St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRY 1.6MM TWIST DRILL 35MM

Facility

$235.80

Hospital Charge Code	40204714
Hospital Revenue Code	272
Min. Negotiated Rate	$82.53
Max. Negotiated Rate	$188.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$129.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$117.90
Rate for Payer: Aetna Government	$117.90
Rate for Payer: Brighton Health Commercial	$176.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$188.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$160.34
Rate for Payer: Group Health Inc Commercial	$117.90
Rate for Payer: Group Health Inc Medicare	$82.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$117.90
Rate for Payer: Hamaspik Choice Inc Medicare	$117.90

STRY 2.0 ASNIS MCRO CAN BIT 1.7MM

Facility

$339.00

Hospital Charge Code	40203451
Hospital Revenue Code	272
Min. Negotiated Rate	$118.65
Max. Negotiated Rate	$271.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$186.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$169.50
Rate for Payer: Aetna Government	$169.50
Rate for Payer: Brighton Health Commercial	$254.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$271.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.52
Rate for Payer: Group Health Inc Commercial	$169.50
Rate for Payer: Group Health Inc Medicare	$118.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$169.50
Rate for Payer: Hamaspik Choice Inc Medicare	$169.50

STRY 2.0 ASNIS MICRO CAN BIT1.7MM

Facility

$339.00

Hospital Charge Code	40204733
Hospital Revenue Code	272
Min. Negotiated Rate	$118.65
Max. Negotiated Rate	$271.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$186.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$169.50
Rate for Payer: Aetna Government	$169.50
Rate for Payer: Brighton Health Commercial	$254.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$271.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.52
Rate for Payer: Group Health Inc Commercial	$169.50
Rate for Payer: Group Health Inc Medicare	$118.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$169.50
Rate for Payer: Hamaspik Choice Inc Medicare	$169.50

STRY 2.0X10MM BN SCREW CROSS PIN

Facility

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204718
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

STRY 2.0X10MM BN SCREW CROSS PIN

Facility

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204718
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

STRY 2.0X10MM LCK SCREW CROSS PIN

Facility

$156.38

Service Code	HCPCS C1713
Hospital Charge Code	40204717
Hospital Revenue Code	278
Min. Negotiated Rate	$78.19
Max. Negotiated Rate	$78.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.19
Rate for Payer: Hamaspik Choice Inc Medicare	$78.19

STRY 2.0X10MM LCK SCREW CROSS PIN

Facility

$156.38

Service Code	HCPCS C1713
Hospital Charge Code	40204717
Hospital Revenue Code	278
Min. Negotiated Rate	$54.73
Max. Negotiated Rate	$164.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$93.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$78.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.92
Rate for Payer: EmblemHealth Commercial	$78.19
Rate for Payer: Fidelis Medicare Advantage	$164.20
Rate for Payer: Group Health Inc Commercial	$78.19
Rate for Payer: Group Health Inc Medicare	$54.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.19
Rate for Payer: Hamaspik Choice Inc Medicare	$78.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$101.65

STRY 2.0X12MM BONE SCREW CRSS PIN

Facility

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204716
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

STRY 2.0X12MM BONE SCREW CRSS PIN

Facility

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204716
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

STRY 2.0X12MM LCKNG SCR CROSS PIN

Facility

$156.44

Service Code	HCPCS C1713
Hospital Charge Code	40203424
Hospital Revenue Code	278
Min. Negotiated Rate	$78.22
Max. Negotiated Rate	$78.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.22
Rate for Payer: Hamaspik Choice Inc Medicare	$78.22

STRY 2.0X12MM LCKNG SCR CROSS PIN

Facility

$156.44

Service Code	HCPCS C1713
Hospital Charge Code	40203424
Hospital Revenue Code	278
Min. Negotiated Rate	$54.75
Max. Negotiated Rate	$164.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$93.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$78.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.95
Rate for Payer: EmblemHealth Commercial	$78.22
Rate for Payer: Fidelis Medicare Advantage	$164.26
Rate for Payer: Group Health Inc Commercial	$78.22
Rate for Payer: Group Health Inc Medicare	$54.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.22
Rate for Payer: Hamaspik Choice Inc Medicare	$78.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$101.69

STRY 2.0X14MM LCKNG SCR CROSS PIN

Facility

$156.44

Service Code	HCPCS C1713
Hospital Charge Code	40203412
Hospital Revenue Code	278
Min. Negotiated Rate	$54.75
Max. Negotiated Rate	$164.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$93.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$78.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.95
Rate for Payer: EmblemHealth Commercial	$78.22
Rate for Payer: Fidelis Medicare Advantage	$164.26
Rate for Payer: Group Health Inc Commercial	$78.22
Rate for Payer: Group Health Inc Medicare	$54.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.22
Rate for Payer: Hamaspik Choice Inc Medicare	$78.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$101.69

STRY 2.0X14MM LCKNG SCR CROSS PIN

Facility

$156.44

Service Code	HCPCS C1713
Hospital Charge Code	40203412
Hospital Revenue Code	278
Min. Negotiated Rate	$78.22
Max. Negotiated Rate	$78.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.22
Rate for Payer: Hamaspik Choice Inc Medicare	$78.22

STRY 22MM AVIATOR PLT

Facility

$4,582.50

Service Code	HCPCS C1713
Hospital Charge Code	40001792
Hospital Revenue Code	278
Min. Negotiated Rate	$2,291.25
Max. Negotiated Rate	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicare	$2,291.25

