St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CC CORDIS SMART 10MM X 40MM

Facility

$2,566.20

Service Code	HCPCS C1876
Hospital Charge Code	66528564
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,694.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,411.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,539.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,283.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,475.56
Rate for Payer: EmblemHealth Commercial	$1,283.10
Rate for Payer: Fidelis Medicare Advantage	$2,694.51
Rate for Payer: Group Health Inc Commercial	$1,283.10
Rate for Payer: Group Health Inc Medicare	$898.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,283.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,668.03

CC CORDIS SMART 10MM X 40MM

Facility

$2,566.20

Service Code	HCPCS C1876
Hospital Charge Code	66528564
Hospital Revenue Code	278
Min. Negotiated Rate	$1,283.10
Max. Negotiated Rate	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,283.10

CC CORDIS SMART 10MM X 60MM

Facility

$2,566.20

Service Code	HCPCS C1876
Hospital Charge Code	66528563
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,694.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,411.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,539.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,283.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,475.56
Rate for Payer: EmblemHealth Commercial	$1,283.10
Rate for Payer: Fidelis Medicare Advantage	$2,694.51
Rate for Payer: Group Health Inc Commercial	$1,283.10
Rate for Payer: Group Health Inc Medicare	$898.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,283.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,668.03

CC CORDIS SMART 10MM X 60MM

Facility

$2,566.20

Service Code	HCPCS C1876
Hospital Charge Code	66528563
Hospital Revenue Code	278
Min. Negotiated Rate	$1,283.10
Max. Negotiated Rate	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,283.10

CC CORDIS SMART 6MM X 100MM

Facility

$3,237.00

Service Code	HCPCS C1876
Hospital Charge Code	66528577
Hospital Revenue Code	278
Min. Negotiated Rate	$1,618.50
Max. Negotiated Rate	$1,618.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,618.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,618.50

CC CORDIS SMART 6MM X 100MM

Facility

$3,237.00

Service Code	HCPCS C1876
Hospital Charge Code	66528577
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$3,398.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,780.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,942.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,618.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,861.28
Rate for Payer: EmblemHealth Commercial	$1,618.50
Rate for Payer: Fidelis Medicare Advantage	$3,398.85
Rate for Payer: Group Health Inc Commercial	$1,618.50
Rate for Payer: Group Health Inc Medicare	$1,132.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,618.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,618.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,104.05

CC CORDIS SMART 6MM X 20MM

Facility

$2,316.60

Service Code	HCPCS C1876
Hospital Charge Code	66528581
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

CC CORDIS SMART 6MM X 20MM

Facility

$2,316.60

Service Code	HCPCS C1876
Hospital Charge Code	66528581
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 6MM X40MM

Facility

$2,566.20

Service Code	HCPCS C1876
Hospital Charge Code	66528580
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,694.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,411.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,539.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,283.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,475.56
Rate for Payer: EmblemHealth Commercial	$1,283.10
Rate for Payer: Fidelis Medicare Advantage	$2,694.51
Rate for Payer: Group Health Inc Commercial	$1,283.10
Rate for Payer: Group Health Inc Medicare	$898.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,283.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,668.03

CC CORDIS SMART 6MM X40MM

Facility

$2,566.20

Service Code	HCPCS C1876
Hospital Charge Code	66528580
Hospital Revenue Code	278
Min. Negotiated Rate	$1,283.10
Max. Negotiated Rate	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,283.10

CC CORDIS SMART 6MM X 60MM

Facility

$2,566.20

Service Code	HCPCS C1876
Hospital Charge Code	66528579
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,694.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,411.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,539.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,283.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,475.56
Rate for Payer: EmblemHealth Commercial	$1,283.10
Rate for Payer: Fidelis Medicare Advantage	$2,694.51
Rate for Payer: Group Health Inc Commercial	$1,283.10
Rate for Payer: Group Health Inc Medicare	$898.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,283.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,668.03

CC CORDIS SMART 6MM X 60MM

Facility

$2,566.20

Service Code	HCPCS C1876
Hospital Charge Code	66528579
Hospital Revenue Code	278
Min. Negotiated Rate	$1,283.10
Max. Negotiated Rate	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,283.10

CC CORDIS SMART 6MM X 80MM

Facility

$2,566.20

Service Code	HCPCS C1876
Hospital Charge Code	66528578
Hospital Revenue Code	278
Min. Negotiated Rate	$1,283.10
Max. Negotiated Rate	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,283.10

