St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ANALYZE NEUROSTIM COMPLEX

Facility

$343.55

Service Code	HCPCS 95972
Hospital Charge Code	30305956
Hospital Revenue Code	920
Rate for Payer: Cash Price	$111.94

ANASTAMOSIS COLO-ANAL

Facility

$5,042.05

Service Code	HCPCS 45119
Hospital Charge Code	40019629
Hospital Revenue Code	360
Min. Negotiated Rate	$1,496.00
Max. Negotiated Rate	$3,781.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,773.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,275.14
Rate for Payer: Aetna Government	$2,275.14
Rate for Payer: Brighton Health Commercial	$3,781.54
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: EmblemHealth Commercial	$1,505.00
Rate for Payer: Group Health Inc Commercial	$2,521.02
Rate for Payer: Group Health Inc Medicare	$1,764.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,521.02
Rate for Payer: Hamaspik Choice Inc Medicare	$2,521.02
Rate for Payer: United Healthcare Commercial	$1,496.00

ANASTROZOLE 1 MG PO TABS [16205]

Facility

$2.07

Service Code	NDC 60687011221
Hospital Charge Code	60687011221
Hospital Revenue Code	250
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$1.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.04
Rate for Payer: Aetna Government	$1.04
Rate for Payer: Brighton Health Commercial	$1.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.41
Rate for Payer: Group Health Inc Commercial	$1.04
Rate for Payer: Group Health Inc Medicare	$0.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.04
Rate for Payer: Hamaspik Choice Inc Medicare	$1.04
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.35

ANASTROZOLE 1 MG PO TABS [16205]

Facility

$2.07

Service Code	NDC 50268007511
Hospital Charge Code	50268007511
Hospital Revenue Code	250
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$1.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.04
Rate for Payer: Aetna Government	$1.04
Rate for Payer: Brighton Health Commercial	$1.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.41
Rate for Payer: Group Health Inc Commercial	$1.04
Rate for Payer: Group Health Inc Medicare	$0.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.04
Rate for Payer: Hamaspik Choice Inc Medicare	$1.04
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.35

ANASTROZOLE 1 MG PO TABS [16205]

Facility

$2.07

Service Code	NDC 50268007515
Hospital Charge Code	50268007515
Hospital Revenue Code	250
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$1.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.04
Rate for Payer: Aetna Government	$1.04
Rate for Payer: Brighton Health Commercial	$1.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.41
Rate for Payer: Group Health Inc Commercial	$1.04
Rate for Payer: Group Health Inc Medicare	$0.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.04
Rate for Payer: Hamaspik Choice Inc Medicare	$1.04
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.35

ANASTROZOLE 1 MG PO TABS [16205]

Facility

$12.00

Service Code	NDC 00904619546
Hospital Charge Code	00904619546
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$9.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.00
Rate for Payer: Aetna Government	$6.00
Rate for Payer: Brighton Health Commercial	$9.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.16
Rate for Payer: Group Health Inc Commercial	$6.00
Rate for Payer: Group Health Inc Medicare	$4.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.80

ANASTROZOLE 1 MG PO TABS [16205]

Facility

$13.50

Service Code	NDC 00093753656
Hospital Charge Code	00093753656
Hospital Revenue Code	250
Min. Negotiated Rate	$4.72
Max. Negotiated Rate	$10.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.75
Rate for Payer: Aetna Government	$6.75
Rate for Payer: Brighton Health Commercial	$10.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.18
Rate for Payer: Group Health Inc Commercial	$6.75
Rate for Payer: Group Health Inc Medicare	$4.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.75
Rate for Payer: Hamaspik Choice Inc Medicare	$6.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.77

ANASTROZOLE 1 MG PO TABS [16205]

Facility

$13.48

Service Code	NDC 68382020906
Hospital Charge Code	68382020906
Hospital Revenue Code	250
Min. Negotiated Rate	$4.72
Max. Negotiated Rate	$10.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.74
Rate for Payer: Aetna Government	$6.74
Rate for Payer: Brighton Health Commercial	$10.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.17
Rate for Payer: Group Health Inc Commercial	$6.74
Rate for Payer: Group Health Inc Medicare	$4.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.74
Rate for Payer: Hamaspik Choice Inc Medicare	$6.74
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.76

