St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

HC CATH ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ

Facility

$34,275.00

Service Code	CPT 33952
Hospital Charge Code	4813395201
Hospital Revenue Code	481
Min. Negotiated Rate	$482.93
Max. Negotiated Rate	$18,851.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$18,851.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$482.93
Rate for Payer: Aetna Government	$482.93
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$17,137.50
Rate for Payer: Group Health Inc Commercial	$17,137.50
Rate for Payer: Group Health Inc Medicare	$11,996.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$17,137.50
Rate for Payer: Hamaspik Choice Inc Medicare	$17,137.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$491.39
Rate for Payer: United Healthcare Commercial	$1,496.00

HC CATH HEART FLOW RESERV MEASURE,ADDN VESSL

Facility

$477.00

Service Code	CPT 93572
Hospital Charge Code	4819357201
Hospital Revenue Code	481
Min. Negotiated Rate	$152.60
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$152.60
Rate for Payer: Aetna Government	$152.60
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$238.50
Rate for Payer: Group Health Inc Commercial	$238.50
Rate for Payer: Group Health Inc Medicare	$166.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$238.50
Rate for Payer: Hamaspik Choice Inc Medicare	$238.50
Rate for Payer: United Healthcare Commercial	$1,113.00

HC CATH HEART FLOW RESERV MEASURE,ADDN VESSL

Facility

$477.00

Service Code	CPT 93572
Hospital Charge Code	4819357201
Hospital Revenue Code	481
Min. Negotiated Rate	$238.50
Max. Negotiated Rate	$238.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$238.50

HC CATH HEART FLOW RESERV MEASURE,INIT VESSL

Facility

$891.00

Service Code	CPT 93571
Hospital Charge Code	4819357101
Hospital Revenue Code	481
Min. Negotiated Rate	$255.78
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$255.78
Rate for Payer: Aetna Government	$255.78
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$445.50
Rate for Payer: Group Health Inc Commercial	$445.50
Rate for Payer: Group Health Inc Medicare	$311.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$445.50
Rate for Payer: Hamaspik Choice Inc Medicare	$445.50
Rate for Payer: United Healthcare Commercial	$1,113.00

HC CATH HEART FLOW RESERV MEASURE,INIT VESSL

Facility

$891.00

Service Code	CPT 93571
Hospital Charge Code	4819357101
Hospital Revenue Code	481
Min. Negotiated Rate	$445.50
Max. Negotiated Rate	$445.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$445.50

HC CATH ILIAC ART ANGIO,CARDIAC CATH

Facility

$934.00

Service Code	CPT G0278
Hospital Charge Code	481G027801
Hospital Revenue Code	481
Min. Negotiated Rate	$8.99
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.99
Rate for Payer: Aetna Government	$8.99
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$467.00
Rate for Payer: Group Health Inc Commercial	$467.00
Rate for Payer: Group Health Inc Medicare	$326.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$467.00
Rate for Payer: Hamaspik Choice Inc Medicare	$467.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$15.20

HC CATH ILIAC ART ANGIO,CARDIAC CATH

Facility

$934.00

Service Code	CPT G0278
Hospital Charge Code	481G027801
Hospital Revenue Code	481
Min. Negotiated Rate	$467.00
Max. Negotiated Rate	$467.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$467.00

HC CATH INJECT PULMONARY ANGIOGRAPHY DURING HEART CATH

Facility

$510.00

Service Code	CPT 93568
Hospital Charge Code	4819356801
Hospital Revenue Code	481
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$255.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$255.00

HC CATH INJECT PULMONARY ANGIOGRAPHY DURING HEART CATH

Facility

$510.00

Service Code	CPT 93568
Hospital Charge Code	4819356801
Hospital Revenue Code	481
Min. Negotiated Rate	$43.85
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$43.85
Rate for Payer: Aetna Government	$43.85
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$255.00
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
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$53.47
Rate for Payer: United Healthcare Commercial	$1,113.00

HC CATH INJECT SELECT COR ANGIO DURING CONGENITAL HEART CATH

Facility

$170.00

Service Code	CPT 93563
Hospital Charge Code	4819356301
Hospital Revenue Code	481
Min. Negotiated Rate	$53.93
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$93.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$53.93
Rate for Payer: Aetna Government	$53.93
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$85.00
Rate for Payer: Group Health Inc Commercial	$85.00
Rate for Payer: Group Health Inc Medicare	$59.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$85.00
Rate for Payer: Hamaspik Choice Inc Medicare	$85.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$57.92
Rate for Payer: United Healthcare Commercial	$1,113.00

