St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PIN CLAMP 5 HOLE

Facility

$1,121.40

Hospital Charge Code	40200672
Hospital Revenue Code	270
Min. Negotiated Rate	$392.49
Max. Negotiated Rate	$897.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$616.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$560.70
Rate for Payer: Aetna Government	$560.70
Rate for Payer: Brighton Health Commercial	$841.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$897.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$762.55
Rate for Payer: Group Health Inc Commercial	$560.70
Rate for Payer: Group Health Inc Medicare	$392.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$560.70
Rate for Payer: Hamaspik Choice Inc Medicare	$560.70

PIN CLMAP 10 HOLE

Facility

$1,430.00

Hospital Charge Code	40200669
Hospital Revenue Code	270
Min. Negotiated Rate	$500.50
Max. Negotiated Rate	$1,144.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$786.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$715.00
Rate for Payer: Aetna Government	$715.00
Rate for Payer: Brighton Health Commercial	$1,072.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,144.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$972.40
Rate for Payer: Group Health Inc Commercial	$715.00
Rate for Payer: Group Health Inc Medicare	$500.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$715.00
Rate for Payer: Hamaspik Choice Inc Medicare	$715.00

PIN CRS 1.9X9MM 19009

Facility

$98.42

Service Code	HCPCS C1713
Hospital Charge Code	64906602
Hospital Revenue Code	278
Min. Negotiated Rate	$34.45
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$54.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$59.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$49.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$56.59
Rate for Payer: EmblemHealth Commercial	$49.21
Rate for Payer: Fidelis Medicare Advantage	$103.34
Rate for Payer: Group Health Inc Commercial	$49.21
Rate for Payer: Group Health Inc Medicare	$34.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.21
Rate for Payer: Hamaspik Choice Inc Medicare	$49.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$63.97

PIN CRS 1.9X9MM 19009

Facility

$98.42

Service Code	HCPCS C1713
Hospital Charge Code	64906602
Hospital Revenue Code	278
Min. Negotiated Rate	$49.21
Max. Negotiated Rate	$49.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.21
Rate for Payer: Hamaspik Choice Inc Medicare	$49.21

PIN DIA 4MM, 150 X 25MM

Facility

$352.63

Hospital Charge Code	64905687
Hospital Revenue Code	270
Min. Negotiated Rate	$123.42
Max. Negotiated Rate	$282.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$193.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$176.32
Rate for Payer: Aetna Government	$176.32
Rate for Payer: Brighton Health Commercial	$264.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$282.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$239.79
Rate for Payer: Group Health Inc Commercial	$176.32
Rate for Payer: Group Health Inc Medicare	$123.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$176.32
Rate for Payer: Hamaspik Choice Inc Medicare	$176.32

PIN DISPOSABLE FIXAT

Facility

$310.00

Hospital Charge Code	64906076
Hospital Revenue Code	270
Min. Negotiated Rate	$108.50
Max. Negotiated Rate	$248.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$170.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$155.00
Rate for Payer: Aetna Government	$155.00
Rate for Payer: Brighton Health Commercial	$232.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$248.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$210.80
Rate for Payer: Group Health Inc Commercial	$155.00
Rate for Payer: Group Health Inc Medicare	$108.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$155.00
Rate for Payer: Hamaspik Choice Inc Medicare	$155.00

PIN DISTRACTOR SPINAL

Facility

$480.00

Service Code	HCPCS C1713
Hospital Charge Code	64907342
Hospital Revenue Code	278
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$240.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$240.00
Rate for Payer: Hamaspik Choice Inc Medicare	$240.00

PIN DISTRACTOR SPINAL

Facility

$480.00

Service Code	HCPCS C1713
Hospital Charge Code	64907342
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$504.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$264.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$288.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$240.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$276.00
Rate for Payer: EmblemHealth Commercial	$240.00
Rate for Payer: Fidelis Medicare Advantage	$504.00
Rate for Payer: Group Health Inc Commercial	$240.00
Rate for Payer: Group Health Inc Medicare	$168.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$240.00
Rate for Payer: Hamaspik Choice Inc Medicare	$240.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$312.00

