St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CC CORDIS INF 5 FR LCB 100CM

Facility

$9.20

Hospital Charge Code	66528352
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 MP A-2 100CM

Facility

$9.20

Hospital Charge Code	66528353
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 MP B-2 100CM

Facility

$46.50

Hospital Charge Code	66528354
Hospital Revenue Code	270
Min. Negotiated Rate	$16.28
Max. Negotiated Rate	$37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.25
Rate for Payer: Aetna Government	$23.25
Rate for Payer: Brighton Health Commercial	$34.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.62
Rate for Payer: Group Health Inc Commercial	$23.25
Rate for Payer: Group Health Inc Medicare	$16.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.25
Rate for Payer: Hamaspik Choice Inc Medicare	$23.25

CC CORDIS INF 6FR AL II 100CM

Facility

$46.50

Hospital Charge Code	66528423
Hospital Revenue Code	270
Min. Negotiated Rate	$16.28
Max. Negotiated Rate	$37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.25
Rate for Payer: Aetna Government	$23.25
Rate for Payer: Brighton Health Commercial	$34.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.62
Rate for Payer: Group Health Inc Commercial	$23.25
Rate for Payer: Group Health Inc Medicare	$16.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.25
Rate for Payer: Hamaspik Choice Inc Medicare	$23.25

CC CORDIS INF 6FR AL III 100CM

Facility

$46.50

Hospital Charge Code	66528422
Hospital Revenue Code	270
Min. Negotiated Rate	$16.28
Max. Negotiated Rate	$37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.25
Rate for Payer: Aetna Government	$23.25
Rate for Payer: Brighton Health Commercial	$34.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.62
Rate for Payer: Group Health Inc Commercial	$23.25
Rate for Payer: Group Health Inc Medicare	$16.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.25
Rate for Payer: Hamaspik Choice Inc Medicare	$23.25

CC CORDIS INF 6FR AR II MOD 100CM

Facility

$46.50

Hospital Charge Code	66528419
Hospital Revenue Code	270
Min. Negotiated Rate	$16.28
Max. Negotiated Rate	$37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.25
Rate for Payer: Aetna Government	$23.25
Rate for Payer: Brighton Health Commercial	$34.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.62
Rate for Payer: Group Health Inc Commercial	$23.25
Rate for Payer: Group Health Inc Medicare	$16.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.25
Rate for Payer: Hamaspik Choice Inc Medicare	$23.25

CC CORDIS INF 6FR AR I MOD 100CM

Facility

$46.50

Hospital Charge Code	66528420
Hospital Revenue Code	270
Min. Negotiated Rate	$16.28
Max. Negotiated Rate	$37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.25
Rate for Payer: Aetna Government	$23.25
Rate for Payer: Brighton Health Commercial	$34.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.62
Rate for Payer: Group Health Inc Commercial	$23.25
Rate for Payer: Group Health Inc Medicare	$16.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.25
Rate for Payer: Hamaspik Choice Inc Medicare	$23.25

CC CORDIS INF 6FR AR MOD 100CM

Facility

$46.50

Hospital Charge Code	66528421
Hospital Revenue Code	270
Min. Negotiated Rate	$16.28
Max. Negotiated Rate	$37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.25
Rate for Payer: Aetna Government	$23.25
Rate for Payer: Brighton Health Commercial	$34.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.62
Rate for Payer: Group Health Inc Commercial	$23.25
Rate for Payer: Group Health Inc Medicare	$16.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.25
Rate for Payer: Hamaspik Choice Inc Medicare	$23.25

CC CORDIS INF. 6FR IM 100CM

Facility

$24.12

Hospital Charge Code	66529927
Hospital Revenue Code	270
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$19.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.06
Rate for Payer: Aetna Government	$12.06
Rate for Payer: Brighton Health Commercial	$18.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$19.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.40
Rate for Payer: Group Health Inc Commercial	$12.06
Rate for Payer: Group Health Inc Medicare	$8.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.06
Rate for Payer: Hamaspik Choice Inc Medicare	$12.06

CC CORDIS INF. 6FR JL 3.5 100CM

Facility

$24.12

Hospital Charge Code	66529929
Hospital Revenue Code	270
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$19.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.06
Rate for Payer: Aetna Government	$12.06
Rate for Payer: Brighton Health Commercial	$18.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$19.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.40
Rate for Payer: Group Health Inc Commercial	$12.06
Rate for Payer: Group Health Inc Medicare	$8.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.06
Rate for Payer: Hamaspik Choice Inc Medicare	$12.06

CC CORDIS INF 6FR JL 4.0 100CM

Facility

$47.50

Hospital Charge Code	66528400
Hospital Revenue Code	270
Min. Negotiated Rate	$16.62
Max. Negotiated Rate	$38.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.75
Rate for Payer: Aetna Government	$23.75
Rate for Payer: Brighton Health Commercial	$35.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$38.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.30
Rate for Payer: Group Health Inc Commercial	$23.75
Rate for Payer: Group Health Inc Medicare	$16.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.75
Rate for Payer: Hamaspik Choice Inc Medicare	$23.75

