St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

KNOWLES PINS

Facility

$27.29

Hospital Charge Code	40000245
Hospital Revenue Code	272
Min. Negotiated Rate	$9.55
Max. Negotiated Rate	$21.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.64
Rate for Payer: Aetna Government	$13.64
Rate for Payer: Brighton Health Commercial	$20.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.56
Rate for Payer: Group Health Inc Commercial	$13.64
Rate for Payer: Group Health Inc Medicare	$9.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$13.64
Rate for Payer: Hamaspik Choice Inc Medicare	$13.64

KOH PREPARATION

Facility

$14.55

Service Code	HCPCS 87210
Hospital Charge Code	40614175
Hospital Revenue Code	306
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$10.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.82
Rate for Payer: Aetna Government	$5.82
Rate for Payer: Affinity Essential Plan 1&2	$4.07
Rate for Payer: Affinity Essential Plan 3&4	$4.07
Rate for Payer: Affinity Medicaid/CHP/HARP	$4.07
Rate for Payer: Brighton Health Commercial	$10.91
Rate for Payer: Cash Price	$5.82
Rate for Payer: Cash Price	$5.82
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$5.74
Rate for Payer: Elderplan Medicare Advantage	$5.82
Rate for Payer: EmblemHealth Commercial	$5.82
Rate for Payer: Fidelis Essential Plan Aliesa	$4.95
Rate for Payer: Fidelis Essential Plan QHP	$5.18
Rate for Payer: Fidelis Medicare Advantage	$5.82
Rate for Payer: Fidelis Qualified Health Plan	$5.18
Rate for Payer: Group Health Inc Commercial	$5.82
Rate for Payer: Group Health Inc Medicare	$5.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.28
Rate for Payer: Hamaspik Choice Inc Medicare	$5.82
Rate for Payer: Healthfirst Medicare Advantage	$5.82
Rate for Payer: Healthfirst QHP	$5.82
Rate for Payer: Humana Medicare	$5.94
Rate for Payer: Senior Whole Health Medicare Advantage	$5.82
Rate for Payer: United Healthcare Commercial	$5.41
Rate for Payer: United Healthcare Medicare Advantage	$5.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.82
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.66
Rate for Payer: Wellcare Medicare	$5.24

KOH PREPARATION

Facility

$14.55

Service Code	HCPCS 87210
Hospital Charge Code	40614175
Hospital Revenue Code	306
Rate for Payer: Cash Price	$5.82

KOTEX

Facility

$9.92

Hospital Charge Code	40203530
Hospital Revenue Code	270
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$7.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.96
Rate for Payer: Aetna Government	$4.96
Rate for Payer: Brighton Health Commercial	$7.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.75
Rate for Payer: Group Health Inc Commercial	$4.96
Rate for Payer: Group Health Inc Medicare	$3.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.96
Rate for Payer: Hamaspik Choice Inc Medicare	$4.96

K PNEUM PUNCH PRESSURE REDUCER

Facility

$2,196.50

Hospital Charge Code	40209536
Hospital Revenue Code	270
Min. Negotiated Rate	$768.78
Max. Negotiated Rate	$1,757.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,208.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,098.25
Rate for Payer: Aetna Government	$1,098.25
Rate for Payer: Brighton Health Commercial	$1,647.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,757.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,493.62
Rate for Payer: Group Health Inc Commercial	$1,098.25
Rate for Payer: Group Health Inc Medicare	$768.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,098.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,098.25

K PUNCH BRACKET PRESSURE REDUCER

Facility

$161.50

Hospital Charge Code	40209537
Hospital Revenue Code	270
Min. Negotiated Rate	$56.52
Max. Negotiated Rate	$129.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$80.75
Rate for Payer: Aetna Government	$80.75
Rate for Payer: Brighton Health Commercial	$121.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$129.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$109.82
Rate for Payer: Group Health Inc Commercial	$80.75
Rate for Payer: Group Health Inc Medicare	$56.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.75
Rate for Payer: Hamaspik Choice Inc Medicare	$80.75

