St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW ACETUBE G7 6.5MM L25

Facility OP

$336.00

Hospital Charge Code	64906843
Hospital Revenue Code	279
Min. Negotiated Rate	$117.60
Max. Negotiated Rate	$268.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$184.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$168.00
Rate for Payer: Aetna Government	$168.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$268.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$228.48
Rate for Payer: Group Health Inc Commercial	$168.00
Rate for Payer: Group Health Inc Medicare	$117.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$168.00
Rate for Payer: Hamaspik Choice Inc Medicare	$168.00

SCREW ADVAN LOCK 5X50MM

Facility IP

$941.33

Service Code	HCPCS C1713
Hospital Charge Code	64907533
Hospital Revenue Code	278
Min. Negotiated Rate	$470.66
Max. Negotiated Rate	$470.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$470.66
Rate for Payer: Hamaspik Choice Inc Medicare	$470.66

SCREW ADVAN LOCK 5X50MM

Facility OP

$941.33

Service Code	HCPCS C1713
Hospital Charge Code	64907533
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$988.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$517.73
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	$470.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$541.26
Rate for Payer: Fidelis Medicare Advantage	$988.40
Rate for Payer: Group Health Inc Commercial	$470.66
Rate for Payer: Group Health Inc Medicare	$329.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$470.66
Rate for Payer: Hamaspik Choice Inc Medicare	$470.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$611.86

SCREW AFIX COMP T7 2.0 X 13MM

Facility IP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906427
Hospital Revenue Code	278
Min. Negotiated Rate	$195.20
Max. Negotiated Rate	$195.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20

SCREW AFIX COMP T7 2.0 X 13MM

Facility OP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906427
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.71
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	$195.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.47
Rate for Payer: Fidelis Medicare Advantage	$409.91
Rate for Payer: Group Health Inc Commercial	$195.20
Rate for Payer: Group Health Inc Medicare	$136.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.75

SCREW AFIX COMP T7 2.0 X 14MM

Facility OP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906430
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.71
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	$195.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.47
Rate for Payer: Fidelis Medicare Advantage	$409.91
Rate for Payer: Group Health Inc Commercial	$195.20
Rate for Payer: Group Health Inc Medicare	$136.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.75

SCREW AFIX COMP T7 2.0 X 14MM

Facility IP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906430
Hospital Revenue Code	278
Min. Negotiated Rate	$195.20
Max. Negotiated Rate	$195.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20

SCREW AFIX COMP T7 2.0 X 16MM

Facility IP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906429
Hospital Revenue Code	278
Min. Negotiated Rate	$195.20
Max. Negotiated Rate	$195.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20

SCREW AFIX COMP T7 2.0 X 16MM

Facility OP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906429
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.71
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	$195.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.47
Rate for Payer: Fidelis Medicare Advantage	$409.91
Rate for Payer: Group Health Inc Commercial	$195.20
Rate for Payer: Group Health Inc Medicare	$136.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.75

SCREW AFIX COMP T7 2.0 X 18MM

Facility IP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906424
Hospital Revenue Code	278
Min. Negotiated Rate	$195.20
Max. Negotiated Rate	$195.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20

SCREW AFIX COMP T7 2.0 X 18MM

Facility OP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906424
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.71
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	$195.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.47
Rate for Payer: Fidelis Medicare Advantage	$409.91
Rate for Payer: Group Health Inc Commercial	$195.20
Rate for Payer: Group Health Inc Medicare	$136.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.75

SCREW AFIX COMP T7 2.0 X 19MM

Facility IP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906428
Hospital Revenue Code	278
Min. Negotiated Rate	$195.20
Max. Negotiated Rate	$195.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20

SCREW AFIX COMP T7 2.0 X 19MM

Facility OP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906428
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.71
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	$195.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.47
Rate for Payer: Fidelis Medicare Advantage	$409.91
Rate for Payer: Group Health Inc Commercial	$195.20
Rate for Payer: Group Health Inc Medicare	$136.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.75

SCREW AFIX COMP T7 2.0 X 22MM

Facility IP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906425
Hospital Revenue Code	278
Min. Negotiated Rate	$195.20
Max. Negotiated Rate	$195.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20

