St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRAPPING OF TOES

Facility

$170.35

Service Code	HCPCS 29550
Hospital Charge Code	30301173
Hospital Revenue Code	510
Min. Negotiated Rate	$56.59
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$70.74
Rate for Payer: Aetna Government	$70.74
Rate for Payer: Brighton Health Commercial	$233.00
Rate for Payer: Cash Price	$70.74
Rate for Payer: Cash Price	$70.74
Rate for Payer: Cash Price	$70.74
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$70.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Elderplan Medicare Advantage	$70.74
Rate for Payer: Fidelis Essential Plan Aliesa	$60.13
Rate for Payer: Fidelis Essential Plan QHP	$62.96
Rate for Payer: Fidelis Medicare Advantage	$70.74
Rate for Payer: Fidelis Qualified Health Plan	$62.96
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$85.18
Rate for Payer: Hamaspik Choice Inc Medicare	$70.74
Rate for Payer: Healthfirst Medicare Advantage	$60.13
Rate for Payer: Healthfirst QHP	$70.74
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage	$70.74
Rate for Payer: Senior Whole Health Medicare Advantage	$70.74
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$70.74
Rate for Payer: Wellcare CHP/FHP/Medicaid	$56.59
Rate for Payer: Wellcare Medicare	$67.20

STRAPPING OF TOES

Facility

$170.35

Service Code	HCPCS 29550
Hospital Charge Code	30301173
Hospital Revenue Code	510
Rate for Payer: Cash Price	$70.74

Strapping; Unna boot

Facility

$2,915.00

Service Code	CPT 29580
Hospital Revenue Code	361
Min. Negotiated Rate	$145.78
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$182.22
Rate for Payer: Aetna Government	$182.22
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$182.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Elderplan Medicare Advantage	$182.22
Rate for Payer: EmblemHealth Commercial	$182.22
Rate for Payer: Fidelis Essential Plan Aliesa	$154.89
Rate for Payer: Fidelis Essential Plan QHP	$162.18
Rate for Payer: Fidelis Medicare Advantage	$182.22
Rate for Payer: Fidelis Qualified Health Plan	$162.18
Rate for Payer: Group Health Inc Commercial	$182.22
Rate for Payer: Group Health Inc Medicare	$182.22
Rate for Payer: Hamaspik Choice Inc Medicare	$182.22
Rate for Payer: Healthfirst Medicare Advantage	$154.89
Rate for Payer: Healthfirst QHP	$182.22
Rate for Payer: Senior Whole Health Medicare Advantage	$182.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$182.22
Rate for Payer: Wellcare CHP/FHP/Medicaid	$145.78
Rate for Payer: Wellcare Medicare	$173.11

STRAPS,ARMBOARD FREEDOM

Facility

$56.55

Hospital Charge Code	64905512
Hospital Revenue Code	270
Min. Negotiated Rate	$19.79
Max. Negotiated Rate	$45.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.28
Rate for Payer: Aetna Government	$28.28
Rate for Payer: Brighton Health Commercial	$42.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$45.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$38.45
Rate for Payer: Group Health Inc Commercial	$28.28
Rate for Payer: Group Health Inc Medicare	$19.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.28
Rate for Payer: Hamaspik Choice Inc Medicare	$28.28

STRAP STIRRUP W/SLING RING

Facility

$0.22

Hospital Charge Code	64902743
Hospital Revenue Code	270
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$0.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.11
Rate for Payer: Aetna Government	$0.11
Rate for Payer: Brighton Health Commercial	$0.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.15
Rate for Payer: Group Health Inc Commercial	$0.11
Rate for Payer: Group Health Inc Medicare	$0.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.11
Rate for Payer: Hamaspik Choice Inc Medicare	$0.11

