St. Barnabas Hospital

All Charges

Charge

Type

Price

BIT DRILL 4.2X130MM AO ST

Facility IP

$227.00

Service Code	HCPCS C1713
Hospital Charge Code	40202419
Hospital Revenue Code	278
Min. Negotiated Rate	$113.50
Max. Negotiated Rate	$113.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$113.50
Rate for Payer: Hamaspik Choice Inc Medicare	$113.50

BIT DRILL 4.3MM DIA 315M AO703541

Facility OP

$168.70

Service Code	HCPCS C1713
Hospital Charge Code	64906438
Hospital Revenue Code	278
Min. Negotiated Rate	$59.04
Max. Negotiated Rate	$177.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$92.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$84.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$97.00
Rate for Payer: Fidelis Medicare Advantage	$177.14
Rate for Payer: Group Health Inc Commercial	$84.35
Rate for Payer: Group Health Inc Medicare	$59.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$84.35
Rate for Payer: Hamaspik Choice Inc Medicare	$84.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$109.66

BIT DRILL 4.3MM DIA 315M AO703541

Facility IP

$168.70

Service Code	HCPCS C1713
Hospital Charge Code	64906438
Hospital Revenue Code	278
Min. Negotiated Rate	$84.35
Max. Negotiated Rate	$84.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$84.35
Rate for Payer: Hamaspik Choice Inc Medicare	$84.35

BIT DRILL 4.9MM DIA LARGE CAN

Facility OP

$616.00

Service Code	HCPCS C1713
Hospital Charge Code	64906673
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$646.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$338.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$308.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$354.20
Rate for Payer: Fidelis Medicare Advantage	$646.80
Rate for Payer: Group Health Inc Commercial	$308.00
Rate for Payer: Group Health Inc Medicare	$215.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$308.00
Rate for Payer: Hamaspik Choice Inc Medicare	$308.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$400.40

BIT DRILL 4.9MM DIA LARGE CAN

Facility IP

$616.00

Service Code	HCPCS C1713
Hospital Charge Code	64906673
Hospital Revenue Code	278
Min. Negotiated Rate	$308.00
Max. Negotiated Rate	$308.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$308.00
Rate for Payer: Hamaspik Choice Inc Medicare	$308.00

BIT DRILL, AO DIA 2.0MM X 135MM

Facility OP

$314.00

Service Code	HCPCS C1713
Hospital Charge Code	64906584
Hospital Revenue Code	278
Min. Negotiated Rate	$109.90
Max. Negotiated Rate	$329.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$172.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$157.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$180.55
Rate for Payer: Fidelis Medicare Advantage	$329.70
Rate for Payer: Group Health Inc Commercial	$157.00
Rate for Payer: Group Health Inc Medicare	$109.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$157.00
Rate for Payer: Hamaspik Choice Inc Medicare	$157.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$204.10

BIT DRILL, AO DIA 2.0MM X 135MM

Facility IP

$530.00

Service Code	HCPCS C1713
Hospital Charge Code	64906791
Hospital Revenue Code	278
Min. Negotiated Rate	$265.00
Max. Negotiated Rate	$265.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$265.00
Rate for Payer: Hamaspik Choice Inc Medicare	$265.00

BIT DRILL, AO DIA 2.0MM X 135MM

Facility IP

$314.00

Service Code	HCPCS C1713
Hospital Charge Code	64906584
Hospital Revenue Code	278
Min. Negotiated Rate	$157.00
Max. Negotiated Rate	$157.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$157.00
Rate for Payer: Hamaspik Choice Inc Medicare	$157.00

BIT DRILL, AO DIA 2.0MM X 135MM

Facility OP

$530.00

Service Code	HCPCS C1713
Hospital Charge Code	64906791
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$556.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$291.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$265.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$304.75
Rate for Payer: Fidelis Medicare Advantage	$556.50
Rate for Payer: Group Health Inc Commercial	$265.00
Rate for Payer: Group Health Inc Medicare	$185.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$265.00
Rate for Payer: Hamaspik Choice Inc Medicare	$265.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$344.50

BIT DRILL, AO DIA 2.6MM X 135MM

Facility OP

$314.00

Service Code	HCPCS C1713
Hospital Charge Code	64906581
Hospital Revenue Code	278
Min. Negotiated Rate	$109.90
Max. Negotiated Rate	$329.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$172.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$157.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$180.55
Rate for Payer: Fidelis Medicare Advantage	$329.70
Rate for Payer: Group Health Inc Commercial	$157.00
Rate for Payer: Group Health Inc Medicare	$109.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$157.00
Rate for Payer: Hamaspik Choice Inc Medicare	$157.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$204.10

BIT DRILL, AO DIA 2.6MM X 135MM

Facility IP

$314.00

Service Code	HCPCS C1713
Hospital Charge Code	64906581
Hospital Revenue Code	278
Min. Negotiated Rate	$157.00
Max. Negotiated Rate	$157.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$157.00
Rate for Payer: Hamaspik Choice Inc Medicare	$157.00

BIT DRILL CAN 2.7MM QK CONN

Facility IP

$382.00

Service Code	HCPCS C1776
Hospital Charge Code	40202441
Hospital Revenue Code	278
Min. Negotiated Rate	$191.00
Max. Negotiated Rate	$191.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$191.00
Rate for Payer: Hamaspik Choice Inc Medicare	$191.00

