St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CC CIERADIOGRAPHY/FLOUROSCOPY

Facility

$339.45

Service Code	HCPCS 76120 TC
Hospital Charge Code	66528382
Hospital Revenue Code	329
Rate for Payer: Cash Price	$127.14

CC CONMED CYTOLOGY BRUSH

Facility

$510.00

Hospital Charge Code	66571554
Hospital Revenue Code	270
Min. Negotiated Rate	$178.50
Max. Negotiated Rate	$408.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$280.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$255.00
Rate for Payer: Aetna Government	$255.00
Rate for Payer: Brighton Health Commercial	$382.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$408.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$346.80
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

CC COOK 5FR RCFW-5.0-25-45-RB-CHB

Facility

$135.80

Hospital Charge Code	66528428
Hospital Revenue Code	480
Min. Negotiated Rate	$47.53
Max. Negotiated Rate	$316.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$74.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$67.90
Rate for Payer: Aetna Government	$67.90
Rate for Payer: Brighton Health Commercial	$101.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$108.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.34
Rate for Payer: Group Health Inc Commercial	$67.90
Rate for Payer: Group Health Inc Medicare	$47.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.90
Rate for Payer: Hamaspik Choice Inc Medicare	$67.90
Rate for Payer: United Healthcare Commercial	$316.00

CC COOKS 6 FR KCFW-6.0-38-55-RB

Facility

$126.10

Hospital Charge Code	66529918
Hospital Revenue Code	480
Min. Negotiated Rate	$44.14
Max. Negotiated Rate	$316.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$69.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$63.05
Rate for Payer: Aetna Government	$63.05
Rate for Payer: Brighton Health Commercial	$94.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$100.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$85.75
Rate for Payer: Group Health Inc Commercial	$63.05
Rate for Payer: Group Health Inc Medicare	$44.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$63.05
Rate for Payer: Hamaspik Choice Inc Medicare	$63.05
Rate for Payer: United Healthcare Commercial	$316.00

CC COOK THREE WAY STOPCOCK

Facility

$16.00

Hospital Charge Code	66522201
Hospital Revenue Code	270
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$12.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.00
Rate for Payer: Aetna Government	$8.00
Rate for Payer: Brighton Health Commercial	$12.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.88
Rate for Payer: Group Health Inc Commercial	$8.00
Rate for Payer: Group Health Inc Medicare	$5.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.00
Rate for Payer: Hamaspik Choice Inc Medicare	$8.00

CC CORD EM .025 STD JTIP 150CM

Facility

$4.12

Hospital Charge Code	66528360
Hospital Revenue Code	270
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$3.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.06
Rate for Payer: Aetna Government	$2.06
Rate for Payer: Brighton Health Commercial	$3.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.80
Rate for Payer: Group Health Inc Commercial	$2.06
Rate for Payer: Group Health Inc Medicare	$1.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2.06

CC CORD EM .025 STD JTIP 260CM

Facility

$3.20

Service Code	HCPCS C1725
Hospital Charge Code	66528361
Hospital Revenue Code	278
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$1.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.84
Rate for Payer: EmblemHealth Commercial	$1.60
Rate for Payer: Fidelis Medicare Advantage	$3.36
Rate for Payer: Group Health Inc Commercial	$1.60
Rate for Payer: Group Health Inc Medicare	$1.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.08

CC CORD EM .025 STD JTIP 260CM

Facility

$3.20

Service Code	HCPCS C1725
Hospital Charge Code	66528361
Hospital Revenue Code	278
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$1.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1.60

CC CORD EM .025 STD STR TIP 150CM

Facility

$3.20

Service Code	HCPCS C1725
Hospital Charge Code	66528362
Hospital Revenue Code	278
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$1.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.84
Rate for Payer: EmblemHealth Commercial	$1.60
Rate for Payer: Fidelis Medicare Advantage	$3.36
Rate for Payer: Group Health Inc Commercial	$1.60
Rate for Payer: Group Health Inc Medicare	$1.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.08

CC CORD EM .025 STD STR TIP 150CM

Facility

$3.20

Service Code	HCPCS C1725
Hospital Charge Code	66528362
Hospital Revenue Code	278
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$1.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1.60

CC CORD EM .032 STD JTIP 150CM

Facility

$4.12

Service Code	HCPCS C1725
Hospital Charge Code	66528363
Hospital Revenue Code	278
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$2.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.37
Rate for Payer: EmblemHealth Commercial	$2.06
Rate for Payer: Fidelis Medicare Advantage	$4.33
Rate for Payer: Group Health Inc Commercial	$2.06
Rate for Payer: Group Health Inc Medicare	$1.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.68

CC CORD EM .032 STD JTIP 150CM

Facility

$4.12

Service Code	HCPCS C1725
Hospital Charge Code	66528363
Hospital Revenue Code	278
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$2.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2.06