STRAT FIRM 10X16 CM

Facility

$86.22

Service Code	HCPCS Q4130
Hospital Charge Code	64904511
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$56.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$47.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Brighton Health Commercial	$51.73
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$49.58
Rate for Payer: Group Health Inc Commercial	$43.11
Rate for Payer: Group Health Inc Medicare	$30.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.11
Rate for Payer: Hamaspik Choice Inc Medicare	$43.11
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$56.04

STRAT FIRM 10X16 CM

Facility

$86.22

Service Code	HCPCS Q4130
Hospital Charge Code	64904511
Hospital Revenue Code	636
Min. Negotiated Rate	$43.11
Max. Negotiated Rate	$43.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.11
Rate for Payer: Hamaspik Choice Inc Medicare	$43.11

STRAT FIRM 20X30 CM

Facility

$86.19

Service Code	HCPCS Q4130
Hospital Charge Code	64904515
Hospital Revenue Code	636
Min. Negotiated Rate	$43.10
Max. Negotiated Rate	$43.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.10
Rate for Payer: Hamaspik Choice Inc Medicare	$43.10

STRAT FIRM 20X30 CM

Facility

$86.19

Service Code	HCPCS Q4130
Hospital Charge Code	64904515
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$56.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$47.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Brighton Health Commercial	$51.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$49.56
Rate for Payer: Group Health Inc Commercial	$43.10
Rate for Payer: Group Health Inc Medicare	$30.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.10
Rate for Payer: Hamaspik Choice Inc Medicare	$43.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$56.02

STRAT FIRM 6X10 CM

Facility

$92.29

Service Code	HCPCS Q4130
Hospital Charge Code	64904513
Hospital Revenue Code	636
Min. Negotiated Rate	$46.14
Max. Negotiated Rate	$46.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.14
Rate for Payer: Hamaspik Choice Inc Medicare	$46.14

STRAT FIRM 6X10 CM

Facility

$92.29

Service Code	HCPCS Q4130
Hospital Charge Code	64904513
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$59.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$50.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Brighton Health Commercial	$55.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$53.07
Rate for Payer: Group Health Inc Commercial	$46.14
Rate for Payer: Group Health Inc Medicare	$32.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.14
Rate for Payer: Hamaspik Choice Inc Medicare	$46.14
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$59.99

STRATTICE 10X16SQCM

Facility

$11,358.00

Service Code	HCPCS Q4130
Hospital Charge Code	40204568
Hospital Revenue Code	636
Min. Negotiated Rate	$5,679.00
Max. Negotiated Rate	$5,679.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,679.00
Rate for Payer: Hamaspik Choice Inc Medicare	$5,679.00

STRATTICE 10X16SQCM

Facility

$11,358.00

Service Code	HCPCS Q4130
Hospital Charge Code	40204568
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$7,382.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6,246.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Brighton Health Commercial	$6,814.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,679.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$6,530.85
Rate for Payer: Group Health Inc Commercial	$5,679.00
Rate for Payer: Group Health Inc Medicare	$3,975.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,679.00
Rate for Payer: Hamaspik Choice Inc Medicare	$5,679.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7,382.70

STRATTICE 16 X 20

Facility

$80.38

Service Code	HCPCS Q4130
Hospital Charge Code	64905944
Hospital Revenue Code	636
Min. Negotiated Rate	$40.19
Max. Negotiated Rate	$40.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.19
Rate for Payer: Hamaspik Choice Inc Medicare	$40.19

STRATTICE 16 X 20

Facility

$80.38

Service Code	HCPCS Q4130
Hospital Charge Code	64905944
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$52.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Brighton Health Commercial	$48.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.22
Rate for Payer: Group Health Inc Commercial	$40.19
Rate for Payer: Group Health Inc Medicare	$28.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.19
Rate for Payer: Hamaspik Choice Inc Medicare	$40.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$52.25

STRATTICE 16X20 SQCM

Facility

$22,708.00

Service Code	HCPCS Q4130
Hospital Charge Code	40204566
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$14,760.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$12,489.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Brighton Health Commercial	$13,624.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11,354.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$13,057.10
Rate for Payer: Group Health Inc Commercial	$11,354.00
Rate for Payer: Group Health Inc Medicare	$7,947.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$11,354.00
Rate for Payer: Hamaspik Choice Inc Medicare	$11,354.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$14,760.20