ANASTROZOLE 1 MG TAB

Facility

$1.16

Service Code	HCPCS J8999
Hospital Charge Code	41642393
Hospital Revenue Code	636
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$0.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.58
Rate for Payer: Aetna Government	$0.58
Rate for Payer: Brighton Health Commercial	$0.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.67
Rate for Payer: Group Health Inc Commercial	$0.58
Rate for Payer: Group Health Inc Medicare	$0.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.58
Rate for Payer: Hamaspik Choice Inc Medicare	$0.58
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.75

ANASTROZOLE 1 MG TAB

Facility

$1.16

Service Code	HCPCS J8999
Hospital Charge Code	41642393
Hospital Revenue Code	636
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.58
Rate for Payer: Hamaspik Choice Inc Medicare	$0.58

ANASTROZOLE 1 MG TAB

Facility

$1.16

Service Code	HCPCS J8999
Hospital Charge Code	41652393
Hospital Revenue Code	636
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$0.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.58
Rate for Payer: Aetna Government	$0.58
Rate for Payer: Brighton Health Commercial	$0.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.67
Rate for Payer: Group Health Inc Commercial	$0.58
Rate for Payer: Group Health Inc Medicare	$0.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.58
Rate for Payer: Hamaspik Choice Inc Medicare	$0.58
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.75

ANASTROZOLE 1 MG TAB

Facility

$1.16

Service Code	HCPCS J8999
Hospital Charge Code	41652393
Hospital Revenue Code	636
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.58
Rate for Payer: Hamaspik Choice Inc Medicare	$0.58

ANCA PANEL

Facility

$43.18

Service Code	HCPCS 83520
Hospital Charge Code	40609093
Hospital Revenue Code	300
Min. Negotiated Rate	$12.09
Max. Negotiated Rate	$32.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.27
Rate for Payer: Aetna Government	$17.27
Rate for Payer: Affinity Essential Plan 1&2	$12.09
Rate for Payer: Affinity Essential Plan 3&4	$12.09
Rate for Payer: Affinity Medicaid/CHP/HARP	$12.09
Rate for Payer: Brighton Health Commercial	$32.38
Rate for Payer: Cash Price	$17.27
Rate for Payer: Cash Price	$17.27
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$17.27
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$17.41
Rate for Payer: Elderplan Medicare Advantage	$17.27
Rate for Payer: EmblemHealth Commercial	$17.27
Rate for Payer: Fidelis Essential Plan Aliesa	$14.68
Rate for Payer: Fidelis Essential Plan QHP	$15.37
Rate for Payer: Fidelis Medicare Advantage	$17.27
Rate for Payer: Fidelis Qualified Health Plan	$15.37
Rate for Payer: Group Health Inc Commercial	$17.27
Rate for Payer: Group Health Inc Medicare	$17.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.59
Rate for Payer: Hamaspik Choice Inc Medicare	$17.27
Rate for Payer: Healthfirst Medicare Advantage	$17.27
Rate for Payer: Healthfirst QHP	$17.27
Rate for Payer: Humana Medicare	$17.62
Rate for Payer: Senior Whole Health Medicare Advantage	$17.27
Rate for Payer: United Healthcare Commercial	$16.40
Rate for Payer: United Healthcare Medicare Advantage	$17.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$17.27
Rate for Payer: Wellcare CHP/FHP/Medicaid	$13.82
Rate for Payer: Wellcare Medicare	$15.54

ANCA PANEL

Facility

$43.18

Service Code	HCPCS 83520
Hospital Charge Code	40609093
Hospital Revenue Code	300
Rate for Payer: Cash Price	$17.27

ANCHOR

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	40209639
Hospital Revenue Code	278
Min. Negotiated Rate	$275.00
Max. Negotiated Rate	$275.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$275.00
Rate for Payer: Hamaspik Choice Inc Medicare	$275.00

