St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

WIRE K .062X9

Facility

$362.50

Hospital Charge Code	64903047
Hospital Revenue Code	270
Min. Negotiated Rate	$126.88
Max. Negotiated Rate	$290.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$199.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$181.25
Rate for Payer: Aetna Government	$181.25
Rate for Payer: Brighton Health Commercial	$271.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$290.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$246.50
Rate for Payer: Group Health Inc Commercial	$181.25
Rate for Payer: Group Health Inc Medicare	$126.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$181.25
Rate for Payer: Hamaspik Choice Inc Medicare	$181.25

WIRE K 1.14 X 160MM

Facility

$43.75

Hospital Charge Code	64904426
Hospital Revenue Code	270
Min. Negotiated Rate	$15.31
Max. Negotiated Rate	$35.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$21.88
Rate for Payer: Aetna Government	$21.88
Rate for Payer: Brighton Health Commercial	$32.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$35.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$29.75
Rate for Payer: Group Health Inc Commercial	$21.88
Rate for Payer: Group Health Inc Medicare	$15.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.88
Rate for Payer: Hamaspik Choice Inc Medicare	$21.88

WIRE K 1.4 5-7/8 THR TROC

Facility

$137.00

Service Code	HCPCS C1769
Hospital Charge Code	40202403
Hospital Revenue Code	278
Min. Negotiated Rate	$68.50
Max. Negotiated Rate	$68.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$68.50
Rate for Payer: Hamaspik Choice Inc Medicare	$68.50

WIRE K 1.4 5-7/8 THR TROC

Facility

$137.00

Service Code	HCPCS C1769
Hospital Charge Code	40202403
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$143.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$75.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$82.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$68.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$78.78
Rate for Payer: EmblemHealth Commercial	$68.50
Rate for Payer: Fidelis Medicare Advantage	$143.85
Rate for Payer: Group Health Inc Commercial	$68.50
Rate for Payer: Group Health Inc Medicare	$47.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$68.50
Rate for Payer: Hamaspik Choice Inc Medicare	$68.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$89.05

WIRE, K 1.6MM 6

Facility

$65.00

Hospital Charge Code	40007561
Hospital Revenue Code	272
Min. Negotiated Rate	$22.75
Max. Negotiated Rate	$52.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$32.50
Rate for Payer: Aetna Government	$32.50
Rate for Payer: Brighton Health Commercial	$48.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$52.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$44.20
Rate for Payer: Group Health Inc Commercial	$32.50
Rate for Payer: Group Health Inc Medicare	$22.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.50
Rate for Payer: Hamaspik Choice Inc Medicare	$32.50

WIRE, K 1.6MM 6

Facility

$81.25

Hospital Charge Code	64906134
Hospital Revenue Code	270
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$65.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$40.62
Rate for Payer: Aetna Government	$40.62
Rate for Payer: Brighton Health Commercial	$60.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$65.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$55.25
Rate for Payer: Group Health Inc Commercial	$40.62
Rate for Payer: Group Health Inc Medicare	$28.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.62
Rate for Payer: Hamaspik Choice Inc Medicare	$40.62

WIRE, K 1.6MM 6

Facility

$65.00

Hospital Charge Code	40204642
Hospital Revenue Code	272
Min. Negotiated Rate	$22.75
Max. Negotiated Rate	$52.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$32.50
Rate for Payer: Aetna Government	$32.50
Rate for Payer: Brighton Health Commercial	$48.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$52.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$44.20
Rate for Payer: Group Health Inc Commercial	$32.50
Rate for Payer: Group Health Inc Medicare	$22.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.50
Rate for Payer: Hamaspik Choice Inc Medicare	$32.50

WIRE K 1.6MM TROCAR P 150MM

Facility

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	40205104
Hospital Revenue Code	278
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$96.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.00
Rate for Payer: EmblemHealth Commercial	$80.00
Rate for Payer: Fidelis Medicare Advantage	$168.00
Rate for Payer: Group Health Inc Commercial	$80.00
Rate for Payer: Group Health Inc Medicare	$56.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.00

WIRE K 1.6MM TROCAR P 150MM

Facility

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	40205104
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$80.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00

WIRE K 1.6MM W/STOP

Facility

$462.50

Service Code	HCPCS C1713
Hospital Charge Code	64906981
Hospital Revenue Code	278
Min. Negotiated Rate	$231.25
Max. Negotiated Rate	$231.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$231.25
Rate for Payer: Hamaspik Choice Inc Medicare	$231.25

WIRE K 1.6MM W/STOP

Facility

$462.50

Service Code	HCPCS C1713
Hospital Charge Code	64906981
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$485.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$254.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$277.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$231.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$265.94
Rate for Payer: EmblemHealth Commercial	$231.25
Rate for Payer: Fidelis Medicare Advantage	$485.62
Rate for Payer: Group Health Inc Commercial	$231.25
Rate for Payer: Group Health Inc Medicare	$161.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$231.25
Rate for Payer: Hamaspik Choice Inc Medicare	$231.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$300.62

WIRE K 1.6X200

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	64906247
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$262.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$137.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$150.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$125.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$143.75
Rate for Payer: EmblemHealth Commercial	$125.00
Rate for Payer: Fidelis Medicare Advantage	$262.50
Rate for Payer: Group Health Inc Commercial	$125.00
Rate for Payer: Group Health Inc Medicare	$87.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$125.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$162.50

