St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

HFN LAG SCREW 10.5MM X 70MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40006099
Hospital Revenue Code	278
Min. Negotiated Rate	$848.00
Max. Negotiated Rate	$848.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00

HFN LAG SCREW 10.5MM X 75MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40006100
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,780.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$932.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,017.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$848.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$975.20
Rate for Payer: EmblemHealth Commercial	$848.00
Rate for Payer: Fidelis Medicare Advantage	$1,780.80
Rate for Payer: Group Health Inc Commercial	$848.00
Rate for Payer: Group Health Inc Medicare	$593.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,102.40

HFN LAG SCREW 10.5MM X 75MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40006100
Hospital Revenue Code	278
Min. Negotiated Rate	$848.00
Max. Negotiated Rate	$848.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00

HFN LAG SCREW 10.5MM X 80MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40006101
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,780.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$932.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,017.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$848.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$975.20
Rate for Payer: EmblemHealth Commercial	$848.00
Rate for Payer: Fidelis Medicare Advantage	$1,780.80
Rate for Payer: Group Health Inc Commercial	$848.00
Rate for Payer: Group Health Inc Medicare	$593.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,102.40

HFN LAG SCREW 10.5MM X 80MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40006101
Hospital Revenue Code	278
Min. Negotiated Rate	$848.00
Max. Negotiated Rate	$848.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00

HFN LAG SCREW 10.5MM X 85MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40006102
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,780.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$932.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,017.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$848.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$975.20
Rate for Payer: EmblemHealth Commercial	$848.00
Rate for Payer: Fidelis Medicare Advantage	$1,780.80
Rate for Payer: Group Health Inc Commercial	$848.00
Rate for Payer: Group Health Inc Medicare	$593.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,102.40

HFN LAG SCREW 10.5MM X 85MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40006102
Hospital Revenue Code	278
Min. Negotiated Rate	$848.00
Max. Negotiated Rate	$848.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00

HFN LAG SCREW 10.5MM X 90MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40006103
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,780.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$932.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,017.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$848.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$975.20
Rate for Payer: EmblemHealth Commercial	$848.00
Rate for Payer: Fidelis Medicare Advantage	$1,780.80
Rate for Payer: Group Health Inc Commercial	$848.00
Rate for Payer: Group Health Inc Medicare	$593.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,102.40

HFN LAG SCREW 10.5MM X 90MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40006103
Hospital Revenue Code	278
Min. Negotiated Rate	$848.00
Max. Negotiated Rate	$848.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00

HFN LAG SCREW 10.5MM X 95MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40006104
Hospital Revenue Code	278
Min. Negotiated Rate	$848.00
Max. Negotiated Rate	$848.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00

HFN LAG SCREW 10.5MM X 95MM

Facility

$1,696.00

Service Code	HCPCS C1713
Hospital Charge Code	40006104
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,780.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$932.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,017.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$848.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$975.20
Rate for Payer: EmblemHealth Commercial	$848.00
Rate for Payer: Fidelis Medicare Advantage	$1,780.80
Rate for Payer: Group Health Inc Commercial	$848.00
Rate for Payer: Group Health Inc Medicare	$593.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$848.00
Rate for Payer: Hamaspik Choice Inc Medicare	$848.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,102.40

HFN LH 125 DEG 11MM X 260MM

Facility

$6,096.00

Service Code	HCPCS C1713
Hospital Charge Code	40006003
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,400.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,352.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,657.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,048.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,505.20
Rate for Payer: EmblemHealth Commercial	$3,048.00
Rate for Payer: Fidelis Medicare Advantage	$6,400.80
Rate for Payer: Group Health Inc Commercial	$3,048.00
Rate for Payer: Group Health Inc Medicare	$2,133.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,048.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,962.40

HFN LH 125 DEG 11MM X 260MM

Facility

$6,096.00

Service Code	HCPCS C1713
Hospital Charge Code	40006003
Hospital Revenue Code	278
Min. Negotiated Rate	$3,048.00
Max. Negotiated Rate	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,048.00

HFN LH 125 DEG 11MM X 280MM

Facility

$6,096.00

Service Code	HCPCS C1713
Hospital Charge Code	40006004
Hospital Revenue Code	278
Min. Negotiated Rate	$3,048.00
Max. Negotiated Rate	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,048.00

