St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CURETTAGE, POSTPARTUM

Facility

$7,566.13

Service Code	HCPCS 59160
Hospital Charge Code	40052247
Hospital Revenue Code	360
Rate for Payer: Cash Price	$3,615.39

CURETTE ANGLE LOOP RED

Facility

$2.31

Hospital Charge Code	64902508
Hospital Revenue Code	270
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$1.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.16
Rate for Payer: Aetna Government	$1.16
Rate for Payer: Brighton Health Commercial	$1.73
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.85
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.57
Rate for Payer: Group Health Inc Commercial	$1.16
Rate for Payer: Group Health Inc Medicare	$0.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.16
Rate for Payer: Hamaspik Choice Inc Medicare	$1.16

CURETTE CERASPOON YELLOW

Facility

$2.22

Hospital Charge Code	64902506
Hospital Revenue Code	270
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$1.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.11
Rate for Payer: Aetna Government	$1.11
Rate for Payer: Brighton Health Commercial	$1.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.51
Rate for Payer: Group Health Inc Commercial	$1.11
Rate for Payer: Group Health Inc Medicare	$0.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.11
Rate for Payer: Hamaspik Choice Inc Medicare	$1.11

CURETTE,DERMAL,DISPOSABLE,3 MM

Facility

$4.31

Hospital Charge Code	64903522
Hospital Revenue Code	270
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$3.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.16
Rate for Payer: Aetna Government	$2.16
Rate for Payer: Brighton Health Commercial	$3.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.93
Rate for Payer: Group Health Inc Commercial	$2.16
Rate for Payer: Group Health Inc Medicare	$1.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.16
Rate for Payer: Hamaspik Choice Inc Medicare	$2.16

CURETTE, EAR, BLUE, INFANTSC

Facility

$2.53

Hospital Charge Code	64902499
Hospital Revenue Code	270
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$2.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.26
Rate for Payer: Aetna Government	$1.26
Rate for Payer: Brighton Health Commercial	$1.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.72
Rate for Payer: Group Health Inc Commercial	$1.26
Rate for Payer: Group Health Inc Medicare	$0.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.26
Rate for Payer: Hamaspik Choice Inc Medicare	$1.26

CURETTE, EAR, GREEN, MICROL, 50/B

Facility

$2.22

Hospital Charge Code	64902504
Hospital Revenue Code	270
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$1.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.11
Rate for Payer: Aetna Government	$1.11
Rate for Payer: Brighton Health Commercial	$1.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.51
Rate for Payer: Group Health Inc Commercial	$1.11
Rate for Payer: Group Health Inc Medicare	$0.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.11
Rate for Payer: Hamaspik Choice Inc Medicare	$1.11

CURETTE ENDOMETRL SUCTION PIPELLE

Facility

$0.66

Hospital Charge Code	64902816
Hospital Revenue Code	270
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.53
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.33
Rate for Payer: Aetna Government	$0.33
Rate for Payer: Brighton Health Commercial	$0.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.53
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.45
Rate for Payer: Group Health Inc Commercial	$0.33
Rate for Payer: Group Health Inc Medicare	$0.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.33
Rate for Payer: Hamaspik Choice Inc Medicare	$0.33

CURETTE FLEXLOOP WHITE

Facility

$2.22

Hospital Charge Code	64902502
Hospital Revenue Code	270
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$1.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.11
Rate for Payer: Aetna Government	$1.11
Rate for Payer: Brighton Health Commercial	$1.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.51
Rate for Payer: Group Health Inc Commercial	$1.11
Rate for Payer: Group Health Inc Medicare	$0.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.11
Rate for Payer: Hamaspik Choice Inc Medicare	$1.11

CURETTES 7MM FLEX VAC

Facility

$3.94

Hospital Charge Code	64904644
Hospital Revenue Code	270
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$3.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.97
Rate for Payer: Aetna Government	$1.97
Rate for Payer: Brighton Health Commercial	$2.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.68
Rate for Payer: Group Health Inc Commercial	$1.97
Rate for Payer: Group Health Inc Medicare	$1.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.97
Rate for Payer: Hamaspik Choice Inc Medicare	$1.97