CC CORDIS SMART 6MM X 80MM

Facility

$2,566.20

Service Code	HCPCS C1876
Hospital Charge Code	66528578
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,694.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,411.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,539.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,283.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,475.56
Rate for Payer: EmblemHealth Commercial	$1,283.10
Rate for Payer: Fidelis Medicare Advantage	$2,694.51
Rate for Payer: Group Health Inc Commercial	$1,283.10
Rate for Payer: Group Health Inc Medicare	$898.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,283.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,668.03

CC CORDIS SMART 7MM X 100MM

Facility

$3,237.00

Service Code	HCPCS C1876
Hospital Charge Code	66528569
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$3,398.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,780.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,942.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,618.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,861.28
Rate for Payer: EmblemHealth Commercial	$1,618.50
Rate for Payer: Fidelis Medicare Advantage	$3,398.85
Rate for Payer: Group Health Inc Commercial	$1,618.50
Rate for Payer: Group Health Inc Medicare	$1,132.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,618.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,618.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,104.05

CC CORDIS SMART 7MM X 100MM

Facility

$3,237.00

Service Code	HCPCS C1876
Hospital Charge Code	66528569
Hospital Revenue Code	278
Min. Negotiated Rate	$1,618.50
Max. Negotiated Rate	$1,618.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,618.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,618.50

CC CORDIS SMART 7MM X 20MM

Facility

$2,316.60

Service Code	HCPCS C1876
Hospital Charge Code	66528573
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 7MM X 20MM

Facility

$2,316.60

Service Code	HCPCS C1876
Hospital Charge Code	66528573
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

CC CORDIS SMART 7MM X 40MM

Facility

$2,566.20

Service Code	HCPCS C1876
Hospital Charge Code	66528572
Hospital Revenue Code	278
Min. Negotiated Rate	$1,283.10
Max. Negotiated Rate	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,283.10

CC CORDIS SMART 7MM X 40MM

Facility

$2,566.20

Service Code	HCPCS C1876
Hospital Charge Code	66528572
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,694.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,411.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,539.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,283.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,475.56
Rate for Payer: EmblemHealth Commercial	$1,283.10
Rate for Payer: Fidelis Medicare Advantage	$2,694.51
Rate for Payer: Group Health Inc Commercial	$1,283.10
Rate for Payer: Group Health Inc Medicare	$898.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,283.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,668.03

CC CORDIS SMART 7MM X 80MM

Facility

$3,081.00

Service Code	HCPCS C1876
Hospital Charge Code	66528570
Hospital Revenue Code	278
Min. Negotiated Rate	$1,540.50
Max. Negotiated Rate	$1,540.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,540.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,540.50

CC CORDIS SMART 7MM X 80MM

Facility

$2,566.20

Service Code	HCPCS C1876
Hospital Charge Code	66528571
Hospital Revenue Code	278
Min. Negotiated Rate	$1,283.10
Max. Negotiated Rate	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,283.10

CC CORDIS SMART 7MM X 80MM

Facility

$3,081.00

Service Code	HCPCS C1876
Hospital Charge Code	66528570
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$3,235.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,694.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,848.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,540.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,771.58
Rate for Payer: EmblemHealth Commercial	$1,540.50
Rate for Payer: Fidelis Medicare Advantage	$3,235.05
Rate for Payer: Group Health Inc Commercial	$1,540.50
Rate for Payer: Group Health Inc Medicare	$1,078.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,540.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,540.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,002.65

CC CORDIS SMART 7MM X 80MM

Facility

$2,566.20

Service Code	HCPCS C1876
Hospital Charge Code	66528571
Hospital Revenue Code	278
Min. Negotiated Rate	$398.18
Max. Negotiated Rate	$2,694.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,411.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$398.18
Rate for Payer: Aetna Government	$398.18
Rate for Payer: Brighton Health Commercial	$1,539.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,283.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,475.56
Rate for Payer: EmblemHealth Commercial	$1,283.10
Rate for Payer: Fidelis Medicare Advantage	$2,694.51
Rate for Payer: Group Health Inc Commercial	$1,283.10
Rate for Payer: Group Health Inc Medicare	$898.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,283.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,283.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,668.03

CC CORDIS SMART 8MM X 20MM

Facility

$2,316.60

Service Code	HCPCS C1876
Hospital Charge Code	66528568
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