CC CORDIS INF. 6FR JR 4.0 100CM

Facility

$45.50

Hospital Charge Code	66529926
Hospital Revenue Code	270
Min. Negotiated Rate	$15.92
Max. Negotiated Rate	$36.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$22.75
Rate for Payer: Aetna Government	$22.75
Rate for Payer: Brighton Health Commercial	$34.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$36.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.94
Rate for Payer: Group Health Inc Commercial	$22.75
Rate for Payer: Group Health Inc Medicare	$15.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.75
Rate for Payer: Hamaspik Choice Inc Medicare	$22.75

CC CORDIS INF 6FR MP A-1 100CM

Facility

$57.50

Hospital Charge Code	66528417
Hospital Revenue Code	270
Min. Negotiated Rate	$20.12
Max. Negotiated Rate	$46.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.75
Rate for Payer: Aetna Government	$28.75
Rate for Payer: Brighton Health Commercial	$43.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.10
Rate for Payer: Group Health Inc Commercial	$28.75
Rate for Payer: Group Health Inc Medicare	$20.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.75
Rate for Payer: Hamaspik Choice Inc Medicare	$28.75

CC CORDIS INF 6FR MP A-2 100CM

Facility

$46.50

Hospital Charge Code	66528418
Hospital Revenue Code	270
Min. Negotiated Rate	$16.28
Max. Negotiated Rate	$37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.25
Rate for Payer: Aetna Government	$23.25
Rate for Payer: Brighton Health Commercial	$34.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.62
Rate for Payer: Group Health Inc Commercial	$23.25
Rate for Payer: Group Health Inc Medicare	$16.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.25
Rate for Payer: Hamaspik Choice Inc Medicare	$23.25

CC CORDIS INFINITI 4 FR AL I 100C

Facility

$9.20

Hospital Charge Code	66528331
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 INFINITI 4 FR IM 100CM

Facility

$9.20

Hospital Charge Code	66528332
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 INFINITI 5FR AL I 100CM

Facility

$46.00

Hospital Charge Code	66528245
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 INFINITI 5 FR RCB 100CM

Facility

$9.20

Hospital Charge Code	66528356
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 INFINITI 6FR 3DRC 100CM

Facility

$46.50

Hospital Charge Code	66528247
Hospital Revenue Code	270
Min. Negotiated Rate	$16.28
Max. Negotiated Rate	$37.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.25
Rate for Payer: Aetna Government	$23.25
Rate for Payer: Brighton Health Commercial	$34.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.62
Rate for Payer: Group Health Inc Commercial	$23.25
Rate for Payer: Group Health Inc Medicare	$16.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.25
Rate for Payer: Hamaspik Choice Inc Medicare	$23.25

CC CORDIS MULTIPACK ANGIO CATH

Facility

$150.00

Service Code	HCPCS C1725
Hospital Charge Code	66520314
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$157.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$82.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$90.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$75.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$86.25
Rate for Payer: EmblemHealth Commercial	$75.00
Rate for Payer: Fidelis Medicare Advantage	$157.50
Rate for Payer: Group Health Inc Commercial	$75.00
Rate for Payer: Group Health Inc Medicare	$52.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.00
Rate for Payer: Hamaspik Choice Inc Medicare	$75.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$97.50

CC CORDIS MULTIPACK ANGIO CATH

Facility

$150.00

Service Code	HCPCS C1725
Hospital Charge Code	66520314
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.00
Rate for Payer: Hamaspik Choice Inc Medicare	$75.00

CC CORDIS SAVVY 2MM X 2CM

Facility

$309.25

Service Code	HCPCS C1876
Hospital Charge Code	66528576
Hospital Revenue Code	278
Min. Negotiated Rate	$108.24
Max. Negotiated Rate	$398.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$170.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$185.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$154.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$177.82
Rate for Payer: EmblemHealth Commercial	$154.62
Rate for Payer: Fidelis Medicare Advantage	$324.71
Rate for Payer: Group Health Inc Commercial	$154.62
Rate for Payer: Group Health Inc Medicare	$108.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$154.62
Rate for Payer: Hamaspik Choice Inc Medicare	$154.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$201.01

CC CORDIS SAVVY 2MM X 2CM

Facility

$309.25

Service Code	HCPCS C1876
Hospital Charge Code	66528576
Hospital Revenue Code	278
Min. Negotiated Rate	$154.62
Max. Negotiated Rate	$154.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$154.62
Rate for Payer: Hamaspik Choice Inc Medicare	$154.62

CC CORDIS SMART 10MM X 20MM

Facility

$2,316.60

Service Code	HCPCS C1876
Hospital Charge Code	66528565
Hospital Revenue Code	278
Min. Negotiated Rate	$1,158.30
Max. Negotiated Rate	$1,158.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,158.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,158.30

CC CORDIS SMART 10MM X 20MM

Facility

$2,316.60

Service Code	HCPCS C1876
Hospital Charge Code	66528565
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,432.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,274.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,389.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,158.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,332.04
Rate for Payer: EmblemHealth Commercial	$1,158.30
Rate for Payer: Fidelis Medicare Advantage	$2,432.43
Rate for Payer: Group Health Inc Commercial	$1,158.30
Rate for Payer: Group Health Inc Medicare	$810.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,158.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,158.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,505.79

Know your out-of-pocket cost for care.

All Charges