HC CATH INJECT SELECT COR ANGIO DURING CONGENITAL HEART CATH

Facility

$170.00

Service Code	CPT 93563
Hospital Charge Code	4819356301
Hospital Revenue Code	481
Min. Negotiated Rate	$85.00
Max. Negotiated Rate	$85.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$85.00

HC CATH INJECT SELECT COR/GRAFT ANGIO DURING CONGENITAL HEART CATH

Facility

$161.00

Service Code	CPT 93564
Hospital Charge Code	4819356401
Hospital Revenue Code	481
Min. Negotiated Rate	$56.35
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$57.22
Rate for Payer: Aetna Government	$57.22
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$80.50
Rate for Payer: Group Health Inc Commercial	$80.50
Rate for Payer: Group Health Inc Medicare	$56.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.50
Rate for Payer: Hamaspik Choice Inc Medicare	$80.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$63.67
Rate for Payer: United Healthcare Commercial	$1,113.00

HC CATH INJECT SELECT COR/GRAFT ANGIO DURING CONGENITAL HEART CATH

Facility

$161.00

Service Code	CPT 93564
Hospital Charge Code	4819356401
Hospital Revenue Code	481
Min. Negotiated Rate	$80.50
Max. Negotiated Rate	$80.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.50

HC CATH INJECT SELECT LEFT VENT/ATRIAL ANGIO DURING HEART CATH

Facility

$249.00

Service Code	CPT 93565
Hospital Charge Code	4819356501
Hospital Revenue Code	481
Min. Negotiated Rate	$31.86
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$136.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$42.31
Rate for Payer: Aetna Government	$42.31
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$124.50
Rate for Payer: Group Health Inc Commercial	$124.50
Rate for Payer: Group Health Inc Medicare	$87.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$124.50
Rate for Payer: Hamaspik Choice Inc Medicare	$124.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$31.86
Rate for Payer: United Healthcare Commercial	$1,113.00

HC CATH INJECT SELECT LEFT VENT/ATRIAL ANGIO DURING HEART CATH

Facility

$249.00

Service Code	CPT 93565
Hospital Charge Code	4819356501
Hospital Revenue Code	481
Min. Negotiated Rate	$124.50
Max. Negotiated Rate	$124.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$124.50

HC CATH INJECT SELECT RIGHT VENT/ATRIAL ANGIO DURING HEART CATH

Facility

$524.00

Service Code	CPT 93566
Hospital Charge Code	4819356601
Hospital Revenue Code	481
Min. Negotiated Rate	$262.00
Max. Negotiated Rate	$262.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$262.00

HC CATH INJECT SELECT RIGHT VENT/ATRIAL ANGIO DURING HEART CATH

Facility

$524.00

Service Code	CPT 93566
Hospital Charge Code	4819356601
Hospital Revenue Code	481
Min. Negotiated Rate	$29.16
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$154.83
Rate for Payer: Aetna Government	$154.83
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$262.00
Rate for Payer: Group Health Inc Commercial	$262.00
Rate for Payer: Group Health Inc Medicare	$183.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$262.00
Rate for Payer: Hamaspik Choice Inc Medicare	$262.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$29.16
Rate for Payer: United Healthcare Commercial	$1,113.00

HC CATH INSERT INTRA-AORTIC BALLOON ASST DEVICE

Facility

$3,604.00

Service Code	CPT 33967
Hospital Charge Code	4813396701
Hospital Revenue Code	481
Min. Negotiated Rate	$290.96
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,982.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$290.96
Rate for Payer: Aetna Government	$290.96
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$1,802.00
Rate for Payer: Group Health Inc Commercial	$1,802.00
Rate for Payer: Group Health Inc Medicare	$1,261.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,802.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,802.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$298.77
Rate for Payer: United Healthcare Commercial	$4,446.00

HC CATH INSERT INTRA-AORTIC BALLOON ASST DEVICE

Facility

$3,604.00

Service Code	CPT 33967
Hospital Charge Code	4813396701
Hospital Revenue Code	481
Min. Negotiated Rate	$1,802.00
Max. Negotiated Rate	$1,802.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,802.00

