St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

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	$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 50MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007186
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 50MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007186
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 55MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007187
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 55MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007187
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 60MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007188
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 60MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007188
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 65MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007189
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 65MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007189
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 70MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007190
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 70MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007190
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 75MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007191
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 75MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007191
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 80MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007192
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 80MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007192
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 85MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007193
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 85MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007193
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 90MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007194
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 90MM

Facility

$400.48

Service Code	HCPCS C1713
Hospital Charge Code	40007194
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 CRT SCREW 4.0X14MM SLFTP

Facility

$355.98

Service Code	HCPCS C1713
Hospital Charge Code	40007157
Hospital Revenue Code	278
Min. Negotiated Rate	$124.59
Max. Negotiated Rate	$373.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$195.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$213.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$177.99
Rate for Payer: Cigna LocalPlus Benefit Plan	$204.69
Rate for Payer: EmblemHealth Commercial	$177.99
Rate for Payer: Fidelis Medicare Advantage	$373.78
Rate for Payer: Group Health Inc Commercial	$177.99
Rate for Payer: Group Health Inc Medicare	$124.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.99
Rate for Payer: Hamaspik Choice Inc Medicare	$177.99
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$231.39

NCB CANN CRT SCREW 4.0X14MM SLFTP

Facility

$355.98

Service Code	HCPCS C1713
Hospital Charge Code	40007157
Hospital Revenue Code	278
Min. Negotiated Rate	$177.99
Max. Negotiated Rate	$177.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.99
Rate for Payer: Hamaspik Choice Inc Medicare	$177.99

NCB CANN CRT SCREW 4.0X16MM SLFTP

Facility

$355.98

Service Code	HCPCS C1713
Hospital Charge Code	40007158
Hospital Revenue Code	278
Min. Negotiated Rate	$177.99
Max. Negotiated Rate	$177.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.99
Rate for Payer: Hamaspik Choice Inc Medicare	$177.99

NCB CANN CRT SCREW 4.0X16MM SLFTP

Facility

$355.98

Service Code	HCPCS C1713
Hospital Charge Code	40007158
Hospital Revenue Code	278
Min. Negotiated Rate	$124.59
Max. Negotiated Rate	$373.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$195.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$213.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$177.99
Rate for Payer: Cigna LocalPlus Benefit Plan	$204.69
Rate for Payer: EmblemHealth Commercial	$177.99
Rate for Payer: Fidelis Medicare Advantage	$373.78
Rate for Payer: Group Health Inc Commercial	$177.99
Rate for Payer: Group Health Inc Medicare	$124.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.99
Rate for Payer: Hamaspik Choice Inc Medicare	$177.99
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$231.39

NCB CANN CRT SCREW 4.0X18M SLFTP

Facility

$355.98

Service Code	HCPCS C1713
Hospital Charge Code	40007159
Hospital Revenue Code	278
Min. Negotiated Rate	$124.59
Max. Negotiated Rate	$373.78
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$195.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$213.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$177.99
Rate for Payer: Cigna LocalPlus Benefit Plan	$204.69
Rate for Payer: EmblemHealth Commercial	$177.99
Rate for Payer: Fidelis Medicare Advantage	$373.78
Rate for Payer: Group Health Inc Commercial	$177.99
Rate for Payer: Group Health Inc Medicare	$124.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.99
Rate for Payer: Hamaspik Choice Inc Medicare	$177.99
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$231.39

NCB CANN CRT SCREW 4.0X18M SLFTP

Facility

$355.98

Service Code	HCPCS C1713
Hospital Charge Code	40007159
Hospital Revenue Code	278
Min. Negotiated Rate	$177.99
Max. Negotiated Rate	$177.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.99
Rate for Payer: Hamaspik Choice Inc Medicare	$177.99

Know your out-of-pocket cost for care.

All Charges