ANCHOR

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	40209639
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$577.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$302.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$330.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$275.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$316.25
Rate for Payer: EmblemHealth Commercial	$275.00
Rate for Payer: Fidelis Medicare Advantage	$577.50
Rate for Payer: Group Health Inc Commercial	$275.00
Rate for Payer: Group Health Inc Medicare	$192.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$275.00
Rate for Payer: Hamaspik Choice Inc Medicare	$275.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$357.50

ANCHOR

Facility

$458.00

Service Code	HCPCS C1713
Hospital Charge Code	40209648
Hospital Revenue Code	278
Min. Negotiated Rate	$229.00
Max. Negotiated Rate	$229.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$229.00
Rate for Payer: Hamaspik Choice Inc Medicare	$229.00

ANCHOR

Facility

$458.00

Service Code	HCPCS C1713
Hospital Charge Code	40209648
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$480.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$251.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$274.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$229.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$263.35
Rate for Payer: EmblemHealth Commercial	$229.00
Rate for Payer: Fidelis Medicare Advantage	$480.90
Rate for Payer: Group Health Inc Commercial	$229.00
Rate for Payer: Group Health Inc Medicare	$160.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$229.00
Rate for Payer: Hamaspik Choice Inc Medicare	$229.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$297.70

ANCHOR 5.5MM REELX STT

Facility

$1,118.53

Service Code	HCPCS C1713
Hospital Charge Code	64902736
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,174.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$615.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$671.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$559.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$643.15
Rate for Payer: EmblemHealth Commercial	$559.26
Rate for Payer: Fidelis Medicare Advantage	$1,174.46
Rate for Payer: Group Health Inc Commercial	$559.26
Rate for Payer: Group Health Inc Medicare	$391.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$559.26
Rate for Payer: Hamaspik Choice Inc Medicare	$559.26
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$727.04

ANCHOR 5.5MM REELX STT

Facility

$1,118.53

Service Code	HCPCS C1713
Hospital Charge Code	64902736
Hospital Revenue Code	278
Min. Negotiated Rate	$559.26
Max. Negotiated Rate	$559.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$559.26
Rate for Payer: Hamaspik Choice Inc Medicare	$559.26

ANCHORAGE UTIL PLATE STR 4 HOLE

Facility

$3,572.00

Service Code	HCPCS C1713
Hospital Charge Code	40005918
Hospital Revenue Code	278
Min. Negotiated Rate	$1,786.00
Max. Negotiated Rate	$1,786.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,786.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,786.00

ANCHORAGE UTIL PLATE STR 4 HOLE

Facility

$3,572.00

Service Code	HCPCS C1713
Hospital Charge Code	40005918
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,750.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,964.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,143.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,786.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,053.90
Rate for Payer: EmblemHealth Commercial	$1,786.00
Rate for Payer: Fidelis Medicare Advantage	$3,750.60
Rate for Payer: Group Health Inc Commercial	$1,786.00
Rate for Payer: Group Health Inc Medicare	$1,250.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,786.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,786.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,321.80

ANCHOR C 7 X 12 X 14 -48321074

Facility

$9,000.00

Service Code	HCPCS C1713
Hospital Charge Code	64906588
Hospital Revenue Code	279
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$7,200.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,950.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$6,750.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7,200.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$6,120.00
Rate for Payer: Group Health Inc Commercial	$4,500.00
Rate for Payer: Group Health Inc Medicare	$3,150.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,500.00

ANCHORLOCK LEADING EDGE SOFT

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	40200247
Hospital Revenue Code	278
Min. Negotiated Rate	$395.00
Max. Negotiated Rate	$395.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$395.00
Rate for Payer: Hamaspik Choice Inc Medicare	$395.00

ANCHORLOCK LEADING EDGE SOFT

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	40200247
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$829.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$434.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$474.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$395.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$454.25
Rate for Payer: EmblemHealth Commercial	$395.00
Rate for Payer: Fidelis Medicare Advantage	$829.50
Rate for Payer: Group Health Inc Commercial	$395.00
Rate for Payer: Group Health Inc Medicare	$276.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$395.00
Rate for Payer: Hamaspik Choice Inc Medicare	$395.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$513.50

Know your out-of-pocket cost for care.

All Charges