St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PIN, HLESS TROC DRILL 75MM

Facility

$1,542.50

Service Code	HCPCS C1713
Hospital Charge Code	64905514
Hospital Revenue Code	278
Min. Negotiated Rate	$771.25
Max. Negotiated Rate	$771.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$771.25
Rate for Payer: Hamaspik Choice Inc Medicare	$771.25

PIN HLF SD CN THD 3X60X10M

Facility

$123.50

Service Code	HCPCS C1713
Hospital Charge Code	64906586
Hospital Revenue Code	278
Min. Negotiated Rate	$43.22
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$67.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$74.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$61.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$71.01
Rate for Payer: EmblemHealth Commercial	$61.75
Rate for Payer: Fidelis Medicare Advantage	$129.68
Rate for Payer: Group Health Inc Commercial	$61.75
Rate for Payer: Group Health Inc Medicare	$43.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.75
Rate for Payer: Hamaspik Choice Inc Medicare	$61.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$80.28

PIN HLF SD CN THD 3X60X10M

Facility

$123.50

Service Code	HCPCS C1713
Hospital Charge Code	64906586
Hospital Revenue Code	278
Min. Negotiated Rate	$61.75
Max. Negotiated Rate	$61.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.75
Rate for Payer: Hamaspik Choice Inc Medicare	$61.75

PIN HMRS AXIS

Facility

$3,315.00

Service Code	HCPCS C1776
Hospital Charge Code	64907248
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,480.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,823.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,989.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,657.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,906.12
Rate for Payer: EmblemHealth Commercial	$1,657.50
Rate for Payer: Fidelis Medicare Advantage	$3,480.75
Rate for Payer: Group Health Inc Commercial	$1,657.50
Rate for Payer: Group Health Inc Medicare	$1,160.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,657.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,657.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,154.75

PIN HMRS AXIS

Facility

$3,315.00

Service Code	HCPCS C1776
Hospital Charge Code	64907248
Hospital Revenue Code	278
Min. Negotiated Rate	$1,657.50
Max. Negotiated Rate	$1,657.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,657.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,657.50

PINK FOAM

Facility

$14.33

Hospital Charge Code	64902882
Hospital Revenue Code	270
Min. Negotiated Rate	$5.02
Max. Negotiated Rate	$11.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.16
Rate for Payer: Aetna Government	$7.16
Rate for Payer: Brighton Health Commercial	$10.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.74
Rate for Payer: Group Health Inc Commercial	$7.16
Rate for Payer: Group Health Inc Medicare	$5.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.16
Rate for Payer: Hamaspik Choice Inc Medicare	$7.16

PIN MOD HLF 4X150 40COUNT THREAD

Facility

$172.20

Service Code	HCPCS C1713
Hospital Charge Code	40201393
Hospital Revenue Code	278
Min. Negotiated Rate	$86.10
Max. Negotiated Rate	$86.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$86.10
Rate for Payer: Hamaspik Choice Inc Medicare	$86.10

PIN MOD HLF 4X150 40COUNT THREAD

Facility

$172.20

Service Code	HCPCS C1713
Hospital Charge Code	40201393
Hospital Revenue Code	278
Min. Negotiated Rate	$60.27
Max. Negotiated Rate	$180.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$94.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$103.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$86.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$99.02
Rate for Payer: EmblemHealth Commercial	$86.10
Rate for Payer: Fidelis Medicare Advantage	$180.81
Rate for Payer: Group Health Inc Commercial	$86.10
Rate for Payer: Group Health Inc Medicare	$60.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$86.10
Rate for Payer: Hamaspik Choice Inc Medicare	$86.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$111.93

PIN MOD HLF 4X180 50 COUNT THREAD

Facility

$172.20

Service Code	HCPCS C1713
Hospital Charge Code	40201394
Hospital Revenue Code	278
Min. Negotiated Rate	$60.27
Max. Negotiated Rate	$180.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$94.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$103.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$86.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$99.02
Rate for Payer: EmblemHealth Commercial	$86.10
Rate for Payer: Fidelis Medicare Advantage	$180.81
Rate for Payer: Group Health Inc Commercial	$86.10
Rate for Payer: Group Health Inc Medicare	$60.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$86.10
Rate for Payer: Hamaspik Choice Inc Medicare	$86.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$111.93

PIN MOD HLF 4X180 50 COUNT THREAD

Facility

$172.20

Service Code	HCPCS C1713
Hospital Charge Code	40201394
Hospital Revenue Code	278
Min. Negotiated Rate	$86.10
Max. Negotiated Rate	$86.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$86.10
Rate for Payer: Hamaspik Choice Inc Medicare	$86.10

PIN MOD HLF 4X200 50CT THRD

Facility

$280.00

Service Code	HCPCS C1713
Hospital Charge Code	40201395
Hospital Revenue Code	278
Min. Negotiated Rate	$98.00
Max. Negotiated Rate	$294.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$154.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$168.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$140.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$161.00
Rate for Payer: EmblemHealth Commercial	$140.00
Rate for Payer: Fidelis Medicare Advantage	$294.00
Rate for Payer: Group Health Inc Commercial	$140.00
Rate for Payer: Group Health Inc Medicare	$98.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$140.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$182.00

PIN MOD HLF 4X200 50CT THRD

Facility

$280.00

Service Code	HCPCS C1713
Hospital Charge Code	40201395
Hospital Revenue Code	278
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$140.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$140.00

PINNACLE SECTOR II CUP 52MM

Facility

$6,202.00

Service Code	HCPCS C1776
Hospital Charge Code	40005153
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$6,512.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,411.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$3,721.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,101.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,566.15
Rate for Payer: EmblemHealth Commercial	$3,101.00
Rate for Payer: Fidelis Medicare Advantage	$6,512.10
Rate for Payer: Group Health Inc Commercial	$3,101.00
Rate for Payer: Group Health Inc Medicare	$2,170.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,101.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,101.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,031.30