STRATTICE 16X20 SQCM

Facility

$22,708.00

Service Code	HCPCS Q4130
Hospital Charge Code	40204566
Hospital Revenue Code	636
Min. Negotiated Rate	$11,354.00
Max. Negotiated Rate	$11,354.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$11,354.00
Rate for Payer: Hamaspik Choice Inc Medicare	$11,354.00

STRATTICE 20X30SQCM

Facility

$42,572.00

Service Code	HCPCS Q4130
Hospital Charge Code	40204567
Hospital Revenue Code	636
Min. Negotiated Rate	$21,286.00
Max. Negotiated Rate	$21,286.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,286.00
Rate for Payer: Hamaspik Choice Inc Medicare	$21,286.00

STRATTICE 20X30SQCM

Facility

$42,572.00

Service Code	HCPCS Q4130
Hospital Charge Code	40204567
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$27,671.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23,414.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Brighton Health Commercial	$25,543.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21,286.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$24,478.90
Rate for Payer: Group Health Inc Commercial	$21,286.00
Rate for Payer: Group Health Inc Medicare	$14,900.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$21,286.00
Rate for Payer: Hamaspik Choice Inc Medicare	$21,286.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$27,671.80

STRATTICE, PER SQ CM

Facility

$150.69

Service Code	HCPCS Q4130
Hospital Charge Code	64905943
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$97.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$82.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Brighton Health Commercial	$90.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$75.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$86.65
Rate for Payer: Group Health Inc Commercial	$75.34
Rate for Payer: Group Health Inc Medicare	$52.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.34
Rate for Payer: Hamaspik Choice Inc Medicare	$75.34
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$97.95

STRATTICE, PER SQ CM

Facility

$88.23

Service Code	HCPCS Q4130
Hospital Charge Code	40204569
Hospital Revenue Code	636
Min. Negotiated Rate	$44.12
Max. Negotiated Rate	$44.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$44.12
Rate for Payer: Hamaspik Choice Inc Medicare	$44.12

STRATTICE, PER SQ CM

Facility

$88.23

Service Code	HCPCS Q4130
Hospital Charge Code	40204569
Hospital Revenue Code	636
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$57.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$48.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.94
Rate for Payer: Aetna Government	$13.94
Rate for Payer: Brighton Health Commercial	$52.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$44.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$50.73
Rate for Payer: Group Health Inc Commercial	$44.12
Rate for Payer: Group Health Inc Medicare	$30.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$44.12
Rate for Payer: Hamaspik Choice Inc Medicare	$44.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$57.35

STRATTICE, PER SQ CM

Facility

$150.69

Service Code	HCPCS Q4130
Hospital Charge Code	64905943
Hospital Revenue Code	636
Min. Negotiated Rate	$75.34
Max. Negotiated Rate	$75.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.34
Rate for Payer: Hamaspik Choice Inc Medicare	$75.34

STR BONE SCREW 2.0X6MM

Facility

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204455
Hospital Revenue Code	278
Min. Negotiated Rate	$42.84
Max. Negotiated Rate	$42.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.84
Rate for Payer: Hamaspik Choice Inc Medicare	$42.84

STR BONE SCREW 2.0X6MM

Facility

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204455
Hospital Revenue Code	278
Min. Negotiated Rate	$29.99
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$47.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$51.41
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$42.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$49.27
Rate for Payer: EmblemHealth Commercial	$42.84
Rate for Payer: Fidelis Medicare Advantage	$89.96
Rate for Payer: Group Health Inc Commercial	$42.84
Rate for Payer: Group Health Inc Medicare	$29.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.84
Rate for Payer: Hamaspik Choice Inc Medicare	$42.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$55.69

Know your out-of-pocket cost for care.

All Charges