St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

K-WIRE 1.0MM TROCAR POINT

Facility

$16.25

Service Code	HCPCS C1713
Hospital Charge Code	64904846
Hospital Revenue Code	278
Min. Negotiated Rate	$8.12
Max. Negotiated Rate	$8.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.12
Rate for Payer: Hamaspik Choice Inc Medicare	$8.12

K-WIRE 1.0MM TROCAR POINT

Facility

$16.25

Service Code	HCPCS C1713
Hospital Charge Code	64904846
Hospital Revenue Code	278
Min. Negotiated Rate	$5.69
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$9.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.34
Rate for Payer: EmblemHealth Commercial	$8.12
Rate for Payer: Fidelis Medicare Advantage	$17.06
Rate for Payer: Group Health Inc Commercial	$8.12
Rate for Payer: Group Health Inc Medicare	$5.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.12
Rate for Payer: Hamaspik Choice Inc Medicare	$8.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.56

K- WIRE 1.25MM

Facility

$12.60

Hospital Charge Code	40205546
Hospital Revenue Code	270
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$10.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6.30
Rate for Payer: Aetna Government	$6.30
Rate for Payer: Brighton Health Commercial	$9.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.57
Rate for Payer: Group Health Inc Commercial	$6.30
Rate for Payer: Group Health Inc Medicare	$4.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.30
Rate for Payer: Hamaspik Choice Inc Medicare	$6.30

K-WIRE 1.25MM

Facility

$15.43

Service Code	HCPCS C1713
Hospital Charge Code	64904752
Hospital Revenue Code	278
Min. Negotiated Rate	$7.72
Max. Negotiated Rate	$7.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.72
Rate for Payer: Hamaspik Choice Inc Medicare	$7.72

K-WIRE 1.25MM

Facility

$15.43

Service Code	HCPCS C1713
Hospital Charge Code	64904752
Hospital Revenue Code	278
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$9.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.87
Rate for Payer: EmblemHealth Commercial	$7.72
Rate for Payer: Fidelis Medicare Advantage	$16.20
Rate for Payer: Group Health Inc Commercial	$7.72
Rate for Payer: Group Health Inc Medicare	$5.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.72
Rate for Payer: Hamaspik Choice Inc Medicare	$7.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.03

K-WIRE 1.2MM A

Facility

$48.13

Service Code	HCPCS C1713
Hospital Charge Code	64904599
Hospital Revenue Code	278
Min. Negotiated Rate	$16.85
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$28.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$27.67
Rate for Payer: EmblemHealth Commercial	$24.06
Rate for Payer: Fidelis Medicare Advantage	$50.54
Rate for Payer: Group Health Inc Commercial	$24.06
Rate for Payer: Group Health Inc Medicare	$16.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.06
Rate for Payer: Hamaspik Choice Inc Medicare	$24.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$31.28

K-WIRE 1.2MM A

Facility

$48.13

Service Code	HCPCS C1713
Hospital Charge Code	64904599
Hospital Revenue Code	278
Min. Negotiated Rate	$24.06
Max. Negotiated Rate	$24.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.06
Rate for Payer: Hamaspik Choice Inc Medicare	$24.06

K-WIRE 1.2MM B

Facility

$98.05

Service Code	HCPCS C1713
Hospital Charge Code	64905062
Hospital Revenue Code	278
Min. Negotiated Rate	$34.32
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$53.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$58.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$49.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$56.38
Rate for Payer: EmblemHealth Commercial	$49.02
Rate for Payer: Fidelis Medicare Advantage	$102.95
Rate for Payer: Group Health Inc Commercial	$49.02
Rate for Payer: Group Health Inc Medicare	$34.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.02
Rate for Payer: Hamaspik Choice Inc Medicare	$49.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$63.73

K-WIRE 1.2MM B

Facility

$98.05

Service Code	HCPCS C1713
Hospital Charge Code	64905062
Hospital Revenue Code	278
Min. Negotiated Rate	$49.02
Max. Negotiated Rate	$49.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.02
Rate for Payer: Hamaspik Choice Inc Medicare	$49.02

K-WIRE 1.2MM C

Facility

$142.50

Service Code	HCPCS C1713
Hospital Charge Code	64905064
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.25
Rate for Payer: Hamaspik Choice Inc Medicare	$71.25

K-WIRE 1.2MM C

Facility

$142.50

Service Code	HCPCS C1713
Hospital Charge Code	64905064
Hospital Revenue Code	278
Min. Negotiated Rate	$49.88
Max. Negotiated Rate	$149.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$78.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$85.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$71.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.94
Rate for Payer: EmblemHealth Commercial	$71.25
Rate for Payer: Fidelis Medicare Advantage	$149.62
Rate for Payer: Group Health Inc Commercial	$71.25
Rate for Payer: Group Health Inc Medicare	$49.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.25
Rate for Payer: Hamaspik Choice Inc Medicare	$71.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$92.62

K-WIRE 1.6MM

Facility

$16.25

Service Code	HCPCS C1713
Hospital Charge Code	64904533
Hospital Revenue Code	278
Min. Negotiated Rate	$8.12
Max. Negotiated Rate	$8.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.12
Rate for Payer: Hamaspik Choice Inc Medicare	$8.12

K-WIRE 1.6MM

Facility

$11.50

Service Code	HCPCS C1769
Hospital Charge Code	40209876
Hospital Revenue Code	278
Min. Negotiated Rate	$5.75
Max. Negotiated Rate	$5.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.75
Rate for Payer: Hamaspik Choice Inc Medicare	$5.75

