St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PIN FIXAT TEMP FN

Facility

$540.00

Service Code	HCPCS C1889
Hospital Charge Code	64907494
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$270.00
Rate for Payer: Hamaspik Choice Inc Medicare	$270.00

PIN FIXAT TEMP FN

Facility

$540.00

Service Code	HCPCS C1889
Hospital Charge Code	64907494
Hospital Revenue Code	278
Min. Negotiated Rate	$189.00
Max. Negotiated Rate	$567.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$297.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$270.00
Rate for Payer: Aetna Government	$270.00
Rate for Payer: Brighton Health Commercial	$324.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$270.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$310.50
Rate for Payer: EmblemHealth Commercial	$270.00
Rate for Payer: Fidelis Medicare Advantage	$567.00
Rate for Payer: Group Health Inc Commercial	$270.00
Rate for Payer: Group Health Inc Medicare	$189.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$270.00
Rate for Payer: Hamaspik Choice Inc Medicare	$270.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$351.00

PIN FLUTED HEADLESS

Facility

$1,641.50

Service Code	HCPCS C1713
Hospital Charge Code	64907233
Hospital Revenue Code	278
Min. Negotiated Rate	$820.75
Max. Negotiated Rate	$820.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$820.75
Rate for Payer: Hamaspik Choice Inc Medicare	$820.75

PIN FLUTED HEADLESS

Facility

$1,641.50

Service Code	HCPCS C1713
Hospital Charge Code	64907233
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,723.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$902.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$984.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$820.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$943.86
Rate for Payer: EmblemHealth Commercial	$820.75
Rate for Payer: Fidelis Medicare Advantage	$1,723.58
Rate for Payer: Group Health Inc Commercial	$820.75
Rate for Payer: Group Health Inc Medicare	$574.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$820.75
Rate for Payer: Hamaspik Choice Inc Medicare	$820.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,066.98

PIN FOR CASPER DISTRACTOR

Facility

$131.25

Hospital Charge Code	64904501
Hospital Revenue Code	270
Min. Negotiated Rate	$45.94
Max. Negotiated Rate	$105.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$72.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$65.62
Rate for Payer: Aetna Government	$65.62
Rate for Payer: Brighton Health Commercial	$98.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$105.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.25
Rate for Payer: Group Health Inc Commercial	$65.62
Rate for Payer: Group Health Inc Medicare	$45.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.62
Rate for Payer: Hamaspik Choice Inc Medicare	$65.62

PIN FOR CASPER DISTRACTOR 12MM

Facility

$131.27

Hospital Charge Code	64904503
Hospital Revenue Code	270
Min. Negotiated Rate	$45.94
Max. Negotiated Rate	$105.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$72.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$65.64
Rate for Payer: Aetna Government	$65.64
Rate for Payer: Brighton Health Commercial	$98.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$105.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.26
Rate for Payer: Group Health Inc Commercial	$65.64
Rate for Payer: Group Health Inc Medicare	$45.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.64
Rate for Payer: Hamaspik Choice Inc Medicare	$65.64

PIN FX 5MM DIA 180MML 40MML

Facility

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	64904859
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$195.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.00
Rate for Payer: Hamaspik Choice Inc Medicare	$195.00

PIN FX 5MM DIA 180MML 40MML

Facility

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	64904859
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$234.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$195.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.25
Rate for Payer: EmblemHealth Commercial	$195.00
Rate for Payer: Fidelis Medicare Advantage	$409.50
Rate for Payer: Group Health Inc Commercial	$195.00
Rate for Payer: Group Health Inc Medicare	$136.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.00
Rate for Payer: Hamaspik Choice Inc Medicare	$195.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.50

PIN FX KIRSCHNER 1.2MM DIA 6

Facility

$525.00

Hospital Charge Code	64905710
Hospital Revenue Code	270
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$420.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$288.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$262.50
Rate for Payer: Aetna Government	$262.50
Rate for Payer: Brighton Health Commercial	$393.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$420.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$357.00
Rate for Payer: Group Health Inc Commercial	$262.50
Rate for Payer: Group Health Inc Medicare	$183.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$262.50
Rate for Payer: Hamaspik Choice Inc Medicare	$262.50

PIN FX STEINMANN 2MM DIA 9IN

Facility

$25.00

Hospital Charge Code	64904019
Hospital Revenue Code	270
Min. Negotiated Rate	$8.75
Max. Negotiated Rate	$20.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.50
Rate for Payer: Aetna Government	$12.50
Rate for Payer: Brighton Health Commercial	$18.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$17.00
Rate for Payer: Group Health Inc Commercial	$12.50
Rate for Payer: Group Health Inc Medicare	$8.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.50
Rate for Payer: Hamaspik Choice Inc Medicare	$12.50

