St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW CANNUL 8.0 X 105

Facility OP

$607.75

Service Code	HCPCS C1713
Hospital Charge Code	64905116
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$638.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$334.26
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	$303.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$349.46
Rate for Payer: Fidelis Medicare Advantage	$638.14
Rate for Payer: Group Health Inc Commercial	$303.88
Rate for Payer: Group Health Inc Medicare	$212.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$303.88
Rate for Payer: Hamaspik Choice Inc Medicare	$303.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$395.04

SCREW CANNUL 8.0X85MM ASNIS

Facility IP

$607.75

Service Code	HCPCS C1713
Hospital Charge Code	64905722
Hospital Revenue Code	278
Min. Negotiated Rate	$303.88
Max. Negotiated Rate	$303.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$303.88
Rate for Payer: Hamaspik Choice Inc Medicare	$303.88

SCREW CANNUL 8.0X85MM ASNIS

Facility OP

$607.75

Service Code	HCPCS C1713
Hospital Charge Code	64905722
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$638.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$334.26
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	$303.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$349.46
Rate for Payer: Fidelis Medicare Advantage	$638.14
Rate for Payer: Group Health Inc Commercial	$303.88
Rate for Payer: Group Health Inc Medicare	$212.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$303.88
Rate for Payer: Hamaspik Choice Inc Medicare	$303.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$395.04

SCREW CANNUL ASNIS III 4X42MM

Facility OP

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	64905909
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.50
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	$195.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.25
Rate for Payer: Fidelis Medicare Advantage	$409.50
Rate for Payer: Group Health Inc Commercial	$195.00
Rate for Payer: Group Health Inc Medicare	$136.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.00
Rate for Payer: Hamaspik Choice Inc Medicare	$195.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.50

SCREW CANNUL ASNIS III 4X42MM

Facility IP

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	64905909
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$195.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.00
Rate for Payer: Hamaspik Choice Inc Medicare	$195.00

SCREW CANNULATED

Facility IP

$374.00

Service Code	HCPCS C1713
Hospital Charge Code	40201126
Hospital Revenue Code	278
Min. Negotiated Rate	$187.00
Max. Negotiated Rate	$187.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$187.00
Rate for Payer: Hamaspik Choice Inc Medicare	$187.00

SCREW CANNULATED

Facility OP

$237.50

Service Code	HCPCS C1713
Hospital Charge Code	64907325
Hospital Revenue Code	278
Min. Negotiated Rate	$83.12
Max. Negotiated Rate	$249.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$130.62
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	$118.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$136.56
Rate for Payer: Fidelis Medicare Advantage	$249.38
Rate for Payer: Group Health Inc Commercial	$118.75
Rate for Payer: Group Health Inc Medicare	$83.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$118.75
Rate for Payer: Hamaspik Choice Inc Medicare	$118.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$154.38

SCREW CANNULATED

Facility IP

$237.50

Service Code	HCPCS C1713
Hospital Charge Code	64907325
Hospital Revenue Code	278
Min. Negotiated Rate	$118.75
Max. Negotiated Rate	$118.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$118.75
Rate for Payer: Hamaspik Choice Inc Medicare	$118.75

SCREW CANNULATED

Facility OP

$374.00

Service Code	HCPCS C1713
Hospital Charge Code	40201126
Hospital Revenue Code	278
Min. Negotiated Rate	$130.90
Max. Negotiated Rate	$392.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$205.70
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	$187.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$215.05
Rate for Payer: Fidelis Medicare Advantage	$392.70
Rate for Payer: Group Health Inc Commercial	$187.00
Rate for Payer: Group Health Inc Medicare	$130.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$187.00
Rate for Payer: Hamaspik Choice Inc Medicare	$187.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$243.10

SCREW CANNULATED 2.0 X 15MM

Facility OP

$450.13

Service Code	HCPCS C1713
Hospital Charge Code	64902105
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$472.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$247.57
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	$225.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$258.82
Rate for Payer: Fidelis Medicare Advantage	$472.64
Rate for Payer: Group Health Inc Commercial	$225.06
Rate for Payer: Group Health Inc Medicare	$157.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.06
Rate for Payer: Hamaspik Choice Inc Medicare	$225.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$292.58

SCREW CANNULATED 2.0 X 15MM

Facility IP

$450.13

Service Code	HCPCS C1713
Hospital Charge Code	64902105
Hospital Revenue Code	278
Min. Negotiated Rate	$225.06
Max. Negotiated Rate	$225.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.06
Rate for Payer: Hamaspik Choice Inc Medicare	$225.06

SCREW CANNULATED 3.5X50

Facility OP

$382.50

Service Code	HCPCS C1713
Hospital Charge Code	64901182
Hospital Revenue Code	278
Min. Negotiated Rate	$133.88
Max. Negotiated Rate	$401.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$210.38
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	$191.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$219.94
Rate for Payer: Fidelis Medicare Advantage	$401.62
Rate for Payer: Group Health Inc Commercial	$191.25
Rate for Payer: Group Health Inc Medicare	$133.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$191.25
Rate for Payer: Hamaspik Choice Inc Medicare	$191.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$248.62