K-WIRE 1.6MM

Facility

$11.50

Service Code	HCPCS C1769
Hospital Charge Code	40209876
Hospital Revenue Code	278
Min. Negotiated Rate	$4.02
Max. Negotiated Rate	$12.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$6.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.61
Rate for Payer: EmblemHealth Commercial	$5.75
Rate for Payer: Fidelis Medicare Advantage	$12.08
Rate for Payer: Group Health Inc Commercial	$5.75
Rate for Payer: Group Health Inc Medicare	$4.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.75
Rate for Payer: Hamaspik Choice Inc Medicare	$5.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.48

K-WIRE 1.6MM

Facility

$16.25

Service Code	HCPCS C1713
Hospital Charge Code	64904533
Hospital Revenue Code	278
Min. Negotiated Rate	$5.69
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$9.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.34
Rate for Payer: EmblemHealth Commercial	$8.12
Rate for Payer: Fidelis Medicare Advantage	$17.06
Rate for Payer: Group Health Inc Commercial	$8.12
Rate for Payer: Group Health Inc Medicare	$5.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.12
Rate for Payer: Hamaspik Choice Inc Medicare	$8.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.56

K-WIRE 1.6 X 100

Facility

$142.73

Service Code	HCPCS C1713
Hospital Charge Code	64905126
Hospital Revenue Code	278
Min. Negotiated Rate	$71.36
Max. Negotiated Rate	$71.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.36
Rate for Payer: Hamaspik Choice Inc Medicare	$71.36

K-WIRE 1.6 X 100

Facility

$142.73

Service Code	HCPCS C1713
Hospital Charge Code	64905126
Hospital Revenue Code	278
Min. Negotiated Rate	$49.96
Max. Negotiated Rate	$149.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$78.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$85.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$71.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$82.07
Rate for Payer: EmblemHealth Commercial	$71.36
Rate for Payer: Fidelis Medicare Advantage	$149.87
Rate for Payer: Group Health Inc Commercial	$71.36
Rate for Payer: Group Health Inc Medicare	$49.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.36
Rate for Payer: Hamaspik Choice Inc Medicare	$71.36
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$92.77

K-WIRE 2

Facility

$80.00

Service Code	HCPCS C1713
Hospital Charge Code	64904601
Hospital Revenue Code	278
Min. Negotiated Rate	$28.00
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$48.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.00
Rate for Payer: EmblemHealth Commercial	$40.00
Rate for Payer: Fidelis Medicare Advantage	$84.00
Rate for Payer: Group Health Inc Commercial	$40.00
Rate for Payer: Group Health Inc Medicare	$28.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.00
Rate for Payer: Hamaspik Choice Inc Medicare	$40.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$52.00

K-WIRE 2

Facility

$80.00

Service Code	HCPCS C1713
Hospital Charge Code	64904601
Hospital Revenue Code	278
Min. Negotiated Rate	$40.00
Max. Negotiated Rate	$40.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.00
Rate for Payer: Hamaspik Choice Inc Medicare	$40.00

K-WIRE 2.0MM

Facility

$10.50

Hospital Charge Code	40209877
Hospital Revenue Code	272
Min. Negotiated Rate	$3.68
Max. Negotiated Rate	$8.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.25
Rate for Payer: Aetna Government	$5.25
Rate for Payer: Brighton Health Commercial	$7.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.14
Rate for Payer: Group Health Inc Commercial	$5.25
Rate for Payer: Group Health Inc Medicare	$3.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.25
Rate for Payer: Hamaspik Choice Inc Medicare	$5.25

K-WIRE 2.0 X 315

Facility

$126.25

Service Code	HCPCS C1713
Hospital Charge Code	64904629
Hospital Revenue Code	278
Min. Negotiated Rate	$63.12
Max. Negotiated Rate	$63.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$63.12
Rate for Payer: Hamaspik Choice Inc Medicare	$63.12

K-WIRE 2.0 X 315

Facility

$126.25

Service Code	HCPCS C1713
Hospital Charge Code	64904629
Hospital Revenue Code	278
Min. Negotiated Rate	$44.19
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$69.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$75.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$63.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$72.59
Rate for Payer: EmblemHealth Commercial	$63.12
Rate for Payer: Fidelis Medicare Advantage	$132.56
Rate for Payer: Group Health Inc Commercial	$63.12
Rate for Payer: Group Health Inc Medicare	$44.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$63.12
Rate for Payer: Hamaspik Choice Inc Medicare	$63.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$82.06

K WIRE 2 X 85 3028S

Facility

$455.40

Hospital Charge Code	64906754
Hospital Revenue Code	270
Min. Negotiated Rate	$159.39
Max. Negotiated Rate	$364.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$250.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$227.70
Rate for Payer: Aetna Government	$227.70
Rate for Payer: Brighton Health Commercial	$341.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$364.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$309.67
Rate for Payer: Group Health Inc Commercial	$227.70
Rate for Payer: Group Health Inc Medicare	$159.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$227.70
Rate for Payer: Hamaspik Choice Inc Medicare	$227.70

K-WIRE 3

Facility

$60.00

Service Code	HCPCS C1713
Hospital Charge Code	64904687
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.00
Rate for Payer: Hamaspik Choice Inc Medicare	$30.00

K-WIRE 3

Facility

$60.00

Service Code	HCPCS C1713
Hospital Charge Code	64904687
Hospital Revenue Code	278
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$36.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.50
Rate for Payer: EmblemHealth Commercial	$30.00
Rate for Payer: Fidelis Medicare Advantage	$63.00
Rate for Payer: Group Health Inc Commercial	$30.00
Rate for Payer: Group Health Inc Medicare	$21.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.00
Rate for Payer: Hamaspik Choice Inc Medicare	$30.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$39.00

Know your out-of-pocket cost for care.

All Charges