St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NAIL TIBIA 375MM

Facility

$7,247.58

Service Code	HCPCS C1713
Hospital Charge Code	64907107
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 375MM

Facility

$7,247.58

Service Code	HCPCS C1713
Hospital Charge Code	64907107
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 D11 X L390

Facility

$5,798.08

Service Code	HCPCS C1713
Hospital Charge Code	64906755
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,087.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,188.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,478.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,899.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,333.90
Rate for Payer: EmblemHealth Commercial	$2,899.04
Rate for Payer: Fidelis Medicare Advantage	$6,087.98
Rate for Payer: Group Health Inc Commercial	$2,899.04
Rate for Payer: Group Health Inc Medicare	$2,029.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,899.04
Rate for Payer: Hamaspik Choice Inc Medicare	$2,899.04
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,768.75

NAIL TIBIA D11 X L390

Facility

$5,798.08

Service Code	HCPCS C1713
Hospital Charge Code	64906755
Hospital Revenue Code	278
Min. Negotiated Rate	$2,899.04
Max. Negotiated Rate	$2,899.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,899.04
Rate for Payer: Hamaspik Choice Inc Medicare	$2,899.04

NAIL TIBIAL

Facility

$2,530.00

Service Code	HCPCS C1713
Hospital Charge Code	40200179
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,656.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,391.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,518.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,265.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,454.75
Rate for Payer: EmblemHealth Commercial	$1,265.00
Rate for Payer: Fidelis Medicare Advantage	$2,656.50
Rate for Payer: Group Health Inc Commercial	$1,265.00
Rate for Payer: Group Health Inc Medicare	$885.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,265.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,265.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,644.50

NAIL TIBIAL

Facility

$2,530.00

Service Code	HCPCS C1713
Hospital Charge Code	40200179
Hospital Revenue Code	278
Min. Negotiated Rate	$1,265.00
Max. Negotiated Rate	$1,265.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,265.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,265.00

NAIL TIBIAL 300MM LEFT

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901328
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 TIBIAL 300MM LEFT

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901328
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 TIBIAL 330MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901229
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 TIBIAL 330MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901229
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 TIBIAL CANN TIT 10X345MM

Facility

$2,364.00

Service Code	HCPCS C1713
Hospital Charge Code	40200180
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,482.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,300.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,418.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,182.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,359.30
Rate for Payer: EmblemHealth Commercial	$1,182.00
Rate for Payer: Fidelis Medicare Advantage	$2,482.20
Rate for Payer: Group Health Inc Commercial	$1,182.00
Rate for Payer: Group Health Inc Medicare	$827.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,182.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,182.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,536.60

NAIL TIBIAL CANN TIT 10X345MM

Facility

$2,364.00

Service Code	HCPCS C1713
Hospital Charge Code	40200180
Hospital Revenue Code	278
Min. Negotiated Rate	$1,182.00
Max. Negotiated Rate	$1,182.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,182.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,182.00

NAIL TIBIAL CANN TIT 11X360MM

Facility

$2,364.00

Service Code	HCPCS C1713
Hospital Charge Code	40200181
Hospital Revenue Code	278
Min. Negotiated Rate	$1,182.00
Max. Negotiated Rate	$1,182.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,182.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,182.00

NAIL TIBIAL CANN TIT 11X360MM

Facility

$2,364.00

Service Code	HCPCS C1713
Hospital Charge Code	40200181
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,482.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,300.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,418.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,182.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,359.30
Rate for Payer: EmblemHealth Commercial	$1,182.00
Rate for Payer: Fidelis Medicare Advantage	$2,482.20
Rate for Payer: Group Health Inc Commercial	$1,182.00
Rate for Payer: Group Health Inc Medicare	$827.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,182.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,182.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,536.60

NAIL TIBIAL CANNULATED

Facility

$210.00

Service Code	HCPCS C1713
Hospital Charge Code	40200182
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$220.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$126.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$105.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$120.75
Rate for Payer: EmblemHealth Commercial	$105.00
Rate for Payer: Fidelis Medicare Advantage	$220.50
Rate for Payer: Group Health Inc Commercial	$105.00
Rate for Payer: Group Health Inc Medicare	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$136.50

