St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW CENTRAL SHLDR REV

Facility IP

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64907002
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.75
Rate for Payer: Hamaspik Choice Inc Medicare	$93.75

SCREW CLEARFIX MENISCAL 2X10MM

Facility IP

$414.00

Service Code	HCPCS C1713
Hospital Charge Code	40202286
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$207.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$207.00
Rate for Payer: Hamaspik Choice Inc Medicare	$207.00

SCREW CLEARFIX MENISCAL 2X10MM

Facility OP

$414.00

Service Code	HCPCS C1713
Hospital Charge Code	40202286
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$434.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$227.70
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	$207.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$238.05
Rate for Payer: Fidelis Medicare Advantage	$434.70
Rate for Payer: Group Health Inc Commercial	$207.00
Rate for Payer: Group Health Inc Medicare	$144.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$207.00
Rate for Payer: Hamaspik Choice Inc Medicare	$207.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$269.10

SCREW CNLTD 8MM ASNIS III 135MML

Facility IP

$221.22

Service Code	HCPCS C1713
Hospital Charge Code	64906262
Hospital Revenue Code	278
Min. Negotiated Rate	$110.61
Max. Negotiated Rate	$110.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$110.61
Rate for Payer: Hamaspik Choice Inc Medicare	$110.61

SCREW CNLTD 8MM ASNIS III 135MML

Facility OP

$221.22

Service Code	HCPCS C1713
Hospital Charge Code	64906262
Hospital Revenue Code	278
Min. Negotiated Rate	$77.43
Max. Negotiated Rate	$232.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$121.67
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	$110.61
Rate for Payer: Cigna LocalPlus Benefit Plan	$127.20
Rate for Payer: Fidelis Medicare Advantage	$232.28
Rate for Payer: Group Health Inc Commercial	$110.61
Rate for Payer: Group Health Inc Medicare	$77.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$110.61
Rate for Payer: Hamaspik Choice Inc Medicare	$110.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$143.79

SCREW CNLTD STST 8MM ASNIS 150MM

Facility IP

$243.10

Service Code	HCPCS C1713
Hospital Charge Code	64906391
Hospital Revenue Code	278
Min. Negotiated Rate	$121.55
Max. Negotiated Rate	$121.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$121.55
Rate for Payer: Hamaspik Choice Inc Medicare	$121.55

SCREW CNLTD STST 8MM ASNIS 150MM

Facility OP

$243.10

Service Code	HCPCS C1713
Hospital Charge Code	64906391
Hospital Revenue Code	278
Min. Negotiated Rate	$85.08
Max. Negotiated Rate	$255.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$133.70
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	$121.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$139.78
Rate for Payer: Fidelis Medicare Advantage	$255.26
Rate for Payer: Group Health Inc Commercial	$121.55
Rate for Payer: Group Health Inc Medicare	$85.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$121.55
Rate for Payer: Hamaspik Choice Inc Medicare	$121.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$158.02

SCREW CNNLTD ASNIS 3 6.5X105MM

Facility IP

$447.18

Service Code	HCPCS C1713
Hospital Charge Code	64906539
Hospital Revenue Code	278
Min. Negotiated Rate	$223.59
Max. Negotiated Rate	$223.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$223.59
Rate for Payer: Hamaspik Choice Inc Medicare	$223.59

SCREW CNNLTD ASNIS 3 6.5X105MM

Facility OP

$447.18

Service Code	HCPCS C1713
Hospital Charge Code	64906539
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$469.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$245.95
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	$223.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$257.13
Rate for Payer: Fidelis Medicare Advantage	$469.54
Rate for Payer: Group Health Inc Commercial	$223.59
Rate for Payer: Group Health Inc Medicare	$156.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$223.59
Rate for Payer: Hamaspik Choice Inc Medicare	$223.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$290.67

SCREW COMP AFIX T7 2.0 X 24MM

Facility IP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906423
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 COMP AFIX T7 2.0 X 24MM

Facility OP

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906423
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 COMP FT 2.5 MCR

Facility IP

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	64906900
Hospital Revenue Code	278
Min. Negotiated Rate	$350.00
Max. Negotiated Rate	$350.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$350.00
Rate for Payer: Hamaspik Choice Inc Medicare	$350.00

SCREW COMP FT 2.5 MCR

Facility OP

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	64906900
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$735.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$385.00
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	$350.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$402.50
Rate for Payer: Fidelis Medicare Advantage	$735.00
Rate for Payer: Group Health Inc Commercial	$350.00
Rate for Payer: Group Health Inc Medicare	$245.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$350.00
Rate for Payer: Hamaspik Choice Inc Medicare	$350.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$455.00

