St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ACTIVE ARTICULATION E1

Facility

$6,130.00

Hospital Charge Code	64905571
Hospital Revenue Code	270
Min. Negotiated Rate	$2,145.50
Max. Negotiated Rate	$4,904.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,371.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,065.00
Rate for Payer: Aetna Government	$3,065.00
Rate for Payer: Brighton Health Commercial	$4,597.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,904.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,168.40
Rate for Payer: Group Health Inc Commercial	$3,065.00
Rate for Payer: Group Health Inc Medicare	$2,145.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,065.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,065.00

ACUMED 10MM MICRO ACUTRAK 2 B/S

Facility

$1,046.00

Service Code	HCPCS C1713
Hospital Charge Code	40206233
Hospital Revenue Code	278
Min. Negotiated Rate	$523.00
Max. Negotiated Rate	$523.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$523.00
Rate for Payer: Hamaspik Choice Inc Medicare	$523.00

ACUMED 10MM MICRO ACUTRAK 2 B/S

Facility

$1,046.00

Service Code	HCPCS C1713
Hospital Charge Code	40206233
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,098.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$575.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$627.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$523.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$601.45
Rate for Payer: EmblemHealth Commercial	$523.00
Rate for Payer: Fidelis Medicare Advantage	$1,098.30
Rate for Payer: Group Health Inc Commercial	$523.00
Rate for Payer: Group Health Inc Medicare	$366.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$523.00
Rate for Payer: Hamaspik Choice Inc Medicare	$523.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$679.90

ACUMED ACTK FIX SYS 20.0MM/2 B/S

Facility

$916.00

Service Code	HCPCS C1713
Hospital Charge Code	40205414
Hospital Revenue Code	278
Min. Negotiated Rate	$458.00
Max. Negotiated Rate	$458.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$458.00
Rate for Payer: Hamaspik Choice Inc Medicare	$458.00

ACUMED ACTK FIX SYS 20.0MM/2 B/S

Facility

$916.00

Service Code	HCPCS C1713
Hospital Charge Code	40205414
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$961.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$503.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$549.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$458.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$526.70
Rate for Payer: EmblemHealth Commercial	$458.00
Rate for Payer: Fidelis Medicare Advantage	$961.80
Rate for Payer: Group Health Inc Commercial	$458.00
Rate for Payer: Group Health Inc Medicare	$320.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$458.00
Rate for Payer: Hamaspik Choice Inc Medicare	$458.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$595.40

ACUMED ACUTRAK 2.5MM MINI D/B

Facility

$530.00

Hospital Charge Code	40205655
Hospital Revenue Code	270
Min. Negotiated Rate	$185.50
Max. Negotiated Rate	$424.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$291.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$265.00
Rate for Payer: Aetna Government	$265.00
Rate for Payer: Brighton Health Commercial	$397.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$424.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$360.40
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

ACUMED ACUTRAK FIX SYS 16.0MM

Facility

$916.00

Service Code	HCPCS C1713
Hospital Charge Code	40205440
Hospital Revenue Code	278
Min. Negotiated Rate	$458.00
Max. Negotiated Rate	$458.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$458.00
Rate for Payer: Hamaspik Choice Inc Medicare	$458.00

ACUMED ACUTRAK FIX SYS 16.0MM

Facility

$916.00

Service Code	HCPCS C1713
Hospital Charge Code	40205440
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$961.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$503.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$549.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$458.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$526.70
Rate for Payer: EmblemHealth Commercial	$458.00
Rate for Payer: Fidelis Medicare Advantage	$961.80
Rate for Payer: Group Health Inc Commercial	$458.00
Rate for Payer: Group Health Inc Medicare	$320.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$458.00
Rate for Payer: Hamaspik Choice Inc Medicare	$458.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$595.40

ACUMED GUIDEWIRE .035

Facility

$18.00

Service Code	HCPCS C1769
Hospital Charge Code	40200362
Hospital Revenue Code	278
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.00
Rate for Payer: Hamaspik Choice Inc Medicare	$9.00

ACUMED GUIDEWIRE .035

Facility

$18.00

Service Code	HCPCS C1769
Hospital Charge Code	40200362
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$18.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$10.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$9.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.35
Rate for Payer: EmblemHealth Commercial	$9.00
Rate for Payer: Fidelis Medicare Advantage	$18.90
Rate for Payer: Group Health Inc Commercial	$9.00
Rate for Payer: Group Health Inc Medicare	$6.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$9.00
Rate for Payer: Hamaspik Choice Inc Medicare	$9.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$11.70

ACUMED MINI ACUTRAX X B/S 30MM

Facility

$952.00

Service Code	HCPCS C1713
Hospital Charge Code	40205656
Hospital Revenue Code	278
Min. Negotiated Rate	$476.00
Max. Negotiated Rate	$476.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$476.00
Rate for Payer: Hamaspik Choice Inc Medicare	$476.00

ACUMED MINI ACUTRAX X B/S 30MM

Facility

$952.00

Service Code	HCPCS C1713
Hospital Charge Code	40205656
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$999.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$523.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$571.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$476.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$547.40
Rate for Payer: EmblemHealth Commercial	$476.00
Rate for Payer: Fidelis Medicare Advantage	$999.60
Rate for Payer: Group Health Inc Commercial	$476.00
Rate for Payer: Group Health Inc Medicare	$333.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$476.00
Rate for Payer: Hamaspik Choice Inc Medicare	$476.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$618.80

