St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW BONE CROSS PIN 2.3X14MM

Facility OP

$131.18

Service Code	HCPCS C1713
Hospital Charge Code	64901478
Hospital Revenue Code	278
Min. Negotiated Rate	$45.91
Max. Negotiated Rate	$137.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$72.15
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	$65.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$75.43
Rate for Payer: Fidelis Medicare Advantage	$137.74
Rate for Payer: Group Health Inc Commercial	$65.59
Rate for Payer: Group Health Inc Medicare	$45.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.59
Rate for Payer: Hamaspik Choice Inc Medicare	$65.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$85.27

SCREW BONE CROS ST 1.7X13MM

Facility OP

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64905504
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 BONE CROS ST 1.7X13MM

Facility IP

$143.00

Service Code	HCPCS C1713
Hospital Charge Code	40005909
Hospital Revenue Code	278
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$71.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.50
Rate for Payer: Hamaspik Choice Inc Medicare	$71.50

SCREW BONE CROS ST 1.7X13MM

Facility OP

$143.00

Service Code	HCPCS C1713
Hospital Charge Code	40005909
Hospital Revenue Code	278
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$150.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$78.65
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	$71.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$82.22
Rate for Payer: Fidelis Medicare Advantage	$150.15
Rate for Payer: Group Health Inc Commercial	$71.50
Rate for Payer: Group Health Inc Medicare	$50.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.50
Rate for Payer: Hamaspik Choice Inc Medicare	$71.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$92.95

SCREW BONE CROS ST 1.7X13MM

Facility IP

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64905504
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 BONE CROS ST 1.7X15MM

Facility IP

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64905506
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 BONE CROS ST 1.7X15MM

Facility IP

$143.00

Service Code	HCPCS C1713
Hospital Charge Code	40005910
Hospital Revenue Code	278
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$71.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.50
Rate for Payer: Hamaspik Choice Inc Medicare	$71.50

SCREW BONE CROS ST 1.7X15MM

Facility OP

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64905506
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 BONE CROS ST 1.7X15MM

Facility OP

$143.00

Service Code	HCPCS C1713
Hospital Charge Code	40005910
Hospital Revenue Code	278
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$150.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$78.65
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	$71.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$82.22
Rate for Payer: Fidelis Medicare Advantage	$150.15
Rate for Payer: Group Health Inc Commercial	$71.50
Rate for Payer: Group Health Inc Medicare	$50.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.50
Rate for Payer: Hamaspik Choice Inc Medicare	$71.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$92.95

SCREW BONE CRS-DRV 2.3X11MM

Facility OP

$160.20

Service Code	HCPCS C1713
Hospital Charge Code	64902373
Hospital Revenue Code	278
Min. Negotiated Rate	$56.07
Max. Negotiated Rate	$168.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.11
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	$80.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.12
Rate for Payer: Fidelis Medicare Advantage	$168.21
Rate for Payer: Group Health Inc Commercial	$80.10
Rate for Payer: Group Health Inc Medicare	$56.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.10
Rate for Payer: Hamaspik Choice Inc Medicare	$80.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.13

SCREW BONE CRS-DRV 2.3X11MM

Facility IP

$160.20

Service Code	HCPCS C1713
Hospital Charge Code	64902373
Hospital Revenue Code	278
Min. Negotiated Rate	$80.10
Max. Negotiated Rate	$80.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.10
Rate for Payer: Hamaspik Choice Inc Medicare	$80.10

SCREW BONE CRS-DRV 2.3X5MM

Facility IP

$160.20

Service Code	HCPCS C1713
Hospital Charge Code	64902375
Hospital Revenue Code	278
Min. Negotiated Rate	$80.10
Max. Negotiated Rate	$80.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.10
Rate for Payer: Hamaspik Choice Inc Medicare	$80.10

SCREW BONE CRS-DRV 2.3X5MM

Facility OP

$160.20

Service Code	HCPCS C1713
Hospital Charge Code	64902375
Hospital Revenue Code	278
Min. Negotiated Rate	$56.07
Max. Negotiated Rate	$168.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.11
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	$80.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.12
Rate for Payer: Fidelis Medicare Advantage	$168.21
Rate for Payer: Group Health Inc Commercial	$80.10
Rate for Payer: Group Health Inc Medicare	$56.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.10
Rate for Payer: Hamaspik Choice Inc Medicare	$80.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.13

