St. Barnabas Hospital

All Charges

Charge

Type

Price

WIRE K 1.6X200

Facility IP

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	64906247
Hospital Revenue Code	278
Min. Negotiated Rate	$125.00
Max. Negotiated Rate	$125.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$125.00

WIRE K 2.0MM X 6 SMTH TROC

Facility OP

$12.60

Service Code	HCPCS C1769
Hospital Charge Code	40202406
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$13.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.24
Rate for Payer: Fidelis Medicare Advantage	$13.23
Rate for Payer: Group Health Inc Commercial	$6.30
Rate for Payer: Group Health Inc Medicare	$4.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.30
Rate for Payer: Hamaspik Choice Inc Medicare	$6.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.19

WIRE K 2.0MM X 6 SMTH TROC

Facility IP

$12.60

Service Code	HCPCS C1769
Hospital Charge Code	40202406
Hospital Revenue Code	278
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$6.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.30
Rate for Payer: Hamaspik Choice Inc Medicare	$6.30

WIRE K 2.0MM X 6 SMTH TROC PLN

Facility OP

$16.25

Hospital Charge Code	64904488
Hospital Revenue Code	270
Min. Negotiated Rate	$5.69
Max. Negotiated Rate	$13.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.12
Rate for Payer: Aetna Government	$8.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.05
Rate for Payer: Group Health Inc Commercial	$8.12
Rate for Payer: Group Health Inc Medicare	$5.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.12
Rate for Payer: Hamaspik Choice Inc Medicare	$8.12

WIRE K 2.4MM X 170MM

Facility OP

$43.00

Service Code	HCPCS C1713
Hospital Charge Code	64906803
Hospital Revenue Code	278
Min. Negotiated Rate	$15.05
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.65
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	$21.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.72
Rate for Payer: Fidelis Medicare Advantage	$45.15
Rate for Payer: Group Health Inc Commercial	$21.50
Rate for Payer: Group Health Inc Medicare	$15.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.50
Rate for Payer: Hamaspik Choice Inc Medicare	$21.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$27.95

WIRE K 2.4MM X 170MM

Facility IP

$43.00

Service Code	HCPCS C1713
Hospital Charge Code	64906803
Hospital Revenue Code	278
Min. Negotiated Rate	$21.50
Max. Negotiated Rate	$21.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.50
Rate for Payer: Hamaspik Choice Inc Medicare	$21.50

WIRE K 3.2MMX400MM

Facility IP

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	40200148
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00

WIRE K 3.2MMX400MM

Facility OP

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	40200148
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$189.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.00
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	$90.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$103.50
Rate for Payer: Fidelis Medicare Advantage	$189.00
Rate for Payer: Group Health Inc Commercial	$90.00
Rate for Payer: Group Health Inc Medicare	$63.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$117.00

WIRE K 3.2X150

Facility IP

$75.00

Service Code	HCPCS C1713
Hospital Charge Code	64906249
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$37.50
Rate for Payer: Hamaspik Choice Inc Medicare	$37.50

WIRE K 3.2X150

Facility OP

$75.00

Service Code	HCPCS C1713
Hospital Charge Code	64906249
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$41.25
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	$37.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$43.12
Rate for Payer: Fidelis Medicare Advantage	$78.75
Rate for Payer: Group Health Inc Commercial	$37.50
Rate for Payer: Group Health Inc Medicare	$26.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$37.50
Rate for Payer: Hamaspik Choice Inc Medicare	$37.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$48.75

WIRE K FIXATION 3X285MM WCH

Facility OP

$522.50

Hospital Charge Code	64906172
Hospital Revenue Code	270
Min. Negotiated Rate	$182.88
Max. Negotiated Rate	$418.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$287.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$261.25
Rate for Payer: Aetna Government	$261.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$418.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$355.30
Rate for Payer: Group Health Inc Commercial	$261.25
Rate for Payer: Group Health Inc Medicare	$182.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$261.25
Rate for Payer: Hamaspik Choice Inc Medicare	$261.25

WIRE KIRSCHNER A

Facility OP

$232.50

Hospital Charge Code	64904046
Hospital Revenue Code	270
Min. Negotiated Rate	$81.38
Max. Negotiated Rate	$186.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$127.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$116.25
Rate for Payer: Aetna Government	$116.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$186.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$158.10
Rate for Payer: Group Health Inc Commercial	$116.25
Rate for Payer: Group Health Inc Medicare	$81.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.25
Rate for Payer: Hamaspik Choice Inc Medicare	$116.25

WIRE KIRSCHNER B

Facility OP

$223.75

Hospital Charge Code	64904048
Hospital Revenue Code	270
Min. Negotiated Rate	$78.31
Max. Negotiated Rate	$179.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$123.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$111.88
Rate for Payer: Aetna Government	$111.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$179.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$152.15
Rate for Payer: Group Health Inc Commercial	$111.88
Rate for Payer: Group Health Inc Medicare	$78.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$111.88
Rate for Payer: Hamaspik Choice Inc Medicare	$111.88

