St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NCB DIST FEMUR PLATE LT 5H 167MM

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	40007254
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,114.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,631.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,779.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,483.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,705.68
Rate for Payer: EmblemHealth Commercial	$1,483.20
Rate for Payer: Fidelis Medicare Advantage	$3,114.72
Rate for Payer: Group Health Inc Commercial	$1,483.20
Rate for Payer: Group Health Inc Medicare	$1,038.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,928.16

NCB DIST FEMUR PLATE LT 5H 167MM

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	40007254
Hospital Revenue Code	278
Min. Negotiated Rate	$1,483.20
Max. Negotiated Rate	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.20

NCB DIST FEMUR PLATE LT 9H 246MM

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	40007255
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,114.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,631.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,779.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,483.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,705.68
Rate for Payer: EmblemHealth Commercial	$1,483.20
Rate for Payer: Fidelis Medicare Advantage	$3,114.72
Rate for Payer: Group Health Inc Commercial	$1,483.20
Rate for Payer: Group Health Inc Medicare	$1,038.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,928.16

NCB DIST FEMUR PLATE LT 9H 246MM

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	40007255
Hospital Revenue Code	278
Min. Negotiated Rate	$1,483.20
Max. Negotiated Rate	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.20

NCB DIST FEMUR PLATE RT 13H 324MM

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	40007253
Hospital Revenue Code	278
Min. Negotiated Rate	$1,483.20
Max. Negotiated Rate	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.20

NCB DIST FEMUR PLATE RT 13H 324MM

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	40007253
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,114.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,631.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,779.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,483.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,705.68
Rate for Payer: EmblemHealth Commercial	$1,483.20
Rate for Payer: Fidelis Medicare Advantage	$3,114.72
Rate for Payer: Group Health Inc Commercial	$1,483.20
Rate for Payer: Group Health Inc Medicare	$1,038.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,928.16

NCB DIST FEMUR PLATE RT 5H 167MM

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	40007251
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,114.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,631.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,779.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,483.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,705.68
Rate for Payer: EmblemHealth Commercial	$1,483.20
Rate for Payer: Fidelis Medicare Advantage	$3,114.72
Rate for Payer: Group Health Inc Commercial	$1,483.20
Rate for Payer: Group Health Inc Medicare	$1,038.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,928.16

NCB DIST FEMUR PLATE RT 5H 167MM

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	40007251
Hospital Revenue Code	278
Min. Negotiated Rate	$1,483.20
Max. Negotiated Rate	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.20

NCB DIST FEMUR PLATE RT 9H 246MM

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	40007252
Hospital Revenue Code	278
Min. Negotiated Rate	$1,483.20
Max. Negotiated Rate	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.20

NCB DIST FEMUR PLATE RT 9H 246MM

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	40007252
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,114.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,631.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,779.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,483.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,705.68
Rate for Payer: EmblemHealth Commercial	$1,483.20
Rate for Payer: Fidelis Medicare Advantage	$3,114.72
Rate for Payer: Group Health Inc Commercial	$1,483.20
Rate for Payer: Group Health Inc Medicare	$1,038.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.20
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,928.16

NCB DRILL BIT 4.3MM X 145MM

Facility

$215.08

Hospital Charge Code	40006700
Hospital Revenue Code	272
Min. Negotiated Rate	$75.28
Max. Negotiated Rate	$172.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$118.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$107.54
Rate for Payer: Aetna Government	$107.54
Rate for Payer: Brighton Health Commercial	$161.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$172.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$146.25
Rate for Payer: Group Health Inc Commercial	$107.54
Rate for Payer: Group Health Inc Medicare	$75.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$107.54
Rate for Payer: Hamaspik Choice Inc Medicare	$107.54

NCB DRILL BIT 4.3MM X 195MM

Facility

$229.90

Hospital Charge Code	40006701
Hospital Revenue Code	272
Min. Negotiated Rate	$80.46
Max. Negotiated Rate	$183.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$126.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$114.95
Rate for Payer: Aetna Government	$114.95
Rate for Payer: Brighton Health Commercial	$172.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$183.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$156.33
Rate for Payer: Group Health Inc Commercial	$114.95
Rate for Payer: Group Health Inc Medicare	$80.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.95
Rate for Payer: Hamaspik Choice Inc Medicare	$114.95

NCB DRILL GUIDE 2.5MM

Facility

$548.80

Hospital Charge Code	40006706
Hospital Revenue Code	272
Min. Negotiated Rate	$192.08
Max. Negotiated Rate	$439.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$301.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$274.40
Rate for Payer: Aetna Government	$274.40
Rate for Payer: Brighton Health Commercial	$411.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$439.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$373.18
Rate for Payer: Group Health Inc Commercial	$274.40
Rate for Payer: Group Health Inc Medicare	$192.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$274.40
Rate for Payer: Hamaspik Choice Inc Medicare	$274.40