BIT DRILL CAN 2.7MM QK CONN

Facility OP

$382.00

Service Code	HCPCS C1776
Hospital Charge Code	40202441
Hospital Revenue Code	278
Min. Negotiated Rate	$133.70
Max. Negotiated Rate	$401.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$210.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$191.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$219.65
Rate for Payer: Fidelis Medicare Advantage	$401.10
Rate for Payer: Group Health Inc Commercial	$191.00
Rate for Payer: Group Health Inc Medicare	$133.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$191.00
Rate for Payer: Hamaspik Choice Inc Medicare	$191.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$248.30

BIT DRILL CANLTD 4.3MM

Facility OP

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	64906802
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$525.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$250.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$287.50
Rate for Payer: Fidelis Medicare Advantage	$525.00
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$175.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$250.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$325.00

BIT DRILL CANLTD 4.3MM

Facility IP

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	64906802
Hospital Revenue Code	278
Min. Negotiated Rate	$250.00
Max. Negotiated Rate	$250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$250.00

BIT DRILL CANNL'D 2.6MM

Facility IP

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	64906356
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$87.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.50
Rate for Payer: Hamaspik Choice Inc Medicare	$87.50

BIT DRILL CANNL'D 2.6MM

Facility OP

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	64906356
Hospital Revenue Code	278
Min. Negotiated Rate	$61.25
Max. Negotiated Rate	$183.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$96.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$87.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$100.62
Rate for Payer: Fidelis Medicare Advantage	$183.75
Rate for Payer: Group Health Inc Commercial	$87.50
Rate for Payer: Group Health Inc Medicare	$61.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.50
Rate for Payer: Hamaspik Choice Inc Medicare	$87.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$113.75

BIT DRILL CENTRAL S/S

Facility IP

$422.50

Service Code	HCPCS C1713
Hospital Charge Code	64906975
Hospital Revenue Code	278
Min. Negotiated Rate	$211.25
Max. Negotiated Rate	$211.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$211.25
Rate for Payer: Hamaspik Choice Inc Medicare	$211.25

BIT DRILL CENTRAL S/S

Facility OP

$422.50

Service Code	HCPCS C1713
Hospital Charge Code	64906975
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$443.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$232.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$211.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$242.94
Rate for Payer: Fidelis Medicare Advantage	$443.62
Rate for Payer: Group Health Inc Commercial	$211.25
Rate for Payer: Group Health Inc Medicare	$147.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$211.25
Rate for Payer: Hamaspik Choice Inc Medicare	$211.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$274.62

BIT DRILL LOCKING SHORT 3.1X21

Facility OP

$488.00

Service Code	HCPCS C1713
Hospital Charge Code	64906697
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$512.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$268.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$244.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$280.60
Rate for Payer: Fidelis Medicare Advantage	$512.40
Rate for Payer: Group Health Inc Commercial	$244.00
Rate for Payer: Group Health Inc Medicare	$170.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$244.00
Rate for Payer: Hamaspik Choice Inc Medicare	$244.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$317.20

BIT DRILL LOCKING SHORT 3.1X21

Facility IP

$488.00

Service Code	HCPCS C1713
Hospital Charge Code	64906697
Hospital Revenue Code	278
Min. Negotiated Rate	$244.00
Max. Negotiated Rate	$244.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$244.00
Rate for Payer: Hamaspik Choice Inc Medicare	$244.00

BIT, DRILL NCB 3.3, 195MM

Facility OP

$358.00

Hospital Charge Code	40204571
Hospital Revenue Code	272
Min. Negotiated Rate	$125.30
Max. Negotiated Rate	$286.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$196.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$179.00
Rate for Payer: Aetna Government	$179.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$286.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$243.44
Rate for Payer: Group Health Inc Commercial	$179.00
Rate for Payer: Group Health Inc Medicare	$125.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$179.00
Rate for Payer: Hamaspik Choice Inc Medicare	$179.00

BIT, DRILL NCB 3.3, 195MM

Facility OP

$252.16

Hospital Charge Code	40006597
Hospital Revenue Code	272
Min. Negotiated Rate	$88.26
Max. Negotiated Rate	$201.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$138.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$126.08
Rate for Payer: Aetna Government	$126.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$201.73
Rate for Payer: Cigna LocalPlus Benefit Plan	$171.47
Rate for Payer: Group Health Inc Commercial	$126.08
Rate for Payer: Group Health Inc Medicare	$88.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$126.08
Rate for Payer: Hamaspik Choice Inc Medicare	$126.08

BIT DRILL NON-LOCKING SHORT 2 025

Facility IP

$816.00

Service Code	HCPCS C1713
Hospital Charge Code	64906698
Hospital Revenue Code	278
Min. Negotiated Rate	$408.00
Max. Negotiated Rate	$408.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$408.00
Rate for Payer: Hamaspik Choice Inc Medicare	$408.00

BIT DRILL NON-LOCKING SHORT 2 025

Facility OP

$816.00

Service Code	HCPCS C1713
Hospital Charge Code	64906698
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$856.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$448.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$408.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$469.20
Rate for Payer: Fidelis Medicare Advantage	$856.80
Rate for Payer: Group Health Inc Commercial	$408.00
Rate for Payer: Group Health Inc Medicare	$285.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$408.00
Rate for Payer: Hamaspik Choice Inc Medicare	$408.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$530.40

Price Transparency.

All Charges