St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

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

BIT DRILL TWIST

Facility

$367.50

Service Code	HCPCS C1713
Hospital Charge Code	64901342
Hospital Revenue Code	278
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$183.75
Rate for Payer: Hamaspik Choice Inc Medicare	$183.75

BIT DRILL TWIST

Facility

$367.50

Service Code	HCPCS C1713
Hospital Charge Code	64901342
Hospital Revenue Code	278
Min. Negotiated Rate	$128.62
Max. Negotiated Rate	$385.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$202.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$220.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$183.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$211.31
Rate for Payer: EmblemHealth Commercial	$183.75
Rate for Payer: Fidelis Medicare Advantage	$385.88
Rate for Payer: Group Health Inc Commercial	$183.75
Rate for Payer: Group Health Inc Medicare	$128.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$183.75
Rate for Payer: Hamaspik Choice Inc Medicare	$183.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$238.88

BIT DRILL TWIST 1.35 X 5MM

Facility

$277.03

Service Code	HCPCS C1713
Hospital Charge Code	64903219
Hospital Revenue Code	278
Min. Negotiated Rate	$96.96
Max. Negotiated Rate	$290.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$152.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$166.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$138.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$159.29
Rate for Payer: EmblemHealth Commercial	$138.52
Rate for Payer: Fidelis Medicare Advantage	$290.88
Rate for Payer: Group Health Inc Commercial	$138.52
Rate for Payer: Group Health Inc Medicare	$96.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.52
Rate for Payer: Hamaspik Choice Inc Medicare	$138.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$180.07

BIT DRILL TWIST 1.35 X 5MM

Facility

$277.03

Service Code	HCPCS C1713
Hospital Charge Code	64903219
Hospital Revenue Code	278
Min. Negotiated Rate	$138.52
Max. Negotiated Rate	$138.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.52
Rate for Payer: Hamaspik Choice Inc Medicare	$138.52

BIT DRILL TWIST 1.4MM DIA 27M

Facility

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64902566
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.75
Rate for Payer: Hamaspik Choice Inc Medicare	$93.75

BIT DRILL TWIST 1.4MM DIA 27M

Facility

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64902566
Hospital Revenue Code	278
Min. Negotiated Rate	$65.62
Max. Negotiated Rate	$196.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$103.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$112.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$93.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$107.81
Rate for Payer: EmblemHealth Commercial	$93.75
Rate for Payer: Fidelis Medicare Advantage	$196.88
Rate for Payer: Group Health Inc Commercial	$93.75
Rate for Payer: Group Health Inc Medicare	$65.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.75
Rate for Payer: Hamaspik Choice Inc Medicare	$93.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$121.88

BIT DRILL TWIST 1.6MM 102

Facility

$522.73

Service Code	HCPCS C1713
Hospital Charge Code	64904969
Hospital Revenue Code	278
Min. Negotiated Rate	$261.36
Max. Negotiated Rate	$261.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$261.36
Rate for Payer: Hamaspik Choice Inc Medicare	$261.36

BIT DRILL TWIST 1.6MM 102

Facility

$522.73

Service Code	HCPCS C1713
Hospital Charge Code	64904969
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$548.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$287.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$313.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$261.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$300.57
Rate for Payer: EmblemHealth Commercial	$261.36
Rate for Payer: Fidelis Medicare Advantage	$548.87
Rate for Payer: Group Health Inc Commercial	$261.36
Rate for Payer: Group Health Inc Medicare	$182.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$261.36
Rate for Payer: Hamaspik Choice Inc Medicare	$261.36
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$339.77

BIT DRILL TWIST 1.9X70MM

Facility

$367.50

Service Code	HCPCS C1713
Hospital Charge Code	64901339
Hospital Revenue Code	278
Min. Negotiated Rate	$128.62
Max. Negotiated Rate	$385.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$202.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$220.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$183.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$211.31
Rate for Payer: EmblemHealth Commercial	$183.75
Rate for Payer: Fidelis Medicare Advantage	$385.88
Rate for Payer: Group Health Inc Commercial	$183.75
Rate for Payer: Group Health Inc Medicare	$128.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$183.75
Rate for Payer: Hamaspik Choice Inc Medicare	$183.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$238.88

BIT DRILL TWIST 1.9X70MM

Facility

$367.50

Service Code	HCPCS C1713
Hospital Charge Code	64901339
Hospital Revenue Code	278
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$183.75
Rate for Payer: Hamaspik Choice Inc Medicare	$183.75

BIT DRILL TWIST 1MM DIA 22MML

Facility

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64903636
Hospital Revenue Code	278
Min. Negotiated Rate	$65.62
Max. Negotiated Rate	$196.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$103.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$112.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$93.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$107.81
Rate for Payer: EmblemHealth Commercial	$93.75
Rate for Payer: Fidelis Medicare Advantage	$196.88
Rate for Payer: Group Health Inc Commercial	$93.75
Rate for Payer: Group Health Inc Medicare	$65.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.75
Rate for Payer: Hamaspik Choice Inc Medicare	$93.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$121.88

BIT DRILL TWIST 1MM DIA 22MML

Facility

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64903636
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.75
Rate for Payer: Hamaspik Choice Inc Medicare	$93.75

