St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NAIL TIBIAL D11 X L345

Facility

$5,798.06

Service Code	HCPCS C1713
Hospital Charge Code	64906877
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,087.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,188.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
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 TIBIAL D11 X L360MM

Facility

$5,798.06

Service Code	HCPCS C1713
Hospital Charge Code	64906835
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,087.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,188.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
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 TIBIAL D11 X L360MM

Facility

$5,798.06

Service Code	HCPCS C1713
Hospital Charge Code	64906835
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 TIBIAL STANDARD 345MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901332
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 STANDARD 345MM

Facility

$4,465.00

Service Code	HCPCS C1713
Hospital Charge Code	40200792
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,688.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,455.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,679.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,232.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,567.38
Rate for Payer: EmblemHealth Commercial	$2,232.50
Rate for Payer: Fidelis Medicare Advantage	$4,688.25
Rate for Payer: Group Health Inc Commercial	$2,232.50
Rate for Payer: Group Health Inc Medicare	$1,562.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,232.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2,232.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,902.25

NAIL TIBIAL STANDARD 345MM

Facility

$4,465.00

Service Code	HCPCS C1713
Hospital Charge Code	40200792
Hospital Revenue Code	278
Min. Negotiated Rate	$2,232.50
Max. Negotiated Rate	$2,232.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,232.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2,232.50

NAIL TIBIAL STANDARD 345MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901332
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 STANDARD 390MM

Facility

$4,418.40

Service Code	HCPCS C1713
Hospital Charge Code	40200793
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,639.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,430.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,651.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,209.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,540.58
Rate for Payer: EmblemHealth Commercial	$2,209.20
Rate for Payer: Fidelis Medicare Advantage	$4,639.32
Rate for Payer: Group Health Inc Commercial	$2,209.20
Rate for Payer: Group Health Inc Medicare	$1,546.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,209.20
Rate for Payer: Hamaspik Choice Inc Medicare	$2,209.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,871.96

NAIL TIBIAL STANDARD 390MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901359
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 STANDARD 390MM

Facility

$4,418.40

Service Code	HCPCS C1713
Hospital Charge Code	40200793
Hospital Revenue Code	278
Min. Negotiated Rate	$2,209.20
Max. Negotiated Rate	$2,209.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,209.20
Rate for Payer: Hamaspik Choice Inc Medicare	$2,209.20

NAIL TIBIAL STANDARD 390MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901359
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 STD 11X360MM T2

Facility

$2,529.80

Service Code	HCPCS C1776
Hospital Charge Code	40205070
Hospital Revenue Code	278
Min. Negotiated Rate	$1,264.90
Max. Negotiated Rate	$1,264.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,264.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,264.90

NAIL TIBIAL STD 11X360MM T2

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64902195
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 STD 11X360MM T2

Facility

$2,529.80

Service Code	HCPCS C1776
Hospital Charge Code	40205070
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,656.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,391.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,517.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,264.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,454.64
Rate for Payer: EmblemHealth Commercial	$1,264.90
Rate for Payer: Fidelis Medicare Advantage	$2,656.29
Rate for Payer: Group Health Inc Commercial	$1,264.90
Rate for Payer: Group Health Inc Medicare	$885.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,264.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,264.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,644.37

NAIL TIBIAL STD 11X360MM T2

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64902195
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 STD T2 11X37MM

Facility

$5,015.00

Service Code	HCPCS C1713
Hospital Charge Code	40200794
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,265.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,758.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,009.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,507.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,883.62
Rate for Payer: EmblemHealth Commercial	$2,507.50
Rate for Payer: Fidelis Medicare Advantage	$5,265.75
Rate for Payer: Group Health Inc Commercial	$2,507.50
Rate for Payer: Group Health Inc Medicare	$1,755.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,507.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2,507.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,259.75

NAIL TIBIAL STD T2 11X37MM

Facility

$5,015.00

Service Code	HCPCS C1713
Hospital Charge Code	40200794
Hospital Revenue Code	278
Min. Negotiated Rate	$2,507.50
Max. Negotiated Rate	$2,507.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,507.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2,507.50

NAIL TIBIAL STD T2 11 X 390 MM

Facility

$2,364.60

Service Code	HCPCS C1713
Hospital Charge Code	40201379
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,482.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,300.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,418.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,182.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,359.64
Rate for Payer: EmblemHealth Commercial	$1,182.30
Rate for Payer: Fidelis Medicare Advantage	$2,482.83
Rate for Payer: Group Health Inc Commercial	$1,182.30
Rate for Payer: Group Health Inc Medicare	$827.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,182.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,182.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,536.99

NAIL TIBIAL STD T2 11 X 390 MM

Facility

$2,364.60

Service Code	HCPCS C1713
Hospital Charge Code	40201379
Hospital Revenue Code	278
Min. Negotiated Rate	$1,182.30
Max. Negotiated Rate	$1,182.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,182.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,182.30

NAIL TIBIAL T2 11 X 330MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901414
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 T2 11 X 330MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901414
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 T2 11X345MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901391
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 T2 11X345MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901391
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 T2 11 X 390MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901435
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 T2 11 X 390MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901435
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