$87.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$124.72
Rate for Payer: Hamaspik Choice Inc Medicare	$124.72
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$34.26

CC INJECT PULM ART HRT CATH

Facility OP

$510.00

Service Code	HCPCS 93568
Hospital Charge Code	66528876
Hospital Revenue Code	481
Min. Negotiated Rate	$43.85
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$43.85
Rate for Payer: Aetna Government	$43.85
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,959.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,215.78
Rate for Payer: Fidelis CHP/HARP/Medicaid	$53.17
Rate for Payer: Group Health Inc Commercial	$255.00
Rate for Payer: Group Health Inc Medicare	$178.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$255.00
Rate for Payer: Hamaspik Choice Inc Medicare	$255.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$59.08

Price Transparency.

All Charges