SCREW COMP FT MINI

Facility IP

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	64907395
Hospital Revenue Code	278
Min. Negotiated Rate	$437.50
Max. Negotiated Rate	$437.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.50
Rate for Payer: Hamaspik Choice Inc Medicare	$437.50

SCREW COMP FT MINI

Facility OP

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	64907395
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$918.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$481.25
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	$437.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$503.12
Rate for Payer: Fidelis Medicare Advantage	$918.75
Rate for Payer: Group Health Inc Commercial	$437.50
Rate for Payer: Group Health Inc Medicare	$306.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.50
Rate for Payer: Hamaspik Choice Inc Medicare	$437.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$568.75

SCREW COMP FT STD 4

Facility IP

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	64907397
Hospital Revenue Code	278
Min. Negotiated Rate	$437.50
Max. Negotiated Rate	$437.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.50
Rate for Payer: Hamaspik Choice Inc Medicare	$437.50

SCREW COMP FT STD 4

Facility OP

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	64907397
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$918.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$481.25
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	$437.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$503.12
Rate for Payer: Fidelis Medicare Advantage	$918.75
Rate for Payer: Group Health Inc Commercial	$437.50
Rate for Payer: Group Health Inc Medicare	$306.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.50
Rate for Payer: Hamaspik Choice Inc Medicare	$437.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$568.75

SCREW COMPRESSION 32.3MM

Facility IP

$182.00

Service Code	HCPCS C1713
Hospital Charge Code	64902847
Hospital Revenue Code	278
Min. Negotiated Rate	$91.00
Max. Negotiated Rate	$91.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$91.00
Rate for Payer: Hamaspik Choice Inc Medicare	$91.00

SCREW COMPRESSION 32.3MM

Facility OP

$182.00

Service Code	HCPCS C1713
Hospital Charge Code	64902847
Hospital Revenue Code	278
Min. Negotiated Rate	$63.70
Max. Negotiated Rate	$191.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$100.10
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	$91.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$104.65
Rate for Payer: Fidelis Medicare Advantage	$191.10
Rate for Payer: Group Health Inc Commercial	$91.00
Rate for Payer: Group Health Inc Medicare	$63.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$91.00
Rate for Payer: Hamaspik Choice Inc Medicare	$91.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$118.30

SCREW COMPR FT 3.5

Facility OP

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	64907475
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$918.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$481.25
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	$437.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$503.12
Rate for Payer: Fidelis Medicare Advantage	$918.75
Rate for Payer: Group Health Inc Commercial	$437.50
Rate for Payer: Group Health Inc Medicare	$306.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.50
Rate for Payer: Hamaspik Choice Inc Medicare	$437.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$568.75

SCREW COMPR FT 3.5

Facility IP

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	64907475
Hospital Revenue Code	278
Min. Negotiated Rate	$437.50
Max. Negotiated Rate	$437.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.50
Rate for Payer: Hamaspik Choice Inc Medicare	$437.50

SCREW COR LOCK 3.5 X 10MM

Facility OP

$228.00

Service Code	HCPCS C1713
Hospital Charge Code	64906907
Hospital Revenue Code	278
Min. Negotiated Rate	$79.80
Max. Negotiated Rate	$239.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$125.40
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	$114.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$131.10
Rate for Payer: Fidelis Medicare Advantage	$239.40
Rate for Payer: Group Health Inc Commercial	$114.00
Rate for Payer: Group Health Inc Medicare	$79.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$114.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$148.20

SCREW COR LOCK 3.5 X 10MM

Facility IP

$228.00

Service Code	HCPCS C1713
Hospital Charge Code	64906907
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$114.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$114.00

SCREW COR NL 3.5 X 10MM

Facility OP

$228.00

Service Code	HCPCS C1713
Hospital Charge Code	64906908
Hospital Revenue Code	278
Min. Negotiated Rate	$79.80
Max. Negotiated Rate	$239.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$125.40
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	$114.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$131.10
Rate for Payer: Fidelis Medicare Advantage	$239.40
Rate for Payer: Group Health Inc Commercial	$114.00
Rate for Payer: Group Health Inc Medicare	$79.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$114.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$148.20

SCREW COR NL 3.5 X 10MM

Facility IP

$228.00

Service Code	HCPCS C1713
Hospital Charge Code	64906908
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$114.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$114.00

Price Transparency.

All Charges