St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

HC CYTOPATH CELL ENHANCE TECH - LAB CYTOPATH, CELL ENHANCE TECH

Facility

$149.00

Service Code	CPT 88112 TC
Hospital Charge Code	3118811201
Hospital Revenue Code	311
Min. Negotiated Rate	$74.50
Max. Negotiated Rate	$74.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.50

HC CYTOPATH CERV/VAG INTERPRET - PAP TEST

Facility

$32.00

Service Code	CPT 88141 TC
Hospital Charge Code	3118814101
Hospital Revenue Code	311
Min. Negotiated Rate	$8.38
Max. Negotiated Rate	$34.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.25
Rate for Payer: Aetna Government	$20.25
Rate for Payer: Brighton Health Commercial	$24.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$34.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$29.36
Rate for Payer: EmblemHealth Commercial	$16.00
Rate for Payer: Group Health Inc Commercial	$16.00
Rate for Payer: Group Health Inc Medicare	$11.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.00
Rate for Payer: Hamaspik Choice Inc Medicare	$16.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$8.38
Rate for Payer: Healthfirst Essential Plan	$18.86
Rate for Payer: Wellcare CHP/FHP/Medicaid	$8.38

HC CYTOPATH CERV/VAG INTERPRET - PAP TEST

Facility

$32.00

Service Code	CPT 88141 TC
Hospital Charge Code	3118814101
Hospital Revenue Code	311
Min. Negotiated Rate	$16.00
Max. Negotiated Rate	$16.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.00

HC CYTOPATH CONCENTRATE TECH - LAB CYTOPATH FLUIDS,CONCENTRATN,INTERP

Facility

$101.00

Service Code	CPT 88108 TC
Hospital Charge Code	3118810801
Hospital Revenue Code	311
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$75.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$31.57
Rate for Payer: Aetna Government	$31.57
Rate for Payer: Brighton Health Commercial	$75.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$58.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$49.05
Rate for Payer: EmblemHealth Commercial	$56.51
Rate for Payer: Group Health Inc Commercial	$50.50
Rate for Payer: Group Health Inc Medicare	$35.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50
Rate for Payer: Hamaspik Choice Inc Medicare	$50.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19.31
Rate for Payer: Healthfirst Essential Plan	$43.45
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19.31

HC CYTOPATH CONCENTRATE TECH - LAB CYTOPATH FLUIDS,CONCENTRATN,INTERP

Facility

$101.00

Service Code	CPT 88108 TC
Hospital Charge Code	3118810801
Hospital Revenue Code	311
Min. Negotiated Rate	$50.50
Max. Negotiated Rate	$50.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50

HC CYTOPATH C/V AUTO FLUID REDO - LAB CYTOPAT,CER/VAG,THIN LAYER,INTER

Facility

$104.00

Service Code	CPT 88175
Hospital Charge Code	3118817501
Hospital Revenue Code	311
Min. Negotiated Rate	$18.63
Max. Negotiated Rate	$59.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$57.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.61
Rate for Payer: Aetna Government	$26.61
Rate for Payer: Affinity Essential Plan 1&2	$18.63
Rate for Payer: Affinity Essential Plan 3&4	$18.63
Rate for Payer: Affinity Medicaid/CHP/HARP	$18.63
Rate for Payer: Brighton Health Commercial	$26.61
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$26.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$45.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$37.90
Rate for Payer: Elderplan Medicare Advantage	$26.61
Rate for Payer: EmblemHealth Commercial	$26.61
Rate for Payer: Fidelis CHP/HARP/Medicaid	$23.95
Rate for Payer: Fidelis Essential Plan Aliesa	$22.62
Rate for Payer: Fidelis Essential Plan QHP	$23.68
Rate for Payer: Fidelis Medicare Advantage	$26.61
Rate for Payer: Fidelis Qualified Health Plan	$23.68
Rate for Payer: Group Health Inc Commercial	$26.61
Rate for Payer: Group Health Inc Medicare	$26.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.61
Rate for Payer: Hamaspik Choice Inc Medicare	$26.61
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$26.61
Rate for Payer: Healthfirst Essential Plan	$59.87
Rate for Payer: Healthfirst Medicare Advantage	$26.61
Rate for Payer: Healthfirst QHP	$26.61
Rate for Payer: Humana Medicare	$27.14
Rate for Payer: Senior Whole Health Medicare Advantage	$26.61
Rate for Payer: United Healthcare Medicare Advantage	$26.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$26.61
Rate for Payer: Wellcare CHP/FHP/Medicaid	$26.61
Rate for Payer: Wellcare Medicare	$23.95

