St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

K-WIRE 3.2

Facility

$226.25

Service Code	HCPCS C1713
Hospital Charge Code	64905101
Hospital Revenue Code	278
Min. Negotiated Rate	$79.19
Max. Negotiated Rate	$237.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$124.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$135.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$113.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$130.09
Rate for Payer: EmblemHealth Commercial	$113.12
Rate for Payer: Fidelis Medicare Advantage	$237.56
Rate for Payer: Group Health Inc Commercial	$113.12
Rate for Payer: Group Health Inc Medicare	$79.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.12
Rate for Payer: Hamaspik Choice Inc Medicare	$113.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$147.06

K-WIRE 3.2

Facility

$226.25

Service Code	HCPCS C1713
Hospital Charge Code	64905101
Hospital Revenue Code	278
Min. Negotiated Rate	$113.12
Max. Negotiated Rate	$113.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.12
Rate for Payer: Hamaspik Choice Inc Medicare	$113.12

KWIRE 3.2 X 150

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	64906065
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00

KWIRE 3.2 X 150

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	64906065
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$315.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$165.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$180.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$150.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$172.50
Rate for Payer: EmblemHealth Commercial	$150.00
Rate for Payer: Fidelis Medicare Advantage	$315.00
Rate for Payer: Group Health Inc Commercial	$150.00
Rate for Payer: Group Health Inc Medicare	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$195.00

K-WIRE 3.2 X 450

Facility

$232.50

Service Code	HCPCS C1713
Hospital Charge Code	64905043
Hospital Revenue Code	278
Min. Negotiated Rate	$81.38
Max. Negotiated Rate	$244.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$127.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$139.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$116.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$133.69
Rate for Payer: EmblemHealth Commercial	$116.25
Rate for Payer: Fidelis Medicare Advantage	$244.12
Rate for Payer: Group Health Inc Commercial	$116.25
Rate for Payer: Group Health Inc Medicare	$81.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.25
Rate for Payer: Hamaspik Choice Inc Medicare	$116.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$151.12

K-WIRE 3.2 X 450

Facility

$232.50

Service Code	HCPCS C1713
Hospital Charge Code	64905043
Hospital Revenue Code	278
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.25
Rate for Payer: Hamaspik Choice Inc Medicare	$116.25

K WIRE .35

Facility

$37.50

Hospital Charge Code	64905831
Hospital Revenue Code	270
Min. Negotiated Rate	$13.12
Max. Negotiated Rate	$30.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.75
Rate for Payer: Aetna Government	$18.75
Rate for Payer: Brighton Health Commercial	$28.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.50
Rate for Payer: Group Health Inc Commercial	$18.75
Rate for Payer: Group Health Inc Medicare	$13.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.75
Rate for Payer: Hamaspik Choice Inc Medicare	$18.75

K-WIRE 3M ASNIS MIC CANNLTD 30126

Facility

$327.68

Service Code	HCPCS C1713
Hospital Charge Code	64906691
Hospital Revenue Code	278
Min. Negotiated Rate	$114.69
Max. Negotiated Rate	$344.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$180.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$196.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$163.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$188.42
Rate for Payer: EmblemHealth Commercial	$163.84
Rate for Payer: Fidelis Medicare Advantage	$344.06
Rate for Payer: Group Health Inc Commercial	$163.84
Rate for Payer: Group Health Inc Medicare	$114.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$163.84
Rate for Payer: Hamaspik Choice Inc Medicare	$163.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$212.99

K-WIRE 3M ASNIS MIC CANNLTD 30126

Facility

$327.68

Service Code	HCPCS C1713
Hospital Charge Code	64906691
Hospital Revenue Code	278
Min. Negotiated Rate	$163.84
Max. Negotiated Rate	$163.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$163.84
Rate for Payer: Hamaspik Choice Inc Medicare	$163.84

K WIRE 3X285

Facility

$223.75

Hospital Charge Code	64905917
Hospital Revenue Code	270
Min. Negotiated Rate	$78.31
Max. Negotiated Rate	$179.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$123.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$111.88
Rate for Payer: Aetna Government	$111.88
Rate for Payer: Brighton Health Commercial	$167.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$179.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$152.15
Rate for Payer: Group Health Inc Commercial	$111.88
Rate for Payer: Group Health Inc Medicare	$78.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$111.88
Rate for Payer: Hamaspik Choice Inc Medicare	$111.88

K-WIRE 4

Facility

$25.00

Service Code	HCPCS C1713
Hospital Charge Code	64905045
Hospital Revenue Code	278
Min. Negotiated Rate	$8.75
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$15.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.38
Rate for Payer: EmblemHealth Commercial	$12.50
Rate for Payer: Fidelis Medicare Advantage	$26.25
Rate for Payer: Group Health Inc Commercial	$12.50
Rate for Payer: Group Health Inc Medicare	$8.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.50
Rate for Payer: Hamaspik Choice Inc Medicare	$12.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$16.25

K-WIRE 4

Facility

$25.00

Service Code	HCPCS C1713
Hospital Charge Code	64905045
Hospital Revenue Code	278
Min. Negotiated Rate	$12.50
Max. Negotiated Rate	$12.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.50
Rate for Payer: Hamaspik Choice Inc Medicare	$12.50

K-WIRE 5

Facility

$260.00

Service Code	HCPCS C1713
Hospital Charge Code	64905083
Hospital Revenue Code	278
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$130.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$130.00
Rate for Payer: Hamaspik Choice Inc Medicare	$130.00

