St. Barnabas Hospital

All Charges

Charge

Type

Price

DRILL BIT

Facility OP

$963.00

Hospital Charge Code	40203575
Hospital Revenue Code	272
Min. Negotiated Rate	$337.05
Max. Negotiated Rate	$770.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$529.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$481.50
Rate for Payer: Aetna Government	$481.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$770.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$654.84
Rate for Payer: Group Health Inc Commercial	$481.50
Rate for Payer: Group Health Inc Medicare	$337.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$481.50
Rate for Payer: Hamaspik Choice Inc Medicare	$481.50

DRILL BIT

Facility OP

$280.00

Hospital Charge Code	40029605
Hospital Revenue Code	272
Min. Negotiated Rate	$98.00
Max. Negotiated Rate	$224.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$154.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$140.00
Rate for Payer: Aetna Government	$140.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$224.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$190.40
Rate for Payer: Group Health Inc Commercial	$140.00
Rate for Payer: Group Health Inc Medicare	$98.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$140.00

DRILL BIT 1.7MM

Facility IP

$416.00

Service Code	HCPCS C1713
Hospital Charge Code	40200157
Hospital Revenue Code	278
Min. Negotiated Rate	$208.00
Max. Negotiated Rate	$208.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$208.00
Rate for Payer: Hamaspik Choice Inc Medicare	$208.00

DRILL BIT 1.7MM

Facility OP

$416.00

Service Code	HCPCS C1713
Hospital Charge Code	40200157
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$436.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$228.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$208.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$239.20
Rate for Payer: Fidelis Medicare Advantage	$436.80
Rate for Payer: Group Health Inc Commercial	$208.00
Rate for Payer: Group Health Inc Medicare	$145.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$208.00
Rate for Payer: Hamaspik Choice Inc Medicare	$208.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$270.40

DRILL BIT 2.0

Facility OP

$592.00

Hospital Charge Code	40004604
Hospital Revenue Code	272
Min. Negotiated Rate	$207.20
Max. Negotiated Rate	$473.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$325.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$296.00
Rate for Payer: Aetna Government	$296.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$473.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$402.56
Rate for Payer: Group Health Inc Commercial	$296.00
Rate for Payer: Group Health Inc Medicare	$207.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$296.00
Rate for Payer: Hamaspik Choice Inc Medicare	$296.00

DRILL BIT 2.0MM

Facility IP

$129.33

Service Code	HCPCS C1713
Hospital Charge Code	40200158
Hospital Revenue Code	278
Min. Negotiated Rate	$64.66
Max. Negotiated Rate	$64.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$64.66
Rate for Payer: Hamaspik Choice Inc Medicare	$64.66

DRILL BIT 2.0MM

Facility OP

$129.33

Service Code	HCPCS C1713
Hospital Charge Code	40200158
Hospital Revenue Code	278
Min. Negotiated Rate	$45.27
Max. Negotiated Rate	$135.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$71.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$64.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$74.36
Rate for Payer: Fidelis Medicare Advantage	$135.80
Rate for Payer: Group Health Inc Commercial	$64.66
Rate for Payer: Group Health Inc Medicare	$45.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$64.66
Rate for Payer: Hamaspik Choice Inc Medicare	$64.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$84.06

DRILL BIT 2.5 MM

Facility OP

$170.00

Hospital Charge Code	40203112
Hospital Revenue Code	272
Min. Negotiated Rate	$59.50
Max. Negotiated Rate	$136.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$93.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$85.00
Rate for Payer: Aetna Government	$85.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$136.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$115.60
Rate for Payer: Group Health Inc Commercial	$85.00
Rate for Payer: Group Health Inc Medicare	$59.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$85.00
Rate for Payer: Hamaspik Choice Inc Medicare	$85.00

DRILL BIT 2.5MM

Facility OP

$440.00

Hospital Charge Code	40200655
Hospital Revenue Code	270
Min. Negotiated Rate	$154.00
Max. Negotiated Rate	$352.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$242.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$220.00
Rate for Payer: Aetna Government	$220.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$352.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$299.20
Rate for Payer: Group Health Inc Commercial	$220.00
Rate for Payer: Group Health Inc Medicare	$154.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$220.00
Rate for Payer: Hamaspik Choice Inc Medicare	$220.00

DRILLBIT 2.5MM 2.0MMX40MM

Facility OP

$188.00

Service Code	HCPCS C1713
Hospital Charge Code	40202239
Hospital Revenue Code	278
Min. Negotiated Rate	$65.80
Max. Negotiated Rate	$197.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$103.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$94.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$108.10
Rate for Payer: Fidelis Medicare Advantage	$197.40
Rate for Payer: Group Health Inc Commercial	$94.00
Rate for Payer: Group Health Inc Medicare	$65.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$94.00
Rate for Payer: Hamaspik Choice Inc Medicare	$94.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$122.20

DRILLBIT 2.5MM 2.0MMX40MM

Facility IP

$188.00

Service Code	HCPCS C1713
Hospital Charge Code	40202239
Hospital Revenue Code	278
Min. Negotiated Rate	$94.00
Max. Negotiated Rate	$94.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$94.00
Rate for Payer: Hamaspik Choice Inc Medicare	$94.00

