St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CATHETER 5FR OPENEND URO

Facility

$24.19

Hospital Charge Code	64903037
Hospital Revenue Code	279
Min. Negotiated Rate	$8.47
Max. Negotiated Rate	$19.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.10
Rate for Payer: Aetna Government	$12.10
Rate for Payer: Brighton Health Commercial	$18.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$19.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.45
Rate for Payer: Group Health Inc Commercial	$12.10
Rate for Payer: Group Health Inc Medicare	$8.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.10
Rate for Payer: Hamaspik Choice Inc Medicare	$12.10

CATHETER ACC KUMPE

Facility

$62.00

Hospital Charge Code	64907362
Hospital Revenue Code	270
Min. Negotiated Rate	$21.70
Max. Negotiated Rate	$49.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$34.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$31.00
Rate for Payer: Aetna Government	$31.00
Rate for Payer: Brighton Health Commercial	$46.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$49.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$42.16
Rate for Payer: Group Health Inc Commercial	$31.00
Rate for Payer: Group Health Inc Medicare	$21.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.00
Rate for Payer: Hamaspik Choice Inc Medicare	$31.00

CATHETER ASH SPLIT 14FR 28CM

Facility

$1,075.00

Hospital Charge Code	64902950
Hospital Revenue Code	279
Min. Negotiated Rate	$376.25
Max. Negotiated Rate	$860.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$591.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$537.50
Rate for Payer: Aetna Government	$537.50
Rate for Payer: Brighton Health Commercial	$806.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$860.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$731.00
Rate for Payer: Group Health Inc Commercial	$537.50
Rate for Payer: Group Health Inc Medicare	$376.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$537.50
Rate for Payer: Hamaspik Choice Inc Medicare	$537.50

CATHETER BALLOON DBL LMN

Facility

$253.50

Service Code	HCPCS C1726
Hospital Charge Code	64906893
Hospital Revenue Code	278
Min. Negotiated Rate	$17.43
Max. Negotiated Rate	$266.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$139.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.43
Rate for Payer: Aetna Government	$17.43
Rate for Payer: Brighton Health Commercial	$152.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$126.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$145.76
Rate for Payer: EmblemHealth Commercial	$126.75
Rate for Payer: Fidelis Medicare Advantage	$266.18
Rate for Payer: Group Health Inc Commercial	$126.75
Rate for Payer: Group Health Inc Medicare	$88.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$126.75
Rate for Payer: Hamaspik Choice Inc Medicare	$126.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$164.78

CATHETER BALLOON DBL LMN

Facility

$253.50

Service Code	HCPCS C1726
Hospital Charge Code	64906893
Hospital Revenue Code	278
Min. Negotiated Rate	$126.75
Max. Negotiated Rate	$126.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$126.75
Rate for Payer: Hamaspik Choice Inc Medicare	$126.75

CATHETER, COUDE TIP 14FR 5CC

Facility

$20.63

Hospital Charge Code	64903177
Hospital Revenue Code	279
Min. Negotiated Rate	$7.22
Max. Negotiated Rate	$16.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.32
Rate for Payer: Aetna Government	$10.32
Rate for Payer: Brighton Health Commercial	$15.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.03
Rate for Payer: Group Health Inc Commercial	$10.32
Rate for Payer: Group Health Inc Medicare	$7.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.32
Rate for Payer: Hamaspik Choice Inc Medicare	$10.32

CATHETER, COUDE TIP 20FR 5CC

Facility

$20.63

Hospital Charge Code	64903181
Hospital Revenue Code	279
Min. Negotiated Rate	$7.22
Max. Negotiated Rate	$16.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.32
Rate for Payer: Aetna Government	$10.32
Rate for Payer: Brighton Health Commercial	$15.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.03
Rate for Payer: Group Health Inc Commercial	$10.32
Rate for Payer: Group Health Inc Medicare	$7.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.32
Rate for Payer: Hamaspik Choice Inc Medicare	$10.32

CATHETER, COUDE TIP 22FR 5CC

Facility

$22.21

Hospital Charge Code	64903183
Hospital Revenue Code	279
Min. Negotiated Rate	$7.77
Max. Negotiated Rate	$17.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.10
Rate for Payer: Aetna Government	$11.10
Rate for Payer: Brighton Health Commercial	$16.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.77
Rate for Payer: Cigna LocalPlus Benefit Plan	$15.10
Rate for Payer: Group Health Inc Commercial	$11.10
Rate for Payer: Group Health Inc Medicare	$7.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.10
Rate for Payer: Hamaspik Choice Inc Medicare	$11.10

