St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

BIT DRILL, AO DIA 2.0MM X 135MM

Facility

$314.00

Service Code	HCPCS C1713
Hospital Charge Code	64906584
Hospital Revenue Code	278
Min. Negotiated Rate	$157.00
Max. Negotiated Rate	$157.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$157.00
Rate for Payer: Hamaspik Choice Inc Medicare	$157.00

BIT DRILL, AO DIA 2.0MM X 135MM

Facility

$530.00

Service Code	HCPCS C1713
Hospital Charge Code	64906791
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$556.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$291.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$318.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$265.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$304.75
Rate for Payer: EmblemHealth Commercial	$265.00
Rate for Payer: Fidelis Medicare Advantage	$556.50
Rate for Payer: Group Health Inc Commercial	$265.00
Rate for Payer: Group Health Inc Medicare	$185.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$265.00
Rate for Payer: Hamaspik Choice Inc Medicare	$265.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$344.50

BIT DRILL, AO DIA 2.0MM X 135MM

Facility

$530.00

Service Code	HCPCS C1713
Hospital Charge Code	64906791
Hospital Revenue Code	278
Min. Negotiated Rate	$265.00
Max. Negotiated Rate	$265.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$265.00
Rate for Payer: Hamaspik Choice Inc Medicare	$265.00

BIT DRILL, AO DIA 2.0MM X 135MM

Facility

$314.00

Service Code	HCPCS C1713
Hospital Charge Code	64906584
Hospital Revenue Code	278
Min. Negotiated Rate	$109.90
Max. Negotiated Rate	$329.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$172.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$188.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$157.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$180.55
Rate for Payer: EmblemHealth Commercial	$157.00
Rate for Payer: Fidelis Medicare Advantage	$329.70
Rate for Payer: Group Health Inc Commercial	$157.00
Rate for Payer: Group Health Inc Medicare	$109.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$157.00
Rate for Payer: Hamaspik Choice Inc Medicare	$157.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$204.10

BIT DRILL, AO DIA 2.6MM X 135MM

Facility

$314.00

Service Code	HCPCS C1713
Hospital Charge Code	64906581
Hospital Revenue Code	278
Min. Negotiated Rate	$157.00
Max. Negotiated Rate	$157.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$157.00
Rate for Payer: Hamaspik Choice Inc Medicare	$157.00

BIT DRILL, AO DIA 2.6MM X 135MM

Facility

$314.00

Service Code	HCPCS C1713
Hospital Charge Code	64906581
Hospital Revenue Code	278
Min. Negotiated Rate	$109.90
Max. Negotiated Rate	$329.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$172.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$188.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$157.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$180.55
Rate for Payer: EmblemHealth Commercial	$157.00
Rate for Payer: Fidelis Medicare Advantage	$329.70
Rate for Payer: Group Health Inc Commercial	$157.00
Rate for Payer: Group Health Inc Medicare	$109.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$157.00
Rate for Payer: Hamaspik Choice Inc Medicare	$157.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$204.10

BIT DRILL CAN 2.7MM QK CONN

Facility

$382.00

Service Code	HCPCS C1776
Hospital Charge Code	40202441
Hospital Revenue Code	278
Min. Negotiated Rate	$191.00
Max. Negotiated Rate	$191.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$191.00
Rate for Payer: Hamaspik Choice Inc Medicare	$191.00

BIT DRILL CAN 2.7MM QK CONN

Facility

$382.00

Service Code	HCPCS C1776
Hospital Charge Code	40202441
Hospital Revenue Code	278
Min. Negotiated Rate	$133.70
Max. Negotiated Rate	$401.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$210.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$229.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$191.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$219.65
Rate for Payer: EmblemHealth Commercial	$191.00
Rate for Payer: Fidelis Medicare Advantage	$401.10
Rate for Payer: Group Health Inc Commercial	$191.00
Rate for Payer: Group Health Inc Medicare	$133.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$191.00
Rate for Payer: Hamaspik Choice Inc Medicare	$191.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$248.30

BIT DRILL CANLTD 4.3MM

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	64906802
Hospital Revenue Code	278
Min. Negotiated Rate	$250.00
Max. Negotiated Rate	$250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$250.00

BIT DRILL CANLTD 4.3MM

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	64906802
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$525.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$300.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$250.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$287.50
Rate for Payer: EmblemHealth Commercial	$250.00
Rate for Payer: Fidelis Medicare Advantage	$525.00
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$175.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$250.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$325.00

BIT DRILL CANNL'D 2.6MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	64906356
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$87.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.50
Rate for Payer: Hamaspik Choice Inc Medicare	$87.50

BIT DRILL CANNL'D 2.6MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	64906356
Hospital Revenue Code	278
Min. Negotiated Rate	$61.25
Max. Negotiated Rate	$183.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$96.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$105.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$87.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$100.62
Rate for Payer: EmblemHealth Commercial	$87.50
Rate for Payer: Fidelis Medicare Advantage	$183.75
Rate for Payer: Group Health Inc Commercial	$87.50
Rate for Payer: Group Health Inc Medicare	$61.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.50
Rate for Payer: Hamaspik Choice Inc Medicare	$87.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$113.75