HFN LH 125 DEG 11MM X 280MM

Facility

$6,096.00

Service Code	HCPCS C1713
Hospital Charge Code	40006004
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,400.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,352.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,657.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,048.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,505.20
Rate for Payer: EmblemHealth Commercial	$3,048.00
Rate for Payer: Fidelis Medicare Advantage	$6,400.80
Rate for Payer: Group Health Inc Commercial	$3,048.00
Rate for Payer: Group Health Inc Medicare	$2,133.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,048.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,962.40

HFN LH 125 DEG 11MM X 300MM

Facility

$6,096.00

Service Code	HCPCS C1713
Hospital Charge Code	40006005
Hospital Revenue Code	278
Min. Negotiated Rate	$3,048.00
Max. Negotiated Rate	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,048.00

HFN LH 125 DEG 11MM X 300MM

Facility

$6,096.00

Service Code	HCPCS C1713
Hospital Charge Code	40006005
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,400.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,352.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,657.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,048.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,505.20
Rate for Payer: EmblemHealth Commercial	$3,048.00
Rate for Payer: Fidelis Medicare Advantage	$6,400.80
Rate for Payer: Group Health Inc Commercial	$3,048.00
Rate for Payer: Group Health Inc Medicare	$2,133.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,048.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,962.40

HFN LH 125 DEG 11MM X 320MM

Facility

$6,096.00

Service Code	HCPCS C1713
Hospital Charge Code	40006006
Hospital Revenue Code	278
Min. Negotiated Rate	$3,048.00
Max. Negotiated Rate	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,048.00

HFN LH 125 DEG 11MM X 320MM

Facility

$6,096.00

Service Code	HCPCS C1713
Hospital Charge Code	40006006
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,400.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,352.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,657.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,048.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,505.20
Rate for Payer: EmblemHealth Commercial	$3,048.00
Rate for Payer: Fidelis Medicare Advantage	$6,400.80
Rate for Payer: Group Health Inc Commercial	$3,048.00
Rate for Payer: Group Health Inc Medicare	$2,133.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,048.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,962.40

HFN LH 125 DEG 11MM X 340MM

Facility

$6,096.00

Service Code	HCPCS C1713
Hospital Charge Code	40006007
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,400.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,352.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,657.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,048.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,505.20
Rate for Payer: EmblemHealth Commercial	$3,048.00
Rate for Payer: Fidelis Medicare Advantage	$6,400.80
Rate for Payer: Group Health Inc Commercial	$3,048.00
Rate for Payer: Group Health Inc Medicare	$2,133.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,048.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,962.40

HFN LH 125 DEG 11MM X 340MM

Facility

$6,096.00

Service Code	HCPCS C1713
Hospital Charge Code	40006007
Hospital Revenue Code	278
Min. Negotiated Rate	$3,048.00
Max. Negotiated Rate	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,048.00

HFN LH 125 DEG 11MM X 360MM

Facility

$6,096.00

Service Code	HCPCS C1713
Hospital Charge Code	40006008
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,400.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,352.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,657.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,048.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,505.20
Rate for Payer: EmblemHealth Commercial	$3,048.00
Rate for Payer: Fidelis Medicare Advantage	$6,400.80
Rate for Payer: Group Health Inc Commercial	$3,048.00
Rate for Payer: Group Health Inc Medicare	$2,133.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,048.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,962.40

HFN LH 125 DEG 11MM X 360MM

Facility

$6,096.00

Service Code	HCPCS C1713
Hospital Charge Code	40006008
Hospital Revenue Code	278
Min. Negotiated Rate	$3,048.00
Max. Negotiated Rate	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,048.00

HFN LH 125 DEG 11MM X 380MM

Facility

$6,096.00

Service Code	HCPCS C1713
Hospital Charge Code	40006009
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,400.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,352.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,657.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,048.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,505.20
Rate for Payer: EmblemHealth Commercial	$3,048.00
Rate for Payer: Fidelis Medicare Advantage	$6,400.80
Rate for Payer: Group Health Inc Commercial	$3,048.00
Rate for Payer: Group Health Inc Medicare	$2,133.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,048.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,962.40

HFN LH 125 DEG 11MM X 380MM

Facility

$6,096.00

Service Code	HCPCS C1713
Hospital Charge Code	40006009
Hospital Revenue Code	278
Min. Negotiated Rate	$3,048.00
Max. Negotiated Rate	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,048.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,048.00

Know your out-of-pocket cost for care.

All Charges