St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NCB PP PROX FEM PLT R L.285MM STR

Facility

$2,936.74

Service Code	HCPCS C1713
Hospital Charge Code	40007001
Hospital Revenue Code	278
Min. Negotiated Rate	$1,468.37
Max. Negotiated Rate	$1,468.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,468.37
Rate for Payer: Hamaspik Choice Inc Medicare	$1,468.37

NCB PP PROX FEM PLT R L.285MM STR

Facility

$2,936.74

Service Code	HCPCS C1713
Hospital Charge Code	40007001
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,083.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,615.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,762.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,468.37
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,688.63
Rate for Payer: EmblemHealth Commercial	$1,468.37
Rate for Payer: Fidelis Medicare Advantage	$3,083.58
Rate for Payer: Group Health Inc Commercial	$1,468.37
Rate for Payer: Group Health Inc Medicare	$1,027.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,468.37
Rate for Payer: Hamaspik Choice Inc Medicare	$1,468.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,908.88

NCB PP PROX FEM PLT R L.324MM STR

Facility

$3,114.72

Service Code	HCPCS C1713
Hospital Charge Code	40007002
Hospital Revenue Code	278
Min. Negotiated Rate	$1,557.36
Max. Negotiated Rate	$1,557.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,557.36
Rate for Payer: Hamaspik Choice Inc Medicare	$1,557.36

NCB PP PROX FEM PLT R L.324MM STR

Facility

$3,114.72

Service Code	HCPCS C1713
Hospital Charge Code	40007002
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,270.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,713.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,868.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,557.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,790.96
Rate for Payer: EmblemHealth Commercial	$1,557.36
Rate for Payer: Fidelis Medicare Advantage	$3,270.46
Rate for Payer: Group Health Inc Commercial	$1,557.36
Rate for Payer: Group Health Inc Medicare	$1,090.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,557.36
Rate for Payer: Hamaspik Choice Inc Medicare	$1,557.36
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,024.57

NCB PP PROX FEM PLT R L.363MM STR

Facility

$3,263.04

Service Code	HCPCS C1713
Hospital Charge Code	40007003
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,426.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,794.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,957.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,631.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,876.25
Rate for Payer: EmblemHealth Commercial	$1,631.52
Rate for Payer: Fidelis Medicare Advantage	$3,426.19
Rate for Payer: Group Health Inc Commercial	$1,631.52
Rate for Payer: Group Health Inc Medicare	$1,142.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,631.52
Rate for Payer: Hamaspik Choice Inc Medicare	$1,631.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,120.98

NCB PP PROX FEM PLT R L.363MM STR

Facility

$3,263.04

Service Code	HCPCS C1713
Hospital Charge Code	40007003
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.52
Max. Negotiated Rate	$1,631.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,631.52
Rate for Payer: Hamaspik Choice Inc Medicare	$1,631.52

NCB PP PROX FEMUR PLT, LT

Facility

$2,699.44

Service Code	HCPCS C1713
Hospital Charge Code	40007005
Hospital Revenue Code	278
Min. Negotiated Rate	$1,349.72
Max. Negotiated Rate	$1,349.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,349.72
Rate for Payer: Hamaspik Choice Inc Medicare	$1,349.72

NCB PP PROX FEMUR PLT, LT

Facility

$2,699.44

Service Code	HCPCS C1713
Hospital Charge Code	40007005
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,834.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,484.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,619.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,349.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,552.18
Rate for Payer: EmblemHealth Commercial	$1,349.72
Rate for Payer: Fidelis Medicare Advantage	$2,834.41
Rate for Payer: Group Health Inc Commercial	$1,349.72
Rate for Payer: Group Health Inc Medicare	$944.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,349.72
Rate for Payer: Hamaspik Choice Inc Medicare	$1,349.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,754.64

