St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CC CATH JL 4 5F

Facility

$160.00

Hospital Charge Code	66528865
Hospital Revenue Code	480
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$316.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$80.00
Rate for Payer: Aetna Government	$80.00
Rate for Payer: Brighton Health Commercial	$120.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$128.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$108.80
Rate for Payer: Group Health Inc Commercial	$80.00
Rate for Payer: Group Health Inc Medicare	$56.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00
Rate for Payer: United Healthcare Commercial	$316.00

CC CATH LAB LINEAR 7.5FR 25CC

Facility

$2,238.00

Service Code	HCPCS C1725
Hospital Charge Code	66528980
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 CATH LAB LINEAR 7.5FR 25CC

Facility

$2,238.00

Service Code	HCPCS C1725
Hospital Charge Code	66528980
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: Brighton Health Commercial	$1,342.80
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: EmblemHealth Commercial	$1,119.00
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 CATH LAB LINEAR 7.5FR 34CC

Facility

$2,238.00

Service Code	HCPCS C1725
Hospital Charge Code	66528981
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: Brighton Health Commercial	$1,342.80
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: EmblemHealth Commercial	$1,119.00
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 CATH LAB LINEAR 7.5FR 34CC

Facility

$2,238.00

Service Code	HCPCS C1725
Hospital Charge Code	66528981
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 CATH LAB LINEAR 7.5FR 40CC

Facility

$2,238.00

Service Code	HCPCS C1725
Hospital Charge Code	66528982
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 CATH LAB LINEAR 7.5FR 40CC

Facility

$2,238.00

Service Code	HCPCS C1725
Hospital Charge Code	66528982
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: Brighton Health Commercial	$1,342.80
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: EmblemHealth Commercial	$1,119.00
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 CATH MAVR BALL 4.0X9MM

Facility

$470.00

Service Code	HCPCS C1725
Hospital Charge Code	66520224
Hospital Revenue Code	278
Min. Negotiated Rate	$235.00
Max. Negotiated Rate	$235.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$235.00
Rate for Payer: Hamaspik Choice Inc Medicare	$235.00

CC CATH MAVR BALL 4.0X9MM

Facility

$470.00

Service Code	HCPCS C1725
Hospital Charge Code	66520224
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$493.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$258.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$282.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$235.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$270.25
Rate for Payer: EmblemHealth Commercial	$235.00
Rate for Payer: Fidelis Medicare Advantage	$493.50
Rate for Payer: Group Health Inc Commercial	$235.00
Rate for Payer: Group Health Inc Medicare	$164.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$235.00
Rate for Payer: Hamaspik Choice Inc Medicare	$235.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$305.50

CC CATH MAVRK MONO BALL 2.0X12MM

Facility

$1,546.00

Service Code	HCPCS C1725
Hospital Charge Code	66520221
Hospital Revenue Code	278
Min. Negotiated Rate	$773.00
Max. Negotiated Rate	$773.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$773.00
Rate for Payer: Hamaspik Choice Inc Medicare	$773.00

CC CATH MAVRK MONO BALL 2.0X12MM

Facility

$1,546.00

Service Code	HCPCS C1725
Hospital Charge Code	66520221
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$1,623.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$850.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$927.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$773.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$888.95
Rate for Payer: EmblemHealth Commercial	$773.00
Rate for Payer: Fidelis Medicare Advantage	$1,623.30
Rate for Payer: Group Health Inc Commercial	$773.00
Rate for Payer: Group Health Inc Medicare	$541.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$773.00
Rate for Payer: Hamaspik Choice Inc Medicare	$773.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,004.90

CC CATH MAVRK MONO BALL 2.0X9MM

Facility

$470.00

Service Code	HCPCS C1725
Hospital Charge Code	66520218
Hospital Revenue Code	278
Min. Negotiated Rate	$235.00
Max. Negotiated Rate	$235.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$235.00
Rate for Payer: Hamaspik Choice Inc Medicare	$235.00

CC CATH MAVRK MONO BALL 2.0X9MM

Facility

$470.00

Service Code	HCPCS C1725
Hospital Charge Code	66520218
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$493.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$258.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$282.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$235.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$270.25
Rate for Payer: EmblemHealth Commercial	$235.00
Rate for Payer: Fidelis Medicare Advantage	$493.50
Rate for Payer: Group Health Inc Commercial	$235.00
Rate for Payer: Group Health Inc Medicare	$164.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$235.00
Rate for Payer: Hamaspik Choice Inc Medicare	$235.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$305.50

CC CATH MAVRK MONO BALL 2.5X9MM

Facility

$470.00

Service Code	HCPCS C1725
Hospital Charge Code	66520219
Hospital Revenue Code	278
Min. Negotiated Rate	$235.00
Max. Negotiated Rate	$235.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$235.00
Rate for Payer: Hamaspik Choice Inc Medicare	$235.00

