St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

LOCKING SCREW FT 3.5MM / L24MM

Facility

$737.50

Service Code	HCPCS C1713
Hospital Charge Code	64904745
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$774.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$405.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$442.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$368.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$424.06
Rate for Payer: EmblemHealth Commercial	$368.75
Rate for Payer: Fidelis Medicare Advantage	$774.38
Rate for Payer: Group Health Inc Commercial	$368.75
Rate for Payer: Group Health Inc Medicare	$258.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$368.75
Rate for Payer: Hamaspik Choice Inc Medicare	$368.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$479.38

LOCKING SCREW FT 3.5MM / L26MM

Facility

$626.88

Service Code	HCPCS C1713
Hospital Charge Code	64904666
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$658.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$344.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$376.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$313.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$360.46
Rate for Payer: EmblemHealth Commercial	$313.44
Rate for Payer: Fidelis Medicare Advantage	$658.22
Rate for Payer: Group Health Inc Commercial	$313.44
Rate for Payer: Group Health Inc Medicare	$219.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$313.44
Rate for Payer: Hamaspik Choice Inc Medicare	$313.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$407.47

LOCKING SCREW FT 3.5MM / L26MM

Facility

$626.88

Service Code	HCPCS C1713
Hospital Charge Code	64904666
Hospital Revenue Code	278
Min. Negotiated Rate	$313.44
Max. Negotiated Rate	$313.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$313.44
Rate for Payer: Hamaspik Choice Inc Medicare	$313.44

LOCKING SCREW FT 3.5MM / L28MM

Facility

$737.50

Service Code	HCPCS C1713
Hospital Charge Code	64904668
Hospital Revenue Code	278
Min. Negotiated Rate	$368.75
Max. Negotiated Rate	$368.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$368.75
Rate for Payer: Hamaspik Choice Inc Medicare	$368.75

LOCKING SCREW FT 3.5MM / L28MM

Facility

$737.50

Service Code	HCPCS C1713
Hospital Charge Code	64904668
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$774.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$405.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$442.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$368.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$424.06
Rate for Payer: EmblemHealth Commercial	$368.75
Rate for Payer: Fidelis Medicare Advantage	$774.38
Rate for Payer: Group Health Inc Commercial	$368.75
Rate for Payer: Group Health Inc Medicare	$258.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$368.75
Rate for Payer: Hamaspik Choice Inc Medicare	$368.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$479.38

LOCKING SCREW FT 3.5MM / L32MM

Facility

$737.50

Service Code	HCPCS C1713
Hospital Charge Code	64904736
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$774.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$405.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$442.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$368.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$424.06
Rate for Payer: EmblemHealth Commercial	$368.75
Rate for Payer: Fidelis Medicare Advantage	$774.38
Rate for Payer: Group Health Inc Commercial	$368.75
Rate for Payer: Group Health Inc Medicare	$258.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$368.75
Rate for Payer: Hamaspik Choice Inc Medicare	$368.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$479.38

LOCKING SCREW FT 3.5MM / L32MM

Facility

$737.50

Service Code	HCPCS C1713
Hospital Charge Code	64904736
Hospital Revenue Code	278
Min. Negotiated Rate	$368.75
Max. Negotiated Rate	$368.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$368.75
Rate for Payer: Hamaspik Choice Inc Medicare	$368.75

LOCKING SCREW FT 3.5MM / L34MM

Facility

$737.50

Service Code	HCPCS C1713
Hospital Charge Code	64904638
Hospital Revenue Code	278
Min. Negotiated Rate	$368.75
Max. Negotiated Rate	$368.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$368.75
Rate for Payer: Hamaspik Choice Inc Medicare	$368.75

LOCKING SCREW FT 3.5MM / L34MM

Facility

$737.50

Service Code	HCPCS C1713
Hospital Charge Code	64904638
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$774.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$405.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$442.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$368.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$424.06
Rate for Payer: EmblemHealth Commercial	$368.75
Rate for Payer: Fidelis Medicare Advantage	$774.38
Rate for Payer: Group Health Inc Commercial	$368.75
Rate for Payer: Group Health Inc Medicare	$258.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$368.75
Rate for Payer: Hamaspik Choice Inc Medicare	$368.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$479.38

LOCKING SCREW FT 3.5MM / L40MM

Facility

$626.88

Service Code	HCPCS C1713
Hospital Charge Code	64904572
Hospital Revenue Code	278
Min. Negotiated Rate	$313.44
Max. Negotiated Rate	$313.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$313.44
Rate for Payer: Hamaspik Choice Inc Medicare	$313.44

LOCKING SCREW FT 3.5MM / L40MM

Facility

$626.88

Service Code	HCPCS C1713
Hospital Charge Code	64904572
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$658.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$344.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$376.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$313.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$360.46
Rate for Payer: EmblemHealth Commercial	$313.44
Rate for Payer: Fidelis Medicare Advantage	$658.22
Rate for Payer: Group Health Inc Commercial	$313.44
Rate for Payer: Group Health Inc Medicare	$219.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$313.44
Rate for Payer: Hamaspik Choice Inc Medicare	$313.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$407.47

LOCKING SCREW FT 3.5MM / L60MM

Facility

$730.13

Service Code	HCPCS C1713
Hospital Charge Code	64904945
Hospital Revenue Code	278
Min. Negotiated Rate	$365.06
Max. Negotiated Rate	$365.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$365.06
Rate for Payer: Hamaspik Choice Inc Medicare	$365.06

