St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NCB CORT SCREW 5.0X70MM SELF-TAP

Facility

$348.56

Service Code	HCPCS C1713
Hospital Charge Code	40007076
Hospital Revenue Code	278
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$174.28
Rate for Payer: Hamaspik Choice Inc Medicare	$174.28

NCB CORT SCREW 5.0X70MM SELF-TAP

Facility

$348.56

Service Code	HCPCS C1713
Hospital Charge Code	40007076
Hospital Revenue Code	278
Min. Negotiated Rate	$122.00
Max. Negotiated Rate	$365.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$191.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$209.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$174.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$200.42
Rate for Payer: EmblemHealth Commercial	$174.28
Rate for Payer: Fidelis Medicare Advantage	$365.99
Rate for Payer: Group Health Inc Commercial	$174.28
Rate for Payer: Group Health Inc Medicare	$122.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$174.28
Rate for Payer: Hamaspik Choice Inc Medicare	$174.28
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$226.56

NCB CORT SCREW 5.0X75MM SELF-TAP

Facility

$348.56

Service Code	HCPCS C1713
Hospital Charge Code	40007077
Hospital Revenue Code	278
Min. Negotiated Rate	$122.00
Max. Negotiated Rate	$365.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$191.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$209.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$174.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$200.42
Rate for Payer: EmblemHealth Commercial	$174.28
Rate for Payer: Fidelis Medicare Advantage	$365.99
Rate for Payer: Group Health Inc Commercial	$174.28
Rate for Payer: Group Health Inc Medicare	$122.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$174.28
Rate for Payer: Hamaspik Choice Inc Medicare	$174.28
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$226.56

NCB CORT SCREW 5.0X75MM SELF-TAP

Facility

$348.56

Service Code	HCPCS C1713
Hospital Charge Code	40007077
Hospital Revenue Code	278
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$174.28
Rate for Payer: Hamaspik Choice Inc Medicare	$174.28

NCB CORT SCREW 5.0X80MM SELF-TAP

Facility

$348.56

Service Code	HCPCS C1713
Hospital Charge Code	40007078
Hospital Revenue Code	278
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$174.28
Rate for Payer: Hamaspik Choice Inc Medicare	$174.28

NCB CORT SCREW 5.0X80MM SELF-TAP

Facility

$348.56

Service Code	HCPCS C1713
Hospital Charge Code	40007078
Hospital Revenue Code	278
Min. Negotiated Rate	$122.00
Max. Negotiated Rate	$365.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$191.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$209.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$174.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$200.42
Rate for Payer: EmblemHealth Commercial	$174.28
Rate for Payer: Fidelis Medicare Advantage	$365.99
Rate for Payer: Group Health Inc Commercial	$174.28
Rate for Payer: Group Health Inc Medicare	$122.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$174.28
Rate for Payer: Hamaspik Choice Inc Medicare	$174.28
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$226.56

NCB CORT SCREW 5.0X85MM SELF-TAP

Facility

$348.56

Service Code	HCPCS C1713
Hospital Charge Code	40007079
Hospital Revenue Code	278
Min. Negotiated Rate	$122.00
Max. Negotiated Rate	$365.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$191.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$209.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$174.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$200.42
Rate for Payer: EmblemHealth Commercial	$174.28
Rate for Payer: Fidelis Medicare Advantage	$365.99
Rate for Payer: Group Health Inc Commercial	$174.28
Rate for Payer: Group Health Inc Medicare	$122.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$174.28
Rate for Payer: Hamaspik Choice Inc Medicare	$174.28
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$226.56

NCB CORT SCREW 5.0X85MM SELF-TAP

Facility

$348.56

Service Code	HCPCS C1713
Hospital Charge Code	40007079
Hospital Revenue Code	278
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$174.28
Rate for Payer: Hamaspik Choice Inc Medicare	$174.28