BIT DRILL TWIST 2.5MM DIA 230

Facility

$326.25

Service Code	HCPCS C1713
Hospital Charge Code	64902815
Hospital Revenue Code	278
Min. Negotiated Rate	$114.19
Max. Negotiated Rate	$342.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$179.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$195.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$163.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$187.59
Rate for Payer: EmblemHealth Commercial	$163.12
Rate for Payer: Fidelis Medicare Advantage	$342.56
Rate for Payer: Group Health Inc Commercial	$163.12
Rate for Payer: Group Health Inc Medicare	$114.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$163.12
Rate for Payer: Hamaspik Choice Inc Medicare	$163.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$212.06

BIT DRILL TWIST 2.5MM DIA 230

Facility

$326.25

Service Code	HCPCS C1713
Hospital Charge Code	64902815
Hospital Revenue Code	278
Min. Negotiated Rate	$163.12
Max. Negotiated Rate	$163.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$163.12
Rate for Payer: Hamaspik Choice Inc Medicare	$163.12

BIT DRILL TWIST 2.5MM DIA 285

Facility

$385.00

Service Code	HCPCS C1713
Hospital Charge Code	64902634
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$404.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$211.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$231.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$192.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$221.38
Rate for Payer: EmblemHealth Commercial	$192.50
Rate for Payer: Fidelis Medicare Advantage	$404.25
Rate for Payer: Group Health Inc Commercial	$192.50
Rate for Payer: Group Health Inc Medicare	$134.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$192.50
Rate for Payer: Hamaspik Choice Inc Medicare	$192.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$250.25

BIT DRILL TWIST 2.5MM DIA 285

Facility

$385.00

Service Code	HCPCS C1713
Hospital Charge Code	64902634
Hospital Revenue Code	278
Min. Negotiated Rate	$192.50
Max. Negotiated Rate	$192.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$192.50
Rate for Payer: Hamaspik Choice Inc Medicare	$192.50

BIT DRILL TWIST 2.6MM DIA 4.8

Facility

$213.75

Service Code	HCPCS C1713
Hospital Charge Code	64901918
Hospital Revenue Code	278
Min. Negotiated Rate	$106.88
Max. Negotiated Rate	$106.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$106.88
Rate for Payer: Hamaspik Choice Inc Medicare	$106.88

BIT DRILL TWIST 2.6MM DIA 4.8

Facility

$213.75

Service Code	HCPCS C1713
Hospital Charge Code	64901918
Hospital Revenue Code	278
Min. Negotiated Rate	$74.81
Max. Negotiated Rate	$224.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$117.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$128.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$106.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$122.91
Rate for Payer: EmblemHealth Commercial	$106.88
Rate for Payer: Fidelis Medicare Advantage	$224.44
Rate for Payer: Group Health Inc Commercial	$106.88
Rate for Payer: Group Health Inc Medicare	$74.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$106.88
Rate for Payer: Hamaspik Choice Inc Medicare	$106.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$138.94

BIT DRILL TWIST 2.7MM DIA 125

Facility

$262.50

Service Code	HCPCS C1713
Hospital Charge Code	64902541
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.25
Rate for Payer: Hamaspik Choice Inc Medicare	$131.25

BIT DRILL TWIST 2.7MM DIA 125

Facility

$262.50

Service Code	HCPCS C1713
Hospital Charge Code	64902541
Hospital Revenue Code	278
Min. Negotiated Rate	$91.88
Max. Negotiated Rate	$275.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$144.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$157.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$131.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$150.94
Rate for Payer: EmblemHealth Commercial	$131.25
Rate for Payer: Fidelis Medicare Advantage	$275.62
Rate for Payer: Group Health Inc Commercial	$131.25
Rate for Payer: Group Health Inc Medicare	$91.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.25
Rate for Payer: Hamaspik Choice Inc Medicare	$131.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$170.62

BIT DRILL TWIST 2MM DIA 102MM

Facility

$181.25

Service Code	HCPCS C1713
Hospital Charge Code	64901886
Hospital Revenue Code	278
Min. Negotiated Rate	$63.44
Max. Negotiated Rate	$190.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$108.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$90.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$104.22
Rate for Payer: EmblemHealth Commercial	$90.62
Rate for Payer: Fidelis Medicare Advantage	$190.31
Rate for Payer: Group Health Inc Commercial	$90.62
Rate for Payer: Group Health Inc Medicare	$63.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.62
Rate for Payer: Hamaspik Choice Inc Medicare	$90.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$117.81

BIT DRILL TWIST 2MM DIA 102MM

Facility

$181.25

Service Code	HCPCS C1713
Hospital Charge Code	64901886
Hospital Revenue Code	278
Min. Negotiated Rate	$90.62
Max. Negotiated Rate	$90.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.62
Rate for Payer: Hamaspik Choice Inc Medicare	$90.62

BIT DRILL TWIST 3.1MM DIA 285

Facility

$385.00

Service Code	HCPCS C1713
Hospital Charge Code	64902632
Hospital Revenue Code	278
Min. Negotiated Rate	$192.50
Max. Negotiated Rate	$192.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$192.50
Rate for Payer: Hamaspik Choice Inc Medicare	$192.50

BIT DRILL TWIST 3.1MM DIA 285

Facility

$385.00

Service Code	HCPCS C1713
Hospital Charge Code	64902632
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$404.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$211.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$231.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$192.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$221.38
Rate for Payer: EmblemHealth Commercial	$192.50
Rate for Payer: Fidelis Medicare Advantage	$404.25
Rate for Payer: Group Health Inc Commercial	$192.50
Rate for Payer: Group Health Inc Medicare	$134.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$192.50
Rate for Payer: Hamaspik Choice Inc Medicare	$192.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$250.25

Know your out-of-pocket cost for care.

All Charges