St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NAIL GMMA LG LT 11X240MMX125

Facility

$5,698.78

Service Code	HCPCS C1713
Hospital Charge Code	64906766
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

NAIL GMMA LG LT 11X240MMX125

Facility

$5,698.78

Service Code	HCPCS C1713
Hospital Charge Code	64906766
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

NAIL HAND 3.5 X 40

Facility

$3,155.00

Service Code	HCPCS C1889
Hospital Charge Code	64907525
Hospital Revenue Code	278
Min. Negotiated Rate	$1,577.50
Max. Negotiated Rate	$1,577.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,577.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,577.50

NAIL HAND 3.5 X 40

Facility

$3,155.00

Service Code	HCPCS C1889
Hospital Charge Code	64907525
Hospital Revenue Code	278
Min. Negotiated Rate	$1,104.25
Max. Negotiated Rate	$3,312.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,735.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,577.50
Rate for Payer: Aetna Government	$1,577.50
Rate for Payer: Brighton Health Commercial	$1,893.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,577.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,814.12
Rate for Payer: EmblemHealth Commercial	$1,577.50
Rate for Payer: Fidelis Medicare Advantage	$3,312.75
Rate for Payer: Group Health Inc Commercial	$1,577.50
Rate for Payer: Group Health Inc Medicare	$1,104.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,577.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,577.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,050.75

NAIL HFN 130 DEG 13MM X 180

Facility

$4,288.00

Service Code	HCPCS C1713
Hospital Charge Code	40204645
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,502.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,358.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,572.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,144.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,465.60
Rate for Payer: EmblemHealth Commercial	$2,144.00
Rate for Payer: Fidelis Medicare Advantage	$4,502.40
Rate for Payer: Group Health Inc Commercial	$2,144.00
Rate for Payer: Group Health Inc Medicare	$1,500.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,144.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,144.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,787.20

NAIL HFN 130 DEG 13MM X 180

Facility

$4,288.00

Service Code	HCPCS C1713
Hospital Charge Code	40204645
Hospital Revenue Code	278
Min. Negotiated Rate	$2,144.00
Max. Negotiated Rate	$2,144.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,144.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,144.00

NAIL, HFN 130 DEG 13MM X 180

Facility

$4,288.00

Service Code	HCPCS C1713
Hospital Charge Code	40003338
Hospital Revenue Code	278
Min. Negotiated Rate	$2,144.00
Max. Negotiated Rate	$2,144.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,144.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,144.00

NAIL, HFN 130 DEG 13MM X 180

Facility

$5,360.00

Service Code	HCPCS C1713
Hospital Charge Code	64905655
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,628.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,948.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,216.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,680.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,082.00
Rate for Payer: EmblemHealth Commercial	$2,680.00
Rate for Payer: Fidelis Medicare Advantage	$5,628.00
Rate for Payer: Group Health Inc Commercial	$2,680.00
Rate for Payer: Group Health Inc Medicare	$1,876.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,680.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,680.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,484.00

NAIL, HFN 130 DEG 13MM X 180

Facility

$4,288.00

Service Code	HCPCS C1713
Hospital Charge Code	40003338
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,502.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,358.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,572.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,144.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,465.60
Rate for Payer: EmblemHealth Commercial	$2,144.00
Rate for Payer: Fidelis Medicare Advantage	$4,502.40
Rate for Payer: Group Health Inc Commercial	$2,144.00
Rate for Payer: Group Health Inc Medicare	$1,500.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,144.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,144.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,787.20

NAIL, HFN 130 DEG 13MM X 180

Facility

$5,360.00

Service Code	HCPCS C1713
Hospital Charge Code	64905655
Hospital Revenue Code	278
Min. Negotiated Rate	$2,680.00
Max. Negotiated Rate	$2,680.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,680.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,680.00

NAIL, HIP AFFIX 125D 13MMX180

Facility

$5,360.00

Service Code	HCPCS C1713
Hospital Charge Code	64905500
Hospital Revenue Code	278
Min. Negotiated Rate	$2,680.00
Max. Negotiated Rate	$2,680.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,680.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,680.00

NAIL, HIP AFFIX 125D 13MMX180

Facility

$4,288.00

Service Code	HCPCS C1713
Hospital Charge Code	40204588
Hospital Revenue Code	278
Min. Negotiated Rate	$2,144.00
Max. Negotiated Rate	$2,144.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,144.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,144.00

NAIL, HIP AFFIX 125D 13MMX180

Facility

$5,360.00

Service Code	HCPCS C1713
Hospital Charge Code	64905500
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,628.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,948.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,216.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,680.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,082.00
Rate for Payer: EmblemHealth Commercial	$2,680.00
Rate for Payer: Fidelis Medicare Advantage	$5,628.00
Rate for Payer: Group Health Inc Commercial	$2,680.00
Rate for Payer: Group Health Inc Medicare	$1,876.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,680.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,680.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,484.00

NAIL, HIP AFFIX 125D 13MMX180

Facility

$4,288.00

Service Code	HCPCS C1713
Hospital Charge Code	40204588
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,502.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,358.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,572.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,144.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,465.60
Rate for Payer: EmblemHealth Commercial	$2,144.00
Rate for Payer: Fidelis Medicare Advantage	$4,502.40
Rate for Payer: Group Health Inc Commercial	$2,144.00
Rate for Payer: Group Health Inc Medicare	$1,500.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,144.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,144.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,787.20