WIRE KIRSCHNER TROCAR 150M

Facility OP

$42.08

Hospital Charge Code	64903012
Hospital Revenue Code	270
Min. Negotiated Rate	$14.73
Max. Negotiated Rate	$33.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$21.04
Rate for Payer: Aetna Government	$21.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$33.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$28.61
Rate for Payer: Group Health Inc Commercial	$21.04
Rate for Payer: Group Health Inc Medicare	$14.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.04
Rate for Payer: Hamaspik Choice Inc Medicare	$21.04

WIRE, K TROCAR TIP 1.2X150MM

Facility OP

$60.09

Hospital Charge Code	40004430
Hospital Revenue Code	272
Min. Negotiated Rate	$21.03
Max. Negotiated Rate	$48.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.04
Rate for Payer: Aetna Government	$30.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.86
Rate for Payer: Group Health Inc Commercial	$30.04
Rate for Payer: Group Health Inc Medicare	$21.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.04
Rate for Payer: Hamaspik Choice Inc Medicare	$30.04

WIRE, K TROCAR TIP 1.6X150MM

Facility OP

$60.09

Hospital Charge Code	40004431
Hospital Revenue Code	272
Min. Negotiated Rate	$21.03
Max. Negotiated Rate	$48.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.04
Rate for Payer: Aetna Government	$30.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.07
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.86
Rate for Payer: Group Health Inc Commercial	$30.04
Rate for Payer: Group Health Inc Medicare	$21.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.04
Rate for Payer: Hamaspik Choice Inc Medicare	$30.04

WIRE K TROC PT 2END.062X230M

Facility OP

$26.00

Service Code	HCPCS C1713
Hospital Charge Code	64906681
Hospital Revenue Code	278
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14.30
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	$13.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.95
Rate for Payer: Fidelis Medicare Advantage	$27.30
Rate for Payer: Group Health Inc Commercial	$13.00
Rate for Payer: Group Health Inc Medicare	$9.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$13.00
Rate for Payer: Hamaspik Choice Inc Medicare	$13.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$16.90

WIRE K TROC PT 2END.062X230M

Facility IP

$26.00

Service Code	HCPCS C1713
Hospital Charge Code	64906681
Hospital Revenue Code	278
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$13.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$13.00
Rate for Payer: Hamaspik Choice Inc Medicare	$13.00

WIRE K TROC PT 2 ENDS 9X.062

Facility OP

$0.46

Service Code	HCPCS C1713
Hospital Charge Code	40200153
Hospital Revenue Code	278
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.25
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	$0.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.26
Rate for Payer: Fidelis Medicare Advantage	$0.48
Rate for Payer: Group Health Inc Commercial	$0.23
Rate for Payer: Group Health Inc Medicare	$0.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.23
Rate for Payer: Hamaspik Choice Inc Medicare	$0.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.30

WIRE K TROC PT 2 ENDS 9X.062

Facility IP

$0.46

Service Code	HCPCS C1713
Hospital Charge Code	40200153
Hospital Revenue Code	278
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.23
Rate for Payer: Hamaspik Choice Inc Medicare	$0.23

WIRE K W-STOPPER

Facility IP

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	64906246
Hospital Revenue Code	278
Min. Negotiated Rate	$125.00
Max. Negotiated Rate	$125.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$125.00

WIRE K W-STOPPER

Facility OP

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	64906246
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$262.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$137.50
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	$125.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$143.75
Rate for Payer: Fidelis Medicare Advantage	$262.50
Rate for Payer: Group Health Inc Commercial	$125.00
Rate for Payer: Group Health Inc Medicare	$87.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$125.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$162.50

WIRE, K X2 2.0

Facility OP

$47.48

Hospital Charge Code	40007544
Hospital Revenue Code	272
Min. Negotiated Rate	$16.62
Max. Negotiated Rate	$37.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.74
Rate for Payer: Aetna Government	$23.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.29
Rate for Payer: Group Health Inc Commercial	$23.74
Rate for Payer: Group Health Inc Medicare	$16.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.74
Rate for Payer: Hamaspik Choice Inc Medicare	$23.74

WIRE, KX2 2.0

Facility OP

$47.48

Hospital Charge Code	40204625
Hospital Revenue Code	272
Min. Negotiated Rate	$16.62
Max. Negotiated Rate	$37.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$23.74
Rate for Payer: Aetna Government	$23.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.29
Rate for Payer: Group Health Inc Commercial	$23.74
Rate for Payer: Group Health Inc Medicare	$16.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.74
Rate for Payer: Hamaspik Choice Inc Medicare	$23.74

WIRE LIGATURE

Facility IP

$23.85

Service Code	HCPCS C1769
Hospital Charge Code	64907428
Hospital Revenue Code	278
Min. Negotiated Rate	$11.92
Max. Negotiated Rate	$11.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$11.92
Rate for Payer: Hamaspik Choice Inc Medicare	$11.92

Price Transparency.

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