St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CATH BIOPLAR ELECT

Facility

$909.55

Service Code	HCPCS C1725
Hospital Charge Code	64907057
Hospital Revenue Code	278
Min. Negotiated Rate	$454.78
Max. Negotiated Rate	$454.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$454.78
Rate for Payer: Hamaspik Choice Inc Medicare	$454.78

CATH BL EVCS 035 5X150X80

Facility

$110.00

Hospital Charge Code	64906260
Hospital Revenue Code	279
Min. Negotiated Rate	$38.50
Max. Negotiated Rate	$88.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$60.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$55.00
Rate for Payer: Aetna Government	$55.00
Rate for Payer: Brighton Health Commercial	$82.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$88.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$74.80
Rate for Payer: Group Health Inc Commercial	$55.00
Rate for Payer: Group Health Inc Medicare	$38.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$55.00
Rate for Payer: Hamaspik Choice Inc Medicare	$55.00

CATH BLOCK NEEDLE 19X18.7 CON'T

Facility

$544.18

Hospital Charge Code	64903814
Hospital Revenue Code	279
Min. Negotiated Rate	$190.46
Max. Negotiated Rate	$435.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$299.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$272.09
Rate for Payer: Aetna Government	$272.09
Rate for Payer: Brighton Health Commercial	$408.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$435.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$370.04
Rate for Payer: Group Health Inc Commercial	$272.09
Rate for Payer: Group Health Inc Medicare	$190.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$272.09
Rate for Payer: Hamaspik Choice Inc Medicare	$272.09

CATH, CONQUEST40 10X40/75

Facility

$475.00

Hospital Charge Code	64906112
Hospital Revenue Code	279
Min. Negotiated Rate	$166.25
Max. Negotiated Rate	$380.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$261.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$237.50
Rate for Payer: Aetna Government	$237.50
Rate for Payer: Brighton Health Commercial	$356.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$380.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$323.00
Rate for Payer: Group Health Inc Commercial	$237.50
Rate for Payer: Group Health Inc Medicare	$166.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$237.50
Rate for Payer: Hamaspik Choice Inc Medicare	$237.50

CATH, CONQUEST40 12X40/75

Facility

$475.00

Hospital Charge Code	64906113
Hospital Revenue Code	279
Min. Negotiated Rate	$166.25
Max. Negotiated Rate	$380.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$261.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$237.50
Rate for Payer: Aetna Government	$237.50
Rate for Payer: Brighton Health Commercial	$356.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$380.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$323.00
Rate for Payer: Group Health Inc Commercial	$237.50
Rate for Payer: Group Health Inc Medicare	$166.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$237.50
Rate for Payer: Hamaspik Choice Inc Medicare	$237.50

CATH, CONQUEST40 6X40/75

Facility

$475.00

Hospital Charge Code	64906109
Hospital Revenue Code	279
Min. Negotiated Rate	$166.25
Max. Negotiated Rate	$380.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$261.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$237.50
Rate for Payer: Aetna Government	$237.50
Rate for Payer: Brighton Health Commercial	$356.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$380.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$323.00
Rate for Payer: Group Health Inc Commercial	$237.50
Rate for Payer: Group Health Inc Medicare	$166.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$237.50
Rate for Payer: Hamaspik Choice Inc Medicare	$237.50

CATH, CONQUEST40 7X40/75

Facility

$475.00

Hospital Charge Code	64906108
Hospital Revenue Code	279
Min. Negotiated Rate	$166.25
Max. Negotiated Rate	$380.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$261.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$237.50
Rate for Payer: Aetna Government	$237.50
Rate for Payer: Brighton Health Commercial	$356.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$380.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$323.00
Rate for Payer: Group Health Inc Commercial	$237.50
Rate for Payer: Group Health Inc Medicare	$166.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$237.50
Rate for Payer: Hamaspik Choice Inc Medicare	$237.50

CATH, CONQUEST40 7X80/75

Facility

$475.00

Hospital Charge Code	64906110
Hospital Revenue Code	279
Min. Negotiated Rate	$166.25
Max. Negotiated Rate	$380.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$261.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$237.50
Rate for Payer: Aetna Government	$237.50
Rate for Payer: Brighton Health Commercial	$356.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$380.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$323.00
Rate for Payer: Group Health Inc Commercial	$237.50
Rate for Payer: Group Health Inc Medicare	$166.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$237.50
Rate for Payer: Hamaspik Choice Inc Medicare	$237.50

CATH, CONQUEST40 8X40/75

Facility

$475.00

Hospital Charge Code	64906111
Hospital Revenue Code	279
Min. Negotiated Rate	$166.25
Max. Negotiated Rate	$380.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$261.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$237.50
Rate for Payer: Aetna Government	$237.50
Rate for Payer: Brighton Health Commercial	$356.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$380.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$323.00
Rate for Payer: Group Health Inc Commercial	$237.50
Rate for Payer: Group Health Inc Medicare	$166.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$237.50
Rate for Payer: Hamaspik Choice Inc Medicare	$237.50

