St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW BONE CANNUL LP 6.5MM DIA6

Facility

$1,228.50

Service Code	HCPCS C1713
Hospital Charge Code	64904893
Hospital Revenue Code	278
Min. Negotiated Rate	$614.25
Max. Negotiated Rate	$614.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$614.25
Rate for Payer: Hamaspik Choice Inc Medicare	$614.25

SCREW BONE CANNUL LP 6MM/3.2MM10

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64904674
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$448.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$235.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$256.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$213.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$245.74
Rate for Payer: EmblemHealth Commercial	$213.69
Rate for Payer: Fidelis Medicare Advantage	$448.75
Rate for Payer: Group Health Inc Commercial	$213.69
Rate for Payer: Group Health Inc Medicare	$149.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$277.80

SCREW BONE CANNUL LP 6MM/3.2MM10

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64904674
Hospital Revenue Code	278
Min. Negotiated Rate	$213.69
Max. Negotiated Rate	$213.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69

SCREW BONE CANNUL LP 6MM/3.2MM11

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64904768
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$448.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$235.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$256.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$213.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$245.74
Rate for Payer: EmblemHealth Commercial	$213.69
Rate for Payer: Fidelis Medicare Advantage	$448.75
Rate for Payer: Group Health Inc Commercial	$213.69
Rate for Payer: Group Health Inc Medicare	$149.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$277.80

SCREW BONE CANNUL LP 6MM/3.2MM11

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64904768
Hospital Revenue Code	278
Min. Negotiated Rate	$213.69
Max. Negotiated Rate	$213.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69

SCREW BONE CANNUL LP 6MM/3.2MM2

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64903259
Hospital Revenue Code	278
Min. Negotiated Rate	$213.69
Max. Negotiated Rate	$213.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69

SCREW BONE CANNUL LP 6MM/3.2MM2

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64903259
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$448.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$235.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$256.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$213.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$245.74
Rate for Payer: EmblemHealth Commercial	$213.69
Rate for Payer: Fidelis Medicare Advantage	$448.75
Rate for Payer: Group Health Inc Commercial	$213.69
Rate for Payer: Group Health Inc Medicare	$149.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$277.80

SCREW BONE CANNUL LP 6MM/3.2MM3

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64903567
Hospital Revenue Code	278
Min. Negotiated Rate	$213.69
Max. Negotiated Rate	$213.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69

SCREW BONE CANNUL LP 6MM/3.2MM3

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64903567
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$448.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$235.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$256.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$213.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$245.74
Rate for Payer: EmblemHealth Commercial	$213.69
Rate for Payer: Fidelis Medicare Advantage	$448.75
Rate for Payer: Group Health Inc Commercial	$213.69
Rate for Payer: Group Health Inc Medicare	$149.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$277.80

SCREW BONE CANNUL LP 6MM/3.2MM4

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64903593
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$448.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$235.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$256.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$213.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$245.74
Rate for Payer: EmblemHealth Commercial	$213.69
Rate for Payer: Fidelis Medicare Advantage	$448.75
Rate for Payer: Group Health Inc Commercial	$213.69
Rate for Payer: Group Health Inc Medicare	$149.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$277.80

SCREW BONE CANNUL LP 6MM/3.2MM4

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64903593
Hospital Revenue Code	278
Min. Negotiated Rate	$213.69
Max. Negotiated Rate	$213.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69

SCREW BONE CANNUL LP 6MM/3.2MM5

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64903845
Hospital Revenue Code	278
Min. Negotiated Rate	$213.69
Max. Negotiated Rate	$213.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69

SCREW BONE CANNUL LP 6MM/3.2MM5

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64903845
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$448.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$235.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$256.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$213.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$245.74
Rate for Payer: EmblemHealth Commercial	$213.69
Rate for Payer: Fidelis Medicare Advantage	$448.75
Rate for Payer: Group Health Inc Commercial	$213.69
Rate for Payer: Group Health Inc Medicare	$149.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$277.80

SCREW BONE CANNUL LP 6MM/3.2MM7

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64904466
Hospital Revenue Code	278
Min. Negotiated Rate	$213.69
Max. Negotiated Rate	$213.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69