WIRE K 1.6X200

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	64906247
Hospital Revenue Code	278
Min. Negotiated Rate	$125.00
Max. Negotiated Rate	$125.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$125.00

WIRE K 2.0MM X 6 SMTH TROC

Facility

$12.60

Service Code	HCPCS C1769
Hospital Charge Code	40202406
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$13.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$7.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.24
Rate for Payer: EmblemHealth Commercial	$6.30
Rate for Payer: Fidelis Medicare Advantage	$13.23
Rate for Payer: Group Health Inc Commercial	$6.30
Rate for Payer: Group Health Inc Medicare	$4.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.30
Rate for Payer: Hamaspik Choice Inc Medicare	$6.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.19

WIRE K 2.0MM X 6 SMTH TROC

Facility

$12.60

Service Code	HCPCS C1769
Hospital Charge Code	40202406
Hospital Revenue Code	278
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$6.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.30
Rate for Payer: Hamaspik Choice Inc Medicare	$6.30

WIRE K 2.0MM X 6 SMTH TROC PLN

Facility

$16.25

Hospital Charge Code	64904488
Hospital Revenue Code	270
Min. Negotiated Rate	$5.69
Max. Negotiated Rate	$13.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$8.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.12
Rate for Payer: Aetna Government	$8.12
Rate for Payer: Brighton Health Commercial	$12.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.05
Rate for Payer: Group Health Inc Commercial	$8.12
Rate for Payer: Group Health Inc Medicare	$5.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.12
Rate for Payer: Hamaspik Choice Inc Medicare	$8.12

WIRE K 2.4MM X 170MM

Facility

$43.00

Service Code	HCPCS C1713
Hospital Charge Code	64906803
Hospital Revenue Code	278
Min. Negotiated Rate	$15.05
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$25.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.72
Rate for Payer: EmblemHealth Commercial	$21.50
Rate for Payer: Fidelis Medicare Advantage	$45.15
Rate for Payer: Group Health Inc Commercial	$21.50
Rate for Payer: Group Health Inc Medicare	$15.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.50
Rate for Payer: Hamaspik Choice Inc Medicare	$21.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$27.95

WIRE K 2.4MM X 170MM

Facility

$43.00

Service Code	HCPCS C1713
Hospital Charge Code	64906803
Hospital Revenue Code	278
Min. Negotiated Rate	$21.50
Max. Negotiated Rate	$21.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.50
Rate for Payer: Hamaspik Choice Inc Medicare	$21.50

WIRE K 3.2MMX400MM

Facility

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	40200148
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$189.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$108.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$90.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$103.50
Rate for Payer: EmblemHealth Commercial	$90.00
Rate for Payer: Fidelis Medicare Advantage	$189.00
Rate for Payer: Group Health Inc Commercial	$90.00
Rate for Payer: Group Health Inc Medicare	$63.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$117.00

WIRE K 3.2MMX400MM

Facility

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	40200148
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00

WIRE K 3.2X150

Facility

$75.00

Service Code	HCPCS C1713
Hospital Charge Code	64906249
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$41.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$45.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$37.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$43.12
Rate for Payer: EmblemHealth Commercial	$37.50
Rate for Payer: Fidelis Medicare Advantage	$78.75
Rate for Payer: Group Health Inc Commercial	$37.50
Rate for Payer: Group Health Inc Medicare	$26.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$37.50
Rate for Payer: Hamaspik Choice Inc Medicare	$37.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$48.75

WIRE K 3.2X150

Facility

$75.00

Service Code	HCPCS C1713
Hospital Charge Code	64906249
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$37.50
Rate for Payer: Hamaspik Choice Inc Medicare	$37.50

WIRE K FIXATION 3X285MM WCH

Facility

$522.50

Hospital Charge Code	64906172
Hospital Revenue Code	270
Min. Negotiated Rate	$182.88
Max. Negotiated Rate	$418.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$287.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$261.25
Rate for Payer: Aetna Government	$261.25
Rate for Payer: Brighton Health Commercial	$391.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$418.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$355.30
Rate for Payer: Group Health Inc Commercial	$261.25
Rate for Payer: Group Health Inc Medicare	$182.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$261.25
Rate for Payer: Hamaspik Choice Inc Medicare	$261.25

WIRE KIRSCHNER A

Facility

$232.50

Hospital Charge Code	64904046
Hospital Revenue Code	270
Min. Negotiated Rate	$81.38
Max. Negotiated Rate	$186.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$127.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$116.25
Rate for Payer: Aetna Government	$116.25
Rate for Payer: Brighton Health Commercial	$174.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$186.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$158.10
Rate for Payer: Group Health Inc Commercial	$116.25
Rate for Payer: Group Health Inc Medicare	$81.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$116.25
Rate for Payer: Hamaspik Choice Inc Medicare	$116.25

WIRE KIRSCHNER B

Facility

$223.75

Hospital Charge Code	64904048
Hospital Revenue Code	270
Min. Negotiated Rate	$78.31
Max. Negotiated Rate	$179.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$123.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$111.88
Rate for Payer: Aetna Government	$111.88
Rate for Payer: Brighton Health Commercial	$167.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$179.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$152.15
Rate for Payer: Group Health Inc Commercial	$111.88
Rate for Payer: Group Health Inc Medicare	$78.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$111.88
Rate for Payer: Hamaspik Choice Inc Medicare	$111.88

Know your out-of-pocket cost for care.

All Charges