St. Barnabas Hospital

All Charges

Charge

Type

Price

DRILL TWIST 1.5 X 115MM

Facility IP

$248.00

Service Code	HCPCS C1776
Hospital Charge Code	40205068
Hospital Revenue Code	278
Min. Negotiated Rate	$124.00
Max. Negotiated Rate	$124.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$124.00
Rate for Payer: Hamaspik Choice Inc Medicare	$124.00

DRILL TWIST 1.5 X 115MM

Facility OP

$248.00

Service Code	HCPCS C1776
Hospital Charge Code	40205068
Hospital Revenue Code	278
Min. Negotiated Rate	$86.80
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$136.40
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	$124.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.60
Rate for Payer: Fidelis Medicare Advantage	$260.40
Rate for Payer: Group Health Inc Commercial	$124.00
Rate for Payer: Group Health Inc Medicare	$86.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$124.00
Rate for Payer: Hamaspik Choice Inc Medicare	$124.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$161.20

DRILL TWIST 1.5 X 115MM A

Facility IP

$327.08

Service Code	HCPCS C1713
Hospital Charge Code	64901978
Hospital Revenue Code	278
Min. Negotiated Rate	$163.54
Max. Negotiated Rate	$163.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$163.54
Rate for Payer: Hamaspik Choice Inc Medicare	$163.54

DRILL TWIST 1.5 X 115MM A

Facility OP

$327.08

Service Code	HCPCS C1713
Hospital Charge Code	64901978
Hospital Revenue Code	278
Min. Negotiated Rate	$114.48
Max. Negotiated Rate	$343.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$179.89
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	$163.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$188.07
Rate for Payer: Fidelis Medicare Advantage	$343.43
Rate for Payer: Group Health Inc Commercial	$163.54
Rate for Payer: Group Health Inc Medicare	$114.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$163.54
Rate for Payer: Hamaspik Choice Inc Medicare	$163.54
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$212.60

DRILL TWIST 1.6M 7MM STOP CHUK

Facility OP

$264.25

Service Code	HCPCS C1713
Hospital Charge Code	64901463
Hospital Revenue Code	278
Min. Negotiated Rate	$92.49
Max. Negotiated Rate	$277.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$145.34
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	$132.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$151.94
Rate for Payer: Fidelis Medicare Advantage	$277.46
Rate for Payer: Group Health Inc Commercial	$132.12
Rate for Payer: Group Health Inc Medicare	$92.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$132.12
Rate for Payer: Hamaspik Choice Inc Medicare	$132.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$171.76

DRILL TWIST 1.6M 7MM STOP CHUK

Facility IP

$264.25

Service Code	HCPCS C1713
Hospital Charge Code	64901463
Hospital Revenue Code	278
Min. Negotiated Rate	$132.12
Max. Negotiated Rate	$132.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$132.12
Rate for Payer: Hamaspik Choice Inc Medicare	$132.12

DRILL TWIST 1.6X 5MM

Facility OP

$220.00

Hospital Charge Code	40200663
Hospital Revenue Code	270
Min. Negotiated Rate	$77.00
Max. Negotiated Rate	$176.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$121.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$110.00
Rate for Payer: Aetna Government	$110.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$176.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$149.60
Rate for Payer: Group Health Inc Commercial	$110.00
Rate for Payer: Group Health Inc Medicare	$77.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$110.00
Rate for Payer: Hamaspik Choice Inc Medicare	$110.00

DRILL TWIST 1.9

Facility OP

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64905272
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: Cigna HMO/Network Benefit Plan/Open Access	$93.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$107.81
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

DRILL TWIST 1.9

Facility IP

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64905272
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

DRILL TWIST 1.9MM DIA. AO

Facility IP

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64905612
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

DRILL TWIST 1.9MM DIA. AO

Facility OP

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64905612
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: Cigna HMO/Network Benefit Plan/Open Access	$93.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$107.81
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

DRILL TWIST 1.9MM DIA. AO

Facility OP

$150.00

Hospital Charge Code	40005927
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$120.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$82.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$75.00
Rate for Payer: Aetna Government	$75.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$102.00
Rate for Payer: Group Health Inc Commercial	$75.00
Rate for Payer: Group Health Inc Medicare	$52.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.00
Rate for Payer: Hamaspik Choice Inc Medicare	$75.00

DRILL TWIST 1.9X 35MM STRYKER

Facility OP

$330.00

Service Code	HCPCS C1713
Hospital Charge Code	64901519
Hospital Revenue Code	278
Min. Negotiated Rate	$115.50
Max. Negotiated Rate	$346.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$181.50
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	$165.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$189.75
Rate for Payer: Fidelis Medicare Advantage	$346.50
Rate for Payer: Group Health Inc Commercial	$165.00
Rate for Payer: Group Health Inc Medicare	$115.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$165.00
Rate for Payer: Hamaspik Choice Inc Medicare	$165.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$214.50