CURETTE/TREAT CORNEA

Facility

$2,444.10

Service Code	HCPCS 65435
Hospital Charge Code	30306436
Hospital Revenue Code	510
Min. Negotiated Rate	$222.00
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$780.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,170.80
Rate for Payer: Aetna Government	$1,170.80
Rate for Payer: Affinity Essential Plan 1&2	$819.56
Rate for Payer: Affinity Essential Plan 3&4	$819.56
Rate for Payer: Affinity Medicaid/CHP/HARP	$819.56
Rate for Payer: Brighton Health Commercial	$233.00
Rate for Payer: Cash Price	$1,170.80
Rate for Payer: Cash Price	$1,170.80
Rate for Payer: Cash Price	$1,170.80
Rate for Payer: Cash Price	$1,170.80
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$1,170.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Elderplan Medicare Advantage	$1,170.80
Rate for Payer: Fidelis Essential Plan Aliesa	$995.18
Rate for Payer: Fidelis Essential Plan QHP	$1,042.01
Rate for Payer: Fidelis Medicare Advantage	$1,170.80
Rate for Payer: Fidelis Qualified Health Plan	$1,042.01
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,222.05
Rate for Payer: Hamaspik Choice Inc Medicare	$1,170.80
Rate for Payer: Healthfirst Medicare Advantage	$995.18
Rate for Payer: Healthfirst QHP	$1,170.80
Rate for Payer: Humana Medicare	$1,194.22
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$1,170.80
Rate for Payer: Senior Whole Health Medicare Advantage	$1,170.80
Rate for Payer: United Healthcare Commercial	$222.00
Rate for Payer: United Healthcare Medicare Advantage	$1,170.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,170.80
Rate for Payer: Wellcare CHP/FHP/Medicaid	$936.64
Rate for Payer: Wellcare Medicare	$1,112.26

CURETTE/TREAT CORNEA

Facility

$2,444.10

Service Code	HCPCS 65435
Hospital Charge Code	30306436
Hospital Revenue Code	510
Rate for Payer: Cash Price	$1,170.80

CURVED DISSECTOR ENDO 5MM

Facility

$56.00

Hospital Charge Code	40200441
Hospital Revenue Code	270
Min. Negotiated Rate	$19.60
Max. Negotiated Rate	$44.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.00
Rate for Payer: Aetna Government	$28.00
Rate for Payer: Brighton Health Commercial	$42.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$44.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$38.08
Rate for Payer: Group Health Inc Commercial	$28.00
Rate for Payer: Group Health Inc Medicare	$19.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.00
Rate for Payer: Hamaspik Choice Inc Medicare	$28.00

CURVED PLATE 10H 1.6MM

Facility

$7,388.00

Service Code	HCPCS C1713
Hospital Charge Code	40209395
Hospital Revenue Code	278
Min. Negotiated Rate	$3,694.00
Max. Negotiated Rate	$3,694.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,694.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,694.00

CURVED PLATE 10H 1.6MM

Facility

$7,388.00

Service Code	HCPCS C1713
Hospital Charge Code	40209395
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$7,757.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,063.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$4,432.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,694.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,248.10
Rate for Payer: EmblemHealth Commercial	$3,694.00
Rate for Payer: Fidelis Medicare Advantage	$7,757.40
Rate for Payer: Group Health Inc Commercial	$3,694.00
Rate for Payer: Group Health Inc Medicare	$2,585.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,694.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,694.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,802.20

CUSHION RING

Facility

$49.47

Hospital Charge Code	64903166
Hospital Revenue Code	270
Min. Negotiated Rate	$17.31
Max. Negotiated Rate	$39.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$24.74
Rate for Payer: Aetna Government	$24.74
Rate for Payer: Brighton Health Commercial	$37.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$39.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.64
Rate for Payer: Group Health Inc Commercial	$24.74
Rate for Payer: Group Health Inc Medicare	$17.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.74
Rate for Payer: Hamaspik Choice Inc Medicare	$24.74

CUSIL SADDLE

Facility

$1,630.13

Hospital Charge Code	42301630
Hospital Revenue Code	361
Min. Negotiated Rate	$570.55
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$896.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$815.06
Rate for Payer: Aetna Government	$815.06
Rate for Payer: Brighton Health Commercial	$1,222.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Group Health Inc Commercial	$815.06
Rate for Payer: Group Health Inc Medicare	$570.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$815.06
Rate for Payer: Hamaspik Choice Inc Medicare	$815.06

CUSTOM ABUTMENT

Facility

$1,000.00

Service Code	HCPCS D6057
Hospital Charge Code	42303320
Hospital Revenue Code	361
Min. Negotiated Rate	$172.65
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$550.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$172.65
Rate for Payer: Aetna Government	$172.65
Rate for Payer: Brighton Health Commercial	$750.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Group Health Inc Commercial	$500.00
Rate for Payer: Group Health Inc Medicare	$350.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$500.00

CUSTOM CRANIAL PLATE XL 50040

Facility

$29,811.86

Service Code	HCPCS C1713
Hospital Charge Code	64906594
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$31,302.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16,396.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$17,887.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$14,905.93
Rate for Payer: Cigna LocalPlus Benefit Plan	$17,141.82
Rate for Payer: EmblemHealth Commercial	$14,905.93
Rate for Payer: Fidelis Medicare Advantage	$31,302.45
Rate for Payer: Group Health Inc Commercial	$14,905.93
Rate for Payer: Group Health Inc Medicare	$10,434.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$14,905.93
Rate for Payer: Hamaspik Choice Inc Medicare	$14,905.93
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$19,377.71

