St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW 1.7X4MM LOCKING CRSS PIN

Facility IP

$149.15

Service Code	HCPCS C1713
Hospital Charge Code	64901603
Hospital Revenue Code	278
Min. Negotiated Rate	$74.58
Max. Negotiated Rate	$74.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.58
Rate for Payer: Hamaspik Choice Inc Medicare	$74.58

SCREW 1.7 X 5MM

Facility OP

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901376
Hospital Revenue Code	278
Min. Negotiated Rate	$39.66
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$62.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$65.15
Rate for Payer: Fidelis Medicare Advantage	$118.96
Rate for Payer: Group Health Inc Commercial	$56.65
Rate for Payer: Group Health Inc Medicare	$39.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$73.64

SCREW 1.7 X 5MM

Facility IP

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901376
Hospital Revenue Code	278
Min. Negotiated Rate	$56.65
Max. Negotiated Rate	$56.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65

SCREW 1.7X5MM CRS PIN SLF DRL

Facility OP

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901598
Hospital Revenue Code	278
Min. Negotiated Rate	$39.66
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$62.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$65.15
Rate for Payer: Fidelis Medicare Advantage	$118.96
Rate for Payer: Group Health Inc Commercial	$56.65
Rate for Payer: Group Health Inc Medicare	$39.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$73.64

SCREW 1.7X5MM CRS PIN SLF DRL

Facility IP

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901598
Hospital Revenue Code	278
Min. Negotiated Rate	$56.65
Max. Negotiated Rate	$56.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65

SCREW 1.7X5MM LOCKING CRSS PIN

Facility IP

$147.00

Service Code	HCPCS C1713
Hospital Charge Code	64901604
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.50
Rate for Payer: Hamaspik Choice Inc Medicare	$73.50

SCREW 1.7X5MM LOCKING CRSS PIN

Facility OP

$147.00

Service Code	HCPCS C1713
Hospital Charge Code	64901604
Hospital Revenue Code	278
Min. Negotiated Rate	$51.45
Max. Negotiated Rate	$154.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$80.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$73.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$84.52
Rate for Payer: Fidelis Medicare Advantage	$154.35
Rate for Payer: Group Health Inc Commercial	$73.50
Rate for Payer: Group Health Inc Medicare	$51.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.50
Rate for Payer: Hamaspik Choice Inc Medicare	$73.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$95.55

SCREW 1.7 X 6MM CRS PN SLF TAP

Facility OP

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64902005
Hospital Revenue Code	278
Min. Negotiated Rate	$39.66
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$62.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$65.15
Rate for Payer: Fidelis Medicare Advantage	$118.96
Rate for Payer: Group Health Inc Commercial	$56.65
Rate for Payer: Group Health Inc Medicare	$39.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$73.64

SCREW 1.7 X 6MM CRS PN SLF TAP

Facility IP

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64902005
Hospital Revenue Code	278
Min. Negotiated Rate	$56.65
Max. Negotiated Rate	$56.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65

SCREW 1.7X6MM LOCKING CRSS PIN

Facility IP

$147.00

Service Code	HCPCS C1713
Hospital Charge Code	64901605
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.50
Rate for Payer: Hamaspik Choice Inc Medicare	$73.50

SCREW 1.7X6MM LOCKING CRSS PIN

Facility OP

$147.00

Service Code	HCPCS C1713
Hospital Charge Code	64901605
Hospital Revenue Code	278
Min. Negotiated Rate	$51.45
Max. Negotiated Rate	$154.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$80.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$73.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$84.52
Rate for Payer: Fidelis Medicare Advantage	$154.35
Rate for Payer: Group Health Inc Commercial	$73.50
Rate for Payer: Group Health Inc Medicare	$51.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.50
Rate for Payer: Hamaspik Choice Inc Medicare	$73.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$95.55

SCREW 1.7X6 MM SQ-FIT

Facility IP

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	40202375
Hospital Revenue Code	278
Min. Negotiated Rate	$89.38
Max. Negotiated Rate	$89.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$89.38
Rate for Payer: Hamaspik Choice Inc Medicare	$89.38

SCREW 1.7X6 MM SQ-FIT

Facility OP

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	40202375
Hospital Revenue Code	278
Min. Negotiated Rate	$62.56
Max. Negotiated Rate	$187.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$98.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$89.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$102.78
Rate for Payer: Fidelis Medicare Advantage	$187.69
Rate for Payer: Group Health Inc Commercial	$89.38
Rate for Payer: Group Health Inc Medicare	$62.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$89.38
Rate for Payer: Hamaspik Choice Inc Medicare	$89.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$116.19

SCREW 1.7 X 8MM

Facility OP

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901374
Hospital Revenue Code	278
Min. Negotiated Rate	$39.66
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$62.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$65.15
Rate for Payer: Fidelis Medicare Advantage	$118.96
Rate for Payer: Group Health Inc Commercial	$56.65
Rate for Payer: Group Health Inc Medicare	$39.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$73.64

