St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ INTER JOINT

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700205
Hospital Revenue Code	320
Min. Negotiated Rate	$48.53
Max. Negotiated Rate	$915.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$629.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.91
Rate for Payer: Aetna Government	$50.91
Rate for Payer: Brighton Health Commercial	$858.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$915.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$777.92
Rate for Payer: EmblemHealth Commercial	$91.74
Rate for Payer: Group Health Inc Commercial	$572.00
Rate for Payer: Group Health Inc Medicare	$400.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00
Rate for Payer: Hamaspik Choice Inc Medicare	$572.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$91.74
Rate for Payer: Healthfirst Essential Plan	$109.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$48.53

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ INTER JOINT

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700205
Hospital Revenue Code	320
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$572.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ INTER JOINT BI

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700204
Hospital Revenue Code	320
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$572.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ INTER JOINT BI

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700204
Hospital Revenue Code	320
Min. Negotiated Rate	$48.53
Max. Negotiated Rate	$915.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$629.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.91
Rate for Payer: Aetna Government	$50.91
Rate for Payer: Brighton Health Commercial	$858.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$915.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$777.92
Rate for Payer: EmblemHealth Commercial	$91.74
Rate for Payer: Group Health Inc Commercial	$572.00
Rate for Payer: Group Health Inc Medicare	$400.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00
Rate for Payer: Hamaspik Choice Inc Medicare	$572.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$91.74
Rate for Payer: Healthfirst Essential Plan	$109.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$48.53

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ INTER JOINT RT

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700206
Hospital Revenue Code	320
Min. Negotiated Rate	$48.53
Max. Negotiated Rate	$915.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$629.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.91
Rate for Payer: Aetna Government	$50.91
Rate for Payer: Brighton Health Commercial	$858.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$915.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$777.92
Rate for Payer: EmblemHealth Commercial	$91.74
Rate for Payer: Group Health Inc Commercial	$572.00
Rate for Payer: Group Health Inc Medicare	$400.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00
Rate for Payer: Hamaspik Choice Inc Medicare	$572.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$91.74
Rate for Payer: Healthfirst Essential Plan	$109.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$48.53

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ INTER JOINT RT

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700206
Hospital Revenue Code	320
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$572.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ INT JNT LT CHG

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700202
Hospital Revenue Code	320
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$572.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ INT JNT LT CHG

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700202
Hospital Revenue Code	320
Min. Negotiated Rate	$48.53
Max. Negotiated Rate	$915.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$629.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.91
Rate for Payer: Aetna Government	$50.91
Rate for Payer: Brighton Health Commercial	$858.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$915.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$777.92
Rate for Payer: EmblemHealth Commercial	$91.74
Rate for Payer: Group Health Inc Commercial	$572.00
Rate for Payer: Group Health Inc Medicare	$400.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00
Rate for Payer: Hamaspik Choice Inc Medicare	$572.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$91.74
Rate for Payer: Healthfirst Essential Plan	$109.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$48.53

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ INT JNT RT CHG

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700203
Hospital Revenue Code	320
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$572.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ INT JNT RT CHG

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700203
Hospital Revenue Code	320
Min. Negotiated Rate	$48.53
Max. Negotiated Rate	$915.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$629.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.91
Rate for Payer: Aetna Government	$50.91
Rate for Payer: Brighton Health Commercial	$858.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$915.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$777.92
Rate for Payer: EmblemHealth Commercial	$91.74
Rate for Payer: Group Health Inc Commercial	$572.00
Rate for Payer: Group Health Inc Medicare	$400.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00
Rate for Payer: Hamaspik Choice Inc Medicare	$572.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$91.74
Rate for Payer: Healthfirst Essential Plan	$109.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$48.53

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ LARGE JNT BI CH

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700207
Hospital Revenue Code	320
Min. Negotiated Rate	$48.53
Max. Negotiated Rate	$915.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$629.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.91
Rate for Payer: Aetna Government	$50.91
Rate for Payer: Brighton Health Commercial	$858.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$915.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$777.92
Rate for Payer: EmblemHealth Commercial	$91.74
Rate for Payer: Group Health Inc Commercial	$572.00
Rate for Payer: Group Health Inc Medicare	$400.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00
Rate for Payer: Hamaspik Choice Inc Medicare	$572.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$91.74
Rate for Payer: Healthfirst Essential Plan	$109.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$48.53

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ LARGE JNT BI CH

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700207
Hospital Revenue Code	320
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$572.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ LARGE JNT LT CH

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700208
Hospital Revenue Code	320
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$572.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ LARGE JNT LT CH

