St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SYSTEM VBR-S 11X14 21.5 H

Facility

$10,950.00

Hospital Charge Code	64905150
Hospital Revenue Code	279
Min. Negotiated Rate	$3,832.50
Max. Negotiated Rate	$8,760.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6,022.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5,475.00
Rate for Payer: Aetna Government	$5,475.00
Rate for Payer: Brighton Health Commercial	$8,212.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8,760.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$7,446.00
Rate for Payer: Group Health Inc Commercial	$5,475.00
Rate for Payer: Group Health Inc Medicare	$3,832.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,475.00
Rate for Payer: Hamaspik Choice Inc Medicare	$5,475.00

SYST MOD HIP STEM 15 X 155MM

Facility

$8,386.00

Service Code	HCPCS C1776
Hospital Charge Code	40209104
Hospital Revenue Code	278
Min. Negotiated Rate	$4,193.00
Max. Negotiated Rate	$4,193.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,193.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,193.00

SYST MOD HIP STEM 15 X 155MM

Facility

$8,386.00

Service Code	HCPCS C1776
Hospital Charge Code	40209104
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$8,805.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,612.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$5,031.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,193.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,821.95
Rate for Payer: EmblemHealth Commercial	$4,193.00
Rate for Payer: Fidelis Medicare Advantage	$8,805.30
Rate for Payer: Group Health Inc Commercial	$4,193.00
Rate for Payer: Group Health Inc Medicare	$2,935.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,193.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,193.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,450.90

SZ 10 SYNERGY HD REMOVE COMP

Facility

$9,329.50

Service Code	HCPCS C1713
Hospital Charge Code	64904120
Hospital Revenue Code	278
Min. Negotiated Rate	$4,664.75
Max. Negotiated Rate	$4,664.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,664.75
Rate for Payer: Hamaspik Choice Inc Medicare	$4,664.75

SZ 10 SYNERGY HD REMOVE COMP

Facility

$9,329.50

Service Code	HCPCS C1713
Hospital Charge Code	64904120
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$9,795.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,131.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$5,597.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,664.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$5,364.46
Rate for Payer: EmblemHealth Commercial	$4,664.75
Rate for Payer: Fidelis Medicare Advantage	$9,795.98
Rate for Payer: Group Health Inc Commercial	$4,664.75
Rate for Payer: Group Health Inc Medicare	$3,265.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,664.75
Rate for Payer: Hamaspik Choice Inc Medicare	$4,664.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,064.18

SZ 3-4 PS 15MM INSERT

Facility

$2,736.13

Hospital Charge Code	64904122
Hospital Revenue Code	270
Min. Negotiated Rate	$957.65
Max. Negotiated Rate	$2,188.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,504.87
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,368.06
Rate for Payer: Aetna Government	$1,368.06
Rate for Payer: Brighton Health Commercial	$2,052.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,188.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,860.57
Rate for Payer: Group Health Inc Commercial	$1,368.06
Rate for Payer: Group Health Inc Medicare	$957.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,368.06
Rate for Payer: Hamaspik Choice Inc Medicare	$1,368.06

T001-IGE MAPLE/BOX ELDER

Facility

$13.05

Service Code	HCPCS 86003
Hospital Charge Code	40729258
Hospital Revenue Code	300
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$9.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.22
Rate for Payer: Aetna Government	$5.22
Rate for Payer: Brighton Health Commercial	$9.79
Rate for Payer: Cash Price	$5.22
Rate for Payer: Cash Price	$5.22
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.01
Rate for Payer: Elderplan Medicare Advantage	$5.22
Rate for Payer: EmblemHealth Commercial	$5.22
Rate for Payer: Fidelis Essential Plan Aliesa	$4.44
Rate for Payer: Fidelis Essential Plan QHP	$4.65
Rate for Payer: Fidelis Medicare Advantage	$5.22
Rate for Payer: Fidelis Qualified Health Plan	$4.65
Rate for Payer: Group Health Inc Commercial	$5.22
Rate for Payer: Group Health Inc Medicare	$5.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.52
Rate for Payer: Hamaspik Choice Inc Medicare	$5.22
Rate for Payer: Healthfirst Medicare Advantage	$5.22
Rate for Payer: Healthfirst QHP	$5.22
Rate for Payer: Senior Whole Health Medicare Advantage	$5.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.22
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.18
Rate for Payer: Wellcare Medicare	$4.70

T001-IGE MAPLE/BOX ELDER

Facility

$13.05

Service Code	HCPCS 86003
Hospital Charge Code	40729258
Hospital Revenue Code	300
Rate for Payer: Cash Price	$5.22

T003-IGE COMMON SILVER BIRCH

Facility

$13.05

Service Code	HCPCS 86003
Hospital Charge Code	40729255
Hospital Revenue Code	300
Rate for Payer: Cash Price	$5.22