CATHETER, COUDE TIP 24FR 5CC

Facility

$22.21

Hospital Charge Code	64903184
Hospital Revenue Code	279
Min. Negotiated Rate	$7.77
Max. Negotiated Rate	$17.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$11.10
Rate for Payer: Aetna Government	$11.10
Rate for Payer: Brighton Health Commercial	$16.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.77
Rate for Payer: Cigna LocalPlus Benefit Plan	$15.10
Rate for Payer: Group Health Inc Commercial	$11.10
Rate for Payer: Group Health Inc Medicare	$7.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.10
Rate for Payer: Hamaspik Choice Inc Medicare	$11.10

CATHETER COUNCILL 16FR 5CC

Facility

$29.76

Hospital Charge Code	64903967
Hospital Revenue Code	279
Min. Negotiated Rate	$10.42
Max. Negotiated Rate	$23.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.88
Rate for Payer: Aetna Government	$14.88
Rate for Payer: Brighton Health Commercial	$22.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.81
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.24
Rate for Payer: Group Health Inc Commercial	$14.88
Rate for Payer: Group Health Inc Medicare	$10.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.88
Rate for Payer: Hamaspik Choice Inc Medicare	$14.88

CATHETER COUNCILL 18FR 5CC

Facility

$29.75

Hospital Charge Code	64903970
Hospital Revenue Code	279
Min. Negotiated Rate	$10.41
Max. Negotiated Rate	$23.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.88
Rate for Payer: Aetna Government	$14.88
Rate for Payer: Brighton Health Commercial	$22.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.23
Rate for Payer: Group Health Inc Commercial	$14.88
Rate for Payer: Group Health Inc Medicare	$10.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.88
Rate for Payer: Hamaspik Choice Inc Medicare	$14.88

CATHETER COUNCILL 20FR 5CC

Facility

$2.70

Hospital Charge Code	64904234
Hospital Revenue Code	279
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$2.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.35
Rate for Payer: Aetna Government	$1.35
Rate for Payer: Brighton Health Commercial	$2.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.84
Rate for Payer: Group Health Inc Commercial	$1.35
Rate for Payer: Group Health Inc Medicare	$0.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.35
Rate for Payer: Hamaspik Choice Inc Medicare	$1.35

CATHETER DIALYSIS 23 CM

Facility

$5,522.00

Service Code	HCPCS C1725
Hospital Charge Code	40200683
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$5,798.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,037.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$3,313.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,761.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,175.15
Rate for Payer: EmblemHealth Commercial	$2,761.00
Rate for Payer: Fidelis Medicare Advantage	$5,798.10
Rate for Payer: Group Health Inc Commercial	$2,761.00
Rate for Payer: Group Health Inc Medicare	$1,932.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,761.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,761.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,589.30

CATHETER DIALYSIS 23 CM

Facility

$5,522.00

Service Code	HCPCS C1725
Hospital Charge Code	40200683
Hospital Revenue Code	278
Min. Negotiated Rate	$2,761.00
Max. Negotiated Rate	$2,761.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,761.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,761.00

CATHETER DIALYSIS PERITONEAL

Facility

$106.00

Hospital Charge Code	40201052
Hospital Revenue Code	270
Min. Negotiated Rate	$37.10
Max. Negotiated Rate	$84.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$53.00
Rate for Payer: Aetna Government	$53.00
Rate for Payer: Brighton Health Commercial	$79.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$84.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$72.08
Rate for Payer: Group Health Inc Commercial	$53.00
Rate for Payer: Group Health Inc Medicare	$37.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.00
Rate for Payer: Hamaspik Choice Inc Medicare	$53.00

CATHETER DUAL LUMEN KT 14.5FR

Facility

$737.50

Hospital Charge Code	64904090
Hospital Revenue Code	279
Min. Negotiated Rate	$258.12
Max. Negotiated Rate	$590.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$405.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$368.75
Rate for Payer: Aetna Government	$368.75
Rate for Payer: Brighton Health Commercial	$553.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$590.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$501.50
Rate for Payer: Group Health Inc Commercial	$368.75
Rate for Payer: Group Health Inc Medicare	$258.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$368.75
Rate for Payer: Hamaspik Choice Inc Medicare	$368.75