NAIL TIBIAL CANNULATED

Facility

$210.00

Service Code	HCPCS C1713
Hospital Charge Code	40200182
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00

NAIL TIBIAL CANNULATED 30MM

Facility

$304.20

Service Code	HCPCS C1713
Hospital Charge Code	40200183
Hospital Revenue Code	278
Min. Negotiated Rate	$106.47
Max. Negotiated Rate	$319.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$167.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$182.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$152.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$174.92
Rate for Payer: EmblemHealth Commercial	$152.10
Rate for Payer: Fidelis Medicare Advantage	$319.41
Rate for Payer: Group Health Inc Commercial	$152.10
Rate for Payer: Group Health Inc Medicare	$106.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.10
Rate for Payer: Hamaspik Choice Inc Medicare	$152.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$197.73

NAIL TIBIAL CANNULATED 30MM

Facility

$304.20

Service Code	HCPCS C1713
Hospital Charge Code	40200183
Hospital Revenue Code	278
Min. Negotiated Rate	$152.10
Max. Negotiated Rate	$152.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.10
Rate for Payer: Hamaspik Choice Inc Medicare	$152.10

NAIL TIBIAL CANNULATED 36MM

Facility

$304.20

Service Code	HCPCS C1713
Hospital Charge Code	40200185
Hospital Revenue Code	278
Min. Negotiated Rate	$152.10
Max. Negotiated Rate	$152.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.10
Rate for Payer: Hamaspik Choice Inc Medicare	$152.10

NAIL TIBIAL CANNULATED 36MM

Facility

$304.20

Service Code	HCPCS C1713
Hospital Charge Code	40200185
Hospital Revenue Code	278
Min. Negotiated Rate	$106.47
Max. Negotiated Rate	$319.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$167.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$182.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$152.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$174.92
Rate for Payer: EmblemHealth Commercial	$152.10
Rate for Payer: Fidelis Medicare Advantage	$319.41
Rate for Payer: Group Health Inc Commercial	$152.10
Rate for Payer: Group Health Inc Medicare	$106.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.10
Rate for Payer: Hamaspik Choice Inc Medicare	$152.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$197.73

NAIL TIBIAL CANNULATED 38MM

Facility

$304.20

Service Code	HCPCS C1713
Hospital Charge Code	40200186
Hospital Revenue Code	278
Min. Negotiated Rate	$152.10
Max. Negotiated Rate	$152.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.10
Rate for Payer: Hamaspik Choice Inc Medicare	$152.10

NAIL TIBIAL CANNULATED 38MM

Facility

$304.20

Service Code	HCPCS C1713
Hospital Charge Code	40200186
Hospital Revenue Code	278
Min. Negotiated Rate	$106.47
Max. Negotiated Rate	$319.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$167.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$182.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$152.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$174.92
Rate for Payer: EmblemHealth Commercial	$152.10
Rate for Payer: Fidelis Medicare Advantage	$319.41
Rate for Payer: Group Health Inc Commercial	$152.10
Rate for Payer: Group Health Inc Medicare	$106.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.10
Rate for Payer: Hamaspik Choice Inc Medicare	$152.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$197.73

NAIL TIBIAL D10XL330 (2341-1033S)

Facility

$2,899.03

Service Code	HCPCS C1713
Hospital Charge Code	64906345
Hospital Revenue Code	278
Min. Negotiated Rate	$1,449.52
Max. Negotiated Rate	$1,449.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,449.52
Rate for Payer: Hamaspik Choice Inc Medicare	$1,449.52

NAIL TIBIAL D10XL330 (2341-1033S)

Facility

$2,899.03

Service Code	HCPCS C1713
Hospital Charge Code	64906345
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,043.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,594.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,739.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,449.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,666.94
Rate for Payer: EmblemHealth Commercial	$1,449.52
Rate for Payer: Fidelis Medicare Advantage	$3,043.98
Rate for Payer: Group Health Inc Commercial	$1,449.52
Rate for Payer: Group Health Inc Medicare	$1,014.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,449.52
Rate for Payer: Hamaspik Choice Inc Medicare	$1,449.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,884.37

NAIL TIBIAL D11 X L345

Facility

$5,798.06

Service Code	HCPCS C1713
Hospital Charge Code	64906877
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

Know your out-of-pocket cost for care.

All Charges