St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW 3.5MM.CORTEX S-TAP 26MM

Facility IP

$68.13

Service Code	HCPCS C1713
Hospital Charge Code	64901162
Hospital Revenue Code	278
Min. Negotiated Rate	$34.06
Max. Negotiated Rate	$34.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.06
Rate for Payer: Hamaspik Choice Inc Medicare	$34.06

SCREW 3.5MM.CORTEX S-TAP 26MM

Facility OP

$68.13

Service Code	HCPCS C1713
Hospital Charge Code	64901162
Hospital Revenue Code	278
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$37.47
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	$34.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.17
Rate for Payer: Fidelis Medicare Advantage	$71.54
Rate for Payer: Group Health Inc Commercial	$34.06
Rate for Payer: Group Health Inc Medicare	$23.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.06
Rate for Payer: Hamaspik Choice Inc Medicare	$34.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$44.28

SCREW 3.5MM CORTEX S-TAP 55MM

Facility IP

$68.13

Service Code	HCPCS C1713
Hospital Charge Code	64901309
Hospital Revenue Code	278
Min. Negotiated Rate	$34.06
Max. Negotiated Rate	$34.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.06
Rate for Payer: Hamaspik Choice Inc Medicare	$34.06

SCREW 3.5MM CORTEX S-TAP 55MM

Facility OP

$68.13

Service Code	HCPCS C1713
Hospital Charge Code	64901309
Hospital Revenue Code	278
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$37.47
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	$34.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.17
Rate for Payer: Fidelis Medicare Advantage	$71.54
Rate for Payer: Group Health Inc Commercial	$34.06
Rate for Payer: Group Health Inc Medicare	$23.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.06
Rate for Payer: Hamaspik Choice Inc Medicare	$34.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$44.28

SCREW 3.5MM CORTICAL LKG 18MM

Facility OP

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	64905628
Hospital Revenue Code	278
Min. Negotiated Rate	$125.12
Max. Negotiated Rate	$375.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$196.62
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	$178.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$205.56
Rate for Payer: Fidelis Medicare Advantage	$375.38
Rate for Payer: Group Health Inc Commercial	$178.75
Rate for Payer: Group Health Inc Medicare	$125.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.75
Rate for Payer: Hamaspik Choice Inc Medicare	$178.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$232.38

SCREW 3.5MM CORTICAL LKG 18MM

Facility IP

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	64905628
Hospital Revenue Code	278
Min. Negotiated Rate	$178.75
Max. Negotiated Rate	$178.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.75
Rate for Payer: Hamaspik Choice Inc Medicare	$178.75

SCREW 3.5MM CORTICAL LKG 20MM

Facility OP

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	64905630
Hospital Revenue Code	278
Min. Negotiated Rate	$125.12
Max. Negotiated Rate	$375.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$196.62
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	$178.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$205.56
Rate for Payer: Fidelis Medicare Advantage	$375.38
Rate for Payer: Group Health Inc Commercial	$178.75
Rate for Payer: Group Health Inc Medicare	$125.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.75
Rate for Payer: Hamaspik Choice Inc Medicare	$178.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$232.38

SCREW 3.5MM CORTICAL LKG 20MM

Facility IP

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	64905630
Hospital Revenue Code	278
Min. Negotiated Rate	$178.75
Max. Negotiated Rate	$178.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.75
Rate for Payer: Hamaspik Choice Inc Medicare	$178.75

SCREW 3.5MM CORTICAL LKG 22MM

Facility IP

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	64905631
Hospital Revenue Code	278
Min. Negotiated Rate	$178.75
Max. Negotiated Rate	$178.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.75
Rate for Payer: Hamaspik Choice Inc Medicare	$178.75

SCREW 3.5MM CORTICAL LKG 22MM

Facility OP

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	64905631
Hospital Revenue Code	278
Min. Negotiated Rate	$125.12
Max. Negotiated Rate	$375.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$196.62
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	$178.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$205.56
Rate for Payer: Fidelis Medicare Advantage	$375.38
Rate for Payer: Group Health Inc Commercial	$178.75
Rate for Payer: Group Health Inc Medicare	$125.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.75
Rate for Payer: Hamaspik Choice Inc Medicare	$178.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$232.38

SCREW 3.5MM CORTICAL LKG 32MM

Facility IP

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	64905632
Hospital Revenue Code	278
Min. Negotiated Rate	$178.75
Max. Negotiated Rate	$178.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.75
Rate for Payer: Hamaspik Choice Inc Medicare	$178.75

SCREW 3.5MM CORTICAL LKG 32MM

Facility OP

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	64905632
Hospital Revenue Code	278
Min. Negotiated Rate	$125.12
Max. Negotiated Rate	$375.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$196.62
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	$178.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$205.56
Rate for Payer: Fidelis Medicare Advantage	$375.38
Rate for Payer: Group Health Inc Commercial	$178.75
Rate for Payer: Group Health Inc Medicare	$125.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.75
Rate for Payer: Hamaspik Choice Inc Medicare	$178.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$232.38

SCREW 3.5MM CORTICAL LKG 38MM

Facility IP

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	64905633
Hospital Revenue Code	278
Min. Negotiated Rate	$178.75
Max. Negotiated Rate	$178.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.75
Rate for Payer: Hamaspik Choice Inc Medicare	$178.75

