St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NAIL ELAST TITAN 440X3.0MM BLUE

Facility

$559.80

Service Code	HCPCS C1713
Hospital Charge Code	40200176
Hospital Revenue Code	278
Min. Negotiated Rate	$279.90
Max. Negotiated Rate	$279.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$279.90
Rate for Payer: Hamaspik Choice Inc Medicare	$279.90

NAIL ELAST TITAN 440X3.5MM BLUE

Facility

$588.60

Service Code	HCPCS C1713
Hospital Charge Code	40200177
Hospital Revenue Code	278
Min. Negotiated Rate	$294.30
Max. Negotiated Rate	$294.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$294.30
Rate for Payer: Hamaspik Choice Inc Medicare	$294.30

NAIL ELAST TITAN 440X3.5MM BLUE

Facility

$588.60

Service Code	HCPCS C1713
Hospital Charge Code	40200177
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$618.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$323.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$353.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$294.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$338.44
Rate for Payer: EmblemHealth Commercial	$294.30
Rate for Payer: Fidelis Medicare Advantage	$618.03
Rate for Payer: Group Health Inc Commercial	$294.30
Rate for Payer: Group Health Inc Medicare	$206.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$294.30
Rate for Payer: Hamaspik Choice Inc Medicare	$294.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$382.59

NAIL FEMORAL 11 X 360

Facility

$2,903.08

Service Code	HCPCS C1713
Hospital Charge Code	64906922
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,048.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,596.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,741.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,451.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,669.27
Rate for Payer: EmblemHealth Commercial	$1,451.54
Rate for Payer: Fidelis Medicare Advantage	$3,048.23
Rate for Payer: Group Health Inc Commercial	$1,451.54
Rate for Payer: Group Health Inc Medicare	$1,016.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,451.54
Rate for Payer: Hamaspik Choice Inc Medicare	$1,451.54
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,887.00

NAIL FEMORAL 11 X 360

Facility

$2,903.08

Service Code	HCPCS C1713
Hospital Charge Code	64906922
Hospital Revenue Code	278
Min. Negotiated Rate	$1,451.54
Max. Negotiated Rate	$1,451.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,451.54
Rate for Payer: Hamaspik Choice Inc Medicare	$1,451.54

NAIL FEMORAL 9 X 360MM A/R

Facility

$3,075.00

Service Code	HCPCS C1713
Hospital Charge Code	64901416
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,228.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,691.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,845.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,537.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,768.12
Rate for Payer: EmblemHealth Commercial	$1,537.50
Rate for Payer: Fidelis Medicare Advantage	$3,228.75
Rate for Payer: Group Health Inc Commercial	$1,537.50
Rate for Payer: Group Health Inc Medicare	$1,076.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,537.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,537.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,998.75

NAIL FEMORAL 9 X 360MM A/R

Facility

$3,075.00

Service Code	HCPCS C1713
Hospital Charge Code	64901416
Hospital Revenue Code	278
Min. Negotiated Rate	$1,537.50
Max. Negotiated Rate	$1,537.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,537.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,537.50

NAIL FEMORAL X420MM

Facility

$8,602.68

Service Code	HCPCS C1776
Hospital Charge Code	64907113
Hospital Revenue Code	278
Min. Negotiated Rate	$4,301.34
Max. Negotiated Rate	$4,301.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,301.34
Rate for Payer: Hamaspik Choice Inc Medicare	$4,301.34

NAIL FEMORAL X420MM

Facility

$8,602.68

Service Code	HCPCS C1776
Hospital Charge Code	64907113
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$9,032.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,731.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$5,161.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,301.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,946.54
Rate for Payer: EmblemHealth Commercial	$4,301.34
Rate for Payer: Fidelis Medicare Advantage	$9,032.81
Rate for Payer: Group Health Inc Commercial	$4,301.34
Rate for Payer: Group Health Inc Medicare	$3,010.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,301.34
Rate for Payer: Hamaspik Choice Inc Medicare	$4,301.34
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,591.74

NAIL FEMUR 12 X 420MM

Facility

$3,409.40

Service Code	HCPCS C1776
Hospital Charge Code	64906879
Hospital Revenue Code	278
Min. Negotiated Rate	$1,704.70
Max. Negotiated Rate	$1,704.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,704.70
Rate for Payer: Hamaspik Choice Inc Medicare	$1,704.70

NAIL FEMUR 12 X 420MM

Facility

$3,409.40

Service Code	HCPCS C1776
Hospital Charge Code	64906879
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,579.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,875.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,045.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,704.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,960.40
Rate for Payer: EmblemHealth Commercial	$1,704.70
Rate for Payer: Fidelis Medicare Advantage	$3,579.87
Rate for Payer: Group Health Inc Commercial	$1,704.70
Rate for Payer: Group Health Inc Medicare	$1,193.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,704.70
Rate for Payer: Hamaspik Choice Inc Medicare	$1,704.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,216.11

NAIL FLEX PRE-CURV 3.5X450MM

Facility

$653.25

Service Code	HCPCS C1713
Hospital Charge Code	64905643
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$685.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$359.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$391.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$326.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$375.62
Rate for Payer: EmblemHealth Commercial	$326.62
Rate for Payer: Fidelis Medicare Advantage	$685.91
Rate for Payer: Group Health Inc Commercial	$326.62
Rate for Payer: Group Health Inc Medicare	$228.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$326.62
Rate for Payer: Hamaspik Choice Inc Medicare	$326.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$424.61