STRY 22MM AVIATOR PLT

Facility

$4,582.50

Service Code	HCPCS C1713
Hospital Charge Code	40001792
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,811.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,520.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,749.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,291.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,634.94
Rate for Payer: EmblemHealth Commercial	$2,291.25
Rate for Payer: Fidelis Medicare Advantage	$4,811.62
Rate for Payer: Group Health Inc Commercial	$2,291.25
Rate for Payer: Group Health Inc Medicare	$1,603.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicare	$2,291.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,978.62

STRY 2.3MM 2 X 4 HOLES 3DLK PLT

Facility

$845.00

Service Code	HCPCS C1713
Hospital Charge Code	40203444
Hospital Revenue Code	278
Min. Negotiated Rate	$422.50
Max. Negotiated Rate	$422.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$422.50
Rate for Payer: Hamaspik Choice Inc Medicare	$422.50

STRY 2.3MM 2 X 4 HOLES 3DLK PLT

Facility

$845.00

Service Code	HCPCS C1713
Hospital Charge Code	40203444
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$887.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$464.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$507.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$422.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$485.88
Rate for Payer: EmblemHealth Commercial	$422.50
Rate for Payer: Fidelis Medicare Advantage	$887.25
Rate for Payer: Group Health Inc Commercial	$422.50
Rate for Payer: Group Health Inc Medicare	$295.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$422.50
Rate for Payer: Hamaspik Choice Inc Medicare	$422.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$549.25

STRY 2.3MM 2X4HOLES 3DLOCKING PLT

Facility

$845.00

Service Code	HCPCS C1713
Hospital Charge Code	40204726
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$887.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$464.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$507.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$422.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$485.88
Rate for Payer: EmblemHealth Commercial	$422.50
Rate for Payer: Fidelis Medicare Advantage	$887.25
Rate for Payer: Group Health Inc Commercial	$422.50
Rate for Payer: Group Health Inc Medicare	$295.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$422.50
Rate for Payer: Hamaspik Choice Inc Medicare	$422.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$549.25

STRY 2.3MM 2X4HOLES 3DLOCKING PLT

Facility

$845.00

Service Code	HCPCS C1713
Hospital Charge Code	40204726
Hospital Revenue Code	278
Min. Negotiated Rate	$422.50
Max. Negotiated Rate	$422.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$422.50
Rate for Payer: Hamaspik Choice Inc Medicare	$422.50

STRY 2.3X10MM BN SCREW CR PIN

Facility

$104.94

Service Code	HCPCS C1713
Hospital Charge Code	40203431
Hospital Revenue Code	278
Min. Negotiated Rate	$36.73
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$57.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$62.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$52.47
Rate for Payer: Cigna LocalPlus Benefit Plan	$60.34
Rate for Payer: EmblemHealth Commercial	$52.47
Rate for Payer: Fidelis Medicare Advantage	$110.19
Rate for Payer: Group Health Inc Commercial	$52.47
Rate for Payer: Group Health Inc Medicare	$36.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.47
Rate for Payer: Hamaspik Choice Inc Medicare	$52.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$68.21

STRY 2.3X10MM BN SCREW CR PIN

Facility

$104.94

Service Code	HCPCS C1713
Hospital Charge Code	40203431
Hospital Revenue Code	278
Min. Negotiated Rate	$52.47
Max. Negotiated Rate	$52.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.47
Rate for Payer: Hamaspik Choice Inc Medicare	$52.47

STRY 2.3X10MM NB SCREW CROSS PIN

Facility

$104.94

Service Code	HCPCS C1713
Hospital Charge Code	40204713
Hospital Revenue Code	278
Min. Negotiated Rate	$36.73
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$57.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$62.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$52.47
Rate for Payer: Cigna LocalPlus Benefit Plan	$60.34
Rate for Payer: EmblemHealth Commercial	$52.47
Rate for Payer: Fidelis Medicare Advantage	$110.19
Rate for Payer: Group Health Inc Commercial	$52.47
Rate for Payer: Group Health Inc Medicare	$36.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.47
Rate for Payer: Hamaspik Choice Inc Medicare	$52.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$68.21

STRY 2.3X10MM NB SCREW CROSS PIN

Facility

$104.94

Service Code	HCPCS C1713
Hospital Charge Code	40204713
Hospital Revenue Code	278
Min. Negotiated Rate	$52.47
Max. Negotiated Rate	$52.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.47
Rate for Payer: Hamaspik Choice Inc Medicare	$52.47

STRY 2 HL RIGID DOGBNE PL T

Facility

$185.52

Service Code	HCPCS C1713
Hospital Charge Code	40204210
Hospital Revenue Code	278
Min. Negotiated Rate	$64.93
Max. Negotiated Rate	$194.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$102.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$111.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$92.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$106.67
Rate for Payer: EmblemHealth Commercial	$92.76
Rate for Payer: Fidelis Medicare Advantage	$194.80
Rate for Payer: Group Health Inc Commercial	$92.76
Rate for Payer: Group Health Inc Medicare	$64.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$92.76
Rate for Payer: Hamaspik Choice Inc Medicare	$92.76
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$120.59

STRY 2 HL RIGID DOGBNE PL T

Facility

$185.52

Service Code	HCPCS C1713
Hospital Charge Code	40204210
Hospital Revenue Code	278
Min. Negotiated Rate	$92.76
Max. Negotiated Rate	$92.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$92.76
Rate for Payer: Hamaspik Choice Inc Medicare	$92.76

Know your out-of-pocket cost for care.

All Charges