St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NCB SCREW 5.0X100MM SELF-TAP STRL

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006896
Hospital Revenue Code	278
Min. Negotiated Rate	$166.86
Max. Negotiated Rate	$166.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86

NCB SCREW 5.0X100MM SELF-TAP STRL

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006896
Hospital Revenue Code	278
Min. Negotiated Rate	$116.80
Max. Negotiated Rate	$350.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$200.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$166.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.89
Rate for Payer: EmblemHealth Commercial	$166.86
Rate for Payer: Fidelis Medicare Advantage	$350.41
Rate for Payer: Group Health Inc Commercial	$166.86
Rate for Payer: Group Health Inc Medicare	$116.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.92

NCB SCREW 5.0X22MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006872
Hospital Revenue Code	278
Min. Negotiated Rate	$116.80
Max. Negotiated Rate	$350.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$200.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$166.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.89
Rate for Payer: EmblemHealth Commercial	$166.86
Rate for Payer: Fidelis Medicare Advantage	$350.41
Rate for Payer: Group Health Inc Commercial	$166.86
Rate for Payer: Group Health Inc Medicare	$116.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.92

NCB SCREW 5.0X22MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006872
Hospital Revenue Code	278
Min. Negotiated Rate	$166.86
Max. Negotiated Rate	$166.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86

NCB SCREW 5.0X24MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006873
Hospital Revenue Code	278
Min. Negotiated Rate	$116.80
Max. Negotiated Rate	$350.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$200.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$166.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.89
Rate for Payer: EmblemHealth Commercial	$166.86
Rate for Payer: Fidelis Medicare Advantage	$350.41
Rate for Payer: Group Health Inc Commercial	$166.86
Rate for Payer: Group Health Inc Medicare	$116.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.92

NCB SCREW 5.0X24MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006873
Hospital Revenue Code	278
Min. Negotiated Rate	$166.86
Max. Negotiated Rate	$166.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86

NCB SCREW 5.0X26MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006874
Hospital Revenue Code	278
Min. Negotiated Rate	$116.80
Max. Negotiated Rate	$350.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$200.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$166.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.89
Rate for Payer: EmblemHealth Commercial	$166.86
Rate for Payer: Fidelis Medicare Advantage	$350.41
Rate for Payer: Group Health Inc Commercial	$166.86
Rate for Payer: Group Health Inc Medicare	$116.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.92

NCB SCREW 5.0X26MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006874
Hospital Revenue Code	278
Min. Negotiated Rate	$166.86
Max. Negotiated Rate	$166.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86

NCB SCREW 5.0X28MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006875
Hospital Revenue Code	278
Min. Negotiated Rate	$116.80
Max. Negotiated Rate	$350.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$200.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$166.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.89
Rate for Payer: EmblemHealth Commercial	$166.86
Rate for Payer: Fidelis Medicare Advantage	$350.41
Rate for Payer: Group Health Inc Commercial	$166.86
Rate for Payer: Group Health Inc Medicare	$116.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.92

NCB SCREW 5.0X28MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006875
Hospital Revenue Code	278
Min. Negotiated Rate	$166.86
Max. Negotiated Rate	$166.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86

NCB SCREW 5.0X30MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006876
Hospital Revenue Code	278
Min. Negotiated Rate	$116.80
Max. Negotiated Rate	$350.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$200.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$166.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.89
Rate for Payer: EmblemHealth Commercial	$166.86
Rate for Payer: Fidelis Medicare Advantage	$350.41
Rate for Payer: Group Health Inc Commercial	$166.86
Rate for Payer: Group Health Inc Medicare	$116.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.92

NCB SCREW 5.0X30MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006876
Hospital Revenue Code	278
Min. Negotiated Rate	$166.86
Max. Negotiated Rate	$166.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86