CC CATH MAVRK MONO BALL 2.5X9MM

Facility

$470.00

Service Code	HCPCS C1725
Hospital Charge Code	66520219
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$493.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$258.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$282.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$235.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$270.25
Rate for Payer: EmblemHealth Commercial	$235.00
Rate for Payer: Fidelis Medicare Advantage	$493.50
Rate for Payer: Group Health Inc Commercial	$235.00
Rate for Payer: Group Health Inc Medicare	$164.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$235.00
Rate for Payer: Hamaspik Choice Inc Medicare	$235.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$305.50

CC CATH MAVRK MONO BALL 3.0X9MM

Facility

$470.00

Service Code	HCPCS C1725
Hospital Charge Code	66520220
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$493.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$258.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$282.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$235.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$270.25
Rate for Payer: EmblemHealth Commercial	$235.00
Rate for Payer: Fidelis Medicare Advantage	$493.50
Rate for Payer: Group Health Inc Commercial	$235.00
Rate for Payer: Group Health Inc Medicare	$164.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$235.00
Rate for Payer: Hamaspik Choice Inc Medicare	$235.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$305.50

CC CATH MAVRK MONO BALL 3.0X9MM

Facility

$470.00

Service Code	HCPCS C1725
Hospital Charge Code	66520220
Hospital Revenue Code	278
Min. Negotiated Rate	$235.00
Max. Negotiated Rate	$235.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$235.00
Rate for Payer: Hamaspik Choice Inc Medicare	$235.00

CC CATH MAVRK OTW BALL 3.0X12MM

Facility

$1,514.00

Service Code	HCPCS C1725
Hospital Charge Code	66520215
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$1,589.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$832.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$908.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$757.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$870.55
Rate for Payer: EmblemHealth Commercial	$757.00
Rate for Payer: Fidelis Medicare Advantage	$1,589.70
Rate for Payer: Group Health Inc Commercial	$757.00
Rate for Payer: Group Health Inc Medicare	$529.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$757.00
Rate for Payer: Hamaspik Choice Inc Medicare	$757.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$984.10

CC CATH MAVRK OTW BALL 3.0X12MM

Facility

$1,514.00

Service Code	HCPCS C1725
Hospital Charge Code	66520215
Hospital Revenue Code	278
Min. Negotiated Rate	$757.00
Max. Negotiated Rate	$757.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$757.00
Rate for Payer: Hamaspik Choice Inc Medicare	$757.00

CC CATH MAVRK OTW BALL 3.0X9MM

Facility

$1,514.00

Service Code	HCPCS C1725
Hospital Charge Code	66520212
Hospital Revenue Code	278
Min. Negotiated Rate	$757.00
Max. Negotiated Rate	$757.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$757.00
Rate for Payer: Hamaspik Choice Inc Medicare	$757.00

CC CATH MAVRK OTW BALL 3.0X9MM

Facility

$1,514.00

Service Code	HCPCS C1725
Hospital Charge Code	66520212
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$1,589.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$832.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$908.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$757.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$870.55
Rate for Payer: EmblemHealth Commercial	$757.00
Rate for Payer: Fidelis Medicare Advantage	$1,589.70
Rate for Payer: Group Health Inc Commercial	$757.00
Rate for Payer: Group Health Inc Medicare	$529.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$757.00
Rate for Payer: Hamaspik Choice Inc Medicare	$757.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$984.10

CC CATH MAVRK OTW BALL 3.5X12MM

Facility

$470.00

Service Code	HCPCS C1725
Hospital Charge Code	66520216
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$493.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$258.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$282.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$235.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$270.25
Rate for Payer: EmblemHealth Commercial	$235.00
Rate for Payer: Fidelis Medicare Advantage	$493.50
Rate for Payer: Group Health Inc Commercial	$235.00
Rate for Payer: Group Health Inc Medicare	$164.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$235.00
Rate for Payer: Hamaspik Choice Inc Medicare	$235.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$305.50

CC CATH MAVRK OTW BALL 3.5X12MM

Facility

$470.00

Service Code	HCPCS C1725
Hospital Charge Code	66520216
Hospital Revenue Code	278
Min. Negotiated Rate	$235.00
Max. Negotiated Rate	$235.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$235.00
Rate for Payer: Hamaspik Choice Inc Medicare	$235.00

CC CATHMAVRK OTW BALL 3.5X9MM

Facility

$1,514.00

Service Code	HCPCS C1725
Hospital Charge Code	66520213
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$1,589.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$832.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$908.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$757.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$870.55
Rate for Payer: EmblemHealth Commercial	$757.00
Rate for Payer: Fidelis Medicare Advantage	$1,589.70
Rate for Payer: Group Health Inc Commercial	$757.00
Rate for Payer: Group Health Inc Medicare	$529.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$757.00
Rate for Payer: Hamaspik Choice Inc Medicare	$757.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$984.10

CC CATHMAVRK OTW BALL 3.5X9MM

Facility

$1,514.00

Service Code	HCPCS C1725
Hospital Charge Code	66520213
Hospital Revenue Code	278
Min. Negotiated Rate	$757.00
Max. Negotiated Rate	$757.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$757.00
Rate for Payer: Hamaspik Choice Inc Medicare	$757.00

Know your out-of-pocket cost for care.

All Charges