CATHETER,FOLEY,COUDE,16FR,5CC

Facility

$22.05

Service Code	HCPCS C1758
Hospital Charge Code	64903178
Hospital Revenue Code	279
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$17.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.97
Rate for Payer: Aetna Government	$2.97
Rate for Payer: Brighton Health Commercial	$16.54
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.99
Rate for Payer: Group Health Inc Commercial	$11.02
Rate for Payer: Group Health Inc Medicare	$7.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.02
Rate for Payer: Hamaspik Choice Inc Medicare	$11.02

CATHETER,FOLEY,COUDE,18FR,5CC

Facility

$20.63

Service Code	HCPCS C1758
Hospital Charge Code	64903180
Hospital Revenue Code	279
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$16.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.97
Rate for Payer: Aetna Government	$2.97
Rate for Payer: Brighton Health Commercial	$15.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.03
Rate for Payer: Group Health Inc Commercial	$10.32
Rate for Payer: Group Health Inc Medicare	$7.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.32
Rate for Payer: Hamaspik Choice Inc Medicare	$10.32

CATHETER HEMATURIA 20FR

Facility

$48.00

Hospital Charge Code	40201053
Hospital Revenue Code	270
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$38.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$24.00
Rate for Payer: Aetna Government	$24.00
Rate for Payer: Brighton Health Commercial	$36.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$38.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.64
Rate for Payer: Group Health Inc Commercial	$24.00
Rate for Payer: Group Health Inc Medicare	$16.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.00
Rate for Payer: Hamaspik Choice Inc Medicare	$24.00

CATHETER HEMATURIA 22FR

Facility

$48.00

Hospital Charge Code	40201054
Hospital Revenue Code	270
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$38.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$24.00
Rate for Payer: Aetna Government	$24.00
Rate for Payer: Brighton Health Commercial	$36.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$38.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.64
Rate for Payer: Group Health Inc Commercial	$24.00
Rate for Payer: Group Health Inc Medicare	$16.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.00
Rate for Payer: Hamaspik Choice Inc Medicare	$24.00

CATHETER INTRODUCER SUPRA

Facility

$182.98

Service Code	HCPCS C1887
Hospital Charge Code	64906924
Hospital Revenue Code	278
Min. Negotiated Rate	$91.49
Max. Negotiated Rate	$91.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$91.49
Rate for Payer: Hamaspik Choice Inc Medicare	$91.49

CATHETER INTRODUCER SUPRA

Facility

$182.98

Service Code	HCPCS C1887
Hospital Charge Code	64906924
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$192.13
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$100.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.21
Rate for Payer: Aetna Government	$3.21
Rate for Payer: Brighton Health Commercial	$109.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$91.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$105.21
Rate for Payer: EmblemHealth Commercial	$91.49
Rate for Payer: Fidelis Medicare Advantage	$192.13
Rate for Payer: Group Health Inc Commercial	$91.49
Rate for Payer: Group Health Inc Medicare	$64.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$91.49
Rate for Payer: Hamaspik Choice Inc Medicare	$91.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$118.94

CATHETER, IV,AUTOG,INS,16GX1.16

Facility

$3.96

Hospital Charge Code	64902486
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$3.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.98
Rate for Payer: Aetna Government	$1.98
Rate for Payer: Brighton Health Commercial	$2.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.17
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.69
Rate for Payer: Group Health Inc Commercial	$1.98
Rate for Payer: Group Health Inc Medicare	$1.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.98
Rate for Payer: Hamaspik Choice Inc Medicare	$1.98

CATHETER, IV,AUTOG,INS,18GX1.16

Facility

$3.96

Hospital Charge Code	64902487
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$3.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.98
Rate for Payer: Aetna Government	$1.98
Rate for Payer: Brighton Health Commercial	$2.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.17
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.69
Rate for Payer: Group Health Inc Commercial	$1.98
Rate for Payer: Group Health Inc Medicare	$1.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.98
Rate for Payer: Hamaspik Choice Inc Medicare	$1.98

CATHETER, IV,AUTOG,INS,20GX1.00

Facility

$3.96

Hospital Charge Code	64902491
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$3.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.98
Rate for Payer: Aetna Government	$1.98
Rate for Payer: Brighton Health Commercial	$2.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.17
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.69
Rate for Payer: Group Health Inc Commercial	$1.98
Rate for Payer: Group Health Inc Medicare	$1.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.98
Rate for Payer: Hamaspik Choice Inc Medicare	$1.98

Know your out-of-pocket cost for care.

All Charges