St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

KIT,MASTER,SPILL

Facility

$462.50

Hospital Charge Code	64903852
Hospital Revenue Code	270
Min. Negotiated Rate	$161.88
Max. Negotiated Rate	$370.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$254.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$231.25
Rate for Payer: Aetna Government	$231.25
Rate for Payer: Brighton Health Commercial	$346.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$370.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$314.50
Rate for Payer: Group Health Inc Commercial	$231.25
Rate for Payer: Group Health Inc Medicare	$161.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$231.25
Rate for Payer: Hamaspik Choice Inc Medicare	$231.25

KIT MATERNITY

Facility

$10.00

Hospital Charge Code	64902193
Hospital Revenue Code	270
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$8.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.00
Rate for Payer: Aetna Government	$5.00
Rate for Payer: Brighton Health Commercial	$7.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.80
Rate for Payer: Group Health Inc Commercial	$5.00
Rate for Payer: Group Health Inc Medicare	$3.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.00
Rate for Payer: Hamaspik Choice Inc Medicare	$5.00

KIT NAIL INTR 10MM LONG R1

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64902479
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,714.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,993.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,265.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,721.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,129.22
Rate for Payer: EmblemHealth Commercial	$2,721.06
Rate for Payer: Fidelis Medicare Advantage	$5,714.24
Rate for Payer: Group Health Inc Commercial	$2,721.06
Rate for Payer: Group Health Inc Medicare	$1,904.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,537.38

KIT NAIL INTR 10MM LONG R1

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64902479
Hospital Revenue Code	278
Min. Negotiated Rate	$2,721.06
Max. Negotiated Rate	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06

KIT NAIL INTR 11MM LONG R1 A

Facility

$8,372.50

Service Code	HCPCS C1713
Hospital Charge Code	64904412
Hospital Revenue Code	278
Min. Negotiated Rate	$4,186.25
Max. Negotiated Rate	$4,186.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,186.25
Rate for Payer: Hamaspik Choice Inc Medicare	$4,186.25

KIT NAIL INTR 11MM LONG R1 A

Facility

$8,372.50

Service Code	HCPCS C1713
Hospital Charge Code	64904412
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,791.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,604.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$5,023.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,186.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,814.19
Rate for Payer: EmblemHealth Commercial	$4,186.25
Rate for Payer: Fidelis Medicare Advantage	$8,791.12
Rate for Payer: Group Health Inc Commercial	$4,186.25
Rate for Payer: Group Health Inc Medicare	$2,930.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,186.25
Rate for Payer: Hamaspik Choice Inc Medicare	$4,186.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,442.12

KIT NAIL INTR 11MM LONG R1 B

Facility

$8,372.50

Service Code	HCPCS C1713
Hospital Charge Code	64904481
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,791.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,604.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$5,023.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,186.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,814.19
Rate for Payer: EmblemHealth Commercial	$4,186.25
Rate for Payer: Fidelis Medicare Advantage	$8,791.12
Rate for Payer: Group Health Inc Commercial	$4,186.25
Rate for Payer: Group Health Inc Medicare	$2,930.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,186.25
Rate for Payer: Hamaspik Choice Inc Medicare	$4,186.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,442.12

KIT NAIL INTR 11MM LONG R1 B

Facility

$8,372.50

Service Code	HCPCS C1713
Hospital Charge Code	64904481
Hospital Revenue Code	278
Min. Negotiated Rate	$4,186.25
Max. Negotiated Rate	$4,186.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,186.25
Rate for Payer: Hamaspik Choice Inc Medicare	$4,186.25

KIT NAIL INTR 11MM LONG R1 C

Facility

$8,372.50

Service Code	HCPCS C1713
Hospital Charge Code	64904997
Hospital Revenue Code	278
Min. Negotiated Rate	$4,186.25
Max. Negotiated Rate	$4,186.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,186.25
Rate for Payer: Hamaspik Choice Inc Medicare	$4,186.25

KIT NAIL INTR 11MM LONG R1 C

Facility

$8,372.50

Service Code	HCPCS C1713
Hospital Charge Code	64904997
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,791.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,604.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$5,023.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,186.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,814.19
Rate for Payer: EmblemHealth Commercial	$4,186.25
Rate for Payer: Fidelis Medicare Advantage	$8,791.12
Rate for Payer: Group Health Inc Commercial	$4,186.25
Rate for Payer: Group Health Inc Medicare	$2,930.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,186.25
Rate for Payer: Hamaspik Choice Inc Medicare	$4,186.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,442.12

KIT NAIL INTRA 11MM X1.5

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64903741
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,306.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,351.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$4,746.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,955.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,548.82
Rate for Payer: EmblemHealth Commercial	$3,955.50
Rate for Payer: Fidelis Medicare Advantage	$8,306.55
Rate for Payer: Group Health Inc Commercial	$3,955.50
Rate for Payer: Group Health Inc Medicare	$2,768.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,955.50
Rate for Payer: Hamaspik Choice Inc Medicare	$3,955.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,142.15