SCREW 1.7 X 8MM

Facility IP

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901374
Hospital Revenue Code	278
Min. Negotiated Rate	$56.65
Max. Negotiated Rate	$56.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65

SCREW 1.9X3MM CRS PIN SLF TAP

Facility IP

$123.03

Service Code	HCPCS C1713
Hospital Charge Code	64901600
Hospital Revenue Code	278
Min. Negotiated Rate	$61.52
Max. Negotiated Rate	$61.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.52
Rate for Payer: Hamaspik Choice Inc Medicare	$61.52

SCREW 1.9X3MM CRS PIN SLF TAP

Facility OP

$123.03

Service Code	HCPCS C1713
Hospital Charge Code	64901600
Hospital Revenue Code	278
Min. Negotiated Rate	$43.06
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$67.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$61.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$70.74
Rate for Payer: Fidelis Medicare Advantage	$129.18
Rate for Payer: Group Health Inc Commercial	$61.52
Rate for Payer: Group Health Inc Medicare	$43.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.52
Rate for Payer: Hamaspik Choice Inc Medicare	$61.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$79.97

SCREW 1.9X5MM CRS PIN SLF TAP

Facility OP

$123.03

Service Code	HCPCS C1713
Hospital Charge Code	64901601
Hospital Revenue Code	278
Min. Negotiated Rate	$43.06
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$67.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$61.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$70.74
Rate for Payer: Fidelis Medicare Advantage	$129.18
Rate for Payer: Group Health Inc Commercial	$61.52
Rate for Payer: Group Health Inc Medicare	$43.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.52
Rate for Payer: Hamaspik Choice Inc Medicare	$61.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$79.97

SCREW 1.9X5MM CRS PIN SLF TAP

Facility IP

$123.03

Service Code	HCPCS C1713
Hospital Charge Code	64901601
Hospital Revenue Code	278
Min. Negotiated Rate	$61.52
Max. Negotiated Rate	$61.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.52
Rate for Payer: Hamaspik Choice Inc Medicare	$61.52

SCREW 20MM

Facility OP

$251.45

Service Code	HCPCS C1713
Hospital Charge Code	64903623
Hospital Revenue Code	278
Min. Negotiated Rate	$88.01
Max. Negotiated Rate	$264.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$138.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$125.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$144.58
Rate for Payer: Fidelis Medicare Advantage	$264.02
Rate for Payer: Group Health Inc Commercial	$125.72
Rate for Payer: Group Health Inc Medicare	$88.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.72
Rate for Payer: Hamaspik Choice Inc Medicare	$125.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$163.44

SCREW 20MM

Facility IP

$251.45

Service Code	HCPCS C1713
Hospital Charge Code	64903623
Hospital Revenue Code	278
Min. Negotiated Rate	$125.72
Max. Negotiated Rate	$125.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.72
Rate for Payer: Hamaspik Choice Inc Medicare	$125.72

SCREW 2.0MM TI MAT MAN (EA)

Facility OP

$120.00

Service Code	HCPCS C1776
Hospital Charge Code	40202443
Hospital Revenue Code	278
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$66.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$60.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$69.00
Rate for Payer: Fidelis Medicare Advantage	$126.00
Rate for Payer: Group Health Inc Commercial	$60.00
Rate for Payer: Group Health Inc Medicare	$42.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$60.00
Rate for Payer: Hamaspik Choice Inc Medicare	$60.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$78.00

SCREW 2.0MM TI MAT MAN (EA)

Facility IP

$120.00

Service Code	HCPCS C1776
Hospital Charge Code	40202443
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$60.00
Rate for Payer: Hamaspik Choice Inc Medicare	$60.00

SCREW, 2.0X11MM

Facility OP

$135.70

Service Code	HCPCS C1713
Hospital Charge Code	64905715
Hospital Revenue Code	278
Min. Negotiated Rate	$47.50
Max. Negotiated Rate	$142.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$74.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$67.85
Rate for Payer: Cigna LocalPlus Benefit Plan	$78.03
Rate for Payer: Fidelis Medicare Advantage	$142.48
Rate for Payer: Group Health Inc Commercial	$67.85
Rate for Payer: Group Health Inc Medicare	$47.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.85
Rate for Payer: Hamaspik Choice Inc Medicare	$67.85
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$88.20

SCREW, 2.0X11MM

Facility IP

$135.70

Service Code	HCPCS C1713
Hospital Charge Code	64905715
Hospital Revenue Code	278
Min. Negotiated Rate	$67.85
Max. Negotiated Rate	$67.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.85
Rate for Payer: Hamaspik Choice Inc Medicare	$67.85

Price Transparency.

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