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700208
Hospital Revenue Code	320
Min. Negotiated Rate	$48.53
Max. Negotiated Rate	$915.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$629.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.91
Rate for Payer: Aetna Government	$50.91
Rate for Payer: Brighton Health Commercial	$858.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$915.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$777.92
Rate for Payer: EmblemHealth Commercial	$91.74
Rate for Payer: Group Health Inc Commercial	$572.00
Rate for Payer: Group Health Inc Medicare	$400.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00
Rate for Payer: Hamaspik Choice Inc Medicare	$572.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$91.74
Rate for Payer: Healthfirst Essential Plan	$109.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$48.53

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ LARGE JNT RT CH

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700209
Hospital Revenue Code	320
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$572.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ LARGE JNT RT CH

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700209
Hospital Revenue Code	320
Min. Negotiated Rate	$48.53
Max. Negotiated Rate	$915.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$629.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.91
Rate for Payer: Aetna Government	$50.91
Rate for Payer: Brighton Health Commercial	$858.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$915.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$777.92
Rate for Payer: EmblemHealth Commercial	$91.74
Rate for Payer: Group Health Inc Commercial	$572.00
Rate for Payer: Group Health Inc Medicare	$400.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00
Rate for Payer: Hamaspik Choice Inc Medicare	$572.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$91.74
Rate for Payer: Healthfirst Essential Plan	$109.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$48.53

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ LARGE JOINT BI

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700210
Hospital Revenue Code	320
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$572.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ LARGE JOINT BI

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700210
Hospital Revenue Code	320
Min. Negotiated Rate	$48.53
Max. Negotiated Rate	$915.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$629.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.91
Rate for Payer: Aetna Government	$50.91
Rate for Payer: Brighton Health Commercial	$858.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$915.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$777.92
Rate for Payer: EmblemHealth Commercial	$91.74
Rate for Payer: Group Health Inc Commercial	$572.00
Rate for Payer: Group Health Inc Medicare	$400.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00
Rate for Payer: Hamaspik Choice Inc Medicare	$572.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$91.74
Rate for Payer: Healthfirst Essential Plan	$109.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$48.53

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ SMALL JOINT

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700217
Hospital Revenue Code	320
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$572.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPIR OR INJ SMALL JOINT

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700217
Hospital Revenue Code	320
Min. Negotiated Rate	$48.53
Max. Negotiated Rate	$915.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$629.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.91
Rate for Payer: Aetna Government	$50.91
Rate for Payer: Brighton Health Commercial	$858.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$915.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$777.92
Rate for Payer: EmblemHealth Commercial	$91.74
Rate for Payer: Group Health Inc Commercial	$572.00
Rate for Payer: Group Health Inc Medicare	$400.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00
Rate for Payer: Hamaspik Choice Inc Medicare	$572.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$91.74
Rate for Payer: Healthfirst Essential Plan	$109.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$48.53

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPR ABSCESS, HEMATOMA, CYST

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700239
Hospital Revenue Code	320
Min. Negotiated Rate	$48.53
Max. Negotiated Rate	$915.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$629.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.91
Rate for Payer: Aetna Government	$50.91
Rate for Payer: Brighton Health Commercial	$858.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$915.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$777.92
Rate for Payer: EmblemHealth Commercial	$91.74
Rate for Payer: Group Health Inc Commercial	$572.00
Rate for Payer: Group Health Inc Medicare	$400.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00
Rate for Payer: Hamaspik Choice Inc Medicare	$572.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$91.74
Rate for Payer: Healthfirst Essential Plan	$109.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$48.53

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED ASPR ABSCESS, HEMATOMA, CYST

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700239
Hospital Revenue Code	320
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$572.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED BIOPSY LYMPH NODE SPRFCL

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700280
Hospital Revenue Code	320
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$572.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED BIOPSY LYMPH NODE SPRFCL

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700280
Hospital Revenue Code	320
Min. Negotiated Rate	$48.53
Max. Negotiated Rate	$915.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$629.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.91
Rate for Payer: Aetna Government	$50.91
Rate for Payer: Brighton Health Commercial	$858.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$915.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$777.92
Rate for Payer: EmblemHealth Commercial	$91.74
Rate for Payer: Group Health Inc Commercial	$572.00
Rate for Payer: Group Health Inc Medicare	$400.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00
Rate for Payer: Hamaspik Choice Inc Medicare	$572.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$91.74
Rate for Payer: Healthfirst Essential Plan	$109.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$48.53

HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED NEEDLE LIVER BIOPSY

Facility

$1,144.00

Service Code	CPT 77002 TC
Hospital Charge Code	3207700282
Hospital Revenue Code	320
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$572.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$572.00

Know your out-of-pocket cost for care.

All Charges