NAIL FLEX PRE-CURV 3.5X450MM

Facility

$653.25

Service Code	HCPCS C1713
Hospital Charge Code	64905643
Hospital Revenue Code	278
Min. Negotiated Rate	$326.62
Max. Negotiated Rate	$326.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$326.62
Rate for Payer: Hamaspik Choice Inc Medicare	$326.62

NAIL GAM 3S R 10X320MMX125CM

Facility

$3,961.86

Service Code	HCPCS C1713
Hospital Charge Code	64906571
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,159.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,179.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,377.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,980.93
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,278.07
Rate for Payer: EmblemHealth Commercial	$1,980.93
Rate for Payer: Fidelis Medicare Advantage	$4,159.95
Rate for Payer: Group Health Inc Commercial	$1,980.93
Rate for Payer: Group Health Inc Medicare	$1,386.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,980.93
Rate for Payer: Hamaspik Choice Inc Medicare	$1,980.93
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,575.21

NAIL GAM 3S R 10X320MMX125CM

Facility

$3,961.86

Service Code	HCPCS C1713
Hospital Charge Code	64906571
Hospital Revenue Code	278
Min. Negotiated Rate	$1,980.93
Max. Negotiated Rate	$1,980.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,980.93
Rate for Payer: Hamaspik Choice Inc Medicare	$1,980.93

NAIL GAMMA3 10X380MM 125D LT

Facility

$3,991.50

Service Code	HCPCS C1713
Hospital Charge Code	64906739
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,191.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,195.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,394.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,995.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,295.11
Rate for Payer: EmblemHealth Commercial	$1,995.75
Rate for Payer: Fidelis Medicare Advantage	$4,191.08
Rate for Payer: Group Health Inc Commercial	$1,995.75
Rate for Payer: Group Health Inc Medicare	$1,397.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,995.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,995.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,594.48

NAIL GAMMA3 10X380MM 125D LT

Facility

$3,991.50

Service Code	HCPCS C1713
Hospital Charge Code	64906739
Hospital Revenue Code	278
Min. Negotiated Rate	$1,995.75
Max. Negotiated Rate	$1,995.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,995.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,995.75

NAIL GAMMA 3 S 10X440MMX125

Facility

$3,961.86

Service Code	HCPCS C1713
Hospital Charge Code	64906537
Hospital Revenue Code	278
Min. Negotiated Rate	$1,980.93
Max. Negotiated Rate	$1,980.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,980.93
Rate for Payer: Hamaspik Choice Inc Medicare	$1,980.93

NAIL GAMMA 3 S 10X440MMX125

Facility

$3,961.86

Service Code	HCPCS C1713
Hospital Charge Code	64906537
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,159.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,179.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,377.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,980.93
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,278.07
Rate for Payer: EmblemHealth Commercial	$1,980.93
Rate for Payer: Fidelis Medicare Advantage	$4,159.95
Rate for Payer: Group Health Inc Commercial	$1,980.93
Rate for Payer: Group Health Inc Medicare	$1,386.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,980.93
Rate for Payer: Hamaspik Choice Inc Medicare	$1,980.93
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,575.21

NAIL GAMMA 400

Facility

$4,952.32

Service Code	HCPCS C1713
Hospital Charge Code	64907427
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,199.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,723.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,971.39
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,476.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,847.58
Rate for Payer: EmblemHealth Commercial	$2,476.16
Rate for Payer: Fidelis Medicare Advantage	$5,199.94
Rate for Payer: Group Health Inc Commercial	$2,476.16
Rate for Payer: Group Health Inc Medicare	$1,733.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,476.16
Rate for Payer: Hamaspik Choice Inc Medicare	$2,476.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,219.01

NAIL GAMMA 400

Facility

$4,952.32

Service Code	HCPCS C1713
Hospital Charge Code	64907427
Hospital Revenue Code	278
Min. Negotiated Rate	$2,476.16
Max. Negotiated Rate	$2,476.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,476.16
Rate for Payer: Hamaspik Choice Inc Medicare	$2,476.16

NAIL GAMMA LONG KIT R2.0 LFT

Facility

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	40200785
Hospital Revenue Code	278
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,500.00

NAIL GAMMA LONG KIT R2.0 LFT

Facility

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	40200785
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,150.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,650.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,800.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,500.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,725.00
Rate for Payer: EmblemHealth Commercial	$1,500.00
Rate for Payer: Fidelis Medicare Advantage	$3,150.00
Rate for Payer: Group Health Inc Commercial	$1,500.00
Rate for Payer: Group Health Inc Medicare	$1,050.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,500.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,950.00

NAIL GMA3S 10X280X125MM

Facility

$3,960.00

Service Code	HCPCS C1713
Hospital Charge Code	64906688
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,158.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,178.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,376.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,980.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,277.00
Rate for Payer: EmblemHealth Commercial	$1,980.00
Rate for Payer: Fidelis Medicare Advantage	$4,158.00
Rate for Payer: Group Health Inc Commercial	$1,980.00
Rate for Payer: Group Health Inc Medicare	$1,386.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,980.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,980.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,574.00

NAIL GMA3S 10X280X125MM

Facility

$3,960.00

Service Code	HCPCS C1713
Hospital Charge Code	64906688
Hospital Revenue Code	278
Min. Negotiated Rate	$1,980.00
Max. Negotiated Rate	$1,980.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,980.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,980.00

Know your out-of-pocket cost for care.

All Charges