SCREW BONE CRS-DRV 2.3X9MM

Facility OP

$160.20

Service Code	HCPCS C1713
Hospital Charge Code	64902426
Hospital Revenue Code	278
Min. Negotiated Rate	$56.07
Max. Negotiated Rate	$168.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.11
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	$80.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.12
Rate for Payer: Fidelis Medicare Advantage	$168.21
Rate for Payer: Group Health Inc Commercial	$80.10
Rate for Payer: Group Health Inc Medicare	$56.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.10
Rate for Payer: Hamaspik Choice Inc Medicare	$80.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.13

SCREW BONE CRS-DRV 2.3X9MM

Facility IP

$160.20

Service Code	HCPCS C1713
Hospital Charge Code	64902426
Hospital Revenue Code	278
Min. Negotiated Rate	$80.10
Max. Negotiated Rate	$80.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.10
Rate for Payer: Hamaspik Choice Inc Medicare	$80.10

SCREW BONE CRS PIN

Facility IP

$146.90

Service Code	HCPCS C1713
Hospital Charge Code	64907194
Hospital Revenue Code	278
Min. Negotiated Rate	$73.45
Max. Negotiated Rate	$73.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.45
Rate for Payer: Hamaspik Choice Inc Medicare	$73.45

SCREW BONE CRS PIN

Facility OP

$146.90

Service Code	HCPCS C1713
Hospital Charge Code	64907194
Hospital Revenue Code	278
Min. Negotiated Rate	$51.42
Max. Negotiated Rate	$154.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$80.80
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	$73.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$84.47
Rate for Payer: Fidelis Medicare Advantage	$154.24
Rate for Payer: Group Health Inc Commercial	$73.45
Rate for Payer: Group Health Inc Medicare	$51.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.45
Rate for Payer: Hamaspik Choice Inc Medicare	$73.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$95.48

SCREW BONE EMERG 1.9 X 5MML

Facility IP

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64905443
Hospital Revenue Code	278
Min. Negotiated Rate	$98.32
Max. Negotiated Rate	$98.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32

SCREW BONE EMERG 1.9 X 5MML

Facility OP

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64905443
Hospital Revenue Code	278
Min. Negotiated Rate	$68.82
Max. Negotiated Rate	$206.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$108.15
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	$98.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$113.06
Rate for Payer: Fidelis Medicare Advantage	$206.46
Rate for Payer: Group Health Inc Commercial	$98.32
Rate for Payer: Group Health Inc Medicare	$68.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.81

SCREW BONE EMERG 2.5 X 12MM

Facility IP

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64904528
Hospital Revenue Code	278
Min. Negotiated Rate	$98.32
Max. Negotiated Rate	$98.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32

SCREW BONE EMERG 2.5 X 12MM

Facility OP

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64904528
Hospital Revenue Code	278
Min. Negotiated Rate	$68.82
Max. Negotiated Rate	$206.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$108.15
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	$98.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$113.06
Rate for Payer: Fidelis Medicare Advantage	$206.46
Rate for Payer: Group Health Inc Commercial	$98.32
Rate for Payer: Group Health Inc Medicare	$68.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.81

SCREW BONE EMERGENCY 1.9X10

Facility OP

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64905025
Hospital Revenue Code	278
Min. Negotiated Rate	$68.82
Max. Negotiated Rate	$206.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$108.15
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	$98.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$113.06
Rate for Payer: Fidelis Medicare Advantage	$206.46
Rate for Payer: Group Health Inc Commercial	$98.32
Rate for Payer: Group Health Inc Medicare	$68.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.81

SCREW BONE EMERGENCY 1.9X10

Facility IP

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64905025
Hospital Revenue Code	278
Min. Negotiated Rate	$98.32
Max. Negotiated Rate	$98.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32

SCREW BONE EMERGENCY 1.9X8

Facility OP

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64905023
Hospital Revenue Code	278
Min. Negotiated Rate	$68.82
Max. Negotiated Rate	$206.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$108.15
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	$98.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$113.06
Rate for Payer: Fidelis Medicare Advantage	$206.46
Rate for Payer: Group Health Inc Commercial	$98.32
Rate for Payer: Group Health Inc Medicare	$68.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.81

SCREW BONE EMERGENCY 1.9X8

Facility IP

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64905023
Hospital Revenue Code	278
Min. Negotiated Rate	$98.32
Max. Negotiated Rate	$98.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32

Price Transparency.

All Charges