NCB PP PROX FEMUR PLT RT

Facility

$2,699.44

Service Code	HCPCS C1713
Hospital Charge Code	40006999
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,834.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,484.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,619.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,349.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,552.18
Rate for Payer: EmblemHealth Commercial	$1,349.72
Rate for Payer: Fidelis Medicare Advantage	$2,834.41
Rate for Payer: Group Health Inc Commercial	$1,349.72
Rate for Payer: Group Health Inc Medicare	$944.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,349.72
Rate for Payer: Hamaspik Choice Inc Medicare	$1,349.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,754.64

NCB PP PROX FEMUR PLT RT

Facility

$2,699.44

Service Code	HCPCS C1713
Hospital Charge Code	40006999
Hospital Revenue Code	278
Min. Negotiated Rate	$1,349.72
Max. Negotiated Rate	$1,349.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,349.72
Rate for Payer: Hamaspik Choice Inc Medicare	$1,349.72

NCB-PP SAFETY LOCK PIN

Facility

$422.72

Service Code	HCPCS C1713
Hospital Charge Code	40006803
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$443.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$232.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$253.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$211.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$243.06
Rate for Payer: EmblemHealth Commercial	$211.36
Rate for Payer: Fidelis Medicare Advantage	$443.86
Rate for Payer: Group Health Inc Commercial	$211.36
Rate for Payer: Group Health Inc Medicare	$147.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$211.36
Rate for Payer: Hamaspik Choice Inc Medicare	$211.36
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$274.77

NCB-PP SAFETY LOCK PIN

Facility

$422.72

Service Code	HCPCS C1713
Hospital Charge Code	40006803
Hospital Revenue Code	278
Min. Negotiated Rate	$211.36
Max. Negotiated Rate	$211.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$211.36
Rate for Payer: Hamaspik Choice Inc Medicare	$211.36

NCB-PP SHAFT CASE ASSY

Facility

$4,909.40

Hospital Charge Code	40006858
Hospital Revenue Code	272
Min. Negotiated Rate	$1,718.29
Max. Negotiated Rate	$3,927.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,700.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,454.70
Rate for Payer: Aetna Government	$2,454.70
Rate for Payer: Brighton Health Commercial	$3,682.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,927.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,338.39
Rate for Payer: Group Health Inc Commercial	$2,454.70
Rate for Payer: Group Health Inc Medicare	$1,718.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,454.70
Rate for Payer: Hamaspik Choice Inc Medicare	$2,454.70

NCB-PP SHAFT CASE BASE

Facility

$1,379.38

Hospital Charge Code	40006859
Hospital Revenue Code	272
Min. Negotiated Rate	$482.78
Max. Negotiated Rate	$1,103.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$758.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$689.69
Rate for Payer: Aetna Government	$689.69
Rate for Payer: Brighton Health Commercial	$1,034.54
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,103.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$937.98
Rate for Payer: Group Health Inc Commercial	$689.69
Rate for Payer: Group Health Inc Medicare	$482.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$689.69
Rate for Payer: Hamaspik Choice Inc Medicare	$689.69

NCB-PP SHAFT CASE SCREW C

Facility

$1,409.04

Service Code	HCPCS C1713
Hospital Charge Code	40006860
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-PP SHAFT CASE SCREW C

Facility

$1,409.04

Service Code	HCPCS C1713
Hospital Charge Code	40006860
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-PP SHAFT CASE TRAY 1

Facility

$1,023.42

Hospital Charge Code	40006861
Hospital Revenue Code	272
Min. Negotiated Rate	$358.20
Max. Negotiated Rate	$818.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$562.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$511.71
Rate for Payer: Aetna Government	$511.71
Rate for Payer: Brighton Health Commercial	$767.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$818.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$695.93
Rate for Payer: Group Health Inc Commercial	$511.71
Rate for Payer: Group Health Inc Medicare	$358.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$511.71
Rate for Payer: Hamaspik Choice Inc Medicare	$511.71

NCB-PP SHAFT CASE TRAY 2

Facility

$682.28

Hospital Charge Code	40006862
Hospital Revenue Code	272
Min. Negotiated Rate	$238.80
Max. Negotiated Rate	$545.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$375.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$341.14
Rate for Payer: Aetna Government	$341.14
Rate for Payer: Brighton Health Commercial	$511.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$545.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$463.95
Rate for Payer: Group Health Inc Commercial	$341.14
Rate for Payer: Group Health Inc Medicare	$238.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$341.14
Rate for Payer: Hamaspik Choice Inc Medicare	$341.14