KIT NAIL INTRA 11MM X1.5

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64903741
Hospital Revenue Code	278
Min. Negotiated Rate	$3,955.50
Max. Negotiated Rate	$3,955.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,955.50
Rate for Payer: Hamaspik Choice Inc Medicare	$3,955.50

KIT NAIL INTRA LK 11 380 1.5

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64905102
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,306.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,351.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$4,746.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,955.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,548.82
Rate for Payer: EmblemHealth Commercial	$3,955.50
Rate for Payer: Fidelis Medicare Advantage	$8,306.55
Rate for Payer: Group Health Inc Commercial	$3,955.50
Rate for Payer: Group Health Inc Medicare	$2,768.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,955.50
Rate for Payer: Hamaspik Choice Inc Medicare	$3,955.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,142.15

KIT NAIL INTRA LK 11 380 1.5

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64905102
Hospital Revenue Code	278
Min. Negotiated Rate	$3,955.50
Max. Negotiated Rate	$3,955.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,955.50
Rate for Payer: Hamaspik Choice Inc Medicare	$3,955.50

KIT NAIL INTR LOCKING 10MM A

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64902363
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,714.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,993.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,265.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,721.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,129.22
Rate for Payer: EmblemHealth Commercial	$2,721.06
Rate for Payer: Fidelis Medicare Advantage	$5,714.24
Rate for Payer: Group Health Inc Commercial	$2,721.06
Rate for Payer: Group Health Inc Medicare	$1,904.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,537.38

KIT NAIL INTR LOCKING 10MM A

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64902363
Hospital Revenue Code	278
Min. Negotiated Rate	$2,721.06
Max. Negotiated Rate	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06

KIT NAIL INTR LOCKING 10MM B

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64902401
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,714.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,993.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,265.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,721.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,129.22
Rate for Payer: EmblemHealth Commercial	$2,721.06
Rate for Payer: Fidelis Medicare Advantage	$5,714.24
Rate for Payer: Group Health Inc Commercial	$2,721.06
Rate for Payer: Group Health Inc Medicare	$1,904.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,537.38

KIT NAIL INTR LOCKING 10MM B

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64902401
Hospital Revenue Code	278
Min. Negotiated Rate	$2,721.06
Max. Negotiated Rate	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06

KIT NAIL INTR LOCKING 10MM C

Facility

$4,059.25

Service Code	HCPCS C1713
Hospital Charge Code	64902574
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,262.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,232.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,435.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,029.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,334.07
Rate for Payer: EmblemHealth Commercial	$2,029.62
Rate for Payer: Fidelis Medicare Advantage	$4,262.21
Rate for Payer: Group Health Inc Commercial	$2,029.62
Rate for Payer: Group Health Inc Medicare	$1,420.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,029.62
Rate for Payer: Hamaspik Choice Inc Medicare	$2,029.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,638.51

KIT NAIL INTR LOCKING 10MM C

Facility

$4,059.25

Service Code	HCPCS C1713
Hospital Charge Code	64902574
Hospital Revenue Code	278
Min. Negotiated Rate	$2,029.62
Max. Negotiated Rate	$2,029.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,029.62
Rate for Payer: Hamaspik Choice Inc Medicare	$2,029.62

KIT NAIL INTR LOCKING 11MM1

Facility

$3,141.13

Service Code	HCPCS C1713
Hospital Charge Code	64901448
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,298.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,727.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,884.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,570.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,806.15
Rate for Payer: EmblemHealth Commercial	$1,570.56
Rate for Payer: Fidelis Medicare Advantage	$3,298.19
Rate for Payer: Group Health Inc Commercial	$1,570.56
Rate for Payer: Group Health Inc Medicare	$1,099.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,570.56
Rate for Payer: Hamaspik Choice Inc Medicare	$1,570.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,041.73

KIT NAIL INTR LOCKING 11MM1

Facility

$3,141.13

Service Code	HCPCS C1713
Hospital Charge Code	64901448
Hospital Revenue Code	278
Min. Negotiated Rate	$1,570.56
Max. Negotiated Rate	$1,570.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,570.56
Rate for Payer: Hamaspik Choice Inc Medicare	$1,570.56

KIT NAIL INTR LOCKING 11MM10

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64903677
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,306.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,351.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$4,746.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,955.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,548.82
Rate for Payer: EmblemHealth Commercial	$3,955.50
Rate for Payer: Fidelis Medicare Advantage	$8,306.55
Rate for Payer: Group Health Inc Commercial	$3,955.50
Rate for Payer: Group Health Inc Medicare	$2,768.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,955.50
Rate for Payer: Hamaspik Choice Inc Medicare	$3,955.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,142.15

KIT NAIL INTR LOCKING 11MM10

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64903677
Hospital Revenue Code	278
Min. Negotiated Rate	$3,955.50
Max. Negotiated Rate	$3,955.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,955.50
Rate for Payer: Hamaspik Choice Inc Medicare	$3,955.50

KIT NAIL INTR LOCKING 11MM11

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64903817
Hospital Revenue Code	278
Min. Negotiated Rate	$3,955.50
Max. Negotiated Rate	$3,955.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,955.50
Rate for Payer: Hamaspik Choice Inc Medicare	$3,955.50

Know your out-of-pocket cost for care.

All Charges