St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW CORT 38MM

Facility IP

$6,294.30

Service Code	HCPCS C1713
Hospital Charge Code	64903917
Hospital Revenue Code	278
Min. Negotiated Rate	$3,147.15
Max. Negotiated Rate	$3,147.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,147.15
Rate for Payer: Hamaspik Choice Inc Medicare	$3,147.15

SCREW CORT 38MM

Facility OP

$6,294.30

Service Code	HCPCS C1713
Hospital Charge Code	64903917
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,609.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,461.86
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	$3,147.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,619.22
Rate for Payer: Fidelis Medicare Advantage	$6,609.02
Rate for Payer: Group Health Inc Commercial	$3,147.15
Rate for Payer: Group Health Inc Medicare	$2,203.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,147.15
Rate for Payer: Hamaspik Choice Inc Medicare	$3,147.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,091.30

SCREW CORT BONE 5.0MM X 38MM

Facility IP

$496.00

Service Code	HCPCS C1713
Hospital Charge Code	40003336
Hospital Revenue Code	278
Min. Negotiated Rate	$248.00
Max. Negotiated Rate	$248.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$248.00
Rate for Payer: Hamaspik Choice Inc Medicare	$248.00

SCREW CORT BONE 5.0MM X 38MM

Facility OP

$496.00

Service Code	HCPCS C1713
Hospital Charge Code	40003336
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$520.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$272.80
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	$248.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$285.20
Rate for Payer: Fidelis Medicare Advantage	$520.80
Rate for Payer: Group Health Inc Commercial	$248.00
Rate for Payer: Group Health Inc Medicare	$173.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$248.00
Rate for Payer: Hamaspik Choice Inc Medicare	$248.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$322.40

SCREW CORT BONE ST 4.5 X 32MM

Facility IP

$57.50

Service Code	HCPCS C1713
Hospital Charge Code	64901616
Hospital Revenue Code	278
Min. Negotiated Rate	$28.75
Max. Negotiated Rate	$28.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.75
Rate for Payer: Hamaspik Choice Inc Medicare	$28.75

SCREW CORT BONE ST 4.5 X 32MM

Facility OP

$57.50

Service Code	HCPCS C1713
Hospital Charge Code	64901616
Hospital Revenue Code	278
Min. Negotiated Rate	$20.12
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.62
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	$28.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.06
Rate for Payer: Fidelis Medicare Advantage	$60.38
Rate for Payer: Group Health Inc Commercial	$28.75
Rate for Payer: Group Health Inc Medicare	$20.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.75
Rate for Payer: Hamaspik Choice Inc Medicare	$28.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$37.38

SCREW CORT BONE ST 4.5X58MM

Facility IP

$40.00

Service Code	HCPCS C1713
Hospital Charge Code	40200149
Hospital Revenue Code	278
Min. Negotiated Rate	$20.00
Max. Negotiated Rate	$20.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.00
Rate for Payer: Hamaspik Choice Inc Medicare	$20.00

SCREW CORT BONE ST 4.5X58MM

Facility OP

$40.00

Service Code	HCPCS C1713
Hospital Charge Code	40200149
Hospital Revenue Code	278
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.00
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	$20.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.00
Rate for Payer: Fidelis Medicare Advantage	$42.00
Rate for Payer: Group Health Inc Commercial	$20.00
Rate for Payer: Group Health Inc Medicare	$14.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.00
Rate for Payer: Hamaspik Choice Inc Medicare	$20.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$26.00

SCREW CORTEX

Facility OP

$69.00

Service Code	HCPCS C1776
Hospital Charge Code	40209010
Hospital Revenue Code	278
Min. Negotiated Rate	$24.15
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$37.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$34.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.68
Rate for Payer: Fidelis Medicare Advantage	$72.45
Rate for Payer: Group Health Inc Commercial	$34.50
Rate for Payer: Group Health Inc Medicare	$24.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.50
Rate for Payer: Hamaspik Choice Inc Medicare	$34.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$44.85

SCREW CORTEX

Facility IP

$69.00

Service Code	HCPCS C1776
Hospital Charge Code	40209010
Hospital Revenue Code	278
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.50
Rate for Payer: Hamaspik Choice Inc Medicare	$34.50

SCREW CORTEX 3.5 X 10MM FT ST

Facility OP

$65.00

Service Code	HCPCS C1713
Hospital Charge Code	64901711
Hospital Revenue Code	278
Min. Negotiated Rate	$22.75
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.75
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	$32.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$37.38
Rate for Payer: Fidelis Medicare Advantage	$68.25
Rate for Payer: Group Health Inc Commercial	$32.50
Rate for Payer: Group Health Inc Medicare	$22.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.50
Rate for Payer: Hamaspik Choice Inc Medicare	$32.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$42.25

SCREW CORTEX 3.5 X 10MM FT ST

Facility IP

$65.00

Service Code	HCPCS C1713
Hospital Charge Code	64901711
Hospital Revenue Code	278
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$32.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.50
Rate for Payer: Hamaspik Choice Inc Medicare	$32.50

SCREW CORTEX 3.5 X 12MM FT ST

Facility IP

$65.00

Service Code	HCPCS C1713
Hospital Charge Code	64901713
Hospital Revenue Code	278
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$32.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.50
Rate for Payer: Hamaspik Choice Inc Medicare	$32.50