NCB PROX HUMERUS PLATE 4H 79.5MM

Facility

$2,773.60

Service Code	HCPCS C1713
Hospital Charge Code	40007257
Hospital Revenue Code	278
Min. Negotiated Rate	$1,386.80
Max. Negotiated Rate	$1,386.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,386.80
Rate for Payer: Hamaspik Choice Inc Medicare	$1,386.80

NCB PROX HUMERUS PLATE 4H 79.5MM

Facility

$2,773.60

Service Code	HCPCS C1713
Hospital Charge Code	40007257
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,912.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,525.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,664.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,386.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,594.82
Rate for Payer: EmblemHealth Commercial	$1,386.80
Rate for Payer: Fidelis Medicare Advantage	$2,912.28
Rate for Payer: Group Health Inc Commercial	$1,386.80
Rate for Payer: Group Health Inc Medicare	$970.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,386.80
Rate for Payer: Hamaspik Choice Inc Medicare	$1,386.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,802.84

NCB PROX HUMERUS PLATE 5H 93MM

Facility

$2,818.08

Service Code	HCPCS C1713
Hospital Charge Code	40007258
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,958.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,549.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,690.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,409.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,620.40
Rate for Payer: EmblemHealth Commercial	$1,409.04
Rate for Payer: Fidelis Medicare Advantage	$2,958.98
Rate for Payer: Group Health Inc Commercial	$1,409.04
Rate for Payer: Group Health Inc Medicare	$986.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,409.04
Rate for Payer: Hamaspik Choice Inc Medicare	$1,409.04
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,831.75

NCB PROX HUMERUS PLATE 5H 93MM

Facility

$2,818.08

Service Code	HCPCS C1713
Hospital Charge Code	40007258
Hospital Revenue Code	278
Min. Negotiated Rate	$1,409.04
Max. Negotiated Rate	$1,409.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,409.04
Rate for Payer: Hamaspik Choice Inc Medicare	$1,409.04

NCB-PT 3.3MM CANN DRILL BIT

Facility

$667.44

Hospital Charge Code	40006762
Hospital Revenue Code	272
Min. Negotiated Rate	$233.60
Max. Negotiated Rate	$533.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$367.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$333.72
Rate for Payer: Aetna Government	$333.72
Rate for Payer: Brighton Health Commercial	$500.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$533.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$453.86
Rate for Payer: Group Health Inc Commercial	$333.72
Rate for Payer: Group Health Inc Medicare	$233.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$333.72
Rate for Payer: Hamaspik Choice Inc Medicare	$333.72

NCB-PT 3.5MM HEX SCREWDRIVER

Facility

$927.00

Hospital Charge Code	40006747
Hospital Revenue Code	272
Min. Negotiated Rate	$324.45
Max. Negotiated Rate	$741.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$509.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$463.50
Rate for Payer: Aetna Government	$463.50
Rate for Payer: Brighton Health Commercial	$695.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$741.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$630.36
Rate for Payer: Group Health Inc Commercial	$463.50
Rate for Payer: Group Health Inc Medicare	$324.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$463.50
Rate for Payer: Hamaspik Choice Inc Medicare	$463.50

NCB-PT 3.5MM HEX SCREWDRIVER SHFT

Facility

$355.98

Hospital Charge Code	40006712
Hospital Revenue Code	272
Min. Negotiated Rate	$124.59
Max. Negotiated Rate	$284.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$195.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$177.99
Rate for Payer: Aetna Government	$177.99
Rate for Payer: Brighton Health Commercial	$266.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$284.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$242.07
Rate for Payer: Group Health Inc Commercial	$177.99
Rate for Payer: Group Health Inc Medicare	$124.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.99
Rate for Payer: Hamaspik Choice Inc Medicare	$177.99

Know your out-of-pocket cost for care.

All Charges