ACUMED OLECRANON PLATE MEDIUM

Facility

$1,268.00

Service Code	HCPCS C1713
Hospital Charge Code	40200363
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,331.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$697.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$760.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$634.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$729.10
Rate for Payer: EmblemHealth Commercial	$634.00
Rate for Payer: Fidelis Medicare Advantage	$1,331.40
Rate for Payer: Group Health Inc Commercial	$634.00
Rate for Payer: Group Health Inc Medicare	$443.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$634.00
Rate for Payer: Hamaspik Choice Inc Medicare	$634.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$824.20

ACUMED OLECRANON PLATE MEDIUM

Facility

$1,268.00

Service Code	HCPCS C1713
Hospital Charge Code	40200363
Hospital Revenue Code	278
Min. Negotiated Rate	$634.00
Max. Negotiated Rate	$634.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$634.00
Rate for Payer: Hamaspik Choice Inc Medicare	$634.00

ACUMED POSTERIOR PLATE

Facility

$1,268.00

Service Code	HCPCS C1713
Hospital Charge Code	40200364
Hospital Revenue Code	278
Min. Negotiated Rate	$634.00
Max. Negotiated Rate	$634.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$634.00
Rate for Payer: Hamaspik Choice Inc Medicare	$634.00

ACUMED POSTERIOR PLATE

Facility

$1,268.00

Service Code	HCPCS C1713
Hospital Charge Code	40200364
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,331.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$697.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$760.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$634.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$729.10
Rate for Payer: EmblemHealth Commercial	$634.00
Rate for Payer: Fidelis Medicare Advantage	$1,331.40
Rate for Payer: Group Health Inc Commercial	$634.00
Rate for Payer: Group Health Inc Medicare	$443.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$634.00
Rate for Payer: Hamaspik Choice Inc Medicare	$634.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$824.20

ACUMED SCREW CORTICAL 3.5

Facility

$185.50

Service Code	HCPCS C1713
Hospital Charge Code	40205658
Hospital Revenue Code	278
Min. Negotiated Rate	$64.92
Max. Negotiated Rate	$194.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$102.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$111.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$92.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$106.66
Rate for Payer: EmblemHealth Commercial	$92.75
Rate for Payer: Fidelis Medicare Advantage	$194.78
Rate for Payer: Group Health Inc Commercial	$92.75
Rate for Payer: Group Health Inc Medicare	$64.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$92.75
Rate for Payer: Hamaspik Choice Inc Medicare	$92.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$120.58

ACUMED SCREW CORTICAL 3.5

Facility

$185.50

Service Code	HCPCS C1713
Hospital Charge Code	40205658
Hospital Revenue Code	278
Min. Negotiated Rate	$92.75
Max. Negotiated Rate	$92.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$92.75
Rate for Payer: Hamaspik Choice Inc Medicare	$92.75

ACUMED SCREW CORTICAL 3.5X60MM

Facility

$620.00

Service Code	HCPCS C1713
Hospital Charge Code	40205659
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$651.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$341.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$372.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$310.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$356.50
Rate for Payer: EmblemHealth Commercial	$310.00
Rate for Payer: Fidelis Medicare Advantage	$651.00
Rate for Payer: Group Health Inc Commercial	$310.00
Rate for Payer: Group Health Inc Medicare	$217.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$310.00
Rate for Payer: Hamaspik Choice Inc Medicare	$310.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$403.00

ACUMED SCREW CORTICAL 3.5X60MM

Facility

$620.00

Service Code	HCPCS C1713
Hospital Charge Code	40205659
Hospital Revenue Code	278
Min. Negotiated Rate	$310.00
Max. Negotiated Rate	$310.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$310.00
Rate for Payer: Hamaspik Choice Inc Medicare	$310.00

ACUMED SCRW CORT 2.7

Facility

$162.50

Service Code	HCPCS C1713
Hospital Charge Code	40205657
Hospital Revenue Code	278
Min. Negotiated Rate	$56.88
Max. Negotiated Rate	$170.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$89.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$97.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$81.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$93.44
Rate for Payer: EmblemHealth Commercial	$81.25
Rate for Payer: Fidelis Medicare Advantage	$170.62
Rate for Payer: Group Health Inc Commercial	$81.25
Rate for Payer: Group Health Inc Medicare	$56.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.25
Rate for Payer: Hamaspik Choice Inc Medicare	$81.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$105.62

ACUMED SCRW CORT 2.7

Facility

$162.50

Service Code	HCPCS C1713
Hospital Charge Code	40205657
Hospital Revenue Code	278
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$81.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.25
Rate for Payer: Hamaspik Choice Inc Medicare	$81.25

ACUMED SCRW LCK 2.7

Facility

$262.50

Service Code	HCPCS C1713
Hospital Charge Code	40205660
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

ACUMED SCRW LCK 2.7

Facility

$262.50

Service Code	HCPCS C1713
Hospital Charge Code	40205660
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

ACUMED SCRW LCKNG 3.5X

Facility

$317.50

Service Code	HCPCS C1776
Hospital Charge Code	40208165
Hospital Revenue Code	278
Min. Negotiated Rate	$158.75
Max. Negotiated Rate	$158.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$158.75
Rate for Payer: Hamaspik Choice Inc Medicare	$158.75

Know your out-of-pocket cost for care.

All Charges