SCREW CORTEX 3.5 X 12MM FT ST

Facility OP

$65.00

Service Code	HCPCS C1713
Hospital Charge Code	64901713
Hospital Revenue Code	278
Min. Negotiated Rate	$22.75
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.75
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	$32.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$37.38
Rate for Payer: Fidelis Medicare Advantage	$68.25
Rate for Payer: Group Health Inc Commercial	$32.50
Rate for Payer: Group Health Inc Medicare	$22.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.50
Rate for Payer: Hamaspik Choice Inc Medicare	$32.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$42.25

SCREW CORTEX 3.5 X 14MM FT ST

Facility OP

$53.38

Service Code	HCPCS C1713
Hospital Charge Code	64901420
Hospital Revenue Code	278
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.36
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	$26.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.69
Rate for Payer: Fidelis Medicare Advantage	$56.05
Rate for Payer: Group Health Inc Commercial	$26.69
Rate for Payer: Group Health Inc Medicare	$18.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.69
Rate for Payer: Hamaspik Choice Inc Medicare	$26.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$34.70

SCREW CORTEX 3.5 X 14MM FT ST

Facility IP

$53.38

Service Code	HCPCS C1713
Hospital Charge Code	64901420
Hospital Revenue Code	278
Min. Negotiated Rate	$26.69
Max. Negotiated Rate	$26.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.69
Rate for Payer: Hamaspik Choice Inc Medicare	$26.69

SCREW CORTEX 3.5 X 16MM FT ST

Facility IP

$53.65

Service Code	HCPCS C1713
Hospital Charge Code	64901452
Hospital Revenue Code	278
Min. Negotiated Rate	$26.82
Max. Negotiated Rate	$26.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.82
Rate for Payer: Hamaspik Choice Inc Medicare	$26.82

SCREW CORTEX 3.5 X 16MM FT ST

Facility OP

$53.65

Service Code	HCPCS C1713
Hospital Charge Code	64901452
Hospital Revenue Code	278
Min. Negotiated Rate	$18.78
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.51
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	$26.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.85
Rate for Payer: Fidelis Medicare Advantage	$56.33
Rate for Payer: Group Health Inc Commercial	$26.82
Rate for Payer: Group Health Inc Medicare	$18.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.82
Rate for Payer: Hamaspik Choice Inc Medicare	$26.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$34.87

SCREW CORTEX 3.5 X 18MM ST FT

Facility IP

$55.00

Service Code	HCPCS C1713
Hospital Charge Code	64901658
Hospital Revenue Code	278
Min. Negotiated Rate	$27.50
Max. Negotiated Rate	$27.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.50
Rate for Payer: Hamaspik Choice Inc Medicare	$27.50

SCREW CORTEX 3.5 X 18MM ST FT

Facility OP

$55.00

Service Code	HCPCS C1713
Hospital Charge Code	64901658
Hospital Revenue Code	278
Min. Negotiated Rate	$19.25
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.25
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	$27.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.62
Rate for Payer: Fidelis Medicare Advantage	$57.75
Rate for Payer: Group Health Inc Commercial	$27.50
Rate for Payer: Group Health Inc Medicare	$19.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.50
Rate for Payer: Hamaspik Choice Inc Medicare	$27.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$35.75

SCREW CORTEX 3.5 X 20MM FT ST

Facility IP

$53.65

Service Code	HCPCS C1713
Hospital Charge Code	64901660
Hospital Revenue Code	278
Min. Negotiated Rate	$26.82
Max. Negotiated Rate	$26.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.82
Rate for Payer: Hamaspik Choice Inc Medicare	$26.82

SCREW CORTEX 3.5 X 20MM FT ST

Facility OP

$53.65

Service Code	HCPCS C1713
Hospital Charge Code	64901660
Hospital Revenue Code	278
Min. Negotiated Rate	$18.78
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.51
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	$26.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.85
Rate for Payer: Fidelis Medicare Advantage	$56.33
Rate for Payer: Group Health Inc Commercial	$26.82
Rate for Payer: Group Health Inc Medicare	$18.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.82
Rate for Payer: Hamaspik Choice Inc Medicare	$26.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$34.87

SCREW CORTEX 3.5 X 22MM FT ST

Facility IP

$54.88

Service Code	HCPCS C1713
Hospital Charge Code	64901661
Hospital Revenue Code	278
Min. Negotiated Rate	$27.44
Max. Negotiated Rate	$27.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.44
Rate for Payer: Hamaspik Choice Inc Medicare	$27.44

SCREW CORTEX 3.5 X 22MM FT ST

Facility OP

$54.88

Service Code	HCPCS C1713
Hospital Charge Code	64901661
Hospital Revenue Code	278
Min. Negotiated Rate	$19.21
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.18
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	$27.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.56
Rate for Payer: Fidelis Medicare Advantage	$57.62
Rate for Payer: Group Health Inc Commercial	$27.44
Rate for Payer: Group Health Inc Medicare	$19.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.44
Rate for Payer: Hamaspik Choice Inc Medicare	$27.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$35.67

SCREW CORTEX 3.5 X 24MM FT ST

Facility OP

$65.00

Service Code	HCPCS C1713
Hospital Charge Code	64901631
Hospital Revenue Code	278
Min. Negotiated Rate	$22.75
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.75
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	$32.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$37.38
Rate for Payer: Fidelis Medicare Advantage	$68.25
Rate for Payer: Group Health Inc Commercial	$32.50
Rate for Payer: Group Health Inc Medicare	$22.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.50
Rate for Payer: Hamaspik Choice Inc Medicare	$32.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$42.25

Price Transparency.

All Charges