HC CYTOPATH C/V AUTO FLUID REDO - LAB CYTOPAT,CER/VAG,THIN LAYER,INTER

Facility

$104.00

Service Code	CPT 88175
Hospital Charge Code	3118817501
Hospital Revenue Code	311
Min. Negotiated Rate	$52.00
Max. Negotiated Rate	$52.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.00

HC CYTOPATH C/V MANUAL - LAB CYTOPATH SMEAR CERV/VAG,MANUAL

Facility

$37.00

Service Code	CPT 88150 TC
Hospital Charge Code	3118815001
Hospital Revenue Code	311
Min. Negotiated Rate	$7.84
Max. Negotiated Rate	$33.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.84
Rate for Payer: Aetna Government	$7.84
Rate for Payer: Brighton Health Commercial	$27.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$15.12
Rate for Payer: EmblemHealth Commercial	$18.50
Rate for Payer: Group Health Inc Commercial	$18.50
Rate for Payer: Group Health Inc Medicare	$12.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.50
Rate for Payer: Hamaspik Choice Inc Medicare	$18.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$14.80
Rate for Payer: Healthfirst Essential Plan	$33.30
Rate for Payer: Wellcare CHP/FHP/Medicaid	$14.80

HC CYTOPATH C/V MANUAL - LAB CYTOPATH SMEAR CERV/VAG,MANUAL

Facility

$37.00

Service Code	CPT 88150 TC
Hospital Charge Code	3118815001
Hospital Revenue Code	311
Min. Negotiated Rate	$18.50
Max. Negotiated Rate	$18.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.50

HC CYTOPATH C/V REDO - LAB CYTOPATH SMEAR CERV/VAG REDO

Facility

$37.00

Service Code	CPT 88153 TC
Hospital Charge Code	3118815301
Hospital Revenue Code	311
Min. Negotiated Rate	$18.50
Max. Negotiated Rate	$18.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.50

HC CYTOPATH C/V REDO - LAB CYTOPATH SMEAR CERV/VAG REDO

Facility

$37.00

Service Code	CPT 88153 TC
Hospital Charge Code	3118815301
Hospital Revenue Code	311
Min. Negotiated Rate	$7.84
Max. Negotiated Rate	$35.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.84
Rate for Payer: Aetna Government	$7.84
Rate for Payer: Brighton Health Commercial	$27.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$15.12
Rate for Payer: EmblemHealth Commercial	$18.50
Rate for Payer: Group Health Inc Commercial	$18.50
Rate for Payer: Group Health Inc Medicare	$12.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.50
Rate for Payer: Hamaspik Choice Inc Medicare	$18.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$15.57
Rate for Payer: Healthfirst Essential Plan	$35.03
Rate for Payer: Wellcare CHP/FHP/Medicaid	$15.57

HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER

Facility

$50.00

Service Code	CPT 88142
Hospital Charge Code	3118814201
Hospital Revenue Code	311
Min. Negotiated Rate	$14.18
Max. Negotiated Rate	$45.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.26
Rate for Payer: Aetna Government	$20.26
Rate for Payer: Affinity Essential Plan 1&2	$14.18
Rate for Payer: Affinity Essential Plan 3&4	$14.18
Rate for Payer: Affinity Medicaid/CHP/HARP	$14.18
Rate for Payer: Brighton Health Commercial	$20.26
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$20.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$34.43
Rate for Payer: Cigna LocalPlus Benefit Plan	$28.98
Rate for Payer: Elderplan Medicare Advantage	$20.26
Rate for Payer: EmblemHealth Commercial	$20.26
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18.23
Rate for Payer: Fidelis Essential Plan Aliesa	$17.22
Rate for Payer: Fidelis Essential Plan QHP	$18.03
Rate for Payer: Fidelis Medicare Advantage	$20.26
Rate for Payer: Fidelis Qualified Health Plan	$18.03
Rate for Payer: Group Health Inc Commercial	$20.26
Rate for Payer: Group Health Inc Medicare	$20.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.26
Rate for Payer: Hamaspik Choice Inc Medicare	$20.26
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$20.26
Rate for Payer: Healthfirst Essential Plan	$45.59
Rate for Payer: Healthfirst Medicare Advantage	$20.26
Rate for Payer: Healthfirst QHP	$20.26
Rate for Payer: Humana Medicare	$20.67
Rate for Payer: Senior Whole Health Medicare Advantage	$20.26
Rate for Payer: United Healthcare Medicare Advantage	$20.26
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$20.26
Rate for Payer: Wellcare CHP/FHP/Medicaid	$20.26
Rate for Payer: Wellcare Medicare	$18.23

HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER

Facility

$50.00

Service Code	CPT 88142
Hospital Charge Code	3118814201
Hospital Revenue Code	311
Min. Negotiated Rate	$25.00
Max. Negotiated Rate	$25.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$25.00

HC CYTOPATH EVAL FNA REPORT - LAB INTERPRETATION OF FNA SMEAR

Facility

$149.00

Service Code	CPT 88173 TC
Hospital Charge Code	3118817301
Hospital Revenue Code	311
Min. Negotiated Rate	$74.50
Max. Negotiated Rate	$74.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.50

HC CYTOPATH EVAL FNA REPORT - LAB INTERPRETATION OF FNA SMEAR

Facility

$149.00

Service Code	CPT 88173 TC
Hospital Charge Code	3118817301
Hospital Revenue Code	311
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$122.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$81.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$51.97
Rate for Payer: Aetna Government	$51.97
Rate for Payer: Brighton Health Commercial	$111.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$83.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$70.46
Rate for Payer: EmblemHealth Commercial	$122.03
Rate for Payer: Group Health Inc Commercial	$74.50
Rate for Payer: Group Health Inc Medicare	$52.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.50
Rate for Payer: Hamaspik Choice Inc Medicare	$74.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19.31
Rate for Payer: Healthfirst Essential Plan	$43.45
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19.31

HC CYTOPATH FL NONGYN SMEARS - LAB CYTOPATH FLUIDS,SMEAR,INTERP

Facility

$101.00

Service Code	CPT 88104 TC
Hospital Charge Code	3118810401
Hospital Revenue Code	311
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$75.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$29.75
Rate for Payer: Aetna Government	$29.75
Rate for Payer: Brighton Health Commercial	$75.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$45.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$38.33
Rate for Payer: EmblemHealth Commercial	$62.18
Rate for Payer: Group Health Inc Commercial	$50.50
Rate for Payer: Group Health Inc Medicare	$35.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50
Rate for Payer: Hamaspik Choice Inc Medicare	$50.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19.31
Rate for Payer: Healthfirst Essential Plan	$43.45
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19.31

HC CYTOPATH FL NONGYN SMEARS - LAB CYTOPATH FLUIDS,SMEAR,INTERP

Facility

$101.00

Service Code	CPT 88104 TC
Hospital Charge Code	3118810401
Hospital Revenue Code	311
Min. Negotiated Rate	$50.50
Max. Negotiated Rate	$50.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50

HC CYTOPATH FLUIDS,CONCENTRATN,INTERP - LAB CYTOPATH FLUIDS,CONCENTRATN,INT

Facility

$101.00

Service Code	CPT 88108 TC
Hospital Charge Code	3118810802
Hospital Revenue Code	311
Min. Negotiated Rate	$50.50
Max. Negotiated Rate	$50.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50