CATH DIAG 2.6F 150CM STRAIGHT T

Facility

$462.50

Hospital Charge Code	64905039
Hospital Revenue Code	279
Min. Negotiated Rate	$161.88
Max. Negotiated Rate	$370.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$254.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$231.25
Rate for Payer: Aetna Government	$231.25
Rate for Payer: Brighton Health Commercial	$346.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$370.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$314.50
Rate for Payer: Group Health Inc Commercial	$231.25
Rate for Payer: Group Health Inc Medicare	$161.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$231.25
Rate for Payer: Hamaspik Choice Inc Medicare	$231.25

CATH DIAG 4F 135CM ANGLED TIP

Facility

$462.50

Hospital Charge Code	64905037
Hospital Revenue Code	279
Min. Negotiated Rate	$161.88
Max. Negotiated Rate	$370.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$254.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$231.25
Rate for Payer: Aetna Government	$231.25
Rate for Payer: Brighton Health Commercial	$346.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$370.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$314.50
Rate for Payer: Group Health Inc Commercial	$231.25
Rate for Payer: Group Health Inc Medicare	$161.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$231.25
Rate for Payer: Hamaspik Choice Inc Medicare	$231.25

CATH DIALYSIS 19CM TAL PALINDROME

Facility

$1,286.07

Hospital Charge Code	64904248
Hospital Revenue Code	279
Min. Negotiated Rate	$450.12
Max. Negotiated Rate	$1,028.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$707.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$643.04
Rate for Payer: Aetna Government	$643.04
Rate for Payer: Brighton Health Commercial	$964.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,028.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$874.53
Rate for Payer: Group Health Inc Commercial	$643.04
Rate for Payer: Group Health Inc Medicare	$450.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$643.04
Rate for Payer: Hamaspik Choice Inc Medicare	$643.04

CATH DILAT CONQUEST 12/2/75 8F

Facility

$475.00

Hospital Charge Code	64903905
Hospital Revenue Code	279
Min. Negotiated Rate	$166.25
Max. Negotiated Rate	$380.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$261.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$237.50
Rate for Payer: Aetna Government	$237.50
Rate for Payer: Brighton Health Commercial	$356.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$380.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$323.00
Rate for Payer: Group Health Inc Commercial	$237.50
Rate for Payer: Group Health Inc Medicare	$166.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$237.50
Rate for Payer: Hamaspik Choice Inc Medicare	$237.50

CATH DILATION 8MM BALLOON 5FR

Facility

$450.00

Hospital Charge Code	64905124
Hospital Revenue Code	279
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$360.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$247.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$225.00
Rate for Payer: Aetna Government	$225.00
Rate for Payer: Brighton Health Commercial	$337.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$360.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$306.00
Rate for Payer: Group Health Inc Commercial	$225.00
Rate for Payer: Group Health Inc Medicare	$157.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.00
Rate for Payer: Hamaspik Choice Inc Medicare	$225.00

CATH ELECTROHEM INJ GOLD PROBE10F

Facility

$650.00

Hospital Charge Code	64904395
Hospital Revenue Code	279
Min. Negotiated Rate	$227.50
Max. Negotiated Rate	$520.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$357.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$325.00
Rate for Payer: Aetna Government	$325.00
Rate for Payer: Brighton Health Commercial	$487.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$520.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$442.00
Rate for Payer: Group Health Inc Commercial	$325.00
Rate for Payer: Group Health Inc Medicare	$227.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$325.00
Rate for Payer: Hamaspik Choice Inc Medicare	$325.00

CATH EMBLO FOGARTY 2 FR

Facility

$195.30

Hospital Charge Code	64905750
Hospital Revenue Code	279
Min. Negotiated Rate	$68.36
Max. Negotiated Rate	$156.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$97.65
Rate for Payer: Aetna Government	$97.65
Rate for Payer: Brighton Health Commercial	$146.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$156.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$132.80
Rate for Payer: Group Health Inc Commercial	$97.65
Rate for Payer: Group Health Inc Medicare	$68.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.65
Rate for Payer: Hamaspik Choice Inc Medicare	$97.65

CATH EMBOLECTOMY 5F 1.5ML 40CM

Facility

$152.50

Service Code	HCPCS C1884
Hospital Charge Code	64902751
Hospital Revenue Code	279
Min. Negotiated Rate	$53.38
Max. Negotiated Rate	$180.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$83.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$180.07
Rate for Payer: Aetna Government	$180.07
Rate for Payer: Brighton Health Commercial	$114.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$122.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$103.70
Rate for Payer: Group Health Inc Commercial	$76.25
Rate for Payer: Group Health Inc Medicare	$53.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$76.25
Rate for Payer: Hamaspik Choice Inc Medicare	$76.25

CATHERIZATION INNER NOSE

Facility

$4,086.83

Service Code	HCPCS 30802
Hospital Charge Code	40109050
Hospital Revenue Code	360
Rate for Payer: Cash Price	$1,763.60