NCB CURVED FEM SHAFT PL10H 210MM

Facility

$1,275.56

Service Code	HCPCS C1713
Hospital Charge Code	40007280
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,339.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$701.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$765.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$637.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$733.45
Rate for Payer: EmblemHealth Commercial	$637.78
Rate for Payer: Fidelis Medicare Advantage	$1,339.34
Rate for Payer: Group Health Inc Commercial	$637.78
Rate for Payer: Group Health Inc Medicare	$446.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$637.78
Rate for Payer: Hamaspik Choice Inc Medicare	$637.78
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$829.11

NCB CURVED FEM SHAFT PL10H 210MM

Facility

$1,275.56

Service Code	HCPCS C1713
Hospital Charge Code	40007280
Hospital Revenue Code	278
Min. Negotiated Rate	$637.78
Max. Negotiated Rate	$637.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$637.78
Rate for Payer: Hamaspik Choice Inc Medicare	$637.78

NCB CURVED FEM SHAFT PL10H,210MM

Facility

$1,334.88

Service Code	HCPCS C1713
Hospital Charge Code	40007025
Hospital Revenue Code	278
Min. Negotiated Rate	$667.44
Max. Negotiated Rate	$667.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$667.44
Rate for Payer: Hamaspik Choice Inc Medicare	$667.44

NCB CURVED FEM SHAFT PL10H,210MM

Facility

$1,334.88

Service Code	HCPCS C1713
Hospital Charge Code	40007025
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,401.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$734.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$800.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$667.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$767.56
Rate for Payer: EmblemHealth Commercial	$667.44
Rate for Payer: Fidelis Medicare Advantage	$1,401.62
Rate for Payer: Group Health Inc Commercial	$667.44
Rate for Payer: Group Health Inc Medicare	$467.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$667.44
Rate for Payer: Hamaspik Choice Inc Medicare	$667.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$867.67

NCB CURVED FEM SHAFT PL12H 249MM

Facility

$1,342.30

Service Code	HCPCS C1713
Hospital Charge Code	40007281
Hospital Revenue Code	278
Min. Negotiated Rate	$671.15
Max. Negotiated Rate	$671.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$671.15
Rate for Payer: Hamaspik Choice Inc Medicare	$671.15

NCB CURVED FEM SHAFT PL12H 249MM

Facility

$1,342.30

Service Code	HCPCS C1713
Hospital Charge Code	40007281
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,409.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$738.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$805.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$671.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$771.82
Rate for Payer: EmblemHealth Commercial	$671.15
Rate for Payer: Fidelis Medicare Advantage	$1,409.42
Rate for Payer: Group Health Inc Commercial	$671.15
Rate for Payer: Group Health Inc Medicare	$469.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$671.15
Rate for Payer: Hamaspik Choice Inc Medicare	$671.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$872.50

NCB CURVED FEM SHAFT PL12H,249MM

Facility

$1,401.64

Service Code	HCPCS C1713
Hospital Charge Code	40007026
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,471.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$770.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$840.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$700.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$805.94
Rate for Payer: EmblemHealth Commercial	$700.82
Rate for Payer: Fidelis Medicare Advantage	$1,471.72
Rate for Payer: Group Health Inc Commercial	$700.82
Rate for Payer: Group Health Inc Medicare	$490.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$700.82
Rate for Payer: Hamaspik Choice Inc Medicare	$700.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$911.07

NCB CURVED FEM SHAFT PL12H,249MM

Facility

$1,401.64

Service Code	HCPCS C1713
Hospital Charge Code	40007026
Hospital Revenue Code	278
Min. Negotiated Rate	$700.82
Max. Negotiated Rate	$700.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$700.82
Rate for Payer: Hamaspik Choice Inc Medicare	$700.82

NCB CURVED FEM SHAFT PL14H 289MM

Facility

$1,409.04

Service Code	HCPCS C1713
Hospital Charge Code	40007282
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,479.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$774.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$845.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$704.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$810.20
Rate for Payer: EmblemHealth Commercial	$704.52
Rate for Payer: Fidelis Medicare Advantage	$1,479.49
Rate for Payer: Group Health Inc Commercial	$704.52
Rate for Payer: Group Health Inc Medicare	$493.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$704.52
Rate for Payer: Hamaspik Choice Inc Medicare	$704.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$915.88