HC CYTOPATH FLUIDS,CONCENTRATN,INTERP - LAB CYTOPATH FLUIDS,CONCENTRATN,INT

Facility

$101.00

Service Code	CPT 88108 TC
Hospital Charge Code	3118810802
Hospital Revenue Code	311
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$75.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$31.57
Rate for Payer: Aetna Government	$31.57
Rate for Payer: Brighton Health Commercial	$75.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$58.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$49.05
Rate for Payer: EmblemHealth Commercial	$56.51
Rate for Payer: Group Health Inc Commercial	$50.50
Rate for Payer: Group Health Inc Medicare	$35.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.50
Rate for Payer: Hamaspik Choice Inc Medicare	$50.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19.31
Rate for Payer: Healthfirst Essential Plan	$43.45
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19.31

HC CYTOPATH PROCEDURE UNLISTED - FLOWCYTOMETRY/READ 16 & >

Facility

$212.00

Service Code	CPT 88189 TC
Hospital Charge Code	3118818902
Hospital Revenue Code	311
Min. Negotiated Rate	$106.00
Max. Negotiated Rate	$106.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$106.00

HC CYTOPATH PROCEDURE UNLISTED - FLOWCYTOMETRY/READ 16 & >

Facility

$212.00

Service Code	CPT 88189 TC
Hospital Charge Code	3118818902
Hospital Revenue Code	311
Min. Negotiated Rate	$30.30
Max. Negotiated Rate	$159.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$116.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$68.82
Rate for Payer: Aetna Government	$68.82
Rate for Payer: Brighton Health Commercial	$159.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$124.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$105.01
Rate for Payer: EmblemHealth Commercial	$106.00
Rate for Payer: Group Health Inc Commercial	$106.00
Rate for Payer: Group Health Inc Medicare	$74.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$106.00
Rate for Payer: Hamaspik Choice Inc Medicare	$106.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$30.30
Rate for Payer: Healthfirst Essential Plan	$68.17
Rate for Payer: Wellcare CHP/FHP/Medicaid	$30.30

HC CYTOPATH PROCEDURE UNLISTED - HPV E6/E7 QUANTASURE

Facility

$149.00

Service Code	CPT 88199 TC
Hospital Charge Code	3118819901
Hospital Revenue Code	311
Min. Negotiated Rate	$74.50
Max. Negotiated Rate	$74.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.50

HC CYTOPATH PROCEDURE UNLISTED - HPV E6/E7 QUANTASURE

Facility

$149.00

Service Code	CPT 88199 TC
Hospital Charge Code	3118819901
Hospital Revenue Code	311
Min. Negotiated Rate	$11.23
Max. Negotiated Rate	$111.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$81.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$74.50
Rate for Payer: Aetna Government	$74.50
Rate for Payer: Brighton Health Commercial	$111.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.23
Rate for Payer: EmblemHealth Commercial	$74.50
Rate for Payer: Group Health Inc Commercial	$74.50
Rate for Payer: Group Health Inc Medicare	$52.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.50
Rate for Payer: Hamaspik Choice Inc Medicare	$74.50

HC CYTOPATH SMEAR OTHER SOURCE - LAB CYTOPATH,OTHR SOURC,EXTENSIVE

Facility

$152.00

Service Code	CPT 88162 TC
Hospital Charge Code	3118816201
Hospital Revenue Code	311
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$114.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$83.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$41.26
Rate for Payer: Aetna Government	$41.26
Rate for Payer: Brighton Health Commercial	$114.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$49.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.78
Rate for Payer: EmblemHealth Commercial	$110.15
Rate for Payer: Group Health Inc Commercial	$76.00
Rate for Payer: Group Health Inc Medicare	$53.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$76.00
Rate for Payer: Hamaspik Choice Inc Medicare	$76.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$19.31
Rate for Payer: Healthfirst Essential Plan	$43.45
Rate for Payer: Wellcare CHP/FHP/Medicaid	$19.31

HC CYTOPATH SMEAR OTHER SOURCE - LAB CYTOPATH,OTHR SOURC,EXTENSIVE

Facility

$152.00

Service Code	CPT 88162 TC
Hospital Charge Code	3118816201
Hospital Revenue Code	311
Min. Negotiated Rate	$76.00
Max. Negotiated Rate	$76.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$76.00

Know your out-of-pocket cost for care.

All Charges