CATHERIZATION INNER NOSE

Facility

$4,086.83

Service Code	HCPCS 30802
Hospital Charge Code	40109050
Hospital Revenue Code	360
Min. Negotiated Rate	$1,234.52
Max. Negotiated Rate	$3,065.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,412.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,763.60
Rate for Payer: Aetna Government	$1,763.60
Rate for Payer: Affinity Essential Plan 1&2	$1,234.52
Rate for Payer: Affinity Essential Plan 3&4	$1,234.52
Rate for Payer: Affinity Medicaid/CHP/HARP	$1,234.52
Rate for Payer: Brighton Health Commercial	$3,065.12
Rate for Payer: Cash Price	$1,763.60
Rate for Payer: Cash Price	$1,763.60
Rate for Payer: Cash Price	$1,763.60
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$1,763.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Elderplan Medicare Advantage	$1,763.60
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$1,499.06
Rate for Payer: Fidelis Essential Plan QHP	$1,569.60
Rate for Payer: Fidelis Medicare Advantage	$1,763.60
Rate for Payer: Fidelis Qualified Health Plan	$1,569.60
Rate for Payer: Group Health Inc Commercial	$1,763.60
Rate for Payer: Group Health Inc Medicare	$1,763.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,043.42
Rate for Payer: Hamaspik Choice Inc Medicare	$1,763.60
Rate for Payer: Healthfirst Medicare Advantage	$1,499.06
Rate for Payer: Healthfirst QHP	$1,763.60
Rate for Payer: Humana Medicare	$1,798.87
Rate for Payer: Senior Whole Health Medicare Advantage	$1,763.60
Rate for Payer: United Healthcare Commercial	$1,409.00
Rate for Payer: United Healthcare Medicare Advantage	$1,763.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,763.60
Rate for Payer: Wellcare CHP/FHP/Medicaid	$1,410.88
Rate for Payer: Wellcare Medicare	$1,675.42

CATHETER 20FR 30CC RIB BAL 3WAY

Facility

$23.77

Hospital Charge Code	64904322
Hospital Revenue Code	279
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$19.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.88
Rate for Payer: Aetna Government	$11.88
Rate for Payer: Brighton Health Commercial	$17.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$19.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.16
Rate for Payer: Group Health Inc Commercial	$11.88
Rate for Payer: Group Health Inc Medicare	$8.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.88
Rate for Payer: Hamaspik Choice Inc Medicare	$11.88

CATHETER 22FR 30CC RIB BALL 3WAY

Facility

$23.32

Hospital Charge Code	64904288
Hospital Revenue Code	279
Min. Negotiated Rate	$8.16
Max. Negotiated Rate	$18.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.83
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.66
Rate for Payer: Aetna Government	$11.66
Rate for Payer: Brighton Health Commercial	$17.49
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$18.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$15.86
Rate for Payer: Group Health Inc Commercial	$11.66
Rate for Payer: Group Health Inc Medicare	$8.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.66
Rate for Payer: Hamaspik Choice Inc Medicare	$11.66

CATHETER, 22FR 3-WAY IR

Facility

$10.61

Hospital Charge Code	64903143
Hospital Revenue Code	279
Min. Negotiated Rate	$3.71
Max. Negotiated Rate	$8.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.30
Rate for Payer: Aetna Government	$5.30
Rate for Payer: Brighton Health Commercial	$7.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.21
Rate for Payer: Group Health Inc Commercial	$5.30
Rate for Payer: Group Health Inc Medicare	$3.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.30
Rate for Payer: Hamaspik Choice Inc Medicare	$5.30

CATHETER, 24FR 3-WAY IR

Facility

$53.03

Hospital Charge Code	64904014
Hospital Revenue Code	279
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$42.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.52
Rate for Payer: Aetna Government	$26.52
Rate for Payer: Brighton Health Commercial	$39.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$42.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.06
Rate for Payer: Group Health Inc Commercial	$26.52
Rate for Payer: Group Health Inc Medicare	$18.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.52
Rate for Payer: Hamaspik Choice Inc Medicare	$26.52

CATHETER < 400

Facility

$357.37

Hospital Charge Code	40203064
Hospital Revenue Code	272
Min. Negotiated Rate	$125.08
Max. Negotiated Rate	$285.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$196.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$178.68
Rate for Payer: Aetna Government	$178.68
Rate for Payer: Brighton Health Commercial	$268.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$285.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$243.01
Rate for Payer: Group Health Inc Commercial	$178.68
Rate for Payer: Group Health Inc Medicare	$125.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.68
Rate for Payer: Hamaspik Choice Inc Medicare	$178.68

CATHETER > 400

Facility

$1,096.67

Hospital Charge Code	40203065
Hospital Revenue Code	272
Min. Negotiated Rate	$383.83
Max. Negotiated Rate	$877.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$603.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$548.34
Rate for Payer: Aetna Government	$548.34
Rate for Payer: Brighton Health Commercial	$822.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$877.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$745.74
Rate for Payer: Group Health Inc Commercial	$548.34
Rate for Payer: Group Health Inc Medicare	$383.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$548.34
Rate for Payer: Hamaspik Choice Inc Medicare	$548.34

Know your out-of-pocket cost for care.

All Charges