K-WIRE 5

Facility

$260.00

Service Code	HCPCS C1713
Hospital Charge Code	64905083
Hospital Revenue Code	278
Min. Negotiated Rate	$91.00
Max. Negotiated Rate	$273.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$143.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$156.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$130.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$149.50
Rate for Payer: EmblemHealth Commercial	$130.00
Rate for Payer: Fidelis Medicare Advantage	$273.00
Rate for Payer: Group Health Inc Commercial	$130.00
Rate for Payer: Group Health Inc Medicare	$91.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$130.00
Rate for Payer: Hamaspik Choice Inc Medicare	$130.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$169.00

K-WIRE 6

Facility

$91.63

Service Code	HCPCS C1713
Hospital Charge Code	64905949
Hospital Revenue Code	278
Min. Negotiated Rate	$32.07
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$50.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$54.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$45.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$52.69
Rate for Payer: EmblemHealth Commercial	$45.82
Rate for Payer: Fidelis Medicare Advantage	$96.21
Rate for Payer: Group Health Inc Commercial	$45.82
Rate for Payer: Group Health Inc Medicare	$32.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$45.82
Rate for Payer: Hamaspik Choice Inc Medicare	$45.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$59.56

K-WIRE 6

Facility

$91.63

Service Code	HCPCS C1713
Hospital Charge Code	64905949
Hospital Revenue Code	278
Min. Negotiated Rate	$45.82
Max. Negotiated Rate	$45.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$45.82
Rate for Payer: Hamaspik Choice Inc Medicare	$45.82

K-WIRE .86 (AR-8941K)

Facility

$20.00

Service Code	HCPCS C1713
Hospital Charge Code	64906666
Hospital Revenue Code	278
Min. Negotiated Rate	$7.00
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$12.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$10.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.50
Rate for Payer: EmblemHealth Commercial	$10.00
Rate for Payer: Fidelis Medicare Advantage	$21.00
Rate for Payer: Group Health Inc Commercial	$10.00
Rate for Payer: Group Health Inc Medicare	$7.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.00
Rate for Payer: Hamaspik Choice Inc Medicare	$10.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.00

K-WIRE .86 (AR-8941K)

Facility

$20.00

Service Code	HCPCS C1713
Hospital Charge Code	64906666
Hospital Revenue Code	278
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$10.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.00
Rate for Payer: Hamaspik Choice Inc Medicare	$10.00

K-WIRE FCONCYL SCR 1.8X310MM

Facility

$218.75

Service Code	HCPCS C1713
Hospital Charge Code	64904867
Hospital Revenue Code	278
Min. Negotiated Rate	$76.56
Max. Negotiated Rate	$229.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$120.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$131.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$109.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$125.78
Rate for Payer: EmblemHealth Commercial	$109.38
Rate for Payer: Fidelis Medicare Advantage	$229.69
Rate for Payer: Group Health Inc Commercial	$109.38
Rate for Payer: Group Health Inc Medicare	$76.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.38
Rate for Payer: Hamaspik Choice Inc Medicare	$109.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$142.19

K-WIRE FCONCYL SCR 1.8X310MM

Facility

$218.75

Service Code	HCPCS C1713
Hospital Charge Code	64904867
Hospital Revenue Code	278
Min. Negotiated Rate	$109.38
Max. Negotiated Rate	$109.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.38
Rate for Payer: Hamaspik Choice Inc Medicare	$109.38

K-WIRE LONG 2.0

Facility

$201.25

Service Code	HCPCS C1713
Hospital Charge Code	64904901
Hospital Revenue Code	278
Min. Negotiated Rate	$100.62
Max. Negotiated Rate	$100.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.62
Rate for Payer: Hamaspik Choice Inc Medicare	$100.62

K-WIRE LONG 2.0

Facility

$201.25

Service Code	HCPCS C1713
Hospital Charge Code	64904901
Hospital Revenue Code	278
Min. Negotiated Rate	$70.44
Max. Negotiated Rate	$211.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$110.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$120.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$100.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$115.72
Rate for Payer: EmblemHealth Commercial	$100.62
Rate for Payer: Fidelis Medicare Advantage	$211.31
Rate for Payer: Group Health Inc Commercial	$100.62
Rate for Payer: Group Health Inc Medicare	$70.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.62
Rate for Payer: Hamaspik Choice Inc Medicare	$100.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$130.81

K-WIRE NIT, THREADED TP

Facility

$322.83

Service Code	HCPCS C1713
Hospital Charge Code	64906053
Hospital Revenue Code	278
Min. Negotiated Rate	$112.99
Max. Negotiated Rate	$338.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$177.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$193.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$161.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$185.63
Rate for Payer: EmblemHealth Commercial	$161.42
Rate for Payer: Fidelis Medicare Advantage	$338.97
Rate for Payer: Group Health Inc Commercial	$161.42
Rate for Payer: Group Health Inc Medicare	$112.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$161.42
Rate for Payer: Hamaspik Choice Inc Medicare	$161.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$209.84

K-WIRE NIT, THREADED TP

Facility

$322.83

Service Code	HCPCS C1713
Hospital Charge Code	64906053
Hospital Revenue Code	278
Min. Negotiated Rate	$161.42
Max. Negotiated Rate	$161.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$161.42
Rate for Payer: Hamaspik Choice Inc Medicare	$161.42

K-WIRE OLIVE 150163

Facility

$9.00

Service Code	HCPCS C1713
Hospital Charge Code	64906318
Hospital Revenue Code	278
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.50
Rate for Payer: Hamaspik Choice Inc Medicare	$4.50

Know your out-of-pocket cost for care.

All Charges