SCREW CANNULATED 3.5X50

Facility IP

$382.50

Service Code	HCPCS C1713
Hospital Charge Code	64901182
Hospital Revenue Code	278
Min. Negotiated Rate	$191.25
Max. Negotiated Rate	$191.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$191.25
Rate for Payer: Hamaspik Choice Inc Medicare	$191.25

SCREW CANNULATED 4.0 X 50 FT

Facility OP

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	64905132
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.50
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	$195.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.25
Rate for Payer: Fidelis Medicare Advantage	$409.50
Rate for Payer: Group Health Inc Commercial	$195.00
Rate for Payer: Group Health Inc Medicare	$136.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.00
Rate for Payer: Hamaspik Choice Inc Medicare	$195.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.50

SCREW CANNULATED 4.0 X 50 FT

Facility IP

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	64905132
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$195.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.00
Rate for Payer: Hamaspik Choice Inc Medicare	$195.00

SCREW CANNULATED 4.0 X 50MM FT

Facility IP

$453.25

Service Code	HCPCS C1713
Hospital Charge Code	64902448
Hospital Revenue Code	278
Min. Negotiated Rate	$226.62
Max. Negotiated Rate	$226.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$226.62
Rate for Payer: Hamaspik Choice Inc Medicare	$226.62

SCREW CANNULATED 4.0 X 50MM FT

Facility OP

$453.25

Service Code	HCPCS C1713
Hospital Charge Code	64902448
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$475.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$249.29
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	$226.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$260.62
Rate for Payer: Fidelis Medicare Advantage	$475.91
Rate for Payer: Group Health Inc Commercial	$226.62
Rate for Payer: Group Health Inc Medicare	$158.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$226.62
Rate for Payer: Hamaspik Choice Inc Medicare	$226.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$294.61

SCREW CANNULATED 4.0 X 60

Facility IP

$453.25

Service Code	HCPCS C1713
Hospital Charge Code	64902933
Hospital Revenue Code	278
Min. Negotiated Rate	$226.62
Max. Negotiated Rate	$226.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$226.62
Rate for Payer: Hamaspik Choice Inc Medicare	$226.62

SCREW CANNULATED 4.0 X 60

Facility OP

$453.25

Service Code	HCPCS C1713
Hospital Charge Code	64902933
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$475.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$249.29
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	$226.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$260.62
Rate for Payer: Fidelis Medicare Advantage	$475.91
Rate for Payer: Group Health Inc Commercial	$226.62
Rate for Payer: Group Health Inc Medicare	$158.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$226.62
Rate for Payer: Hamaspik Choice Inc Medicare	$226.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$294.61

SCREW CANNULATED 5/34

Facility OP

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	64906245
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$262.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$137.50
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	$125.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$143.75
Rate for Payer: Fidelis Medicare Advantage	$262.50
Rate for Payer: Group Health Inc Commercial	$125.00
Rate for Payer: Group Health Inc Medicare	$87.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$125.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$162.50

SCREW CANNULATED 5/34

Facility IP

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	64906245
Hospital Revenue Code	278
Min. Negotiated Rate	$125.00
Max. Negotiated Rate	$125.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$125.00

SCREW CANNULATED 5 X 32.5MM

Facility OP

$429.00

Service Code	HCPCS C1713
Hospital Charge Code	64903019
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$450.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$235.95
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	$214.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$246.68
Rate for Payer: Fidelis Medicare Advantage	$450.45
Rate for Payer: Group Health Inc Commercial	$214.50
Rate for Payer: Group Health Inc Medicare	$150.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$214.50
Rate for Payer: Hamaspik Choice Inc Medicare	$214.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$278.85

SCREW CANNULATED 5 X 32.5MM

Facility IP

$429.00

Service Code	HCPCS C1713
Hospital Charge Code	64903019
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$214.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$214.50
Rate for Payer: Hamaspik Choice Inc Medicare	$214.50

SCREW CANNULATED 7.3 16MMX85

Facility OP

$318.00

Service Code	HCPCS C1713
Hospital Charge Code	40200155
Hospital Revenue Code	278
Min. Negotiated Rate	$111.30
Max. Negotiated Rate	$333.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$174.90
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	$159.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$182.85
Rate for Payer: Fidelis Medicare Advantage	$333.90
Rate for Payer: Group Health Inc Commercial	$159.00
Rate for Payer: Group Health Inc Medicare	$111.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$159.00
Rate for Payer: Hamaspik Choice Inc Medicare	$159.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$206.70

SCREW CANNULATED 7.3 16MMX85

Facility IP

$318.00

Service Code	HCPCS C1713
Hospital Charge Code	40200155
Hospital Revenue Code	278
Min. Negotiated Rate	$159.00
Max. Negotiated Rate	$159.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$159.00
Rate for Payer: Hamaspik Choice Inc Medicare	$159.00

Price Transparency.

All Charges