T003-IGE COMMON SILVER BIRCH

Facility

$13.05

Service Code	HCPCS 86003
Hospital Charge Code	40729255
Hospital Revenue Code	300
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$9.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.22
Rate for Payer: Aetna Government	$5.22
Rate for Payer: Brighton Health Commercial	$9.79
Rate for Payer: Cash Price	$5.22
Rate for Payer: Cash Price	$5.22
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.01
Rate for Payer: Elderplan Medicare Advantage	$5.22
Rate for Payer: EmblemHealth Commercial	$5.22
Rate for Payer: Fidelis Essential Plan Aliesa	$4.44
Rate for Payer: Fidelis Essential Plan QHP	$4.65
Rate for Payer: Fidelis Medicare Advantage	$5.22
Rate for Payer: Fidelis Qualified Health Plan	$4.65
Rate for Payer: Group Health Inc Commercial	$5.22
Rate for Payer: Group Health Inc Medicare	$5.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.52
Rate for Payer: Hamaspik Choice Inc Medicare	$5.22
Rate for Payer: Healthfirst Medicare Advantage	$5.22
Rate for Payer: Healthfirst QHP	$5.22
Rate for Payer: Senior Whole Health Medicare Advantage	$5.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.22
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.18
Rate for Payer: Wellcare Medicare	$4.70

T007-IGE OAK, WHITE

Facility

$13.05

Service Code	HCPCS 86003
Hospital Charge Code	40729260
Hospital Revenue Code	300
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$9.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.22
Rate for Payer: Aetna Government	$5.22
Rate for Payer: Brighton Health Commercial	$9.79
Rate for Payer: Cash Price	$5.22
Rate for Payer: Cash Price	$5.22
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.01
Rate for Payer: Elderplan Medicare Advantage	$5.22
Rate for Payer: EmblemHealth Commercial	$5.22
Rate for Payer: Fidelis Essential Plan Aliesa	$4.44
Rate for Payer: Fidelis Essential Plan QHP	$4.65
Rate for Payer: Fidelis Medicare Advantage	$5.22
Rate for Payer: Fidelis Qualified Health Plan	$4.65
Rate for Payer: Group Health Inc Commercial	$5.22
Rate for Payer: Group Health Inc Medicare	$5.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.52
Rate for Payer: Hamaspik Choice Inc Medicare	$5.22
Rate for Payer: Healthfirst Medicare Advantage	$5.22
Rate for Payer: Healthfirst QHP	$5.22
Rate for Payer: Senior Whole Health Medicare Advantage	$5.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.22
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.18
Rate for Payer: Wellcare Medicare	$4.70

T007-IGE OAK, WHITE

Facility

$13.05

Service Code	HCPCS 86003
Hospital Charge Code	40729260
Hospital Revenue Code	300
Rate for Payer: Cash Price	$5.22

T011-IGE MAPLE LEAF SYCAMORE

Facility

$13.05

Service Code	HCPCS 86003
Hospital Charge Code	40729261
Hospital Revenue Code	300
Rate for Payer: Cash Price	$5.22

T011-IGE MAPLE LEAF SYCAMORE

Facility

$13.05

Service Code	HCPCS 86003
Hospital Charge Code	40729261
Hospital Revenue Code	300
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$9.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.22
Rate for Payer: Aetna Government	$5.22
Rate for Payer: Brighton Health Commercial	$9.79
Rate for Payer: Cash Price	$5.22
Rate for Payer: Cash Price	$5.22
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$5.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.01
Rate for Payer: Elderplan Medicare Advantage	$5.22
Rate for Payer: EmblemHealth Commercial	$5.22
Rate for Payer: Fidelis Essential Plan Aliesa	$4.44
Rate for Payer: Fidelis Essential Plan QHP	$4.65
Rate for Payer: Fidelis Medicare Advantage	$5.22
Rate for Payer: Fidelis Qualified Health Plan	$4.65
Rate for Payer: Group Health Inc Commercial	$5.22
Rate for Payer: Group Health Inc Medicare	$5.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.52
Rate for Payer: Hamaspik Choice Inc Medicare	$5.22
Rate for Payer: Healthfirst Medicare Advantage	$5.22
Rate for Payer: Healthfirst QHP	$5.22
Rate for Payer: Senior Whole Health Medicare Advantage	$5.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.22
Rate for Payer: Wellcare CHP/FHP/Medicaid	$4.18
Rate for Payer: Wellcare Medicare	$4.70

T2 ANKLE ARTHRO NAIL RT12MMX200MM

Facility

$4,084.60

Service Code	HCPCS C1713
Hospital Charge Code	40005913
Hospital Revenue Code	278
Min. Negotiated Rate	$2,042.30
Max. Negotiated Rate	$2,042.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,042.30
Rate for Payer: Hamaspik Choice Inc Medicare	$2,042.30

