St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CC CORDIS GENESIS 8MM X 39MM

Facility

$2,232.00

Service Code	HCPCS C1876
Hospital Charge Code	66528542
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 39MM

Facility

$2,232.00

Service Code	HCPCS C1876
Hospital Charge Code	66528542
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 9MM X 29MM

Facility

$2,154.00

Service Code	HCPCS C1876
Hospital Charge Code	66528541
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 9MM X 29MM

Facility

$2,154.00

Service Code	HCPCS C1876
Hospital Charge Code	66528541
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 9MM X 39MM

Facility

$2,232.00

Service Code	HCPCS C1876
Hospital Charge Code	66528540
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 9MM X 39MM

Facility

$2,232.00

Service Code	HCPCS C1876
Hospital Charge Code	66528540
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 INF. 4 FR JL 3.5 I 100C

Facility

$9.20

Hospital Charge Code	66528333
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 INF 4 FR JL 4.0 I 100CM

Facility

$9.20

Hospital Charge Code	66528334
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 INF 4 FR JR 4.0 100CM

Facility

$50.00

Hospital Charge Code	66528335
Hospital Revenue Code	270
Min. Negotiated Rate	$17.50
Max. Negotiated Rate	$40.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$25.00
Rate for Payer: Aetna Government	$25.00
Rate for Payer: Brighton Health Commercial	$37.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.00
Rate for Payer: Group Health Inc Commercial	$25.00
Rate for Payer: Group Health Inc Medicare	$17.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.00
Rate for Payer: Hamaspik Choice Inc Medicare	$25.00

CC CORDIS INF 4 FR MP A-2 100CM

Facility

$9.20

Hospital Charge Code	66528336
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 INF 4FR PIG ANG MOD 110

Facility

$46.00

Hospital Charge Code	66528408
Hospital Revenue Code	270
Min. Negotiated Rate	$16.10
Max. Negotiated Rate	$36.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.00
Rate for Payer: Aetna Government	$23.00
Rate for Payer: Brighton Health Commercial	$34.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$36.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.28
Rate for Payer: Group Health Inc Commercial	$23.00
Rate for Payer: Group Health Inc Medicare	$16.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.00
Rate for Payer: Hamaspik Choice Inc Medicare	$23.00

CC CORDIS INF 4 FR PIG STR 100CM

Facility

$9.20

Hospital Charge Code	66528337
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 INF 5 FR AL II 100CM

Facility

$9.20

Hospital Charge Code	66528339
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 INF 5 FR AL III 100CM

Facility

$9.20

Hospital Charge Code	66528340
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 INF 5 FR AR I 100CM

Facility

$9.20

Hospital Charge Code	66528341
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 INF 5 FR AR II 100CM

Facility

$9.20

Hospital Charge Code	66528342
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 INF 5 FR AR MOD 100CM

Facility

$9.20

Hospital Charge Code	66528343
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 INF 5 FR JL 3.5 100CM

Facility

$9.20

Hospital Charge Code	66528344
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 INF 5 FR JL 4.0 100CM

Facility

$9.20

Hospital Charge Code	66528345
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 INF 5 FR JL 5.0 100CM

Facility

$9.20

Hospital Charge Code	66528346
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 INF 5 FR JL 6.0 100CM

Facility

$9.20

Hospital Charge Code	66528347
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 INF 5 FR JR 3.5 100CM

Facility

$9.20

Hospital Charge Code	66528348
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 INF 5 FR JR 4.0 100CM

Facility

$9.20

Hospital Charge Code	66528349
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 INF 5 FR JR 5.0 100CM

Facility

$9.20

Hospital Charge Code	66528350
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 INF 5 FR JR 6.0 100CM

Facility

$9.20

Hospital Charge Code	66528351
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

Know your out-of-pocket cost for care.

All Charges