K WIRE

Facility

$29.40

Service Code	HCPCS C1713
Hospital Charge Code	40201359
Hospital Revenue Code	278
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$14.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.70
Rate for Payer: Hamaspik Choice Inc Medicare	$14.70

K WIRE

Facility

$29.40

Service Code	HCPCS C1713
Hospital Charge Code	40201359
Hospital Revenue Code	278
Min. Negotiated Rate	$10.29
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$17.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$14.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.90
Rate for Payer: EmblemHealth Commercial	$14.70
Rate for Payer: Fidelis Medicare Advantage	$30.87
Rate for Payer: Group Health Inc Commercial	$14.70
Rate for Payer: Group Health Inc Medicare	$10.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.70
Rate for Payer: Hamaspik Choice Inc Medicare	$14.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$19.11

K-WIRE

Facility

$53.00

Hospital Charge Code	40209875
Hospital Revenue Code	272
Min. Negotiated Rate	$18.55
Max. Negotiated Rate	$42.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.50
Rate for Payer: Aetna Government	$26.50
Rate for Payer: Brighton Health Commercial	$39.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$42.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.04
Rate for Payer: Group Health Inc Commercial	$26.50
Rate for Payer: Group Health Inc Medicare	$18.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.50
Rate for Payer: Hamaspik Choice Inc Medicare	$26.50

K-WIRE 0.062X9 DBL DIAM

Facility

$4.48

Hospital Charge Code	40201018
Hospital Revenue Code	270
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$3.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.24
Rate for Payer: Aetna Government	$2.24
Rate for Payer: Brighton Health Commercial	$3.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.05
Rate for Payer: Group Health Inc Commercial	$2.24
Rate for Payer: Group Health Inc Medicare	$1.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.24
Rate for Payer: Hamaspik Choice Inc Medicare	$2.24

K-WIRE 0.062X9MM

Facility

$48.34

Hospital Charge Code	40200952
Hospital Revenue Code	270
Min. Negotiated Rate	$16.92
Max. Negotiated Rate	$38.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$24.17
Rate for Payer: Aetna Government	$24.17
Rate for Payer: Brighton Health Commercial	$36.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$38.67
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.87
Rate for Payer: Group Health Inc Commercial	$24.17
Rate for Payer: Group Health Inc Medicare	$16.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.17
Rate for Payer: Hamaspik Choice Inc Medicare	$24.17

K-WIRE .035 X 4 STER

Facility

$75.00

Service Code	HCPCS C1713
Hospital Charge Code	64904589
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$41.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$45.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$43.12
Rate for Payer: EmblemHealth Commercial	$37.50
Rate for Payer: Fidelis Medicare Advantage	$78.75
Rate for Payer: Group Health Inc Commercial	$37.50
Rate for Payer: Group Health Inc Medicare	$26.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$37.50
Rate for Payer: Hamaspik Choice Inc Medicare	$37.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$48.75

K-WIRE .035 X 4 STER

Facility

$75.00

Service Code	HCPCS C1713
Hospital Charge Code	64904589
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$37.50
Rate for Payer: Hamaspik Choice Inc Medicare	$37.50

K-WIRE .035 X 9 DBL TRCR

Facility

$0.99

Service Code	HCPCS C1713
Hospital Charge Code	64904793
Hospital Revenue Code	278
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$0.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.57
Rate for Payer: EmblemHealth Commercial	$0.50
Rate for Payer: Fidelis Medicare Advantage	$1.04
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.64

K-WIRE .035 X 9 DBL TRCR

Facility

$0.99

Service Code	HCPCS C1713
Hospital Charge Code	64904793
Hospital Revenue Code	278
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50

K-WIRE 0.45X9

Facility

$38.66

Hospital Charge Code	40200953
Hospital Revenue Code	270
Min. Negotiated Rate	$13.53
Max. Negotiated Rate	$30.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$21.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.33
Rate for Payer: Aetna Government	$19.33
Rate for Payer: Brighton Health Commercial	$29.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.93
Rate for Payer: Cigna LocalPlus Benefit Plan	$26.29
Rate for Payer: Group Health Inc Commercial	$19.33
Rate for Payer: Group Health Inc Medicare	$13.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.33
Rate for Payer: Hamaspik Choice Inc Medicare	$19.33

