St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NCB CANC SCREW 4.5 X 42MM

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007152
Hospital Revenue Code	278
Min. Negotiated Rate	$133.49
Max. Negotiated Rate	$133.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49

NCB CANC SCREW 4.5 X 44MM

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007153
Hospital Revenue Code	278
Min. Negotiated Rate	$93.44
Max. Negotiated Rate	$280.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$146.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$160.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.51
Rate for Payer: EmblemHealth Commercial	$133.49
Rate for Payer: Fidelis Medicare Advantage	$280.33
Rate for Payer: Group Health Inc Commercial	$133.49
Rate for Payer: Group Health Inc Medicare	$93.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$173.54

NCB CANC SCREW 4.5 X 44MM

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007153
Hospital Revenue Code	278
Min. Negotiated Rate	$133.49
Max. Negotiated Rate	$133.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49

NCB CANC SCREW 4.5 X 46MM

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007154
Hospital Revenue Code	278
Min. Negotiated Rate	$133.49
Max. Negotiated Rate	$133.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49

NCB CANC SCREW 4.5 X 46MM

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007154
Hospital Revenue Code	278
Min. Negotiated Rate	$93.44
Max. Negotiated Rate	$280.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$146.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$160.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.51
Rate for Payer: EmblemHealth Commercial	$133.49
Rate for Payer: Fidelis Medicare Advantage	$280.33
Rate for Payer: Group Health Inc Commercial	$133.49
Rate for Payer: Group Health Inc Medicare	$93.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$173.54

NCB CANC SCREW 4.5 X 48MM

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007155
Hospital Revenue Code	278
Min. Negotiated Rate	$93.44
Max. Negotiated Rate	$280.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$146.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$160.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.51
Rate for Payer: EmblemHealth Commercial	$133.49
Rate for Payer: Fidelis Medicare Advantage	$280.33
Rate for Payer: Group Health Inc Commercial	$133.49
Rate for Payer: Group Health Inc Medicare	$93.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$173.54

NCB CANC SCREW 4.5 X 48MM

Facility

$266.98

Service Code	HCPCS C1713
Hospital Charge Code	40007155
Hospital Revenue Code	278
Min. Negotiated Rate	$133.49
Max. Negotiated Rate	$133.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.49
Rate for Payer: Hamaspik Choice Inc Medicare	$133.49

NCB CANC SCREW 4.5 X 50MM

Facility

$252.16

Service Code	HCPCS C1713
Hospital Charge Code	40007156
Hospital Revenue Code	278
Min. Negotiated Rate	$88.26
Max. Negotiated Rate	$264.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$138.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$151.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$126.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$144.99
Rate for Payer: EmblemHealth Commercial	$126.08
Rate for Payer: Fidelis Medicare Advantage	$264.77
Rate for Payer: Group Health Inc Commercial	$126.08
Rate for Payer: Group Health Inc Medicare	$88.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$126.08
Rate for Payer: Hamaspik Choice Inc Medicare	$126.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$163.90

NCB CANC SCREW 4.5 X 50MM

Facility

$252.16

Service Code	HCPCS C1713
Hospital Charge Code	40007156
Hospital Revenue Code	278
Min. Negotiated Rate	$126.08
Max. Negotiated Rate	$126.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$126.08
Rate for Payer: Hamaspik Choice Inc Medicare	$126.08

NCB CANC SCREW 5.0X100MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40006918
Hospital Revenue Code	278
Min. Negotiated Rate	$148.32
Max. Negotiated Rate	$148.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32

NCB CANC SCREW 5.0X100MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40006918
Hospital Revenue Code	278
Min. Negotiated Rate	$103.82
Max. Negotiated Rate	$311.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$163.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$177.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$148.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$170.57
Rate for Payer: EmblemHealth Commercial	$148.32
Rate for Payer: Fidelis Medicare Advantage	$311.47
Rate for Payer: Group Health Inc Commercial	$148.32
Rate for Payer: Group Health Inc Medicare	$103.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$192.82

NCB CANC SCREW 5.0 X 50MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007091
Hospital Revenue Code	278
Min. Negotiated Rate	$148.32
Max. Negotiated Rate	$148.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32