SCREW BONE CANNUL LP 6MM/3.2MM7

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64904466
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$448.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$235.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$256.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$213.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$245.74
Rate for Payer: EmblemHealth Commercial	$213.69
Rate for Payer: Fidelis Medicare Advantage	$448.75
Rate for Payer: Group Health Inc Commercial	$213.69
Rate for Payer: Group Health Inc Medicare	$149.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$277.80

SCREW BONE CANNUL LP 6MM/3.2MM8

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64904560
Hospital Revenue Code	278
Min. Negotiated Rate	$213.69
Max. Negotiated Rate	$213.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69

SCREW BONE CANNUL LP 6MM/3.2MM8

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64904560
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$448.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$235.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$256.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$213.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$245.74
Rate for Payer: EmblemHealth Commercial	$213.69
Rate for Payer: Fidelis Medicare Advantage	$448.75
Rate for Payer: Group Health Inc Commercial	$213.69
Rate for Payer: Group Health Inc Medicare	$149.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$277.80

SCREW BONE CANNUL LP 6MM/3.2MM9

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64904563
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$448.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$235.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$256.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$213.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$245.74
Rate for Payer: EmblemHealth Commercial	$213.69
Rate for Payer: Fidelis Medicare Advantage	$448.75
Rate for Payer: Group Health Inc Commercial	$213.69
Rate for Payer: Group Health Inc Medicare	$149.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$277.80

SCREW BONE CANNUL LP 6MM/3.2MM9

Facility

$427.38

Service Code	HCPCS C1713
Hospital Charge Code	64904563
Hospital Revenue Code	278
Min. Negotiated Rate	$213.69
Max. Negotiated Rate	$213.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.69
Rate for Payer: Hamaspik Choice Inc Medicare	$213.69

SCREW BONE CANNUL LP 8MM/4.75MM1

Facility

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64902622
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$644.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$337.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$368.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$307.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$353.19
Rate for Payer: EmblemHealth Commercial	$307.12
Rate for Payer: Fidelis Medicare Advantage	$644.96
Rate for Payer: Group Health Inc Commercial	$307.12
Rate for Payer: Group Health Inc Medicare	$214.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.12
Rate for Payer: Hamaspik Choice Inc Medicare	$307.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$399.26

SCREW BONE CANNUL LP 8MM/4.75MM1

Facility

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64902622
Hospital Revenue Code	278
Min. Negotiated Rate	$307.12
Max. Negotiated Rate	$307.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.12
Rate for Payer: Hamaspik Choice Inc Medicare	$307.12

SCREW BONE CANNUL LP 8MM/4.75MM10

Facility

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64904983
Hospital Revenue Code	278
Min. Negotiated Rate	$307.12
Max. Negotiated Rate	$307.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.12
Rate for Payer: Hamaspik Choice Inc Medicare	$307.12

SCREW BONE CANNUL LP 8MM/4.75MM10

Facility

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64904983
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$644.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$337.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$368.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$307.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$353.19
Rate for Payer: EmblemHealth Commercial	$307.12
Rate for Payer: Fidelis Medicare Advantage	$644.96
Rate for Payer: Group Health Inc Commercial	$307.12
Rate for Payer: Group Health Inc Medicare	$214.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.12
Rate for Payer: Hamaspik Choice Inc Medicare	$307.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$399.26

SCREW BONE CANNUL LP 8MM/4.75MM2

Facility

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64902883
Hospital Revenue Code	278
Min. Negotiated Rate	$307.12
Max. Negotiated Rate	$307.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.12
Rate for Payer: Hamaspik Choice Inc Medicare	$307.12

SCREW BONE CANNUL LP 8MM/4.75MM2

Facility

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64902883
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$644.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$337.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$368.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$307.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$353.19
Rate for Payer: EmblemHealth Commercial	$307.12
Rate for Payer: Fidelis Medicare Advantage	$644.96
Rate for Payer: Group Health Inc Commercial	$307.12
Rate for Payer: Group Health Inc Medicare	$214.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.12
Rate for Payer: Hamaspik Choice Inc Medicare	$307.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$399.26

Know your out-of-pocket cost for care.

All Charges