St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CC CORDIS EMERALD .035X260CM

Facility

$42.00

Service Code	HCPCS C1769
Hospital Charge Code	66528502
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$44.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$25.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.15
Rate for Payer: EmblemHealth Commercial	$21.00
Rate for Payer: Fidelis Medicare Advantage	$44.10
Rate for Payer: Group Health Inc Commercial	$21.00
Rate for Payer: Group Health Inc Medicare	$14.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.00
Rate for Payer: Hamaspik Choice Inc Medicare	$21.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$27.30

CC CORDIS GENESIS 5MM X 12MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528554
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,416.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: EmblemHealth Commercial	$1,180.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 5MM X 12MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528554
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 5MM X 15MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528553
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 5MM X 15MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528553
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,416.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: EmblemHealth Commercial	$1,180.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 5MM X 18MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528552
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 5MM X 18MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528552
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,416.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: EmblemHealth Commercial	$1,180.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 6MM X 12MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528551
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,416.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: EmblemHealth Commercial	$1,180.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 6MM X 12MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528551
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 6MM X 15MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528550
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 6MM X 15MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528550
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,416.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: EmblemHealth Commercial	$1,180.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 6MM X 18MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528549
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,416.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: EmblemHealth Commercial	$1,180.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 6MM X 18MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528549
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 7MM X 12MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528548
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 7MM X 12MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528548
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,416.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: EmblemHealth Commercial	$1,180.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 7MM X 15MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528547
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 7MM X 15MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528547
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,416.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: EmblemHealth Commercial	$1,180.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 7MM X 18MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528546
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,478.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,298.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,416.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,180.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,357.00
Rate for Payer: EmblemHealth Commercial	$1,180.00
Rate for Payer: Fidelis Medicare Advantage	$2,478.00
Rate for Payer: Group Health Inc Commercial	$1,180.00
Rate for Payer: Group Health Inc Medicare	$826.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,534.00

CC CORDIS GENESIS 7MM X 18MM

Facility

$2,360.00

Service Code	HCPCS C1876
Hospital Charge Code	66528546
Hospital Revenue Code	278
Min. Negotiated Rate	$1,180.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,180.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,180.00

CC CORDIS GENESIS 7MM X 29MM

Facility

$2,154.00

Service Code	HCPCS C1876
Hospital Charge Code	66528545
Hospital Revenue Code	278
Min. Negotiated Rate	$1,077.00
Max. Negotiated Rate	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,077.00

CC CORDIS GENESIS 7MM X 29MM

Facility

$2,154.00

Service Code	HCPCS C1876
Hospital Charge Code	66528545
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,261.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,184.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,292.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,077.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,238.55
Rate for Payer: EmblemHealth Commercial	$1,077.00
Rate for Payer: Fidelis Medicare Advantage	$2,261.70
Rate for Payer: Group Health Inc Commercial	$1,077.00
Rate for Payer: Group Health Inc Medicare	$753.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,077.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,400.10

CC CORDIS GENESIS 7MM X 39MM

Facility

$2,232.00

Service Code	HCPCS C1876
Hospital Charge Code	66528544
Hospital Revenue Code	278
Min. Negotiated Rate	$1,116.00
Max. Negotiated Rate	$1,116.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,116.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,116.00

CC CORDIS GENESIS 7MM X 39MM

Facility

$2,232.00

Service Code	HCPCS C1876
Hospital Charge Code	66528544
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,343.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,227.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,339.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,116.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,283.40
Rate for Payer: EmblemHealth Commercial	$1,116.00
Rate for Payer: Fidelis Medicare Advantage	$2,343.60
Rate for Payer: Group Health Inc Commercial	$1,116.00
Rate for Payer: Group Health Inc Medicare	$781.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,116.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,116.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,450.80

CC CORDIS GENESIS 8MM X 29MM

Facility

$2,154.00

Service Code	HCPCS C1876
Hospital Charge Code	66528543
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,261.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,184.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,292.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,077.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,238.55
Rate for Payer: EmblemHealth Commercial	$1,077.00
Rate for Payer: Fidelis Medicare Advantage	$2,261.70
Rate for Payer: Group Health Inc Commercial	$1,077.00
Rate for Payer: Group Health Inc Medicare	$753.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,077.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,400.10

CC CORDIS GENESIS 8MM X 29MM

Facility

$2,154.00

Service Code	HCPCS C1876
Hospital Charge Code	66528543
Hospital Revenue Code	278
Min. Negotiated Rate	$1,077.00
Max. Negotiated Rate	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,077.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,077.00

Know your out-of-pocket cost for care.

All Charges