St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NAIL T2 STD. TIBIA 8MMX360MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64905803
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 SUPRACONDLR 12X400MM

Facility

$1,704.70

Service Code	HCPCS C1713
Hospital Charge Code	64906383
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,789.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$937.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,022.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$852.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$980.20
Rate for Payer: EmblemHealth Commercial	$852.35
Rate for Payer: Fidelis Medicare Advantage	$1,789.94
Rate for Payer: Group Health Inc Commercial	$852.35
Rate for Payer: Group Health Inc Medicare	$596.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$852.35
Rate for Payer: Hamaspik Choice Inc Medicare	$852.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,108.06

NAIL T2 SUPRACONDLR 12X400MM

Facility

$1,704.70

Service Code	HCPCS C1713
Hospital Charge Code	64906383
Hospital Revenue Code	278
Min. Negotiated Rate	$852.35
Max. Negotiated Rate	$852.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$852.35
Rate for Payer: Hamaspik Choice Inc Medicare	$852.35

NAIL T2 SUPRACONDY13X360MM-1336S

Facility

$1,704.70

Service Code	HCPCS C1713
Hospital Charge Code	64906403
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,789.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$937.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,022.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$852.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$980.20
Rate for Payer: EmblemHealth Commercial	$852.35
Rate for Payer: Fidelis Medicare Advantage	$1,789.94
Rate for Payer: Group Health Inc Commercial	$852.35
Rate for Payer: Group Health Inc Medicare	$596.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$852.35
Rate for Payer: Hamaspik Choice Inc Medicare	$852.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,108.06

NAIL T2 SUPRACONDY13X360MM-1336S

Facility

$1,704.70

Service Code	HCPCS C1713
Hospital Charge Code	64906403
Hospital Revenue Code	278
Min. Negotiated Rate	$852.35
Max. Negotiated Rate	$852.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$852.35
Rate for Payer: Hamaspik Choice Inc Medicare	$852.35

NAIL T2 SUPRACONDYL 14X320MM

Facility

$4,683.25

Service Code	HCPCS C1713
Hospital Charge Code	64905744
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 T2 SUPRACONDYL 14X320MM

Facility

$4,683.25

Service Code	HCPCS C1713
Hospital Charge Code	64905744
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 T2 SUPRACONDYLR 11X34MM

Facility

$1,704.00

Service Code	HCPCS C1713
Hospital Charge Code	64906469
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,789.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$937.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,022.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$852.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$979.80
Rate for Payer: EmblemHealth Commercial	$852.00
Rate for Payer: Fidelis Medicare Advantage	$1,789.20
Rate for Payer: Group Health Inc Commercial	$852.00
Rate for Payer: Group Health Inc Medicare	$596.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$852.00
Rate for Payer: Hamaspik Choice Inc Medicare	$852.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,107.60

NAIL T2 SUPRACONDYLR 11X34MM

Facility

$1,704.00

Service Code	HCPCS C1713
Hospital Charge Code	64906469
Hospital Revenue Code	278
Min. Negotiated Rate	$852.00
Max. Negotiated Rate	$852.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$852.00
Rate for Payer: Hamaspik Choice Inc Medicare	$852.00

NAIL T2 SUPRACONDYR 13X400MM

Facility

$3,746.60

Service Code	HCPCS C1713
Hospital Charge Code	64906894
Hospital Revenue Code	278
Min. Negotiated Rate	$1,873.30
Max. Negotiated Rate	$1,873.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,873.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,873.30

NAIL T2 SUPRACONDYR 13X400MM

Facility

$3,746.60

Service Code	HCPCS C1713
Hospital Charge Code	64906894
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,933.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,060.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,247.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,873.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,154.30
Rate for Payer: EmblemHealth Commercial	$1,873.30
Rate for Payer: Fidelis Medicare Advantage	$3,933.93
Rate for Payer: Group Health Inc Commercial	$1,873.30
Rate for Payer: Group Health Inc Medicare	$1,311.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,873.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,873.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,435.29

NAIL T2 SUPRCONDYLR 12X380MM

Facility

$3,746.60

Service Code	HCPCS C1713
Hospital Charge Code	64906738
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,933.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,060.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,247.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,873.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,154.30
Rate for Payer: EmblemHealth Commercial	$1,873.30
Rate for Payer: Fidelis Medicare Advantage	$3,933.93
Rate for Payer: Group Health Inc Commercial	$1,873.30
Rate for Payer: Group Health Inc Medicare	$1,311.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,873.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,873.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,435.29

NAIL T2 SUPRCONDYLR 12X380MM

Facility

$3,746.60

Service Code	HCPCS C1713
Hospital Charge Code	64906738
Hospital Revenue Code	278
Min. Negotiated Rate	$1,873.30
Max. Negotiated Rate	$1,873.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,873.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,873.30

