St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

KIT NAIL INTR LOCKING 11MM11

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64903817
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 11MM12

Facility

$7,828.00

Service Code	HCPCS C1713
Hospital Charge Code	64904396
Hospital Revenue Code	278
Min. Negotiated Rate	$3,914.00
Max. Negotiated Rate	$3,914.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,914.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,914.00

KIT NAIL INTR LOCKING 11MM12

Facility

$7,828.00

Service Code	HCPCS C1713
Hospital Charge Code	64904396
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,219.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,305.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$4,696.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,914.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,501.10
Rate for Payer: EmblemHealth Commercial	$3,914.00
Rate for Payer: Fidelis Medicare Advantage	$8,219.40
Rate for Payer: Group Health Inc Commercial	$3,914.00
Rate for Payer: Group Health Inc Medicare	$2,739.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,914.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,914.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,088.20

KIT NAIL INTR LOCKING 11MM13

Facility

$5,745.68

Service Code	HCPCS C1713
Hospital Charge Code	64904803
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,032.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,160.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,447.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,872.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,303.77
Rate for Payer: EmblemHealth Commercial	$2,872.84
Rate for Payer: Fidelis Medicare Advantage	$6,032.96
Rate for Payer: Group Health Inc Commercial	$2,872.84
Rate for Payer: Group Health Inc Medicare	$2,010.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,872.84
Rate for Payer: Hamaspik Choice Inc Medicare	$2,872.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,734.69

KIT NAIL INTR LOCKING 11MM13

Facility

$5,745.68

Service Code	HCPCS C1713
Hospital Charge Code	64904803
Hospital Revenue Code	278
Min. Negotiated Rate	$2,872.84
Max. Negotiated Rate	$2,872.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,872.84
Rate for Payer: Hamaspik Choice Inc Medicare	$2,872.84

KIT NAIL INTR LOCKING 11MM2

Facility

$3,141.13

Service Code	HCPCS C1713
Hospital Charge Code	64902822
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 11MM2

Facility

$3,141.13

Service Code	HCPCS C1713
Hospital Charge Code	64902822
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 11MM3

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64903028
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 11MM3

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64903028
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 11MM4

Facility

$8,372.50

Service Code	HCPCS C1713
Hospital Charge Code	64903030
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 LOCKING 11MM4

Facility

$8,372.50

Service Code	HCPCS C1713
Hospital Charge Code	64903030
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 LOCKING 11MM5

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64903176
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 11MM5

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64903176
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 11MM7

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64903322
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 11MM7

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64903322
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 11MM8

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64903507
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 11MM8

Facility

$7,911.00

Service Code	HCPCS C1713
Hospital Charge Code	64903507
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 11MM9

Facility

$8,372.50

Service Code	HCPCS C1713
Hospital Charge Code	64903637
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 LOCKING 11MM9

Facility

$8,372.50

Service Code	HCPCS C1713
Hospital Charge Code	64903637
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 LOCKING 13MM

Facility

$3,888.50

Service Code	HCPCS C1713
Hospital Charge Code	64904667
Hospital Revenue Code	278
Min. Negotiated Rate	$1,944.25
Max. Negotiated Rate	$1,944.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,944.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,944.25

KIT NAIL INTR LOCKING 13MM

Facility

$3,888.50

Service Code	HCPCS C1713
Hospital Charge Code	64904667
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,082.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,138.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,333.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,944.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,235.89
Rate for Payer: EmblemHealth Commercial	$1,944.25
Rate for Payer: Fidelis Medicare Advantage	$4,082.92
Rate for Payer: Group Health Inc Commercial	$1,944.25
Rate for Payer: Group Health Inc Medicare	$1,360.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,944.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,944.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,527.52

KIT NAIL LNG RT 11X440X125MM

Facility

$5,698.78

Service Code	HCPCS C1713
Hospital Charge Code	64906947
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,983.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,134.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,419.27
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,849.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,276.80
Rate for Payer: EmblemHealth Commercial	$2,849.39
Rate for Payer: Fidelis Medicare Advantage	$5,983.72
Rate for Payer: Group Health Inc Commercial	$2,849.39
Rate for Payer: Group Health Inc Medicare	$1,994.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,849.39
Rate for Payer: Hamaspik Choice Inc Medicare	$2,849.39
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,704.21

KIT NAIL LNG RT 11X440X125MM

Facility

$5,698.78

Service Code	HCPCS C1713
Hospital Charge Code	64906947
Hospital Revenue Code	278
Min. Negotiated Rate	$2,849.39
Max. Negotiated Rate	$2,849.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,849.39
Rate for Payer: Hamaspik Choice Inc Medicare	$2,849.39

KIT,NAIL,LONG R 11X340 X 130

Facility

$7,828.00

Service Code	HCPCS C1713
Hospital Charge Code	64905472
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,219.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,305.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$4,696.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,914.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,501.10
Rate for Payer: EmblemHealth Commercial	$3,914.00
Rate for Payer: Fidelis Medicare Advantage	$8,219.40
Rate for Payer: Group Health Inc Commercial	$3,914.00
Rate for Payer: Group Health Inc Medicare	$2,739.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,914.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,914.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,088.20

KIT,NAIL,LONG R 11X340 X 130

Facility

$7,828.00

Service Code	HCPCS C1713
Hospital Charge Code	64905472
Hospital Revenue Code	278
Min. Negotiated Rate	$3,914.00
Max. Negotiated Rate	$3,914.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,914.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,914.00

Know your out-of-pocket cost for care.

All Charges