PIN FX STEINMANN 3.2MM DIA 2

Facility

$47.25

Service Code	HCPCS C1713
Hospital Charge Code	64902071
Hospital Revenue Code	278
Min. Negotiated Rate	$16.54
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$28.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$27.17
Rate for Payer: EmblemHealth Commercial	$23.62
Rate for Payer: Fidelis Medicare Advantage	$49.61
Rate for Payer: Group Health Inc Commercial	$23.62
Rate for Payer: Group Health Inc Medicare	$16.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.62
Rate for Payer: Hamaspik Choice Inc Medicare	$23.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$30.71

PIN FX STEINMANN 3.2MM DIA 2

Facility

$47.25

Service Code	HCPCS C1713
Hospital Charge Code	64902071
Hospital Revenue Code	278
Min. Negotiated Rate	$23.62
Max. Negotiated Rate	$23.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.62
Rate for Payer: Hamaspik Choice Inc Medicare	$23.62

PIN GUIDE 2.5MM DHS/DCS

Facility

$88.00

Hospital Charge Code	40200197
Hospital Revenue Code	270
Min. Negotiated Rate	$30.80
Max. Negotiated Rate	$70.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$48.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.00
Rate for Payer: Aetna Government	$44.00
Rate for Payer: Brighton Health Commercial	$66.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$70.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$59.84
Rate for Payer: Group Health Inc Commercial	$44.00
Rate for Payer: Group Health Inc Medicare	$30.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$44.00
Rate for Payer: Hamaspik Choice Inc Medicare	$44.00

PIN GUIDE SHS/DCS

Facility

$73.00

Hospital Charge Code	40200198
Hospital Revenue Code	270
Min. Negotiated Rate	$25.55
Max. Negotiated Rate	$58.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$40.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$36.50
Rate for Payer: Aetna Government	$36.50
Rate for Payer: Brighton Health Commercial	$54.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$58.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$49.64
Rate for Payer: Group Health Inc Commercial	$36.50
Rate for Payer: Group Health Inc Medicare	$25.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$36.50
Rate for Payer: Hamaspik Choice Inc Medicare	$36.50

PIN GUIDE THRD TIP2.5MMX9

Facility

$52.00

Hospital Charge Code	40200811
Hospital Revenue Code	270
Min. Negotiated Rate	$18.20
Max. Negotiated Rate	$41.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$28.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$26.00
Rate for Payer: Aetna Government	$26.00
Rate for Payer: Brighton Health Commercial	$39.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$41.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$35.36
Rate for Payer: Group Health Inc Commercial	$26.00
Rate for Payer: Group Health Inc Medicare	$18.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.00
Rate for Payer: Hamaspik Choice Inc Medicare	$26.00

PIN HA 6 X 30 X 150MM TRAUMA

Facility

$581.35

Hospital Charge Code	64904631
Hospital Revenue Code	270
Min. Negotiated Rate	$203.47
Max. Negotiated Rate	$465.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$319.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$290.68
Rate for Payer: Aetna Government	$290.68
Rate for Payer: Brighton Health Commercial	$436.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$465.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$395.32
Rate for Payer: Group Health Inc Commercial	$290.68
Rate for Payer: Group Health Inc Medicare	$203.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$290.68
Rate for Payer: Hamaspik Choice Inc Medicare	$290.68

PIN HALF MOD 3X80 THR 20 CONT

Facility

$126.00

Service Code	HCPCS C1713
Hospital Charge Code	40200761
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$63.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$63.00
Rate for Payer: Hamaspik Choice Inc Medicare	$63.00

PIN HALF MOD 3X80 THR 20 CONT

Facility

$126.00

Service Code	HCPCS C1713
Hospital Charge Code	40200761
Hospital Revenue Code	278
Min. Negotiated Rate	$44.10
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$69.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$75.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$63.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$72.45
Rate for Payer: EmblemHealth Commercial	$63.00
Rate for Payer: Fidelis Medicare Advantage	$132.30
Rate for Payer: Group Health Inc Commercial	$63.00
Rate for Payer: Group Health Inc Medicare	$44.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$63.00
Rate for Payer: Hamaspik Choice Inc Medicare	$63.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$81.90