CC CORD EM .032 STD STR TIP 150CM

Facility

$3.20

Service Code	HCPCS C1725
Hospital Charge Code	66528364
Hospital Revenue Code	278
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$1.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.84
Rate for Payer: EmblemHealth Commercial	$1.60
Rate for Payer: Fidelis Medicare Advantage	$3.36
Rate for Payer: Group Health Inc Commercial	$1.60
Rate for Payer: Group Health Inc Medicare	$1.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.08

CC CORD EM .032 STD STR TIP 150CM

Facility

$3.20

Service Code	HCPCS C1725
Hospital Charge Code	66528364
Hospital Revenue Code	278
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$1.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1.60

CC CORD EM .035 STD JTIP 150CM MO

Facility

$3.44

Service Code	HCPCS C1725
Hospital Charge Code	66528365
Hospital Revenue Code	278
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$2.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.98
Rate for Payer: EmblemHealth Commercial	$1.72
Rate for Payer: Fidelis Medicare Advantage	$3.61
Rate for Payer: Group Health Inc Commercial	$1.72
Rate for Payer: Group Health Inc Medicare	$1.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.72
Rate for Payer: Hamaspik Choice Inc Medicare	$1.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.24

CC CORD EM .035 STD JTIP 150CM MO

Facility

$3.44

Service Code	HCPCS C1725
Hospital Charge Code	66528365
Hospital Revenue Code	278
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$1.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.72
Rate for Payer: Hamaspik Choice Inc Medicare	$1.72

CC CORD EM .035 STD STR TIP 150CM

Facility

$8.84

Service Code	HCPCS C1725
Hospital Charge Code	66528366
Hospital Revenue Code	278
Min. Negotiated Rate	$4.42
Max. Negotiated Rate	$4.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.42
Rate for Payer: Hamaspik Choice Inc Medicare	$4.42

CC CORD EM .035 STD STR TIP 150CM

Facility

$8.84

Service Code	HCPCS C1725
Hospital Charge Code	66528366
Hospital Revenue Code	278
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$5.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.08
Rate for Payer: EmblemHealth Commercial	$4.42
Rate for Payer: Fidelis Medicare Advantage	$9.28
Rate for Payer: Group Health Inc Commercial	$4.42
Rate for Payer: Group Health Inc Medicare	$3.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.42
Rate for Payer: Hamaspik Choice Inc Medicare	$4.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.75

CC CORD EM .035 STD STR TIP 260CM

Facility

$8.84

Service Code	HCPCS C1725
Hospital Charge Code	66528367
Hospital Revenue Code	278
Min. Negotiated Rate	$4.42
Max. Negotiated Rate	$4.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.42
Rate for Payer: Hamaspik Choice Inc Medicare	$4.42

CC CORD EM .035 STD STR TIP 260CM

Facility

$8.84

Service Code	HCPCS C1725
Hospital Charge Code	66528367
Hospital Revenue Code	278
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$5.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.08
Rate for Payer: EmblemHealth Commercial	$4.42
Rate for Payer: Fidelis Medicare Advantage	$9.28
Rate for Payer: Group Health Inc Commercial	$4.42
Rate for Payer: Group Health Inc Medicare	$3.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.42
Rate for Payer: Hamaspik Choice Inc Medicare	$4.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.75

CC CORD EM .065 STD JTIP 150CM

Facility

$15.66

Service Code	HCPCS C1725
Hospital Charge Code	66528369
Hospital Revenue Code	278
Min. Negotiated Rate	$7.83
Max. Negotiated Rate	$7.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.83
Rate for Payer: Hamaspik Choice Inc Medicare	$7.83

CC CORD EM .065 STD JTIP 150CM

Facility

$15.66

Service Code	HCPCS C1725
Hospital Charge Code	66528369
Hospital Revenue Code	278
Min. Negotiated Rate	$5.48
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.61
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$9.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.00
Rate for Payer: EmblemHealth Commercial	$7.83
Rate for Payer: Fidelis Medicare Advantage	$16.44
Rate for Payer: Group Health Inc Commercial	$7.83
Rate for Payer: Group Health Inc Medicare	$5.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.83
Rate for Payer: Hamaspik Choice Inc Medicare	$7.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.18

CC CORD. INF. 5 FR PIG STR 110CM

Facility

$9.20

Hospital Charge Code	66528271
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: Brighton Health Commercial	$6.90
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 CORD INF 5 FR PIG STR 110CM 6S

Facility

$9.20

Hospital Charge Code	66528355
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: Brighton Health Commercial	$6.90
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 4FR 3DRC CATHETER

Facility

$50.00

Service Code	HCPCS C1725
Hospital Charge Code	66520313
Hospital Revenue Code	278
Min. Negotiated Rate	$25.00
Max. Negotiated Rate	$25.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.00
Rate for Payer: Hamaspik Choice Inc Medicare	$25.00

Know your out-of-pocket cost for care.

All Charges