NCB SCREW 5.0X32MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006877
Hospital Revenue Code	278
Min. Negotiated Rate	$116.80
Max. Negotiated Rate	$350.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$200.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$166.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.89
Rate for Payer: EmblemHealth Commercial	$166.86
Rate for Payer: Fidelis Medicare Advantage	$350.41
Rate for Payer: Group Health Inc Commercial	$166.86
Rate for Payer: Group Health Inc Medicare	$116.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.92

NCB SCREW 5.0X32MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006877
Hospital Revenue Code	278
Min. Negotiated Rate	$166.86
Max. Negotiated Rate	$166.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86

NCB SCREW 5.0X34MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006878
Hospital Revenue Code	278
Min. Negotiated Rate	$166.86
Max. Negotiated Rate	$166.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86

NCB SCREW 5.0X34MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006878
Hospital Revenue Code	278
Min. Negotiated Rate	$116.80
Max. Negotiated Rate	$350.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$200.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$166.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.89
Rate for Payer: EmblemHealth Commercial	$166.86
Rate for Payer: Fidelis Medicare Advantage	$350.41
Rate for Payer: Group Health Inc Commercial	$166.86
Rate for Payer: Group Health Inc Medicare	$116.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.92

NCB SCREW 5.0X36MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006879
Hospital Revenue Code	278
Min. Negotiated Rate	$166.86
Max. Negotiated Rate	$166.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86

NCB SCREW 5.0X36MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006879
Hospital Revenue Code	278
Min. Negotiated Rate	$116.80
Max. Negotiated Rate	$350.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$200.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$166.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.89
Rate for Payer: EmblemHealth Commercial	$166.86
Rate for Payer: Fidelis Medicare Advantage	$350.41
Rate for Payer: Group Health Inc Commercial	$166.86
Rate for Payer: Group Health Inc Medicare	$116.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.92

NCB SCREW 5.0X40MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006881
Hospital Revenue Code	278
Min. Negotiated Rate	$116.80
Max. Negotiated Rate	$350.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$200.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$166.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.89
Rate for Payer: EmblemHealth Commercial	$166.86
Rate for Payer: Fidelis Medicare Advantage	$350.41
Rate for Payer: Group Health Inc Commercial	$166.86
Rate for Payer: Group Health Inc Medicare	$116.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.92

NCB SCREW 5.0X40MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006881
Hospital Revenue Code	278
Min. Negotiated Rate	$166.86
Max. Negotiated Rate	$166.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86

NCB SCREW 5.0X42MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006882
Hospital Revenue Code	278
Min. Negotiated Rate	$116.80
Max. Negotiated Rate	$350.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$200.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$166.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.89
Rate for Payer: EmblemHealth Commercial	$166.86
Rate for Payer: Fidelis Medicare Advantage	$350.41
Rate for Payer: Group Health Inc Commercial	$166.86
Rate for Payer: Group Health Inc Medicare	$116.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.92

NCB SCREW 5.0X42MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006882
Hospital Revenue Code	278
Min. Negotiated Rate	$166.86
Max. Negotiated Rate	$166.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86

NCB SCREW 5.0X44MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006883
Hospital Revenue Code	278
Min. Negotiated Rate	$166.86
Max. Negotiated Rate	$166.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86

NCB SCREW 5.0X44MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006883
Hospital Revenue Code	278
Min. Negotiated Rate	$116.80
Max. Negotiated Rate	$350.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$200.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$166.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.89
Rate for Payer: EmblemHealth Commercial	$166.86
Rate for Payer: Fidelis Medicare Advantage	$350.41
Rate for Payer: Group Health Inc Commercial	$166.86
Rate for Payer: Group Health Inc Medicare	$116.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.92

NCB SCREW 5.0X46MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006884
Hospital Revenue Code	278
Min. Negotiated Rate	$166.86
Max. Negotiated Rate	$166.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.86
Rate for Payer: Hamaspik Choice Inc Medicare	$166.86

Know your out-of-pocket cost for care.

All Charges