NCB CANC SCREW 5.0 X 50MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007091
Hospital Revenue Code	278
Min. Negotiated Rate	$103.82
Max. Negotiated Rate	$311.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$163.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$177.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$148.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$170.57
Rate for Payer: EmblemHealth Commercial	$148.32
Rate for Payer: Fidelis Medicare Advantage	$311.47
Rate for Payer: Group Health Inc Commercial	$148.32
Rate for Payer: Group Health Inc Medicare	$103.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$192.82

NCB CANC SCREW 5.0 X 55MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007092
Hospital Revenue Code	278
Min. Negotiated Rate	$148.32
Max. Negotiated Rate	$148.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32

NCB CANC SCREW 5.0 X 55MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007092
Hospital Revenue Code	278
Min. Negotiated Rate	$103.82
Max. Negotiated Rate	$311.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$163.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$177.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$148.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$170.57
Rate for Payer: EmblemHealth Commercial	$148.32
Rate for Payer: Fidelis Medicare Advantage	$311.47
Rate for Payer: Group Health Inc Commercial	$148.32
Rate for Payer: Group Health Inc Medicare	$103.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$192.82

NCB CANC SCREW 5.0 X 60MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007093
Hospital Revenue Code	278
Min. Negotiated Rate	$103.82
Max. Negotiated Rate	$311.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$163.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$177.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$148.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$170.57
Rate for Payer: EmblemHealth Commercial	$148.32
Rate for Payer: Fidelis Medicare Advantage	$311.47
Rate for Payer: Group Health Inc Commercial	$148.32
Rate for Payer: Group Health Inc Medicare	$103.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$192.82

NCB CANC SCREW 5.0 X 60MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007093
Hospital Revenue Code	278
Min. Negotiated Rate	$148.32
Max. Negotiated Rate	$148.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32

NCB CANC SCREW 5.0 X 65MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007094
Hospital Revenue Code	278
Min. Negotiated Rate	$103.82
Max. Negotiated Rate	$311.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$163.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$177.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$148.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$170.57
Rate for Payer: EmblemHealth Commercial	$148.32
Rate for Payer: Fidelis Medicare Advantage	$311.47
Rate for Payer: Group Health Inc Commercial	$148.32
Rate for Payer: Group Health Inc Medicare	$103.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$192.82

NCB CANC SCREW 5.0 X 65MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007094
Hospital Revenue Code	278
Min. Negotiated Rate	$148.32
Max. Negotiated Rate	$148.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32

NCB CANC SCREW 5.0 X 70MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007095
Hospital Revenue Code	278
Min. Negotiated Rate	$148.32
Max. Negotiated Rate	$148.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32

NCB CANC SCREW 5.0 X 70MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007095
Hospital Revenue Code	278
Min. Negotiated Rate	$103.82
Max. Negotiated Rate	$311.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$163.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$177.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$148.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$170.57
Rate for Payer: EmblemHealth Commercial	$148.32
Rate for Payer: Fidelis Medicare Advantage	$311.47
Rate for Payer: Group Health Inc Commercial	$148.32
Rate for Payer: Group Health Inc Medicare	$103.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$192.82

NCB CANC SCREW 5.0 X 75MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007096
Hospital Revenue Code	278
Min. Negotiated Rate	$103.82
Max. Negotiated Rate	$311.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$163.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$177.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$148.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$170.57
Rate for Payer: EmblemHealth Commercial	$148.32
Rate for Payer: Fidelis Medicare Advantage	$311.47
Rate for Payer: Group Health Inc Commercial	$148.32
Rate for Payer: Group Health Inc Medicare	$103.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$192.82

NCB CANC SCREW 5.0 X 75MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007096
Hospital Revenue Code	278
Min. Negotiated Rate	$148.32
Max. Negotiated Rate	$148.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32

NCB CANC SCREW 5.0X80MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007097
Hospital Revenue Code	278
Min. Negotiated Rate	$103.82
Max. Negotiated Rate	$311.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$163.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$177.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$148.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$170.57
Rate for Payer: EmblemHealth Commercial	$148.32
Rate for Payer: Fidelis Medicare Advantage	$311.47
Rate for Payer: Group Health Inc Commercial	$148.32
Rate for Payer: Group Health Inc Medicare	$103.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$192.82

NCB CANC SCREW 5.0X80MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007097
Hospital Revenue Code	278
Min. Negotiated Rate	$148.32
Max. Negotiated Rate	$148.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$148.32
Rate for Payer: Hamaspik Choice Inc Medicare	$148.32

Know your out-of-pocket cost for care.

All Charges