PIN, DRILL

Facility

$325.00

Service Code	HCPCS C1713
Hospital Charge Code	64907431
Hospital Revenue Code	278
Min. Negotiated Rate	$162.50
Max. Negotiated Rate	$162.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$162.50
Rate for Payer: Hamaspik Choice Inc Medicare	$162.50

PIN, DRILL

Facility

$325.00

Service Code	HCPCS C1713
Hospital Charge Code	64907431
Hospital Revenue Code	278
Min. Negotiated Rate	$113.75
Max. Negotiated Rate	$341.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$178.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$195.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$162.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$186.88
Rate for Payer: EmblemHealth Commercial	$162.50
Rate for Payer: Fidelis Medicare Advantage	$341.25
Rate for Payer: Group Health Inc Commercial	$162.50
Rate for Payer: Group Health Inc Medicare	$113.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$162.50
Rate for Payer: Hamaspik Choice Inc Medicare	$162.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$211.25

PIN DRIVER COMPACT

Facility

$501.50

Hospital Charge Code	64904086
Hospital Revenue Code	270
Min. Negotiated Rate	$175.52
Max. Negotiated Rate	$401.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$250.75
Rate for Payer: Aetna Government	$250.75
Rate for Payer: Brighton Health Commercial	$376.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$401.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$341.02
Rate for Payer: Group Health Inc Commercial	$250.75
Rate for Payer: Group Health Inc Medicare	$175.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75

PIN DRIVER COMPACT

Facility

$676.00

Hospital Charge Code	40200636
Hospital Revenue Code	270
Min. Negotiated Rate	$236.60
Max. Negotiated Rate	$540.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$371.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$338.00
Rate for Payer: Aetna Government	$338.00
Rate for Payer: Brighton Health Commercial	$507.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$540.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$459.68
Rate for Payer: Group Health Inc Commercial	$338.00
Rate for Payer: Group Health Inc Medicare	$236.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$338.00
Rate for Payer: Hamaspik Choice Inc Medicare	$338.00

PIN DRL ACL TGHTRP

Facility

$312.50

Service Code	HCPCS C1713
Hospital Charge Code	64907430
Hospital Revenue Code	278
Min. Negotiated Rate	$109.38
Max. Negotiated Rate	$328.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$171.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$187.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$156.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$179.69
Rate for Payer: EmblemHealth Commercial	$156.25
Rate for Payer: Fidelis Medicare Advantage	$328.12
Rate for Payer: Group Health Inc Commercial	$156.25
Rate for Payer: Group Health Inc Medicare	$109.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.25
Rate for Payer: Hamaspik Choice Inc Medicare	$156.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$203.12

PIN DRL ACL TGHTRP

Facility

$312.50

Service Code	HCPCS C1713
Hospital Charge Code	64907430
Hospital Revenue Code	278
Min. Negotiated Rate	$156.25
Max. Negotiated Rate	$156.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.25
Rate for Payer: Hamaspik Choice Inc Medicare	$156.25

PIN EXTERNAL FIXATOR 6MM DI

Facility

$349.38

Service Code	HCPCS C1713
Hospital Charge Code	64904669
Hospital Revenue Code	278
Min. Negotiated Rate	$122.28
Max. Negotiated Rate	$366.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$192.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$209.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$174.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$200.89
Rate for Payer: EmblemHealth Commercial	$174.69
Rate for Payer: Fidelis Medicare Advantage	$366.85
Rate for Payer: Group Health Inc Commercial	$174.69
Rate for Payer: Group Health Inc Medicare	$122.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$174.69
Rate for Payer: Hamaspik Choice Inc Medicare	$174.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$227.10

PIN EXTERNAL FIXATOR 6MM DI

Facility

$349.38

Service Code	HCPCS C1713
Hospital Charge Code	64904669
Hospital Revenue Code	278
Min. Negotiated Rate	$174.69
Max. Negotiated Rate	$174.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$174.69
Rate for Payer: Hamaspik Choice Inc Medicare	$174.69