NAIL, HIP AFFIX 25D 13MMX180

Facility

$4,288.00

Service Code	HCPCS C1713
Hospital Charge Code	40007507
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,502.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,358.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,572.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,144.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,465.60
Rate for Payer: EmblemHealth Commercial	$2,144.00
Rate for Payer: Fidelis Medicare Advantage	$4,502.40
Rate for Payer: Group Health Inc Commercial	$2,144.00
Rate for Payer: Group Health Inc Medicare	$1,500.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,144.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,144.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,787.20

NAIL, HIP AFFIX 25D 13MMX180

Facility

$4,288.00

Service Code	HCPCS C1713
Hospital Charge Code	40007507
Hospital Revenue Code	278
Min. Negotiated Rate	$2,144.00
Max. Negotiated Rate	$2,144.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,144.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,144.00

NAIL HOLDING SCREW

Facility

$290.00

Service Code	HCPCS C1713
Hospital Charge Code	40201376
Hospital Revenue Code	278
Min. Negotiated Rate	$101.50
Max. Negotiated Rate	$304.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$159.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$174.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$145.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$166.75
Rate for Payer: EmblemHealth Commercial	$145.00
Rate for Payer: Fidelis Medicare Advantage	$304.50
Rate for Payer: Group Health Inc Commercial	$145.00
Rate for Payer: Group Health Inc Medicare	$101.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.00
Rate for Payer: Hamaspik Choice Inc Medicare	$145.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$188.50

NAIL HOLDING SCREW

Facility

$290.00

Service Code	HCPCS C1713
Hospital Charge Code	40201376
Hospital Revenue Code	278
Min. Negotiated Rate	$145.00
Max. Negotiated Rate	$145.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.00
Rate for Payer: Hamaspik Choice Inc Medicare	$145.00

NAIL HOLDING SCREW TIBIA

Facility

$290.00

Service Code	HCPCS C1713
Hospital Charge Code	40201377
Hospital Revenue Code	278
Min. Negotiated Rate	$145.00
Max. Negotiated Rate	$145.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.00
Rate for Payer: Hamaspik Choice Inc Medicare	$145.00

NAIL HOLDING SCREW TIBIA

Facility

$290.00

Service Code	HCPCS C1713
Hospital Charge Code	40201377
Hospital Revenue Code	278
Min. Negotiated Rate	$101.50
Max. Negotiated Rate	$304.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$159.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$174.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$145.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$166.75
Rate for Payer: EmblemHealth Commercial	$145.00
Rate for Payer: Fidelis Medicare Advantage	$304.50
Rate for Payer: Group Health Inc Commercial	$145.00
Rate for Payer: Group Health Inc Medicare	$101.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.00
Rate for Payer: Hamaspik Choice Inc Medicare	$145.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$188.50

NAIL INTR 11MM DIA LONG 240M

Facility

$4,249.38

Service Code	HCPCS C1713
Hospital Charge Code	64901438
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,461.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,337.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,549.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,124.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,443.39
Rate for Payer: EmblemHealth Commercial	$2,124.69
Rate for Payer: Fidelis Medicare Advantage	$4,461.85
Rate for Payer: Group Health Inc Commercial	$2,124.69
Rate for Payer: Group Health Inc Medicare	$1,487.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,124.69
Rate for Payer: Hamaspik Choice Inc Medicare	$2,124.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,762.10

NAIL INTR 11MM DIA LONG 240M

Facility

$4,249.38

Service Code	HCPCS C1713
Hospital Charge Code	64901438
Hospital Revenue Code	278
Min. Negotiated Rate	$2,124.69
Max. Negotiated Rate	$2,124.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,124.69
Rate for Payer: Hamaspik Choice Inc Medicare	$2,124.69

NAIL INTR 11MM DIA LONG 360

Facility

$4,683.25

Service Code	HCPCS C1713
Hospital Charge Code	64902959
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,917.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,575.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,809.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,341.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,692.87
Rate for Payer: EmblemHealth Commercial	$2,341.62
Rate for Payer: Fidelis Medicare Advantage	$4,917.41
Rate for Payer: Group Health Inc Commercial	$2,341.62
Rate for Payer: Group Health Inc Medicare	$1,639.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,341.62
Rate for Payer: Hamaspik Choice Inc Medicare	$2,341.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,044.11

NAIL INTR 11MM DIA LONG 360

Facility

$4,683.25

Service Code	HCPCS C1713
Hospital Charge Code	64902959
Hospital Revenue Code	278
Min. Negotiated Rate	$2,341.62
Max. Negotiated Rate	$2,341.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,341.62
Rate for Payer: Hamaspik Choice Inc Medicare	$2,341.62

NAIL INTR 1.5MM DIA 300MML T

Facility

$524.88

Service Code	HCPCS C1713
Hospital Charge Code	64903823
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$551.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$288.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$314.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$262.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$301.81
Rate for Payer: EmblemHealth Commercial	$262.44
Rate for Payer: Fidelis Medicare Advantage	$551.12
Rate for Payer: Group Health Inc Commercial	$262.44
Rate for Payer: Group Health Inc Medicare	$183.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$262.44
Rate for Payer: Hamaspik Choice Inc Medicare	$262.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$341.17

Know your out-of-pocket cost for care.

All Charges