HC CATH INSERT/PLACE FLOW DIRECT CATH

Facility

$4,940.00

Service Code	CPT 93503
Hospital Charge Code	4819350301
Hospital Revenue Code	481
Min. Negotiated Rate	$2,470.00
Max. Negotiated Rate	$2,470.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,470.00

HC CATH INSERT/PLACE FLOW DIRECT CATH

Facility

$4,940.00

Service Code	CPT 93503
Hospital Charge Code	4819350301
Hospital Revenue Code	481
Min. Negotiated Rate	$95.32
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,717.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,898.02
Rate for Payer: Aetna Government	$1,898.02
Rate for Payer: Affinity Essential Plan 1&2	$1,328.61
Rate for Payer: Affinity Essential Plan 3&4	$1,328.61
Rate for Payer: Affinity Medicaid/CHP/HARP	$1,328.61
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$1,898.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: Elderplan Medicare Advantage	$1,898.02
Rate for Payer: EmblemHealth Commercial	$1,898.02
Rate for Payer: Fidelis CHP/HARP/Medicaid	$1,708.22
Rate for Payer: Fidelis Essential Plan Aliesa	$1,613.32
Rate for Payer: Fidelis Essential Plan QHP	$1,689.24
Rate for Payer: Fidelis Medicare Advantage	$1,898.02
Rate for Payer: Fidelis Qualified Health Plan	$1,689.24
Rate for Payer: Group Health Inc Commercial	$1,898.02
Rate for Payer: Group Health Inc Medicare	$1,898.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,898.02
Rate for Payer: Hamaspik Choice Inc Medicare	$1,898.02
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$95.32
Rate for Payer: Healthfirst Medicare Advantage	$1,613.32
Rate for Payer: Healthfirst QHP	$1,898.02
Rate for Payer: Humana Medicare	$1,935.98
Rate for Payer: Senior Whole Health Medicare Advantage	$1,898.02
Rate for Payer: United Healthcare Commercial	$1,188.00
Rate for Payer: United Healthcare Medicare Advantage	$1,898.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,898.02
Rate for Payer: Wellcare CHP/FHP/Medicaid	$1,803.12
Rate for Payer: Wellcare Medicare	$1,803.12

HC CATH INTRACARD ECHO, THER/DX INTERVENT

Facility

$435.00

Service Code	CPT 93662
Hospital Charge Code	4819366201
Hospital Revenue Code	481
Min. Negotiated Rate	$152.25
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$239.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$165.55
Rate for Payer: Aetna Government	$165.55
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$217.50
Rate for Payer: Group Health Inc Commercial	$217.50
Rate for Payer: Group Health Inc Medicare	$152.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$217.50
Rate for Payer: Hamaspik Choice Inc Medicare	$217.50
Rate for Payer: United Healthcare Commercial	$1,113.00

HC CATH INTRACARD ECHO, THER/DX INTERVENT

Facility

$435.00

Service Code	CPT 93662
Hospital Charge Code	4819366201
Hospital Revenue Code	481
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$217.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$217.50

HC CATH INTRAVASC CORONARY SONO,ADDN VESSEL

Facility

$874.00

Service Code	CPT 92979
Hospital Charge Code	4819297901
Hospital Revenue Code	481
Min. Negotiated Rate	$437.00
Max. Negotiated Rate	$437.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.00

HC CATH INTRAVASC CORONARY SONO,ADDN VESSEL

Facility

$874.00

Service Code	CPT 92979
Hospital Charge Code	4819297901
Hospital Revenue Code	481
Min. Negotiated Rate	$155.78
Max. Negotiated Rate	$6,937.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$155.78
Rate for Payer: Aetna Government	$155.78
Rate for Payer: Brighton Health Commercial	$6,937.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,261.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,472.52
Rate for Payer: EmblemHealth Commercial	$437.00
Rate for Payer: Group Health Inc Commercial	$437.00
Rate for Payer: Group Health Inc Medicare	$305.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.00
Rate for Payer: Hamaspik Choice Inc Medicare	$437.00
Rate for Payer: United Healthcare Commercial	$1,113.00

Know your out-of-pocket cost for care.

All Charges