SCREW 3.5MM CORTICAL LKG 38MM

Facility OP

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	64905633
Hospital Revenue Code	278
Min. Negotiated Rate	$125.12
Max. Negotiated Rate	$375.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$196.62
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	$178.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$205.56
Rate for Payer: Fidelis Medicare Advantage	$375.38
Rate for Payer: Group Health Inc Commercial	$178.75
Rate for Payer: Group Health Inc Medicare	$125.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.75
Rate for Payer: Hamaspik Choice Inc Medicare	$178.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$232.38

SCREW 3.5MM CORTICAL LKG 40MM

Facility IP

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	64905634
Hospital Revenue Code	278
Min. Negotiated Rate	$178.75
Max. Negotiated Rate	$178.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.75
Rate for Payer: Hamaspik Choice Inc Medicare	$178.75

SCREW 3.5MM CORTICAL LKG 40MM

Facility OP

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	64905634
Hospital Revenue Code	278
Min. Negotiated Rate	$125.12
Max. Negotiated Rate	$375.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$196.62
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	$178.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$205.56
Rate for Payer: Fidelis Medicare Advantage	$375.38
Rate for Payer: Group Health Inc Commercial	$178.75
Rate for Payer: Group Health Inc Medicare	$125.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.75
Rate for Payer: Hamaspik Choice Inc Medicare	$178.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$232.38

SCREW 3.5MM CORTICAL LKG 44MM

Facility OP

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	64905635
Hospital Revenue Code	278
Min. Negotiated Rate	$125.12
Max. Negotiated Rate	$375.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$196.62
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	$178.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$205.56
Rate for Payer: Fidelis Medicare Advantage	$375.38
Rate for Payer: Group Health Inc Commercial	$178.75
Rate for Payer: Group Health Inc Medicare	$125.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.75
Rate for Payer: Hamaspik Choice Inc Medicare	$178.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$232.38

SCREW 3.5MM CORTICAL LKG 44MM

Facility IP

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	64905635
Hospital Revenue Code	278
Min. Negotiated Rate	$178.75
Max. Negotiated Rate	$178.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$178.75
Rate for Payer: Hamaspik Choice Inc Medicare	$178.75

SCREW 3.5MM CORTICAL LOCKING 18MM

Facility IP

$286.00

Service Code	HCPCS C1713
Hospital Charge Code	40204632
Hospital Revenue Code	278
Min. Negotiated Rate	$143.00
Max. Negotiated Rate	$143.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$143.00
Rate for Payer: Hamaspik Choice Inc Medicare	$143.00

SCREW 3.5MM CORTICAL LOCKING 18MM

Facility IP

$286.00

Service Code	HCPCS C1713
Hospital Charge Code	40007551
Hospital Revenue Code	278
Min. Negotiated Rate	$143.00
Max. Negotiated Rate	$143.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$143.00
Rate for Payer: Hamaspik Choice Inc Medicare	$143.00

SCREW 3.5MM CORTICAL LOCKING 18MM

Facility OP

$286.00

Service Code	HCPCS C1713
Hospital Charge Code	40007551
Hospital Revenue Code	278
Min. Negotiated Rate	$100.10
Max. Negotiated Rate	$300.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$157.30
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	$143.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$164.45
Rate for Payer: Fidelis Medicare Advantage	$300.30
Rate for Payer: Group Health Inc Commercial	$143.00
Rate for Payer: Group Health Inc Medicare	$100.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$143.00
Rate for Payer: Hamaspik Choice Inc Medicare	$143.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$185.90

SCREW 3.5MM CORTICAL LOCKING 18MM

Facility OP

$286.00

Service Code	HCPCS C1713
Hospital Charge Code	40204632
Hospital Revenue Code	278
Min. Negotiated Rate	$100.10
Max. Negotiated Rate	$300.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$157.30
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	$143.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$164.45
Rate for Payer: Fidelis Medicare Advantage	$300.30
Rate for Payer: Group Health Inc Commercial	$143.00
Rate for Payer: Group Health Inc Medicare	$100.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$143.00
Rate for Payer: Hamaspik Choice Inc Medicare	$143.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$185.90

SCREW 3.5MM CORTICAL LOCKING 20MM

Facility IP

$286.00

Service Code	HCPCS C1713
Hospital Charge Code	40204633
Hospital Revenue Code	278
Min. Negotiated Rate	$143.00
Max. Negotiated Rate	$143.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$143.00
Rate for Payer: Hamaspik Choice Inc Medicare	$143.00

SCREW 3.5MM CORTICAL LOCKING 20MM

Facility OP

$286.00

Service Code	HCPCS C1713
Hospital Charge Code	40204633
Hospital Revenue Code	278
Min. Negotiated Rate	$100.10
Max. Negotiated Rate	$300.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$157.30
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	$143.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$164.45
Rate for Payer: Fidelis Medicare Advantage	$300.30
Rate for Payer: Group Health Inc Commercial	$143.00
Rate for Payer: Group Health Inc Medicare	$100.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$143.00
Rate for Payer: Hamaspik Choice Inc Medicare	$143.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$185.90

SCREW 3.5MM CORTICAL LOCKING 20MM

Facility IP

$286.00

Service Code	HCPCS C1713
Hospital Charge Code	40007552
Hospital Revenue Code	278
Min. Negotiated Rate	$143.00
Max. Negotiated Rate	$143.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$143.00
Rate for Payer: Hamaspik Choice Inc Medicare	$143.00

Price Transparency.

All Charges