St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NAIL,PROXIMAL HUMERUS CANN LEFT

Facility

$6,788.00

Service Code	HCPCS C1713
Hospital Charge Code	40005907
Hospital Revenue Code	278
Min. Negotiated Rate	$3,394.00
Max. Negotiated Rate	$3,394.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,394.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,394.00

NAIL,PROXIMAL HUMERUS CANN LEFT

Facility

$6,788.00

Service Code	HCPCS C1713
Hospital Charge Code	40005907
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$7,127.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,733.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$4,072.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,394.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,903.10
Rate for Payer: EmblemHealth Commercial	$3,394.00
Rate for Payer: Fidelis Medicare Advantage	$7,127.40
Rate for Payer: Group Health Inc Commercial	$3,394.00
Rate for Payer: Group Health Inc Medicare	$2,375.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,394.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,394.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,412.20

NAIL RCN L R1.5 11X420MMX125

Facility

$3,461.44

Service Code	HCPCS C1713
Hospital Charge Code	64906730
Hospital Revenue Code	278
Min. Negotiated Rate	$1,730.72
Max. Negotiated Rate	$1,730.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,730.72
Rate for Payer: Hamaspik Choice Inc Medicare	$1,730.72

NAIL RCN L R1.5 11X420MMX125

Facility

$3,461.44

Service Code	HCPCS C1713
Hospital Charge Code	64906730
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,634.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,903.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,076.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,730.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,990.33
Rate for Payer: EmblemHealth Commercial	$1,730.72
Rate for Payer: Fidelis Medicare Advantage	$3,634.51
Rate for Payer: Group Health Inc Commercial	$1,730.72
Rate for Payer: Group Health Inc Medicare	$1,211.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,730.72
Rate for Payer: Hamaspik Choice Inc Medicare	$1,730.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,249.94

NAIL RIGHT/LEFT STANDARD

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	40203230
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,260.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$660.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$720.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$600.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$690.00
Rate for Payer: EmblemHealth Commercial	$600.00
Rate for Payer: Fidelis Medicare Advantage	$1,260.00
Rate for Payer: Group Health Inc Commercial	$600.00
Rate for Payer: Group Health Inc Medicare	$420.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$600.00
Rate for Payer: Hamaspik Choice Inc Medicare	$600.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$780.00

NAIL RIGHT/LEFT STANDARD

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	40203230
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$600.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$600.00
Rate for Payer: Hamaspik Choice Inc Medicare	$600.00

NAIL,RIGHT,T2,ANKLE,12X200MM

Facility

$5,105.75

Service Code	HCPCS C1713
Hospital Charge Code	64905565
Hospital Revenue Code	278
Min. Negotiated Rate	$2,552.88
Max. Negotiated Rate	$2,552.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,552.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,552.88

NAIL,RIGHT,T2,ANKLE,12X200MM

Facility

$5,105.75

Service Code	HCPCS C1713
Hospital Charge Code	64905565
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,361.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,808.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,063.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,552.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,935.81
Rate for Payer: EmblemHealth Commercial	$2,552.88
Rate for Payer: Fidelis Medicare Advantage	$5,361.04
Rate for Payer: Group Health Inc Commercial	$2,552.88
Rate for Payer: Group Health Inc Medicare	$1,787.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,552.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,552.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,318.74

NAIL/ROD INTRAM CONNECT 5X250

Facility

$90.00

Service Code	HCPCS C1713
Hospital Charge Code	40201380
Hospital Revenue Code	278
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$49.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$54.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$45.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$51.75
Rate for Payer: EmblemHealth Commercial	$45.00
Rate for Payer: Fidelis Medicare Advantage	$94.50
Rate for Payer: Group Health Inc Commercial	$45.00
Rate for Payer: Group Health Inc Medicare	$31.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$45.00
Rate for Payer: Hamaspik Choice Inc Medicare	$45.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$58.50

NAIL/ROD INTRAM CONNECT 5X250

Facility

$90.00

Service Code	HCPCS C1713
Hospital Charge Code	40201380
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$45.00
Rate for Payer: Hamaspik Choice Inc Medicare	$45.00

NAIL SPRACONDYL T2 9X440MM 0944S

Facility

$3,409.40

Service Code	HCPCS C1713
Hospital Charge Code	64906706
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 SPRACONDYL T2 9X440MM 0944S

Facility

$3,409.40

Service Code	HCPCS C1713
Hospital Charge Code	64906706
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,579.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,875.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
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 SUPRACONDLYR 9X380MM

Facility

$3,409.40

Service Code	HCPCS C1713
Hospital Charge Code	64906948
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 SUPRACONDLYR 9X380MM

Facility

$3,409.40

Service Code	HCPCS C1713
Hospital Charge Code	64906948
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,579.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,875.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
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 T2 (HOWMEDICA)

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901230
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 T2 (HOWMEDICA)

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901230
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 T2 LNG PRX HUM LF 220MM

Facility

$4,249.38

Service Code	HCPCS C1713
Hospital Charge Code	64901638
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 T2 LNG PRX HUM LF 220MM

Facility

$4,249.38

Service Code	HCPCS C1713
Hospital Charge Code	64901638
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 T2 LNG PRX HUM LF 240MM

Facility

$4,249.38

Service Code	HCPCS C1713
Hospital Charge Code	64901769
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 T2 LNG PRX HUM LF 240MM

Facility

$4,249.38

Service Code	HCPCS C1713
Hospital Charge Code	64901769
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 T2 LNG PRX HUM LF 260MM

Facility

$4,249.38

Service Code	HCPCS C1713
Hospital Charge Code	64901640
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 T2 LNG PRX HUM LF 260MM

Facility

$4,249.38

Service Code	HCPCS C1713
Hospital Charge Code	64901640
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 T2 RECON RT 380MM 125DG

Facility

$6,078.80

Service Code	HCPCS C1713
Hospital Charge Code	40200789
Hospital Revenue Code	278
Min. Negotiated Rate	$3,039.40
Max. Negotiated Rate	$3,039.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,039.40
Rate for Payer: Hamaspik Choice Inc Medicare	$3,039.40

NAIL T2 RECON RT 380MM 125DG

Facility

$6,078.80

Service Code	HCPCS C1713
Hospital Charge Code	40200789
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,382.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,343.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,647.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,039.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,495.31
Rate for Payer: EmblemHealth Commercial	$3,039.40
Rate for Payer: Fidelis Medicare Advantage	$6,382.74
Rate for Payer: Group Health Inc Commercial	$3,039.40
Rate for Payer: Group Health Inc Medicare	$2,127.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,039.40
Rate for Payer: Hamaspik Choice Inc Medicare	$3,039.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,951.22

NAIL T2 STD. TIBIA 8MMX360MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64905803
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

Know your out-of-pocket cost for care.

All Charges