St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NCB CANC SCREW 5.0 X 85MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007098
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 85MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007098
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 90MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007099
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 90MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40007099
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 5.0X95MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40006917
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 5.0X95MM

Facility

$296.64

Service Code	HCPCS C1713
Hospital Charge Code	40006917
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 CANN CANC SCREW 4.5 X 30MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007176
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$420.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$240.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$200.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.28
Rate for Payer: EmblemHealth Commercial	$200.24
Rate for Payer: Fidelis Medicare Advantage	$420.50
Rate for Payer: Group Health Inc Commercial	$200.24
Rate for Payer: Group Health Inc Medicare	$140.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$260.31

NCB CANN CANC SCREW 4.5 X 30MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007176
Hospital Revenue Code	278
Min. Negotiated Rate	$200.24
Max. Negotiated Rate	$200.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24

NCB CANN CANC SCREW 4.5 X 32MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007177
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$420.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$240.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$200.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.28
Rate for Payer: EmblemHealth Commercial	$200.24
Rate for Payer: Fidelis Medicare Advantage	$420.50
Rate for Payer: Group Health Inc Commercial	$200.24
Rate for Payer: Group Health Inc Medicare	$140.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$260.31

NCB CANN CANC SCREW 4.5 X 32MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007177
Hospital Revenue Code	278
Min. Negotiated Rate	$200.24
Max. Negotiated Rate	$200.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24

NCB CANN CANC SCREW 4.5 X 34MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007178
Hospital Revenue Code	278
Min. Negotiated Rate	$200.24
Max. Negotiated Rate	$200.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24

NCB CANN CANC SCREW 4.5 X 34MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007178
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$420.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$240.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$200.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.28
Rate for Payer: EmblemHealth Commercial	$200.24
Rate for Payer: Fidelis Medicare Advantage	$420.50
Rate for Payer: Group Health Inc Commercial	$200.24
Rate for Payer: Group Health Inc Medicare	$140.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$260.31

NCB CANN CANC SCREW 4.5 X 36MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007179
Hospital Revenue Code	278
Min. Negotiated Rate	$200.24
Max. Negotiated Rate	$200.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24

NCB CANN CANC SCREW 4.5 X 36MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007179
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$420.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$240.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$200.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.28
Rate for Payer: EmblemHealth Commercial	$200.24
Rate for Payer: Fidelis Medicare Advantage	$420.50
Rate for Payer: Group Health Inc Commercial	$200.24
Rate for Payer: Group Health Inc Medicare	$140.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$260.31

NCB CANN CANC SCREW 4.5 X 38MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007180
Hospital Revenue Code	278
Min. Negotiated Rate	$200.24
Max. Negotiated Rate	$200.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24

NCB CANN CANC SCREW 4.5 X 38MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007180
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$420.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$240.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$200.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.28
Rate for Payer: EmblemHealth Commercial	$200.24
Rate for Payer: Fidelis Medicare Advantage	$420.50
Rate for Payer: Group Health Inc Commercial	$200.24
Rate for Payer: Group Health Inc Medicare	$140.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$260.31

NCB CANN CANC SCREW 4.5 X 40MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007181
Hospital Revenue Code	278
Min. Negotiated Rate	$200.24
Max. Negotiated Rate	$200.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24

NCB CANN CANC SCREW 4.5 X 40MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007181
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$420.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$240.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$200.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.28
Rate for Payer: EmblemHealth Commercial	$200.24
Rate for Payer: Fidelis Medicare Advantage	$420.50
Rate for Payer: Group Health Inc Commercial	$200.24
Rate for Payer: Group Health Inc Medicare	$140.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$260.31

NCB CANN CANC SCREW 4.5 X 42MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007182
Hospital Revenue Code	278
Min. Negotiated Rate	$200.24
Max. Negotiated Rate	$200.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24

NCB CANN CANC SCREW 4.5 X 42MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007182
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$420.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$240.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$200.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.28
Rate for Payer: EmblemHealth Commercial	$200.24
Rate for Payer: Fidelis Medicare Advantage	$420.50
Rate for Payer: Group Health Inc Commercial	$200.24
Rate for Payer: Group Health Inc Medicare	$140.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$260.31

NCB CANN CANC SCREW 4.5 X 44MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007183
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$420.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$240.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$200.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.28
Rate for Payer: EmblemHealth Commercial	$200.24
Rate for Payer: Fidelis Medicare Advantage	$420.50
Rate for Payer: Group Health Inc Commercial	$200.24
Rate for Payer: Group Health Inc Medicare	$140.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$260.31

NCB CANN CANC SCREW 4.5 X 44MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007183
Hospital Revenue Code	278
Min. Negotiated Rate	$200.24
Max. Negotiated Rate	$200.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24

NCB CANN CANC SCREW 4.5 X 46MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007184
Hospital Revenue Code	278
Min. Negotiated Rate	$200.24
Max. Negotiated Rate	$200.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24

NCB CANN CANC SCREW 4.5 X 46MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007184
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$420.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$240.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$200.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.28
Rate for Payer: EmblemHealth Commercial	$200.24
Rate for Payer: Fidelis Medicare Advantage	$420.50
Rate for Payer: Group Health Inc Commercial	$200.24
Rate for Payer: Group Health Inc Medicare	$140.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$260.31

NCB CANN CANC SCREW 4.5 X 48MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007185
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$420.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$240.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$200.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.28
Rate for Payer: EmblemHealth Commercial	$200.24
Rate for Payer: Fidelis Medicare Advantage	$420.50
Rate for Payer: Group Health Inc Commercial	$200.24
Rate for Payer: Group Health Inc Medicare	$140.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.24
Rate for Payer: Hamaspik Choice Inc Medicare	$200.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$260.31

Know your out-of-pocket cost for care.

All Charges