NCB CURVED FEM SHAFT PL14H 289MM

Facility

$1,409.04

Service Code	HCPCS C1713
Hospital Charge Code	40007282
Hospital Revenue Code	278
Min. Negotiated Rate	$704.52
Max. Negotiated Rate	$704.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$704.52
Rate for Payer: Hamaspik Choice Inc Medicare	$704.52

NCB CURVED FEM SHAFT PL14H,289MM

Facility

$1,460.96

Service Code	HCPCS C1713
Hospital Charge Code	40007027
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,534.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$803.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$876.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$730.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$840.05
Rate for Payer: EmblemHealth Commercial	$730.48
Rate for Payer: Fidelis Medicare Advantage	$1,534.01
Rate for Payer: Group Health Inc Commercial	$730.48
Rate for Payer: Group Health Inc Medicare	$511.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$730.48
Rate for Payer: Hamaspik Choice Inc Medicare	$730.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$949.62

NCB CURVED FEM SHAFT PL14H,289MM

Facility

$1,460.96

Service Code	HCPCS C1713
Hospital Charge Code	40007027
Hospital Revenue Code	278
Min. Negotiated Rate	$730.48
Max. Negotiated Rate	$730.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$730.48
Rate for Payer: Hamaspik Choice Inc Medicare	$730.48

NCB DEPTH GAUGE LARGE <110MM

Facility

$756.44

Hospital Charge Code	40006703
Hospital Revenue Code	272
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$605.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$416.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$378.22
Rate for Payer: Aetna Government	$378.22
Rate for Payer: Brighton Health Commercial	$567.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$605.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$514.38
Rate for Payer: Group Health Inc Commercial	$378.22
Rate for Payer: Group Health Inc Medicare	$264.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$378.22
Rate for Payer: Hamaspik Choice Inc Medicare	$378.22

NCB-DF CASE BASE

Facility

$993.76

Hospital Charge Code	40006821
Hospital Revenue Code	272
Min. Negotiated Rate	$347.82
Max. Negotiated Rate	$795.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$546.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$496.88
Rate for Payer: Aetna Government	$496.88
Rate for Payer: Brighton Health Commercial	$745.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$795.01
Rate for Payer: Cigna LocalPlus Benefit Plan	$675.76
Rate for Payer: Group Health Inc Commercial	$496.88
Rate for Payer: Group Health Inc Medicare	$347.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$496.88
Rate for Payer: Hamaspik Choice Inc Medicare	$496.88

NCB-DF CASE LID

Facility

$808.36

Hospital Charge Code	40006820
Hospital Revenue Code	272
Min. Negotiated Rate	$282.93
Max. Negotiated Rate	$646.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$444.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$404.18
Rate for Payer: Aetna Government	$404.18
Rate for Payer: Brighton Health Commercial	$606.27
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$646.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$549.68
Rate for Payer: Group Health Inc Commercial	$404.18
Rate for Payer: Group Health Inc Medicare	$282.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$404.18
Rate for Payer: Hamaspik Choice Inc Medicare	$404.18

NCB-DF CONNECTION BOLT

Facility

$467.22

Service Code	HCPCS C1713
Hospital Charge Code	40006721
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$490.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$256.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$280.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$233.61
Rate for Payer: Cigna LocalPlus Benefit Plan	$268.65
Rate for Payer: EmblemHealth Commercial	$233.61
Rate for Payer: Fidelis Medicare Advantage	$490.58
Rate for Payer: Group Health Inc Commercial	$233.61
Rate for Payer: Group Health Inc Medicare	$163.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.61
Rate for Payer: Hamaspik Choice Inc Medicare	$233.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$303.69

NCB-DF CONNECTION BOLT

Facility

$467.22

Service Code	HCPCS C1713
Hospital Charge Code	40006721
Hospital Revenue Code	278
Min. Negotiated Rate	$233.61
Max. Negotiated Rate	$233.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.61
Rate for Payer: Hamaspik Choice Inc Medicare	$233.61

Know your out-of-pocket cost for care.

All Charges