St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NAIL INTR DYNAMIC LOCKNG 10D

Facility

$4,682.50

Service Code	HCPCS C1713
Hospital Charge Code	64904792
Hospital Revenue Code	278
Min. Negotiated Rate	$2,341.25
Max. Negotiated Rate	$2,341.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,341.25
Rate for Payer: Hamaspik Choice Inc Medicare	$2,341.25

NAIL INTR DYNAMIC LOCKNG 11A

Facility

$4,683.25

Service Code	HCPCS C1713
Hospital Charge Code	64904615
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 DYNAMIC LOCKNG 11A

Facility

$4,683.25

Service Code	HCPCS C1713
Hospital Charge Code	64904615
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 DYNAMIC LOCKNG 11B

Facility

$4,683.25

Service Code	HCPCS C1713
Hospital Charge Code	64904891
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 DYNAMIC LOCKNG 11B

Facility

$4,683.25

Service Code	HCPCS C1713
Hospital Charge Code	64904891
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 DYNAMIC LOCKNG 14

Facility

$4,683.25

Service Code	HCPCS C1713
Hospital Charge Code	64904468
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 DYNAMIC LOCKNG 14

Facility

$4,683.25

Service Code	HCPCS C1713
Hospital Charge Code	64904468
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 LOCKING 10MM DIA3

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901436
Hospital Revenue Code	278
Min. Negotiated Rate	$1,733.06
Max. Negotiated Rate	$1,733.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,733.06
Rate for Payer: Hamaspik Choice Inc Medicare	$1,733.06

NAIL INTR LOCKING 10MM DIA3

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901436
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,639.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,906.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,079.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,733.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,993.02
Rate for Payer: EmblemHealth Commercial	$1,733.06
Rate for Payer: Fidelis Medicare Advantage	$3,639.44
Rate for Payer: Group Health Inc Commercial	$1,733.06
Rate for Payer: Group Health Inc Medicare	$1,213.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,733.06
Rate for Payer: Hamaspik Choice Inc Medicare	$1,733.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,252.98

NAIL INTR LOCKING 10MM DIA L2

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64902619
Hospital Revenue Code	278
Min. Negotiated Rate	$2,721.06
Max. Negotiated Rate	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06

NAIL INTR LOCKING 10MM DIA L2

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64902619
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,714.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,993.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,265.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,721.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,129.22
Rate for Payer: EmblemHealth Commercial	$2,721.06
Rate for Payer: Fidelis Medicare Advantage	$5,714.24
Rate for Payer: Group Health Inc Commercial	$2,721.06
Rate for Payer: Group Health Inc Medicare	$1,904.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,537.38

NAIL INTR LOCKING 10MM DIA L3

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64902895
Hospital Revenue Code	278
Min. Negotiated Rate	$2,721.06
Max. Negotiated Rate	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06

NAIL INTR LOCKING 10MM DIA L3

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64902895
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,714.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,993.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,265.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,721.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,129.22
Rate for Payer: EmblemHealth Commercial	$2,721.06
Rate for Payer: Fidelis Medicare Advantage	$5,714.24
Rate for Payer: Group Health Inc Commercial	$2,721.06
Rate for Payer: Group Health Inc Medicare	$1,904.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,537.38

NAIL INTR LOCKING 10MM DIA L4

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64902920
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,714.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,993.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,265.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,721.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,129.22
Rate for Payer: EmblemHealth Commercial	$2,721.06
Rate for Payer: Fidelis Medicare Advantage	$5,714.24
Rate for Payer: Group Health Inc Commercial	$2,721.06
Rate for Payer: Group Health Inc Medicare	$1,904.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,537.38

NAIL INTR LOCKING 10MM DIA L4

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64902920
Hospital Revenue Code	278
Min. Negotiated Rate	$2,721.06
Max. Negotiated Rate	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06

NAIL INTR LOCKING 10MM DIA L7

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64903068
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,714.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,993.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,265.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,721.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,129.22
Rate for Payer: EmblemHealth Commercial	$2,721.06
Rate for Payer: Fidelis Medicare Advantage	$5,714.24
Rate for Payer: Group Health Inc Commercial	$2,721.06
Rate for Payer: Group Health Inc Medicare	$1,904.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,537.38

NAIL INTR LOCKING 10MM DIA L7

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64903068
Hospital Revenue Code	278
Min. Negotiated Rate	$2,721.06
Max. Negotiated Rate	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06

NAIL INTR LOCKING 10MM DIA L9

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64903528
Hospital Revenue Code	278
Min. Negotiated Rate	$2,721.06
Max. Negotiated Rate	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06

NAIL INTR LOCKING 10MM DIA L9

Facility

$5,442.13

Service Code	HCPCS C1713
Hospital Charge Code	64903528
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,714.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,993.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,265.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,721.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,129.22
Rate for Payer: EmblemHealth Commercial	$2,721.06
Rate for Payer: Fidelis Medicare Advantage	$5,714.24
Rate for Payer: Group Health Inc Commercial	$2,721.06
Rate for Payer: Group Health Inc Medicare	$1,904.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare	$2,721.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,537.38

NAIL INTR LOCKING 11MM DIA R1

Facility

$4,754.75

Service Code	HCPCS C1713
Hospital Charge Code	64902946
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,615.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,852.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,377.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.98
Rate for Payer: EmblemHealth Commercial	$2,377.38
Rate for Payer: Fidelis Medicare Advantage	$4,992.49
Rate for Payer: Group Health Inc Commercial	$2,377.38
Rate for Payer: Group Health Inc Medicare	$1,664.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.38
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.59

NAIL INTR LOCKING 11MM DIA R1

Facility

$4,754.75

Service Code	HCPCS C1713
Hospital Charge Code	64902946
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.38
Max. Negotiated Rate	$2,377.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.38
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.38

NAIL INTR LOCKING 11MM DIA R3

Facility

$4,754.75

Service Code	HCPCS C1713
Hospital Charge Code	64903665
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.38
Max. Negotiated Rate	$2,377.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.38
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.38

NAIL INTR LOCKING 11MM DIA R3

Facility

$4,754.75

Service Code	HCPCS C1713
Hospital Charge Code	64903665
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,615.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,852.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,377.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.98
Rate for Payer: EmblemHealth Commercial	$2,377.38
Rate for Payer: Fidelis Medicare Advantage	$4,992.49
Rate for Payer: Group Health Inc Commercial	$2,377.38
Rate for Payer: Group Health Inc Medicare	$1,664.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.38
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.59

NAIL INTR LOCKING 11MM DIA R4

Facility

$4,754.75

Service Code	HCPCS C1713
Hospital Charge Code	64903795
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.38
Max. Negotiated Rate	$2,377.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.38
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.38

NAIL INTR LOCKING 11MM DIA R4

Facility

$4,754.75

Service Code	HCPCS C1713
Hospital Charge Code	64903795
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,615.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,852.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,377.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.98
Rate for Payer: EmblemHealth Commercial	$2,377.38
Rate for Payer: Fidelis Medicare Advantage	$4,992.49
Rate for Payer: Group Health Inc Commercial	$2,377.38
Rate for Payer: Group Health Inc Medicare	$1,664.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.38
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.59

Know your out-of-pocket cost for care.

All Charges