K-WIRE .045 X 9 DBL TRCR

Facility

$34.20

Service Code	HCPCS C1713
Hospital Charge Code	64904795
Hospital Revenue Code	278
Min. Negotiated Rate	$17.10
Max. Negotiated Rate	$17.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.10
Rate for Payer: Hamaspik Choice Inc Medicare	$17.10

K-WIRE .045 X 9 DBL TRCR

Facility

$34.20

Service Code	HCPCS C1713
Hospital Charge Code	64904795
Hospital Revenue Code	278
Min. Negotiated Rate	$11.97
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$18.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$20.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.66
Rate for Payer: EmblemHealth Commercial	$17.10
Rate for Payer: Fidelis Medicare Advantage	$35.91
Rate for Payer: Group Health Inc Commercial	$17.10
Rate for Payer: Group Health Inc Medicare	$11.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.10
Rate for Payer: Hamaspik Choice Inc Medicare	$17.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$22.23

K-WIRE 0.45X9 PLAIN

Facility

$4.48

Hospital Charge Code	40201017
Hospital Revenue Code	270
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$3.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.24
Rate for Payer: Aetna Government	$2.24
Rate for Payer: Brighton Health Commercial	$3.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.05
Rate for Payer: Group Health Inc Commercial	$2.24
Rate for Payer: Group Health Inc Medicare	$1.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.24
Rate for Payer: Hamaspik Choice Inc Medicare	$2.24

K-WIRE .062 X 9 DBL TRCR

Facility

$0.99

Service Code	HCPCS C1713
Hospital Charge Code	64904797
Hospital Revenue Code	278
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$0.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.57
Rate for Payer: EmblemHealth Commercial	$0.50
Rate for Payer: Fidelis Medicare Advantage	$1.04
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.64

K-WIRE .062 X 9 DBL TRCR

Facility

$0.99

Service Code	HCPCS C1713
Hospital Charge Code	64904797
Hospital Revenue Code	278
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50

K-WIRE 0.9

Facility

$352.50

Service Code	HCPCS C1713
Hospital Charge Code	64907506
Hospital Revenue Code	278
Min. Negotiated Rate	$123.38
Max. Negotiated Rate	$370.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$193.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$211.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$176.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$202.69
Rate for Payer: EmblemHealth Commercial	$176.25
Rate for Payer: Fidelis Medicare Advantage	$370.12
Rate for Payer: Group Health Inc Commercial	$176.25
Rate for Payer: Group Health Inc Medicare	$123.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$176.25
Rate for Payer: Hamaspik Choice Inc Medicare	$176.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$229.12

K-WIRE 0.9

Facility

$352.50

Service Code	HCPCS C1713
Hospital Charge Code	64907506
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$176.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$176.25
Rate for Payer: Hamaspik Choice Inc Medicare	$176.25

K-WIRE 1

Facility

$32.50

Service Code	HCPCS C1713
Hospital Charge Code	64904591
Hospital Revenue Code	278
Min. Negotiated Rate	$16.25
Max. Negotiated Rate	$16.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.25
Rate for Payer: Hamaspik Choice Inc Medicare	$16.25

K-WIRE 1

Facility

$32.50

Service Code	HCPCS C1713
Hospital Charge Code	64904591
Hospital Revenue Code	278
Min. Negotiated Rate	$11.38
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$19.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.69
Rate for Payer: EmblemHealth Commercial	$16.25
Rate for Payer: Fidelis Medicare Advantage	$34.12
Rate for Payer: Group Health Inc Commercial	$16.25
Rate for Payer: Group Health Inc Medicare	$11.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.25
Rate for Payer: Hamaspik Choice Inc Medicare	$16.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$21.12

Know your out-of-pocket cost for care.

All Charges