DRILL TWIST 1.9X 35MM STRYKER

Facility IP

$330.00

Service Code	HCPCS C1713
Hospital Charge Code	64901519
Hospital Revenue Code	278
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$165.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$165.00
Rate for Payer: Hamaspik Choice Inc Medicare	$165.00

DRILL TWIST 1.9X 70MM

Facility IP

$248.00

Service Code	HCPCS C1776
Hospital Charge Code	40205079
Hospital Revenue Code	278
Min. Negotiated Rate	$124.00
Max. Negotiated Rate	$124.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$124.00
Rate for Payer: Hamaspik Choice Inc Medicare	$124.00

DRILL TWIST 1.9X 70MM

Facility OP

$248.00

Service Code	HCPCS C1776
Hospital Charge Code	40205079
Hospital Revenue Code	278
Min. Negotiated Rate	$86.80
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$136.40
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	$124.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.60
Rate for Payer: Fidelis Medicare Advantage	$260.40
Rate for Payer: Group Health Inc Commercial	$124.00
Rate for Payer: Group Health Inc Medicare	$86.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$124.00
Rate for Payer: Hamaspik Choice Inc Medicare	$124.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$161.20

DRILL TWIST 1.9X70MM

Facility OP

$248.00

Service Code	HCPCS C1713
Hospital Charge Code	40205001
Hospital Revenue Code	278
Min. Negotiated Rate	$86.80
Max. Negotiated Rate	$260.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$136.40
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	$124.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.60
Rate for Payer: Fidelis Medicare Advantage	$260.40
Rate for Payer: Group Health Inc Commercial	$124.00
Rate for Payer: Group Health Inc Medicare	$86.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$124.00
Rate for Payer: Hamaspik Choice Inc Medicare	$124.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$161.20

DRILL TWIST 1.9X70MM

Facility IP

$322.50

Service Code	HCPCS C1713
Hospital Charge Code	64901336
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$161.25
Rate for Payer: Hamaspik Choice Inc Medicare	$161.25

DRILL TWIST 1.9X70MM

Facility OP

$322.50

Service Code	HCPCS C1713
Hospital Charge Code	64901336
Hospital Revenue Code	278
Min. Negotiated Rate	$112.88
Max. Negotiated Rate	$338.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$177.38
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	$161.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$185.44
Rate for Payer: Fidelis Medicare Advantage	$338.62
Rate for Payer: Group Health Inc Commercial	$161.25
Rate for Payer: Group Health Inc Medicare	$112.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$161.25
Rate for Payer: Hamaspik Choice Inc Medicare	$161.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$209.62

DRILL TWIST 1.9X70MM

Facility IP

$248.00

Service Code	HCPCS C1713
Hospital Charge Code	40205001
Hospital Revenue Code	278
Min. Negotiated Rate	$124.00
Max. Negotiated Rate	$124.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$124.00
Rate for Payer: Hamaspik Choice Inc Medicare	$124.00

DRILL TWIST 1.9 X 8MM

Facility OP

$277.03

Service Code	HCPCS C1713
Hospital Charge Code	64901962
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: Cigna HMO/Network Benefit Plan/Open Access	$138.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$159.29
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

DRILL TWIST 1.9 X 8MM

Facility IP

$277.03

Service Code	HCPCS C1713
Hospital Charge Code	64901962
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

DRILL TWIST 3.5MDIA195ML QU700353

Facility IP

$104.50

Service Code	HCPCS C1713
Hospital Charge Code	64906442
Hospital Revenue Code	278
Min. Negotiated Rate	$52.25
Max. Negotiated Rate	$52.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.25
Rate for Payer: Hamaspik Choice Inc Medicare	$52.25

DRILL TWIST 3.5MDIA195ML QU700353

Facility OP

$104.50

Service Code	HCPCS C1713
Hospital Charge Code	64906442
Hospital Revenue Code	278
Min. Negotiated Rate	$36.58
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$57.48
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	$52.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$60.09
Rate for Payer: Fidelis Medicare Advantage	$109.72
Rate for Payer: Group Health Inc Commercial	$52.25
Rate for Payer: Group Health Inc Medicare	$36.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.25
Rate for Payer: Hamaspik Choice Inc Medicare	$52.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$67.92

DRILL TWST 1.5 DIA X 50MM CYL

Facility OP

$367.50

Service Code	HCPCS C1713
Hospital Charge Code	64901731
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: Cigna HMO/Network Benefit Plan/Open Access	$183.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$211.31
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

Price Transparency.

All Charges