LOCKING SCREW FT 3.5MM / L60MM

Facility

$730.13

Service Code	HCPCS C1713
Hospital Charge Code	64904945
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$766.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$401.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$438.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$365.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$419.82
Rate for Payer: EmblemHealth Commercial	$365.06
Rate for Payer: Fidelis Medicare Advantage	$766.64
Rate for Payer: Group Health Inc Commercial	$365.06
Rate for Payer: Group Health Inc Medicare	$255.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$365.06
Rate for Payer: Hamaspik Choice Inc Medicare	$365.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$474.58

LOCKING SCREW FT 3.5MM / L8MM

Facility

$737.50

Service Code	HCPCS C1713
Hospital Charge Code	64904686
Hospital Revenue Code	278
Min. Negotiated Rate	$368.75
Max. Negotiated Rate	$368.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$368.75
Rate for Payer: Hamaspik Choice Inc Medicare	$368.75

LOCKING SCREW FT 3.5MM / L8MM

Facility

$737.50

Service Code	HCPCS C1713
Hospital Charge Code	64904686
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$774.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$405.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$442.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$368.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$424.06
Rate for Payer: EmblemHealth Commercial	$368.75
Rate for Payer: Fidelis Medicare Advantage	$774.38
Rate for Payer: Group Health Inc Commercial	$368.75
Rate for Payer: Group Health Inc Medicare	$258.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$368.75
Rate for Payer: Hamaspik Choice Inc Medicare	$368.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$479.38

LOCKING SCREW,FULL THREAD5X37.5MM

Facility

$343.20

Service Code	HCPCS C1713
Hospital Charge Code	40005866
Hospital Revenue Code	278
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$360.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$188.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$205.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$171.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$197.34
Rate for Payer: EmblemHealth Commercial	$171.60
Rate for Payer: Fidelis Medicare Advantage	$360.36
Rate for Payer: Group Health Inc Commercial	$171.60
Rate for Payer: Group Health Inc Medicare	$120.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$171.60
Rate for Payer: Hamaspik Choice Inc Medicare	$171.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$223.08

LOCKING SCREW,FULL THREAD5X37.5MM

Facility

$343.20

Service Code	HCPCS C1713
Hospital Charge Code	40005866
Hospital Revenue Code	278
Min. Negotiated Rate	$171.60
Max. Negotiated Rate	$171.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$171.60
Rate for Payer: Hamaspik Choice Inc Medicare	$171.60

LOCKING SCREW T10 3.5MM/L10MM

Facility

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40005856
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$526.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$300.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$250.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$288.36
Rate for Payer: EmblemHealth Commercial	$250.75
Rate for Payer: Fidelis Medicare Advantage	$526.58
Rate for Payer: Group Health Inc Commercial	$250.75
Rate for Payer: Group Health Inc Medicare	$175.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$325.98

LOCKING SCREW T10 3.5MM/L10MM

Facility

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40005856
Hospital Revenue Code	278
Min. Negotiated Rate	$250.75
Max. Negotiated Rate	$250.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75

LOCKING SCREW T10 3.5MM/L14MM

Facility

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40005852
Hospital Revenue Code	278
Min. Negotiated Rate	$250.75
Max. Negotiated Rate	$250.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75

LOCKING SCREW T10 3.5MM/L14MM

Facility

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40005852
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$526.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$300.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$250.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$288.36
Rate for Payer: EmblemHealth Commercial	$250.75
Rate for Payer: Fidelis Medicare Advantage	$526.58
Rate for Payer: Group Health Inc Commercial	$250.75
Rate for Payer: Group Health Inc Medicare	$175.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$325.98

LOCKING SCREW T10 3.5MM/L16MM

Facility

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40005855
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$526.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$300.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$250.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$288.36
Rate for Payer: EmblemHealth Commercial	$250.75
Rate for Payer: Fidelis Medicare Advantage	$526.58
Rate for Payer: Group Health Inc Commercial	$250.75
Rate for Payer: Group Health Inc Medicare	$175.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$325.98

LOCKING SCREW T10 3.5MM/L16MM

Facility

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40005855
Hospital Revenue Code	278
Min. Negotiated Rate	$250.75
Max. Negotiated Rate	$250.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75

LOCKING SCREW T10 FT 2.7MM/L12MM

Facility

$626.88

Service Code	HCPCS C1713
Hospital Charge Code	64905724
Hospital Revenue Code	278
Min. Negotiated Rate	$313.44
Max. Negotiated Rate	$313.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$313.44
Rate for Payer: Hamaspik Choice Inc Medicare	$313.44

LOCKING SCREW T10 FT 2.7MM/L12MM

Facility

$626.88

Service Code	HCPCS C1713
Hospital Charge Code	64905724
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$658.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$344.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$376.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$313.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$360.46
Rate for Payer: EmblemHealth Commercial	$313.44
Rate for Payer: Fidelis Medicare Advantage	$658.22
Rate for Payer: Group Health Inc Commercial	$313.44
Rate for Payer: Group Health Inc Medicare	$219.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$313.44
Rate for Payer: Hamaspik Choice Inc Medicare	$313.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$407.47

Know your out-of-pocket cost for care.

All Charges