NCB DRILL GUIDE 4.3MM

Facility

$548.80

Hospital Charge Code	40006707
Hospital Revenue Code	272
Min. Negotiated Rate	$192.08
Max. Negotiated Rate	$439.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$301.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$274.40
Rate for Payer: Aetna Government	$274.40
Rate for Payer: Brighton Health Commercial	$411.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$439.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$373.18
Rate for Payer: Group Health Inc Commercial	$274.40
Rate for Payer: Group Health Inc Medicare	$192.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$274.40
Rate for Payer: Hamaspik Choice Inc Medicare	$274.40

NCB FEM SHF PROV,10/12/14 HL PLAT

Facility

$170.58

Service Code	HCPCS C1713
Hospital Charge Code	40006795
Hospital Revenue Code	278
Min. Negotiated Rate	$59.70
Max. Negotiated Rate	$179.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$93.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$102.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$85.29
Rate for Payer: Cigna LocalPlus Benefit Plan	$98.08
Rate for Payer: EmblemHealth Commercial	$85.29
Rate for Payer: Fidelis Medicare Advantage	$179.11
Rate for Payer: Group Health Inc Commercial	$85.29
Rate for Payer: Group Health Inc Medicare	$59.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$85.29
Rate for Payer: Hamaspik Choice Inc Medicare	$85.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$110.88

NCB FEM SHF PROV,10/12/14 HL PLAT

Facility

$170.58

Service Code	HCPCS C1713
Hospital Charge Code	40006795
Hospital Revenue Code	278
Min. Negotiated Rate	$85.29
Max. Negotiated Rate	$85.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$85.29
Rate for Payer: Hamaspik Choice Inc Medicare	$85.29

NCB FULL THREAD CANCEL SX4.5 L=30

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007195
Hospital Revenue Code	278
Min. Negotiated Rate	$93.44
Max. Negotiated Rate	$280.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$146.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$160.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.51
Rate for Payer: EmblemHealth Commercial	$133.49
Rate for Payer: Fidelis Medicare Advantage	$280.33
Rate for Payer: Group Health Inc Commercial	$133.49
Rate for Payer: Group Health Inc Medicare	$93.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$173.54

NCB FULL THREAD CANCEL SX4.5 L=30

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007195
Hospital Revenue Code	278
Min. Negotiated Rate	$133.49
Max. Negotiated Rate	$133.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49

NCB FULL THREAD CANCEL SX4.5 L=32

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007196
Hospital Revenue Code	278
Min. Negotiated Rate	$93.44
Max. Negotiated Rate	$280.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$146.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$160.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.51
Rate for Payer: EmblemHealth Commercial	$133.49
Rate for Payer: Fidelis Medicare Advantage	$280.33
Rate for Payer: Group Health Inc Commercial	$133.49
Rate for Payer: Group Health Inc Medicare	$93.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$173.54

NCB FULL THREAD CANCEL SX4.5 L=32

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007196
Hospital Revenue Code	278
Min. Negotiated Rate	$133.49
Max. Negotiated Rate	$133.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49

NCB FULL THREAD CANCEL SX4.5 L=34

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007197
Hospital Revenue Code	278
Min. Negotiated Rate	$93.44
Max. Negotiated Rate	$280.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$146.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$160.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.51
Rate for Payer: EmblemHealth Commercial	$133.49
Rate for Payer: Fidelis Medicare Advantage	$280.33
Rate for Payer: Group Health Inc Commercial	$133.49
Rate for Payer: Group Health Inc Medicare	$93.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$173.54

NCB FULL THREAD CANCEL SX4.5 L=34

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007197
Hospital Revenue Code	278
Min. Negotiated Rate	$133.49
Max. Negotiated Rate	$133.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49

NCB FULL THREAD CANCEL SX4.5 L=36

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007198
Hospital Revenue Code	278
Min. Negotiated Rate	$133.49
Max. Negotiated Rate	$133.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49

NCB FULL THREAD CANCEL SX4.5 L=36

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007198
Hospital Revenue Code	278
Min. Negotiated Rate	$93.44
Max. Negotiated Rate	$280.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$146.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$160.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.51
Rate for Payer: EmblemHealth Commercial	$133.49
Rate for Payer: Fidelis Medicare Advantage	$280.33
Rate for Payer: Group Health Inc Commercial	$133.49
Rate for Payer: Group Health Inc Medicare	$93.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$173.54

NCB FULL THREAD CANCEL SX4.5 L=40

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007200
Hospital Revenue Code	278
Min. Negotiated Rate	$93.44
Max. Negotiated Rate	$280.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$146.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$160.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.51
Rate for Payer: EmblemHealth Commercial	$133.49
Rate for Payer: Fidelis Medicare Advantage	$280.33
Rate for Payer: Group Health Inc Commercial	$133.49
Rate for Payer: Group Health Inc Medicare	$93.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$173.54

Know your out-of-pocket cost for care.

All Charges