DRILL BIT 2.6MM

Facility OP

$368.00

Hospital Charge Code	40205524
Hospital Revenue Code	270
Min. Negotiated Rate	$128.80
Max. Negotiated Rate	$294.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$202.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$184.00
Rate for Payer: Aetna Government	$184.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$294.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$250.24
Rate for Payer: Group Health Inc Commercial	$184.00
Rate for Payer: Group Health Inc Medicare	$128.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$184.00
Rate for Payer: Hamaspik Choice Inc Medicare	$184.00

DRILL BIT 3.1 MM

Facility OP

$210.00

Hospital Charge Code	40200656
Hospital Revenue Code	270
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.00
Rate for Payer: Aetna Government	$105.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.80
Rate for Payer: Group Health Inc Commercial	$105.00
Rate for Payer: Group Health Inc Medicare	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00

DRILL BIT 3.2MM

Facility OP

$210.00

Hospital Charge Code	40200657
Hospital Revenue Code	270
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.00
Rate for Payer: Aetna Government	$105.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.80
Rate for Payer: Group Health Inc Commercial	$105.00
Rate for Payer: Group Health Inc Medicare	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00

DRILL BIT 3.5MM

Facility OP

$197.40

Hospital Charge Code	40205545
Hospital Revenue Code	270
Min. Negotiated Rate	$69.09
Max. Negotiated Rate	$157.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$108.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$98.70
Rate for Payer: Aetna Government	$98.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$157.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.23
Rate for Payer: Group Health Inc Commercial	$98.70
Rate for Payer: Group Health Inc Medicare	$69.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.70
Rate for Payer: Hamaspik Choice Inc Medicare	$98.70

DRILL BIT 3.6MM

Facility OP

$197.40

Hospital Charge Code	40202142
Hospital Revenue Code	270
Min. Negotiated Rate	$69.09
Max. Negotiated Rate	$157.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$108.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$98.70
Rate for Payer: Aetna Government	$98.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$157.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.23
Rate for Payer: Group Health Inc Commercial	$98.70
Rate for Payer: Group Health Inc Medicare	$69.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.70
Rate for Payer: Hamaspik Choice Inc Medicare	$98.70

DRILL BIT 4.5

Facility OP

$146.00

Hospital Charge Code	40202143
Hospital Revenue Code	270
Min. Negotiated Rate	$51.10
Max. Negotiated Rate	$116.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$80.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$73.00
Rate for Payer: Aetna Government	$73.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$116.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$99.28
Rate for Payer: Group Health Inc Commercial	$73.00
Rate for Payer: Group Health Inc Medicare	$51.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.00
Rate for Payer: Hamaspik Choice Inc Medicare	$73.00

DRILL BIT 4.5

Facility OP

$130.50

Service Code	HCPCS C1713
Hospital Charge Code	40200501
Hospital Revenue Code	278
Min. Negotiated Rate	$45.68
Max. Negotiated Rate	$137.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$71.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$65.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$75.04
Rate for Payer: Fidelis Medicare Advantage	$137.02
Rate for Payer: Group Health Inc Commercial	$65.25
Rate for Payer: Group Health Inc Medicare	$45.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.25
Rate for Payer: Hamaspik Choice Inc Medicare	$65.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$84.82

DRILL BIT 4.5

Facility IP

$130.50

Service Code	HCPCS C1713
Hospital Charge Code	40200501
Hospital Revenue Code	278
Min. Negotiated Rate	$65.25
Max. Negotiated Rate	$65.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.25
Rate for Payer: Hamaspik Choice Inc Medicare	$65.25

DRILL BIT,AO DIA 2.6MMX135MM

Facility OP

$530.00

Hospital Charge Code	40005850
Hospital Revenue Code	272
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: 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

DRILL BIT/GUIDE

Facility OP

$316.22

Hospital Charge Code	40203089
Hospital Revenue Code	272
Min. Negotiated Rate	$110.68
Max. Negotiated Rate	$252.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$173.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$158.11
Rate for Payer: Aetna Government	$158.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$252.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$215.03
Rate for Payer: Group Health Inc Commercial	$158.11
Rate for Payer: Group Health Inc Medicare	$110.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$158.11
Rate for Payer: Hamaspik Choice Inc Medicare	$158.11

DRILL BIT J LATCH 12M

Facility OP

$300.00

Service Code	HCPCS C1776
Hospital Charge Code	40202434
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$165.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$150.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$172.50
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

DRILL BIT J LATCH 12M

Facility IP

$300.00

Service Code	HCPCS C1776
Hospital Charge Code	40202434
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

DRILL BIT/STOP HALL END 1.1X4MM

Facility OP

$288.00

Hospital Charge Code	40200202
Hospital Revenue Code	270
Min. Negotiated Rate	$100.80
Max. Negotiated Rate	$230.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$158.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$144.00
Rate for Payer: Aetna Government	$144.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$230.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$195.84
Rate for Payer: Group Health Inc Commercial	$144.00
Rate for Payer: Group Health Inc Medicare	$100.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$144.00
Rate for Payer: Hamaspik Choice Inc Medicare	$144.00

DRILL BIT/ STOP HEX COUP 1.1X4MM

Facility OP

$137.00

Hospital Charge Code	40200204
Hospital Revenue Code	270
Min. Negotiated Rate	$47.95
Max. Negotiated Rate	$109.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$75.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$68.50
Rate for Payer: Aetna Government	$68.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$109.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$93.16
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

Price Transparency.

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