BIT DRILL CENTRAL S/S

Facility

$422.50

Service Code	HCPCS C1713
Hospital Charge Code	64906975
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$443.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$232.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$253.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$211.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$242.94
Rate for Payer: EmblemHealth Commercial	$211.25
Rate for Payer: Fidelis Medicare Advantage	$443.62
Rate for Payer: Group Health Inc Commercial	$211.25
Rate for Payer: Group Health Inc Medicare	$147.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$211.25
Rate for Payer: Hamaspik Choice Inc Medicare	$211.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$274.62

BIT DRILL CENTRAL S/S

Facility

$422.50

Service Code	HCPCS C1713
Hospital Charge Code	64906975
Hospital Revenue Code	278
Min. Negotiated Rate	$211.25
Max. Negotiated Rate	$211.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$211.25
Rate for Payer: Hamaspik Choice Inc Medicare	$211.25

BIT DRILL LOCKING SHORT 3.1X21

Facility

$488.00

Service Code	HCPCS C1713
Hospital Charge Code	64906697
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$512.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$268.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$292.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$244.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$280.60
Rate for Payer: EmblemHealth Commercial	$244.00
Rate for Payer: Fidelis Medicare Advantage	$512.40
Rate for Payer: Group Health Inc Commercial	$244.00
Rate for Payer: Group Health Inc Medicare	$170.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$244.00
Rate for Payer: Hamaspik Choice Inc Medicare	$244.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$317.20

BIT DRILL LOCKING SHORT 3.1X21

Facility

$488.00

Service Code	HCPCS C1713
Hospital Charge Code	64906697
Hospital Revenue Code	278
Min. Negotiated Rate	$244.00
Max. Negotiated Rate	$244.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$244.00
Rate for Payer: Hamaspik Choice Inc Medicare	$244.00

BIT, DRILL NCB 3.3, 195MM

Facility

$252.16

Hospital Charge Code	40006597
Hospital Revenue Code	272
Min. Negotiated Rate	$88.26
Max. Negotiated Rate	$201.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$138.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$126.08
Rate for Payer: Aetna Government	$126.08
Rate for Payer: Brighton Health Commercial	$189.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$201.73
Rate for Payer: Cigna LocalPlus Benefit Plan	$171.47
Rate for Payer: Group Health Inc Commercial	$126.08
Rate for Payer: Group Health Inc Medicare	$88.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$126.08
Rate for Payer: Hamaspik Choice Inc Medicare	$126.08

BIT, DRILL NCB 3.3, 195MM

Facility

$358.00

Hospital Charge Code	40204571
Hospital Revenue Code	272
Min. Negotiated Rate	$125.30
Max. Negotiated Rate	$286.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$196.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$179.00
Rate for Payer: Aetna Government	$179.00
Rate for Payer: Brighton Health Commercial	$268.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$286.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$243.44
Rate for Payer: Group Health Inc Commercial	$179.00
Rate for Payer: Group Health Inc Medicare	$125.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$179.00
Rate for Payer: Hamaspik Choice Inc Medicare	$179.00

BIT DRILL NON-LOCKING SHORT 2 025

Facility

$816.00

Service Code	HCPCS C1713
Hospital Charge Code	64906698
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$856.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$448.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$489.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$408.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$469.20
Rate for Payer: EmblemHealth Commercial	$408.00
Rate for Payer: Fidelis Medicare Advantage	$856.80
Rate for Payer: Group Health Inc Commercial	$408.00
Rate for Payer: Group Health Inc Medicare	$285.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$408.00
Rate for Payer: Hamaspik Choice Inc Medicare	$408.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$530.40

BIT DRILL NON-LOCKING SHORT 2 025

Facility

$816.00

Service Code	HCPCS C1713
Hospital Charge Code	64906698
Hospital Revenue Code	278
Min. Negotiated Rate	$408.00
Max. Negotiated Rate	$408.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$408.00
Rate for Payer: Hamaspik Choice Inc Medicare	$408.00

BIT DRILL QUICK 3.2MM X 20MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	64906718
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00

BIT DRILL QUICK 3.2MM X 20MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	64906718
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$315.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$165.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$180.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$150.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$172.50
Rate for Payer: EmblemHealth Commercial	$150.00
Rate for Payer: Fidelis Medicare Advantage	$315.00
Rate for Payer: Group Health Inc Commercial	$150.00
Rate for Payer: Group Health Inc Medicare	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$195.00

BIT DRILL QUK-COUP 2.7X125MM

Facility

$228.00

Service Code	HCPCS C1776
Hospital Charge Code	40209005
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$114.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$114.00

BIT DRILL QUK-COUP 2.7X125MM

Facility

$228.00

Service Code	HCPCS C1776
Hospital Charge Code	40209005
Hospital Revenue Code	278
Min. Negotiated Rate	$79.80
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$125.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$136.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$114.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$131.10
Rate for Payer: EmblemHealth Commercial	$114.00
Rate for Payer: Fidelis Medicare Advantage	$239.40
Rate for Payer: Group Health Inc Commercial	$114.00
Rate for Payer: Group Health Inc Medicare	$79.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$114.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$148.20

BIT DRILL TW 1.6MM X 5MM

Facility

$193.88

Service Code	HCPCS C1713
Hospital Charge Code	64906929
Hospital Revenue Code	278
Min. Negotiated Rate	$96.94
Max. Negotiated Rate	$96.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$96.94
Rate for Payer: Hamaspik Choice Inc Medicare	$96.94

Know your out-of-pocket cost for care.

All Charges