St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

NCB SCREW 5.0X46MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006884
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 5.0X48MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006885
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 5.0X48MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006885
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 5.0X50MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006886
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 5.0X50MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006886
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 5.0X55MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006887
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 5.0X55MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006887
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 5.0X60MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006888
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 5.0X60MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006888
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 5.0X65MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006889
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 5.0X65MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006889
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 5.0X70MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006890
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 5.0X70MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006890
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 5.0X75MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006891
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 5.0X75MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006891
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 5.0X80MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006892
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 5.0X80MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006892
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 5.0X85MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006893
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 5.0X85MM SELF-TAPPING

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006893
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 5.0X90MM SELF-TAP STRL

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006894
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 5.0X90MM SELF-TAP STRL

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006894
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 5.0X95MM SELF-TAP STRL

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006895
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 5.0X95MM SELF-TAP STRL

Facility

$333.72

Service Code	HCPCS C1713
Hospital Charge Code	40006895
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 HOLE INSERT

Facility

$148.32

Service Code	HCPCS C1713
Hospital Charge Code	40007081
Hospital Revenue Code	278
Min. Negotiated Rate	$51.91
Max. Negotiated Rate	$155.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$81.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$88.99
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$74.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$85.28
Rate for Payer: EmblemHealth Commercial	$74.16
Rate for Payer: Fidelis Medicare Advantage	$155.74
Rate for Payer: Group Health Inc Commercial	$74.16
Rate for Payer: Group Health Inc Medicare	$51.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.16
Rate for Payer: Hamaspik Choice Inc Medicare	$74.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$96.41

NCB SCREW HOLE INSERT

Facility

$148.32

Service Code	HCPCS C1713
Hospital Charge Code	40007081
Hospital Revenue Code	278
Min. Negotiated Rate	$74.16
Max. Negotiated Rate	$74.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.16
Rate for Payer: Hamaspik Choice Inc Medicare	$74.16

Know your out-of-pocket cost for care.

All Charges