St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NCB CANN CRT SCREW 4.0X44MM SLFTP

Facility

$355.98

Service Code	HCPCS C1713
Hospital Charge Code	40007172
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 4.0X46MM SLFTP

Facility

$355.98

Service Code	HCPCS C1713
Hospital Charge Code	40007173
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 4.0X46MM SLFTP

Facility

$355.98

Service Code	HCPCS C1713
Hospital Charge Code	40007173
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 4.0X48MM SLFTP

Facility

$355.98

Service Code	HCPCS C1713
Hospital Charge Code	40007174
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 4.0X48MM SLFTP

Facility

$355.98

Service Code	HCPCS C1713
Hospital Charge Code	40007174
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 4.0X50MM SLFTP

Facility

$355.98

Service Code	HCPCS C1713
Hospital Charge Code	40007175
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 4.0X50MM SLFTP

Facility

$355.98

Service Code	HCPCS C1713
Hospital Charge Code	40007175
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 HEX DRIVER 3.5MM

Facility

$571.04

Hospital Charge Code	40006745
Hospital Revenue Code	272
Min. Negotiated Rate	$199.86
Max. Negotiated Rate	$456.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$314.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$285.52
Rate for Payer: Aetna Government	$285.52
Rate for Payer: Brighton Health Commercial	$428.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$456.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$388.31
Rate for Payer: Group Health Inc Commercial	$285.52
Rate for Payer: Group Health Inc Medicare	$199.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.52
Rate for Payer: Hamaspik Choice Inc Medicare	$285.52

NCB CERCLAGE WIRE, 115MM

Facility

$100.86

Hospital Charge Code	40006864
Hospital Revenue Code	272
Min. Negotiated Rate	$35.30
Max. Negotiated Rate	$80.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.43
Rate for Payer: Aetna Government	$50.43
Rate for Payer: Brighton Health Commercial	$75.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.58
Rate for Payer: Group Health Inc Commercial	$50.43
Rate for Payer: Group Health Inc Medicare	$35.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.43
Rate for Payer: Hamaspik Choice Inc Medicare	$50.43

NCB CNC SCR 5.0X50MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006908
Hospital Revenue Code	278
Min. Negotiated Rate	$106.42
Max. Negotiated Rate	$319.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$167.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$182.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$152.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$174.83
Rate for Payer: EmblemHealth Commercial	$152.03
Rate for Payer: Fidelis Medicare Advantage	$319.26
Rate for Payer: Group Health Inc Commercial	$152.03
Rate for Payer: Group Health Inc Medicare	$106.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$197.64

NCB CNC SCR 5.0X50MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006908
Hospital Revenue Code	278
Min. Negotiated Rate	$152.03
Max. Negotiated Rate	$152.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03

NCB CNC SCR 5.0X55MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006909
Hospital Revenue Code	278
Min. Negotiated Rate	$152.03
Max. Negotiated Rate	$152.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03

NCB CNC SCR 5.0X55MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006909
Hospital Revenue Code	278
Min. Negotiated Rate	$106.42
Max. Negotiated Rate	$319.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$167.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$182.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$152.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$174.83
Rate for Payer: EmblemHealth Commercial	$152.03
Rate for Payer: Fidelis Medicare Advantage	$319.26
Rate for Payer: Group Health Inc Commercial	$152.03
Rate for Payer: Group Health Inc Medicare	$106.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$197.64

NCB CNC SCR 5.0X60MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006910
Hospital Revenue Code	278
Min. Negotiated Rate	$106.42
Max. Negotiated Rate	$319.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$167.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$182.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$152.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$174.83
Rate for Payer: EmblemHealth Commercial	$152.03
Rate for Payer: Fidelis Medicare Advantage	$319.26
Rate for Payer: Group Health Inc Commercial	$152.03
Rate for Payer: Group Health Inc Medicare	$106.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$197.64

NCB CNC SCR 5.0X60MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006910
Hospital Revenue Code	278
Min. Negotiated Rate	$152.03
Max. Negotiated Rate	$152.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03

NCB CNC SCR 5.0X65MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006911
Hospital Revenue Code	278
Min. Negotiated Rate	$152.03
Max. Negotiated Rate	$152.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03

NCB CNC SCR 5.0X65MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006911
Hospital Revenue Code	278
Min. Negotiated Rate	$106.42
Max. Negotiated Rate	$319.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$167.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$182.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$152.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$174.83
Rate for Payer: EmblemHealth Commercial	$152.03
Rate for Payer: Fidelis Medicare Advantage	$319.26
Rate for Payer: Group Health Inc Commercial	$152.03
Rate for Payer: Group Health Inc Medicare	$106.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$197.64

NCB CNC SCR 5.0X70MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006912
Hospital Revenue Code	278
Min. Negotiated Rate	$106.42
Max. Negotiated Rate	$319.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$167.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$182.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$152.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$174.83
Rate for Payer: EmblemHealth Commercial	$152.03
Rate for Payer: Fidelis Medicare Advantage	$319.26
Rate for Payer: Group Health Inc Commercial	$152.03
Rate for Payer: Group Health Inc Medicare	$106.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$197.64

NCB CNC SCR 5.0X70MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006912
Hospital Revenue Code	278
Min. Negotiated Rate	$152.03
Max. Negotiated Rate	$152.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03

NCB CNC SCR 5.0X75MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006913
Hospital Revenue Code	278
Min. Negotiated Rate	$106.42
Max. Negotiated Rate	$319.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$167.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$182.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$152.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$174.83
Rate for Payer: EmblemHealth Commercial	$152.03
Rate for Payer: Fidelis Medicare Advantage	$319.26
Rate for Payer: Group Health Inc Commercial	$152.03
Rate for Payer: Group Health Inc Medicare	$106.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$197.64

NCB CNC SCR 5.0X75MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006913
Hospital Revenue Code	278
Min. Negotiated Rate	$152.03
Max. Negotiated Rate	$152.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03

NCB CNC SCR 5.0X80MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006914
Hospital Revenue Code	278
Min. Negotiated Rate	$106.42
Max. Negotiated Rate	$319.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$167.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$182.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$152.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$174.83
Rate for Payer: EmblemHealth Commercial	$152.03
Rate for Payer: Fidelis Medicare Advantage	$319.26
Rate for Payer: Group Health Inc Commercial	$152.03
Rate for Payer: Group Health Inc Medicare	$106.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$197.64

NCB CNC SCR 5.0X80MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006914
Hospital Revenue Code	278
Min. Negotiated Rate	$152.03
Max. Negotiated Rate	$152.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03

NCB CNC SCR 5.0X85MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006915
Hospital Revenue Code	278
Min. Negotiated Rate	$106.42
Max. Negotiated Rate	$319.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$167.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$182.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$152.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$174.83
Rate for Payer: EmblemHealth Commercial	$152.03
Rate for Payer: Fidelis Medicare Advantage	$319.26
Rate for Payer: Group Health Inc Commercial	$152.03
Rate for Payer: Group Health Inc Medicare	$106.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$197.64

NCB CNC SCR 5.0X85MM SLFTP THD LN

Facility

$304.06

Service Code	HCPCS C1713
Hospital Charge Code	40006915
Hospital Revenue Code	278
Min. Negotiated Rate	$152.03
Max. Negotiated Rate	$152.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$152.03
Rate for Payer: Hamaspik Choice Inc Medicare	$152.03

Know your out-of-pocket cost for care.

All Charges