PIN EXTERNAL FX 3MM DIA 100M

Facility

$195.00

Hospital Charge Code	64904074
Hospital Revenue Code	270
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$156.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$97.50
Rate for Payer: Aetna Government	$97.50
Rate for Payer: Brighton Health Commercial	$146.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$156.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$132.60
Rate for Payer: Group Health Inc Commercial	$97.50
Rate for Payer: Group Health Inc Medicare	$68.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.50
Rate for Payer: Hamaspik Choice Inc Medicare	$97.50

PIN EXTERNAL FX 3MM DIA 20M

Facility

$195.00

Service Code	HCPCS C1713
Hospital Charge Code	64904107
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.50
Rate for Payer: Hamaspik Choice Inc Medicare	$97.50

PIN EXTERNAL FX 3MM DIA 20M

Facility

$195.00

Service Code	HCPCS C1713
Hospital Charge Code	64904107
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$204.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$97.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.12
Rate for Payer: EmblemHealth Commercial	$97.50
Rate for Payer: Fidelis Medicare Advantage	$204.75
Rate for Payer: Group Health Inc Commercial	$97.50
Rate for Payer: Group Health Inc Medicare	$68.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.50
Rate for Payer: Hamaspik Choice Inc Medicare	$97.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$126.75

PIN EXTERNAL FX 4MM DIA 120M

Facility

$269.50

Hospital Charge Code	64904132
Hospital Revenue Code	270
Min. Negotiated Rate	$94.32
Max. Negotiated Rate	$215.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$148.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.75
Rate for Payer: Aetna Government	$134.75
Rate for Payer: Brighton Health Commercial	$202.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$215.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$183.26
Rate for Payer: Group Health Inc Commercial	$134.75
Rate for Payer: Group Health Inc Medicare	$94.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$134.75
Rate for Payer: Hamaspik Choice Inc Medicare	$134.75

PIN EXTERNAL FX 4MM DIA 150

Facility

$268.13

Service Code	HCPCS C1713
Hospital Charge Code	64904076
Hospital Revenue Code	278
Min. Negotiated Rate	$93.85
Max. Negotiated Rate	$281.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$147.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$160.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$134.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$154.17
Rate for Payer: EmblemHealth Commercial	$134.06
Rate for Payer: Fidelis Medicare Advantage	$281.54
Rate for Payer: Group Health Inc Commercial	$134.06
Rate for Payer: Group Health Inc Medicare	$93.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$134.06
Rate for Payer: Hamaspik Choice Inc Medicare	$134.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$174.28

PIN EXTERNAL FX 4MM DIA 150

Facility

$268.13

Service Code	HCPCS C1713
Hospital Charge Code	64904076
Hospital Revenue Code	278
Min. Negotiated Rate	$134.06
Max. Negotiated Rate	$134.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$134.06
Rate for Payer: Hamaspik Choice Inc Medicare	$134.06

PIN EXTERNAL FX 4MM DIA 150M

Facility

$268.13

Hospital Charge Code	64903887
Hospital Revenue Code	270
Min. Negotiated Rate	$93.85
Max. Negotiated Rate	$214.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$147.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.06
Rate for Payer: Aetna Government	$134.06
Rate for Payer: Brighton Health Commercial	$201.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$214.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$182.33
Rate for Payer: Group Health Inc Commercial	$134.06
Rate for Payer: Group Health Inc Medicare	$93.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$134.06
Rate for Payer: Hamaspik Choice Inc Medicare	$134.06

PIN EXTERNAL FX 5MM DIA 150M A

Facility

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64904060
Hospital Revenue Code	278
Min. Negotiated Rate	$116.60
Max. Negotiated Rate	$349.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$199.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$166.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.55
Rate for Payer: EmblemHealth Commercial	$166.56
Rate for Payer: Fidelis Medicare Advantage	$349.79
Rate for Payer: Group Health Inc Commercial	$166.56
Rate for Payer: Group Health Inc Medicare	$116.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.53

PIN EXTERNAL FX 5MM DIA 150M A

Facility

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64904060
Hospital Revenue Code	278
Min. Negotiated Rate	$166.56
Max. Negotiated Rate	$166.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56

Know your out-of-pocket cost for care.

All Charges