T2 ANKLE ARTHRO NAIL RT12MMX200MM

Facility

$4,084.60

Service Code	HCPCS C1713
Hospital Charge Code	40005913
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,288.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,246.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,450.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,042.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,348.64
Rate for Payer: EmblemHealth Commercial	$2,042.30
Rate for Payer: Fidelis Medicare Advantage	$4,288.83
Rate for Payer: Group Health Inc Commercial	$2,042.30
Rate for Payer: Group Health Inc Medicare	$1,429.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,042.30
Rate for Payer: Hamaspik Choice Inc Medicare	$2,042.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,654.99

T2 ANKLE COMPRESSION SCREW

Facility

$327.60

Service Code	HCPCS C1713
Hospital Charge Code	40005914
Hospital Revenue Code	278
Min. Negotiated Rate	$114.66
Max. Negotiated Rate	$343.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$180.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$196.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$163.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$188.37
Rate for Payer: EmblemHealth Commercial	$163.80
Rate for Payer: Fidelis Medicare Advantage	$343.98
Rate for Payer: Group Health Inc Commercial	$163.80
Rate for Payer: Group Health Inc Medicare	$114.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$163.80
Rate for Payer: Hamaspik Choice Inc Medicare	$163.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$212.94

T2 ANKLE COMPRESSION SCREW

Facility

$327.60

Service Code	HCPCS C1713
Hospital Charge Code	40005914
Hospital Revenue Code	278
Min. Negotiated Rate	$163.80
Max. Negotiated Rate	$163.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$163.80
Rate for Payer: Hamaspik Choice Inc Medicare	$163.80

T2 FEMORAL NAIL 11X 340MM

Facility

$2,966.60

Service Code	HCPCS C1776
Hospital Charge Code	40205063
Hospital Revenue Code	278
Min. Negotiated Rate	$1,483.30
Max. Negotiated Rate	$1,483.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.30

T2 FEMORAL NAIL 11X 340MM

Facility

$2,966.60

Service Code	HCPCS C1776
Hospital Charge Code	40205063
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,114.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,631.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,779.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,483.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,705.80
Rate for Payer: EmblemHealth Commercial	$1,483.30
Rate for Payer: Fidelis Medicare Advantage	$3,114.93
Rate for Payer: Group Health Inc Commercial	$1,483.30
Rate for Payer: Group Health Inc Medicare	$1,038.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,928.29

T2 FEMUR 10X360MM

Facility

$2,876.00

Service Code	HCPCS C1776
Hospital Charge Code	40209850
Hospital Revenue Code	278
Min. Negotiated Rate	$1,438.00
Max. Negotiated Rate	$1,438.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,438.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,438.00

T2 FEMUR 10X360MM

Facility

$2,876.00

Service Code	HCPCS C1776
Hospital Charge Code	40209850
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,019.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,581.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,725.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,438.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,653.70
Rate for Payer: EmblemHealth Commercial	$1,438.00
Rate for Payer: Fidelis Medicare Advantage	$3,019.80
Rate for Payer: Group Health Inc Commercial	$1,438.00
Rate for Payer: Group Health Inc Medicare	$1,006.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,438.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,438.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,869.40

T2 FEMUR 10X380MM FEMORALNAIL

Facility

$238.00

Service Code	HCPCS C1713
Hospital Charge Code	40209844
Hospital Revenue Code	278
Min. Negotiated Rate	$83.30
Max. Negotiated Rate	$249.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$130.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$142.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$119.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$136.85
Rate for Payer: EmblemHealth Commercial	$119.00
Rate for Payer: Fidelis Medicare Advantage	$249.90
Rate for Payer: Group Health Inc Commercial	$119.00
Rate for Payer: Group Health Inc Medicare	$83.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$119.00
Rate for Payer: Hamaspik Choice Inc Medicare	$119.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$154.70

T2 FEMUR 10X380MM FEMORALNAIL

Facility

$238.00

Service Code	HCPCS C1713
Hospital Charge Code	40209844
Hospital Revenue Code	278
Min. Negotiated Rate	$119.00
Max. Negotiated Rate	$119.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$119.00
Rate for Payer: Hamaspik Choice Inc Medicare	$119.00

T2 HUMMERAL NAIL 9X27MM

Facility

$1,230.50

Service Code	HCPCS C1713
Hospital Charge Code	40200312
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,292.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$676.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$738.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$615.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$707.54
Rate for Payer: EmblemHealth Commercial	$615.25
Rate for Payer: Fidelis Medicare Advantage	$1,292.02
Rate for Payer: Group Health Inc Commercial	$615.25
Rate for Payer: Group Health Inc Medicare	$430.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$615.25
Rate for Payer: Hamaspik Choice Inc Medicare	$615.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$799.82

Know your out-of-pocket cost for care.

All Charges