PINNACLE SECTOR II CUP 52MM

Facility

$7,752.50

Hospital Charge Code	64905281
Hospital Revenue Code	270
Min. Negotiated Rate	$2,713.38
Max. Negotiated Rate	$6,202.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,263.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,876.25
Rate for Payer: Aetna Government	$3,876.25
Rate for Payer: Brighton Health Commercial	$5,814.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6,202.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$5,271.70
Rate for Payer: Group Health Inc Commercial	$3,876.25
Rate for Payer: Group Health Inc Medicare	$2,713.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,876.25
Rate for Payer: Hamaspik Choice Inc Medicare	$3,876.25

PINNACLE SECTOR II CUP 52MM

Facility

$6,202.00

Service Code	HCPCS C1776
Hospital Charge Code	40005153
Hospital Revenue Code	278
Min. Negotiated Rate	$3,101.00
Max. Negotiated Rate	$3,101.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,101.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,101.00

PINNING SYS ATTUNE

Facility

$998.00

Service Code	HCPCS C1713
Hospital Charge Code	40005148
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,047.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$548.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$598.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$499.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$573.85
Rate for Payer: EmblemHealth Commercial	$499.00
Rate for Payer: Fidelis Medicare Advantage	$1,047.90
Rate for Payer: Group Health Inc Commercial	$499.00
Rate for Payer: Group Health Inc Medicare	$349.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$499.00
Rate for Payer: Hamaspik Choice Inc Medicare	$499.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$648.70

PINNING SYS ATTUNE

Facility

$998.00

Service Code	HCPCS C1713
Hospital Charge Code	40005148
Hospital Revenue Code	278
Min. Negotiated Rate	$499.00
Max. Negotiated Rate	$499.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$499.00
Rate for Payer: Hamaspik Choice Inc Medicare	$499.00

PINNING SYSTEM ATTUNE

Facility

$1,247.50

Hospital Charge Code	64906069
Hospital Revenue Code	270
Min. Negotiated Rate	$436.62
Max. Negotiated Rate	$998.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$686.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$623.75
Rate for Payer: Aetna Government	$623.75
Rate for Payer: Brighton Health Commercial	$935.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$998.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$848.30
Rate for Payer: Group Health Inc Commercial	$623.75
Rate for Payer: Group Health Inc Medicare	$436.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$623.75
Rate for Payer: Hamaspik Choice Inc Medicare	$623.75

PIN ORTHOSORB

Facility

$655.00

Hospital Charge Code	64902699
Hospital Revenue Code	270
Min. Negotiated Rate	$229.25
Max. Negotiated Rate	$524.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$360.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$327.50
Rate for Payer: Aetna Government	$327.50
Rate for Payer: Brighton Health Commercial	$491.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$524.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$445.40
Rate for Payer: Group Health Inc Commercial	$327.50
Rate for Payer: Group Health Inc Medicare	$229.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$327.50
Rate for Payer: Hamaspik Choice Inc Medicare	$327.50

PIN ORTHOSORB RESORABLE TAPPERED

Facility

$404.92

Service Code	HCPCS C1713
Hospital Charge Code	40200931
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$425.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$222.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$242.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$202.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$232.83
Rate for Payer: EmblemHealth Commercial	$202.46
Rate for Payer: Fidelis Medicare Advantage	$425.17
Rate for Payer: Group Health Inc Commercial	$202.46
Rate for Payer: Group Health Inc Medicare	$141.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$202.46
Rate for Payer: Hamaspik Choice Inc Medicare	$202.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$263.20

PIN ORTHOSORB RESORABLE TAPPERED

Facility

$404.92

Service Code	HCPCS C1713
Hospital Charge Code	40200931
Hospital Revenue Code	278
Min. Negotiated Rate	$202.46
Max. Negotiated Rate	$202.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$202.46
Rate for Payer: Hamaspik Choice Inc Medicare	$202.46

PIN POSITIONER

Facility

$2.50

Service Code	HCPCS C1713
Hospital Charge Code	64907345
Hospital Revenue Code	278
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.44
Rate for Payer: EmblemHealth Commercial	$1.25
Rate for Payer: Fidelis Medicare Advantage	$2.62
Rate for Payer: Group Health Inc Commercial	$1.25
Rate for Payer: Group Health Inc Medicare	$0.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.62

PIN POSITIONER

Facility

$2.50

Service Code	HCPCS C1713
Hospital Charge Code	64907345
Hospital Revenue Code	278
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1.25

PIN REDUCTION 5MM,L150MM AO

Facility

$218.40

Service Code	HCPCS C1713
Hospital Charge Code	64906500
Hospital Revenue Code	278
Min. Negotiated Rate	$76.44
Max. Negotiated Rate	$229.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$120.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$131.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$109.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$125.58
Rate for Payer: EmblemHealth Commercial	$109.20
Rate for Payer: Fidelis Medicare Advantage	$229.32
Rate for Payer: Group Health Inc Commercial	$109.20
Rate for Payer: Group Health Inc Medicare	$76.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.20
Rate for Payer: Hamaspik Choice Inc Medicare	$109.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$141.96

PIN REDUCTION 5MM,L150MM AO

Facility

$218.40

Service Code	HCPCS C1713
Hospital Charge Code	64906500
Hospital Revenue Code	278
Min. Negotiated Rate	$109.20
Max. Negotiated Rate	$109.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.20
Rate for Payer: Hamaspik Choice Inc Medicare	$109.20

Know your out-of-pocket cost for care.

All Charges