NAIL T2 TIB STANDARD 12X330MM

Facility

$4,729.20

Service Code	HCPCS C1713
Hospital Charge Code	40200790
Hospital Revenue Code	278
Min. Negotiated Rate	$2,364.60
Max. Negotiated Rate	$2,364.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,364.60
Rate for Payer: Hamaspik Choice Inc Medicare	$2,364.60

NAIL T2 TIB STANDARD 12X330MM

Facility

$4,729.20

Service Code	HCPCS C1713
Hospital Charge Code	40200790
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,965.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,601.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,837.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,364.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,719.29
Rate for Payer: EmblemHealth Commercial	$2,364.60
Rate for Payer: Fidelis Medicare Advantage	$4,965.66
Rate for Payer: Group Health Inc Commercial	$2,364.60
Rate for Payer: Group Health Inc Medicare	$1,655.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,364.60
Rate for Payer: Hamaspik Choice Inc Medicare	$2,364.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,073.98

NAIL T3 TIBIAL 9X315MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901920
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 T3 TIBIAL 9X315MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901920
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 TIBIA 10 X 285

Facility

$7,247.58

Service Code	HCPCS C1713
Hospital Charge Code	64907013
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$7,609.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,986.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$4,348.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,623.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,167.36
Rate for Payer: EmblemHealth Commercial	$3,623.79
Rate for Payer: Fidelis Medicare Advantage	$7,609.96
Rate for Payer: Group Health Inc Commercial	$3,623.79
Rate for Payer: Group Health Inc Medicare	$2,536.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,623.79
Rate for Payer: Hamaspik Choice Inc Medicare	$3,623.79
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,710.93

NAIL TIBIA 10 X 285

Facility

$7,247.58

Service Code	HCPCS C1713
Hospital Charge Code	64907013
Hospital Revenue Code	278
Min. Negotiated Rate	$3,623.79
Max. Negotiated Rate	$3,623.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,623.79
Rate for Payer: Hamaspik Choice Inc Medicare	$3,623.79

NAIL TIBIA 10 X 315MM

Facility

$5,798.06

Service Code	HCPCS C1776
Hospital Charge Code	64906880
Hospital Revenue Code	278
Min. Negotiated Rate	$2,899.03
Max. Negotiated Rate	$2,899.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,899.03
Rate for Payer: Hamaspik Choice Inc Medicare	$2,899.03

NAIL TIBIA 10 X 315MM

Facility

$5,798.06

Service Code	HCPCS C1776
Hospital Charge Code	64906880
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$6,087.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,188.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$3,478.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,899.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,333.88
Rate for Payer: EmblemHealth Commercial	$2,899.03
Rate for Payer: Fidelis Medicare Advantage	$6,087.96
Rate for Payer: Group Health Inc Commercial	$2,899.03
Rate for Payer: Group Health Inc Medicare	$2,029.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,899.03
Rate for Payer: Hamaspik Choice Inc Medicare	$2,899.03
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,768.74

NAIL TIBIA 12X375

Facility

$3,732.75

Service Code	HCPCS C1713
Hospital Charge Code	64902646
Hospital Revenue Code	278
Min. Negotiated Rate	$1,866.38
Max. Negotiated Rate	$1,866.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,866.38
Rate for Payer: Hamaspik Choice Inc Medicare	$1,866.38

NAIL TIBIA 12X375

Facility

$3,732.75

Service Code	HCPCS C1713
Hospital Charge Code	64902646
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,919.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,053.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,239.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,866.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,146.33
Rate for Payer: EmblemHealth Commercial	$1,866.38
Rate for Payer: Fidelis Medicare Advantage	$3,919.39
Rate for Payer: Group Health Inc Commercial	$1,866.38
Rate for Payer: Group Health Inc Medicare	$1,306.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,866.38
Rate for Payer: Hamaspik Choice Inc Medicare	$1,866.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,426.29

NAIL TIBIA 13 X 380MM

Facility

$4,261.75

Service Code	HCPCS C1713
Hospital Charge Code	64907018
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,474.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,343.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,557.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,130.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,450.51
Rate for Payer: EmblemHealth Commercial	$2,130.88
Rate for Payer: Fidelis Medicare Advantage	$4,474.84
Rate for Payer: Group Health Inc Commercial	$2,130.88
Rate for Payer: Group Health Inc Medicare	$1,491.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,130.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,130.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,770.14

NAIL TIBIA 13 X 380MM

Facility

$4,261.75

Service Code	HCPCS C1713
Hospital Charge Code	64907018
Hospital Revenue Code	278
Min. Negotiated Rate	$2,130.88
Max. Negotiated Rate	$2,130.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,130.88
Rate for Payer: Hamaspik Choice Inc Medicare	$2,130.88

Know your out-of-pocket cost for care.

All Charges