CUSTOM CRANIAL PLATE XL 50040

Facility

$29,811.86

Service Code	HCPCS C1713
Hospital Charge Code	64906594
Hospital Revenue Code	278
Min. Negotiated Rate	$14,905.93
Max. Negotiated Rate	$14,905.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$14,905.93
Rate for Payer: Hamaspik Choice Inc Medicare	$14,905.93

CUSTOM SEAL KIT

Facility

$1,875.00

Hospital Charge Code	64903896
Hospital Revenue Code	279
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$1,500.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,031.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$937.50
Rate for Payer: Aetna Government	$937.50
Rate for Payer: Brighton Health Commercial	$1,406.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,500.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,275.00
Rate for Payer: Group Health Inc Commercial	$937.50
Rate for Payer: Group Health Inc Medicare	$656.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$937.50
Rate for Payer: Hamaspik Choice Inc Medicare	$937.50

CUST. ULTRA. BACTERIAL REPL. FILT

Facility

$598.00

Hospital Charge Code	40203365
Hospital Revenue Code	272
Min. Negotiated Rate	$209.30
Max. Negotiated Rate	$478.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$328.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$299.00
Rate for Payer: Aetna Government	$299.00
Rate for Payer: Brighton Health Commercial	$448.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$478.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$406.64
Rate for Payer: Group Health Inc Commercial	$299.00
Rate for Payer: Group Health Inc Medicare	$209.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$299.00
Rate for Payer: Hamaspik Choice Inc Medicare	$299.00

CUST. ULTRA. BACTERIAL REPL. FILT

Facility

$598.00

Hospital Charge Code	40009348
Hospital Revenue Code	272
Min. Negotiated Rate	$209.30
Max. Negotiated Rate	$478.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$328.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$299.00
Rate for Payer: Aetna Government	$299.00
Rate for Payer: Brighton Health Commercial	$448.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$478.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$406.64
Rate for Payer: Group Health Inc Commercial	$299.00
Rate for Payer: Group Health Inc Medicare	$209.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$299.00
Rate for Payer: Hamaspik Choice Inc Medicare	$299.00

CUTDOWN FOR IV ACCESS

Facility

$1,101.23

Service Code	HCPCS 36425
Hospital Charge Code	40000025
Hospital Revenue Code	360
Min. Negotiated Rate	$322.53
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$460.76
Rate for Payer: Aetna Government	$460.76
Rate for Payer: Affinity Essential Plan 1&2	$322.53
Rate for Payer: Affinity Essential Plan 3&4	$322.53
Rate for Payer: Affinity Medicaid/CHP/HARP	$322.53
Rate for Payer: Brighton Health Commercial	$825.92
Rate for Payer: Cash Price	$460.76
Rate for Payer: Cash Price	$460.76
Rate for Payer: Cash Price	$460.76
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$460.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Elderplan Medicare Advantage	$460.76
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$391.65
Rate for Payer: Fidelis Essential Plan QHP	$410.08
Rate for Payer: Fidelis Medicare Advantage	$460.76
Rate for Payer: Fidelis Qualified Health Plan	$410.08
Rate for Payer: Group Health Inc Commercial	$460.76
Rate for Payer: Group Health Inc Medicare	$460.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$550.62
Rate for Payer: Hamaspik Choice Inc Medicare	$460.76
Rate for Payer: Healthfirst Medicare Advantage	$391.65
Rate for Payer: Healthfirst QHP	$460.76
Rate for Payer: Humana Medicare	$469.98
Rate for Payer: Senior Whole Health Medicare Advantage	$460.76
Rate for Payer: United Healthcare Commercial	$1,113.00
Rate for Payer: United Healthcare Medicare Advantage	$460.76
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$460.76
Rate for Payer: Wellcare CHP/FHP/Medicaid	$368.61
Rate for Payer: Wellcare Medicare	$437.72

CUTDOWN FOR IV ACCESS

Facility

$1,101.23

Service Code	HCPCS 36425
Hospital Charge Code	40000025
Hospital Revenue Code	360
Rate for Payer: Cash Price	$460.76

CUT DOWN SET

Facility

$53.16

Hospital Charge Code	40200930
Hospital Revenue Code	270
Min. Negotiated Rate	$18.61
Max. Negotiated Rate	$42.53
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.58
Rate for Payer: Aetna Government	$26.58
Rate for Payer: Brighton Health Commercial	$39.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$42.53
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.15
Rate for Payer: Group Health Inc Commercial	$26.58
Rate for Payer: Group Health Inc Medicare	$18.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.58
Rate for Payer: Hamaspik Choice Inc Medicare	$26.58

Know your out-of-pocket cost for care.

All Charges