St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NAIL TIBIAL T2 STD 10X405MM

Facility

$1,261.66

Service Code	HCPCS C1713
Hospital Charge Code	64906343
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,324.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$693.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$757.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$630.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$725.45
Rate for Payer: EmblemHealth Commercial	$630.83
Rate for Payer: Fidelis Medicare Advantage	$1,324.74
Rate for Payer: Group Health Inc Commercial	$630.83
Rate for Payer: Group Health Inc Medicare	$441.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$630.83
Rate for Payer: Hamaspik Choice Inc Medicare	$630.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$820.08

NAIL TIBIAL T2 STD 10X405MM

Facility

$1,261.66

Service Code	HCPCS C1713
Hospital Charge Code	64906343
Hospital Revenue Code	278
Min. Negotiated Rate	$630.83
Max. Negotiated Rate	$630.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$630.83
Rate for Payer: Hamaspik Choice Inc Medicare	$630.83

NAIL TIBIAL T2 STD 12X360MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901265
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 STD 12X360MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901265
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 STD 9MMX285MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64902687
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 STD 9MMX285MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64902687
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 T2 11X390MM

Facility

$4,729.20

Service Code	HCPCS C1713
Hospital Charge Code	40200791
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 TIBIA T2 11X390MM

Facility

$4,729.20

Service Code	HCPCS C1713
Hospital Charge Code	40200791
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 TIB T2 STD 9 X 30MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901413
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 TIB T2 STD 9 X 30MM

Facility

$3,466.13

Service Code	HCPCS C1713
Hospital Charge Code	64901413
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 TROCHANTER FIX 130 DEG/170

Facility

$2,386.80

Service Code	HCPCS C1713
Hospital Charge Code	40200187
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,506.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,312.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,432.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,193.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,372.41
Rate for Payer: EmblemHealth Commercial	$1,193.40
Rate for Payer: Fidelis Medicare Advantage	$2,506.14
Rate for Payer: Group Health Inc Commercial	$1,193.40
Rate for Payer: Group Health Inc Medicare	$835.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,193.40
Rate for Payer: Hamaspik Choice Inc Medicare	$1,193.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,551.42

NAIL TROCHANTER FIX 130 DEG/170

Facility

$2,386.80

Service Code	HCPCS C1713
Hospital Charge Code	40200187
Hospital Revenue Code	278
Min. Negotiated Rate	$1,193.40
Max. Negotiated Rate	$1,193.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,193.40
Rate for Payer: Hamaspik Choice Inc Medicare	$1,193.40

NAIL TROCH FIX/L 11/130DEGX420MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	40200142
Hospital Revenue Code	278
Min. Negotiated Rate	$500.00
Max. Negotiated Rate	$500.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$500.00

NAIL TROCH FIX/L 11/130DEGX420MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	40200142
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,050.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$550.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$600.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$500.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$575.00
Rate for Payer: EmblemHealth Commercial	$500.00
Rate for Payer: Fidelis Medicare Advantage	$1,050.00
Rate for Payer: Group Health Inc Commercial	$500.00
Rate for Payer: Group Health Inc Medicare	$350.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$500.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$650.00

NAILTROCH FIXT/LT 11/130DGX420MM

Facility

$619.84

Service Code	HCPCS C1713
Hospital Charge Code	40209350
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$650.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$340.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$371.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$309.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$356.41
Rate for Payer: EmblemHealth Commercial	$309.92
Rate for Payer: Fidelis Medicare Advantage	$650.83
Rate for Payer: Group Health Inc Commercial	$309.92
Rate for Payer: Group Health Inc Medicare	$216.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$309.92
Rate for Payer: Hamaspik Choice Inc Medicare	$309.92
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$402.90

NAILTROCH FIXT/LT 11/130DGX420MM

Facility

$619.84

Service Code	HCPCS C1713
Hospital Charge Code	40209350
Hospital Revenue Code	278
Min. Negotiated Rate	$309.92
Max. Negotiated Rate	$309.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$309.92
Rate for Payer: Hamaspik Choice Inc Medicare	$309.92

NAIL X170

Facility

$3,734.50

Service Code	HCPCS C1713
Hospital Charge Code	64907122
Hospital Revenue Code	278
Min. Negotiated Rate	$1,867.25
Max. Negotiated Rate	$1,867.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,867.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,867.25

NAIL X170

Facility

$3,734.50

Service Code	HCPCS C1713
Hospital Charge Code	64907122
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,921.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,053.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,240.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,867.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,147.34
Rate for Payer: EmblemHealth Commercial	$1,867.25
Rate for Payer: Fidelis Medicare Advantage	$3,921.22
Rate for Payer: Group Health Inc Commercial	$1,867.25
Rate for Payer: Group Health Inc Medicare	$1,307.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,867.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,867.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,427.42

NAIL X345

Facility

$7,247.58

Service Code	HCPCS C1713
Hospital Charge Code	64907128
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 X345

Facility

$7,247.58

Service Code	HCPCS C1713
Hospital Charge Code	64907128
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 X360

Facility

$7,247.58

Service Code	HCPCS C1713
Hospital Charge Code	64907143
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 X360

Facility

$7,247.58

Service Code	HCPCS C1713
Hospital Charge Code	64907143
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 X380

Facility

$8,602.68

Service Code	HCPCS C1713
Hospital Charge Code	64907155
Hospital Revenue Code	278
Min. Negotiated Rate	$4,301.34
Max. Negotiated Rate	$4,301.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,301.34
Rate for Payer: Hamaspik Choice Inc Medicare	$4,301.34

NAIL X380

Facility

$8,602.68

Service Code	HCPCS C1713
Hospital Charge Code	64907155
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$9,032.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,731.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$5,161.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,301.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,946.54
Rate for Payer: EmblemHealth Commercial	$4,301.34
Rate for Payer: Fidelis Medicare Advantage	$9,032.81
Rate for Payer: Group Health Inc Commercial	$4,301.34
Rate for Payer: Group Health Inc Medicare	$3,010.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,301.34
Rate for Payer: Hamaspik Choice Inc Medicare	$4,301.34
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,591.74

NAIL X405

Facility

$7,247.58

Service Code	HCPCS C1713
Hospital Charge Code	64907332
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

Know your out-of-pocket cost for care.

All Charges