PIN HALF MOD 4X120MM CONT THREAD

Facility

$186.20

Service Code	HCPCS C1713
Hospital Charge Code	40205080
Hospital Revenue Code	278
Min. Negotiated Rate	$65.17
Max. Negotiated Rate	$195.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$102.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$111.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$93.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$107.06
Rate for Payer: EmblemHealth Commercial	$93.10
Rate for Payer: Fidelis Medicare Advantage	$195.51
Rate for Payer: Group Health Inc Commercial	$93.10
Rate for Payer: Group Health Inc Medicare	$65.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.10
Rate for Payer: Hamaspik Choice Inc Medicare	$93.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$121.03

PIN HALF MOD 4X120MM CONT THREAD

Facility

$186.20

Service Code	HCPCS C1713
Hospital Charge Code	40205080
Hospital Revenue Code	278
Min. Negotiated Rate	$93.10
Max. Negotiated Rate	$93.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.10
Rate for Payer: Hamaspik Choice Inc Medicare	$93.10

PIN HAND DISLOCATION

Facility

$8,291.05

Service Code	HCPCS 26676
Hospital Charge Code	40029661
Hospital Revenue Code	360
Min. Negotiated Rate	$1,468.00
Max. Negotiated Rate	$6,218.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,743.15
Rate for Payer: Aetna Government	$3,743.15
Rate for Payer: Affinity Essential Plan 1&2	$2,620.20
Rate for Payer: Affinity Essential Plan 3&4	$2,620.20
Rate for Payer: Affinity Medicaid/CHP/HARP	$2,620.20
Rate for Payer: Brighton Health Commercial	$6,218.29
Rate for Payer: Cash Price	$3,743.15
Rate for Payer: Cash Price	$3,743.15
Rate for Payer: Cash Price	$3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$3,743.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Elderplan Medicare Advantage	$3,743.15
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$3,181.68
Rate for Payer: Fidelis Essential Plan QHP	$3,331.40
Rate for Payer: Fidelis Medicare Advantage	$3,743.15
Rate for Payer: Fidelis Qualified Health Plan	$3,331.40
Rate for Payer: Group Health Inc Commercial	$3,743.15
Rate for Payer: Group Health Inc Medicare	$3,743.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,145.52
Rate for Payer: Hamaspik Choice Inc Medicare	$3,743.15
Rate for Payer: Healthfirst Medicare Advantage	$3,181.68
Rate for Payer: Healthfirst QHP	$3,743.15
Rate for Payer: Humana Medicare	$3,818.01
Rate for Payer: Senior Whole Health Medicare Advantage	$3,743.15
Rate for Payer: United Healthcare Commercial	$1,468.00
Rate for Payer: United Healthcare Medicare Advantage	$3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid	$2,994.52
Rate for Payer: Wellcare Medicare	$3,555.99

PIN HAND DISLOCATION

Facility

$8,291.05

Service Code	HCPCS 26676
Hospital Charge Code	40029661
Hospital Revenue Code	360
Rate for Payer: Cash Price	$3,743.15

PIN HEADLESS TROCAR DRILL 75MM

Facility

$1,234.00

Hospital Charge Code	40204599
Hospital Revenue Code	272
Min. Negotiated Rate	$431.90
Max. Negotiated Rate	$987.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$678.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$617.00
Rate for Payer: Aetna Government	$617.00
Rate for Payer: Brighton Health Commercial	$925.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$987.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$839.12
Rate for Payer: Group Health Inc Commercial	$617.00
Rate for Payer: Group Health Inc Medicare	$431.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$617.00
Rate for Payer: Hamaspik Choice Inc Medicare	$617.00

PIN, HEADLESS TROCAR DRILL 75MM

Facility

$1,234.00

Hospital Charge Code	40007518
Hospital Revenue Code	272
Min. Negotiated Rate	$431.90
Max. Negotiated Rate	$987.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$678.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$617.00
Rate for Payer: Aetna Government	$617.00
Rate for Payer: Brighton Health Commercial	$925.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$987.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$839.12
Rate for Payer: Group Health Inc Commercial	$617.00
Rate for Payer: Group Health Inc Medicare	$431.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$617.00
Rate for Payer: Hamaspik Choice Inc Medicare	$617.00

PIN, HLESS TROC DRILL 75MM

Facility

$1,542.50

Service Code	HCPCS C1713
Hospital Charge Code	64905514
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,619.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$848.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$925.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$771.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$886.94
Rate for Payer: EmblemHealth Commercial	$771.25
Rate for Payer: Fidelis Medicare Advantage	$1,619.62
Rate for Payer: Group Health Inc Commercial	$771.25
Rate for Payer: Group Health Inc Medicare	$539.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$771.25
Rate for Payer: Hamaspik Choice Inc Medicare	$771.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,002.62

Know your out-of-pocket cost for care.

All Charges