SCREW AFIX COMP T7 2.0 X 22MM

Facility OP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906425
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.71
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	$195.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.47
Rate for Payer: Fidelis Medicare Advantage	$409.91
Rate for Payer: Group Health Inc Commercial	$195.20
Rate for Payer: Group Health Inc Medicare	$136.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.75

SCREW AFIX COMP T7 2.0 X 23MM

Facility IP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906426
Hospital Revenue Code	278
Min. Negotiated Rate	$195.20
Max. Negotiated Rate	$195.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20

SCREW AFIX COMP T7 2.0 X 23MM

Facility OP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906426
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.71
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	$195.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.47
Rate for Payer: Fidelis Medicare Advantage	$409.91
Rate for Payer: Group Health Inc Commercial	$195.20
Rate for Payer: Group Health Inc Medicare	$136.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.75

SCREW ANCHOR L 20MM

Facility IP

$1,032.00

Service Code	HCPCS C1713
Hospital Charge Code	64905082
Hospital Revenue Code	278
Min. Negotiated Rate	$516.00
Max. Negotiated Rate	$516.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$516.00
Rate for Payer: Hamaspik Choice Inc Medicare	$516.00

SCREW ANCHOR L 20MM

Facility OP

$1,032.00

Service Code	HCPCS C1713
Hospital Charge Code	64905082
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,083.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$567.60
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	$516.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$593.40
Rate for Payer: Fidelis Medicare Advantage	$1,083.60
Rate for Payer: Group Health Inc Commercial	$516.00
Rate for Payer: Group Health Inc Medicare	$361.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$516.00
Rate for Payer: Hamaspik Choice Inc Medicare	$516.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$670.80

SCREW ANCHOR L 25MM

Facility IP

$1,032.00

Service Code	HCPCS C1713
Hospital Charge Code	64905081
Hospital Revenue Code	278
Min. Negotiated Rate	$516.00
Max. Negotiated Rate	$516.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$516.00
Rate for Payer: Hamaspik Choice Inc Medicare	$516.00

SCREW ANCHOR L 25MM

Facility OP

$1,032.00

Service Code	HCPCS C1713
Hospital Charge Code	64905081
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,083.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$567.60
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	$516.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$593.40
Rate for Payer: Fidelis Medicare Advantage	$1,083.60
Rate for Payer: Group Health Inc Commercial	$516.00
Rate for Payer: Group Health Inc Medicare	$361.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$516.00
Rate for Payer: Hamaspik Choice Inc Medicare	$516.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$670.80

SCREW ANKLE DIST

Facility OP

$2,972.50

Service Code	HCPCS C1713
Hospital Charge Code	64907510
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,121.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,634.88
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	$1,486.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,709.19
Rate for Payer: Fidelis Medicare Advantage	$3,121.12
Rate for Payer: Group Health Inc Commercial	$1,486.25
Rate for Payer: Group Health Inc Medicare	$1,040.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,486.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,486.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,932.12

SCREW ANKLE DIST

Facility IP

$2,972.50

Service Code	HCPCS C1713
Hospital Charge Code	64907510
Hospital Revenue Code	278
Min. Negotiated Rate	$1,486.25
Max. Negotiated Rate	$1,486.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,486.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,486.25

SCREW AP 6.25 X 30

Facility OP

$3,497.50

Service Code	HCPCS C1713
Hospital Charge Code	64904586
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,672.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,923.62
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	$1,748.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,011.06
Rate for Payer: Fidelis Medicare Advantage	$3,672.38
Rate for Payer: Group Health Inc Commercial	$1,748.75
Rate for Payer: Group Health Inc Medicare	$1,224.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,748.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,748.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,273.38

SCREW AP 6.25 X 30

Facility IP

$3,497.50

Service Code	HCPCS C1713
Hospital Charge Code	64904586
Hospital Revenue Code	278
Min. Negotiated Rate	$1,748.75
Max. Negotiated Rate	$1,748.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,748.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,748.75

Price Transparency.

All Charges