St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PLATE, LINDORF 3MM

Facility

$718.98

Service Code	HCPCS C1713
Hospital Charge Code	64905705
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$754.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$395.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$431.39
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$359.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$413.41
Rate for Payer: EmblemHealth Commercial	$359.49
Rate for Payer: Fidelis Medicare Advantage	$754.93
Rate for Payer: Group Health Inc Commercial	$359.49
Rate for Payer: Group Health Inc Medicare	$251.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$359.49
Rate for Payer: Hamaspik Choice Inc Medicare	$359.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$467.34

PLATE, LINDORF 5MM

Facility

$718.98

Service Code	HCPCS C1713
Hospital Charge Code	64905704
Hospital Revenue Code	278
Min. Negotiated Rate	$359.49
Max. Negotiated Rate	$359.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$359.49
Rate for Payer: Hamaspik Choice Inc Medicare	$359.49

PLATE, LINDORF 5MM

Facility

$718.98

Service Code	HCPCS C1713
Hospital Charge Code	64905704
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$754.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$395.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$431.39
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$359.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$413.41
Rate for Payer: EmblemHealth Commercial	$359.49
Rate for Payer: Fidelis Medicare Advantage	$754.93
Rate for Payer: Group Health Inc Commercial	$359.49
Rate for Payer: Group Health Inc Medicare	$251.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$359.49
Rate for Payer: Hamaspik Choice Inc Medicare	$359.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$467.34

PLATE, LINDORF 5MM F/2

Facility

$718.98

Service Code	HCPCS C1713
Hospital Charge Code	64905707
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$754.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$395.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$431.39
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$359.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$413.41
Rate for Payer: EmblemHealth Commercial	$359.49
Rate for Payer: Fidelis Medicare Advantage	$754.93
Rate for Payer: Group Health Inc Commercial	$359.49
Rate for Payer: Group Health Inc Medicare	$251.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$359.49
Rate for Payer: Hamaspik Choice Inc Medicare	$359.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$467.34

PLATE, LINDORF 5MM F/2

Facility

$718.98

Service Code	HCPCS C1713
Hospital Charge Code	64905707
Hospital Revenue Code	278
Min. Negotiated Rate	$359.49
Max. Negotiated Rate	$359.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$359.49
Rate for Payer: Hamaspik Choice Inc Medicare	$359.49

PLATE L LFT 5H HL 5MM ADVC 100D

Facility

$396.38

Service Code	HCPCS C1713
Hospital Charge Code	64901378
Hospital Revenue Code	278
Min. Negotiated Rate	$198.19
Max. Negotiated Rate	$198.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$198.19
Rate for Payer: Hamaspik Choice Inc Medicare	$198.19

PLATE L LFT 5H HL 5MM ADVC 100D

Facility

$396.38

Service Code	HCPCS C1713
Hospital Charge Code	64901378
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$416.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$218.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$237.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$198.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$227.92
Rate for Payer: EmblemHealth Commercial	$198.19
Rate for Payer: Fidelis Medicare Advantage	$416.20
Rate for Payer: Group Health Inc Commercial	$198.19
Rate for Payer: Group Health Inc Medicare	$138.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$198.19
Rate for Payer: Hamaspik Choice Inc Medicare	$198.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$257.65

PLATE L OBLIQ 2X3H RGT.5MM

Facility

$842.50

Service Code	HCPCS C1713
Hospital Charge Code	64902357
Hospital Revenue Code	278
Min. Negotiated Rate	$421.25
Max. Negotiated Rate	$421.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$421.25
Rate for Payer: Hamaspik Choice Inc Medicare	$421.25

PLATE L OBLIQ 2X3H RGT.5MM

Facility

$842.50

Service Code	HCPCS C1713
Hospital Charge Code	64902357
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$884.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$463.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$505.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$421.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$484.44
Rate for Payer: EmblemHealth Commercial	$421.25
Rate for Payer: Fidelis Medicare Advantage	$884.62
Rate for Payer: Group Health Inc Commercial	$421.25
Rate for Payer: Group Health Inc Medicare	$294.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$421.25
Rate for Payer: Hamaspik Choice Inc Medicare	$421.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$547.62

PLATE L OBLIQ 3X4-H RGT.5MM

Facility

$817.50

Service Code	HCPCS C1713
Hospital Charge Code	64902355
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$408.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$408.75
Rate for Payer: Hamaspik Choice Inc Medicare	$408.75

PLATE L OBLIQ 3X4-H RGT.5MM

Facility

$817.50

Service Code	HCPCS C1713
Hospital Charge Code	64902355
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$858.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$449.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$490.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$408.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$470.06
Rate for Payer: EmblemHealth Commercial	$408.75
Rate for Payer: Fidelis Medicare Advantage	$858.38
Rate for Payer: Group Health Inc Commercial	$408.75
Rate for Payer: Group Health Inc Medicare	$286.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$408.75
Rate for Payer: Hamaspik Choice Inc Medicare	$408.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$531.38

PLATE LOCK 12MM

Facility

$6,650.00

Service Code	HCPCS C1713
Hospital Charge Code	64904697
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,982.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,657.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,990.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,325.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,823.75
Rate for Payer: EmblemHealth Commercial	$3,325.00
Rate for Payer: Fidelis Medicare Advantage	$6,982.50
Rate for Payer: Group Health Inc Commercial	$3,325.00
Rate for Payer: Group Health Inc Medicare	$2,327.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,325.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,325.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,322.50

PLATE LOCK 12MM

Facility

$6,650.00

Service Code	HCPCS C1713
Hospital Charge Code	64904697
Hospital Revenue Code	278
Min. Negotiated Rate	$3,325.00
Max. Negotiated Rate	$3,325.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,325.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,325.00

PLATE, LOCKING 10MM

Facility

$7,700.00

Service Code	HCPCS C1713
Hospital Charge Code	64905764
Hospital Revenue Code	278
Min. Negotiated Rate	$3,850.00
Max. Negotiated Rate	$3,850.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,850.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,850.00

PLATE, LOCKING 10MM

Facility

$7,700.00

Service Code	HCPCS C1713
Hospital Charge Code	64905764
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,085.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,235.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$4,620.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,850.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,427.50
Rate for Payer: EmblemHealth Commercial	$3,850.00
Rate for Payer: Fidelis Medicare Advantage	$8,085.00
Rate for Payer: Group Health Inc Commercial	$3,850.00
Rate for Payer: Group Health Inc Medicare	$2,695.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,850.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,850.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,005.00

PLATE LOCKING 1.7

Facility

$1,056.25

Service Code	HCPCS C1713
Hospital Charge Code	64904495
Hospital Revenue Code	278
Min. Negotiated Rate	$528.12
Max. Negotiated Rate	$528.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$528.12
Rate for Payer: Hamaspik Choice Inc Medicare	$528.12

PLATE LOCKING 1.7

Facility

$1,056.25

Service Code	HCPCS C1713
Hospital Charge Code	64904495
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,109.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$580.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$633.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$528.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$607.34
Rate for Payer: EmblemHealth Commercial	$528.12
Rate for Payer: Fidelis Medicare Advantage	$1,109.06
Rate for Payer: Group Health Inc Commercial	$528.12
Rate for Payer: Group Health Inc Medicare	$369.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$528.12
Rate for Payer: Hamaspik Choice Inc Medicare	$528.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$686.56

PLATE LOCKING 2.7

Facility

$3,280.00

Service Code	HCPCS C1713
Hospital Charge Code	64907461
Hospital Revenue Code	278
Min. Negotiated Rate	$1,640.00
Max. Negotiated Rate	$1,640.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,640.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,640.00

PLATE LOCKING 2.7

Facility

$3,280.00

Service Code	HCPCS C1713
Hospital Charge Code	64907461
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,444.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,804.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,968.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,640.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,886.00
Rate for Payer: EmblemHealth Commercial	$1,640.00
Rate for Payer: Fidelis Medicare Advantage	$3,444.00
Rate for Payer: Group Health Inc Commercial	$1,640.00
Rate for Payer: Group Health Inc Medicare	$1,148.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,640.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,640.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,132.00

PLATE LOCKING 8HOLE YTYPE-5505779

Facility

$273.11

Service Code	HCPCS C1713
Hospital Charge Code	64906524
Hospital Revenue Code	278
Min. Negotiated Rate	$95.59
Max. Negotiated Rate	$286.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$150.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$163.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$136.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$157.04
Rate for Payer: EmblemHealth Commercial	$136.56
Rate for Payer: Fidelis Medicare Advantage	$286.77
Rate for Payer: Group Health Inc Commercial	$136.56
Rate for Payer: Group Health Inc Medicare	$95.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$136.56
Rate for Payer: Hamaspik Choice Inc Medicare	$136.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$177.52

PLATE LOCKING 8HOLE YTYPE-5505779

Facility

$273.11

Service Code	HCPCS C1713
Hospital Charge Code	64906524
Hospital Revenue Code	278
Min. Negotiated Rate	$136.56
Max. Negotiated Rate	$136.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$136.56
Rate for Payer: Hamaspik Choice Inc Medicare	$136.56

PLATE LOCKING ANCHOR L

Facility

$2,064.00

Service Code	HCPCS C1713
Hospital Charge Code	64905084
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,167.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,135.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,238.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,032.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,186.80
Rate for Payer: EmblemHealth Commercial	$1,032.00
Rate for Payer: Fidelis Medicare Advantage	$2,167.20
Rate for Payer: Group Health Inc Commercial	$1,032.00
Rate for Payer: Group Health Inc Medicare	$722.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,032.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,032.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,341.60

PLATE LOCKING ANCHOR L

Facility

$2,064.00

Service Code	HCPCS C1713
Hospital Charge Code	64905084
Hospital Revenue Code	278
Min. Negotiated Rate	$1,032.00
Max. Negotiated Rate	$1,032.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,032.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,032.00

PLATE LOCKING DISTAL 8 HL

Facility

$1,987.50

Service Code	HCPCS C1713
Hospital Charge Code	64906950
Hospital Revenue Code	278
Min. Negotiated Rate	$993.75
Max. Negotiated Rate	$993.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$993.75
Rate for Payer: Hamaspik Choice Inc Medicare	$993.75

PLATE LOCKING DISTAL 8 HL

Facility

$1,987.50

Service Code	HCPCS C1713
Hospital Charge Code	64906950
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,086.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,093.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,192.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$993.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,142.81
Rate for Payer: EmblemHealth Commercial	$993.75
Rate for Payer: Fidelis Medicare Advantage	$2,086.88
Rate for Payer: Group Health Inc Commercial	$993.75
Rate for Payer: Group Health Inc Medicare	$695.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$993.75
Rate for Payer: Hamaspik Choice Inc Medicare	$993.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,291.88

Know your out-of-pocket cost for care.

All Charges