St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW, EMERGENCY 5MM

Facility OP

$171.43

Service Code	HCPCS C1713
Hospital Charge Code	64905714
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$180.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$94.29
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	$85.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$98.57
Rate for Payer: Fidelis Medicare Advantage	$180.00
Rate for Payer: Group Health Inc Commercial	$85.72
Rate for Payer: Group Health Inc Medicare	$60.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$85.72
Rate for Payer: Hamaspik Choice Inc Medicare	$85.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$111.43

SCREW EMERG MAXDRIVE 1.8X5MM

Facility OP

$144.63

Service Code	HCPCS C1713
Hospital Charge Code	64902482
Hospital Revenue Code	278
Min. Negotiated Rate	$50.62
Max. Negotiated Rate	$151.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$79.55
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	$72.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$83.16
Rate for Payer: Fidelis Medicare Advantage	$151.86
Rate for Payer: Group Health Inc Commercial	$72.32
Rate for Payer: Group Health Inc Medicare	$50.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$72.32
Rate for Payer: Hamaspik Choice Inc Medicare	$72.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$94.01

SCREW EMERG MAXDRIVE 1.8X5MM

Facility IP

$144.63

Service Code	HCPCS C1713
Hospital Charge Code	64902482
Hospital Revenue Code	278
Min. Negotiated Rate	$72.32
Max. Negotiated Rate	$72.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$72.32
Rate for Payer: Hamaspik Choice Inc Medicare	$72.32

SCREW EMMERGENCY W.4X3MM C-P S

Facility OP

$139.35

Service Code	HCPCS C1713
Hospital Charge Code	64901551
Hospital Revenue Code	278
Min. Negotiated Rate	$48.77
Max. Negotiated Rate	$146.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$76.64
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	$69.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$80.13
Rate for Payer: Fidelis Medicare Advantage	$146.32
Rate for Payer: Group Health Inc Commercial	$69.68
Rate for Payer: Group Health Inc Medicare	$48.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$69.68
Rate for Payer: Hamaspik Choice Inc Medicare	$69.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$90.58

SCREW EMMERGENCY W.4X3MM C-P S

Facility IP

$139.35

Service Code	HCPCS C1713
Hospital Charge Code	64901551
Hospital Revenue Code	278
Min. Negotiated Rate	$69.68
Max. Negotiated Rate	$69.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$69.68
Rate for Payer: Hamaspik Choice Inc Medicare	$69.68

SCREW ES2 5.5 X 40MM

Facility IP

$8,552.70

Service Code	HCPCS C1713
Hospital Charge Code	64904897
Hospital Revenue Code	278
Min. Negotiated Rate	$4,276.35
Max. Negotiated Rate	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicare	$4,276.35

SCREW ES2 5.5 X 40MM

Facility OP

$8,552.70

Service Code	HCPCS C1713
Hospital Charge Code	64904897
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,980.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,703.98
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	$4,276.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,917.80
Rate for Payer: Fidelis Medicare Advantage	$8,980.34
Rate for Payer: Group Health Inc Commercial	$4,276.35
Rate for Payer: Group Health Inc Medicare	$2,993.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicare	$4,276.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,559.26

SCREW ES2 6.5 X 35 SHORT

Facility IP

$8,552.70

Service Code	HCPCS C1713
Hospital Charge Code	64904727
Hospital Revenue Code	278
Min. Negotiated Rate	$4,276.35
Max. Negotiated Rate	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicare	$4,276.35

SCREW ES2 6.5 X 35 SHORT

Facility OP

$8,552.70

Service Code	HCPCS C1713
Hospital Charge Code	64904727
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,980.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,703.98
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	$4,276.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,917.80
Rate for Payer: Fidelis Medicare Advantage	$8,980.34
Rate for Payer: Group Health Inc Commercial	$4,276.35
Rate for Payer: Group Health Inc Medicare	$2,993.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicare	$4,276.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,559.26

SCREW ES2 LG 6.5 X 35

Facility OP

$8,552.70

Service Code	HCPCS C1713
Hospital Charge Code	64904865
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,980.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,703.98
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	$4,276.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,917.80
Rate for Payer: Fidelis Medicare Advantage	$8,980.34
Rate for Payer: Group Health Inc Commercial	$4,276.35
Rate for Payer: Group Health Inc Medicare	$2,993.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicare	$4,276.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,559.26

SCREW ES2 LG 6.5 X 35

Facility IP

$8,552.70

Service Code	HCPCS C1713
Hospital Charge Code	64904865
Hospital Revenue Code	278
Min. Negotiated Rate	$4,276.35
Max. Negotiated Rate	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicare	$4,276.35

SCREW ES2 LG 6.5 X 40

Facility OP

$8,552.70

Service Code	HCPCS C1713
Hospital Charge Code	64904863
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,980.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,703.98
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	$4,276.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,917.80
Rate for Payer: Fidelis Medicare Advantage	$8,980.34
Rate for Payer: Group Health Inc Commercial	$4,276.35
Rate for Payer: Group Health Inc Medicare	$2,993.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicare	$4,276.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,559.26

SCREW ES2 LG 6.5 X 40

Facility IP

$8,552.70

Service Code	HCPCS C1713
Hospital Charge Code	64904863
Hospital Revenue Code	278
Min. Negotiated Rate	$4,276.35
Max. Negotiated Rate	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicare	$4,276.35

SCREW FIXED LOCKING

Facility IP

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64907424
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 FIXED LOCKING

Facility OP

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64907424
Hospital Revenue Code	278
Min. Negotiated Rate	$65.62
Max. Negotiated Rate	$196.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$103.12
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	$93.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$107.81
Rate for Payer: Fidelis Medicare Advantage	$196.88
Rate for Payer: Group Health Inc Commercial	$93.75
Rate for Payer: Group Health Inc Medicare	$65.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.75
Rate for Payer: Hamaspik Choice Inc Medicare	$93.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$121.88

SCREW FIXED LOCKING SHLDR REV

Facility IP

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64907001
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 FIXED LOCKING SHLDR REV

Facility OP

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64907001
Hospital Revenue Code	278
Min. Negotiated Rate	$65.62
Max. Negotiated Rate	$196.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$103.12
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	$93.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$107.81
Rate for Payer: Fidelis Medicare Advantage	$196.88
Rate for Payer: Group Health Inc Commercial	$93.75
Rate for Payer: Group Health Inc Medicare	$65.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.75
Rate for Payer: Hamaspik Choice Inc Medicare	$93.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$121.88

SCREW FIXOS 5.0X36

Facility IP

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	64904926
Hospital Revenue Code	278
Min. Negotiated Rate	$687.50
Max. Negotiated Rate	$687.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$687.50
Rate for Payer: Hamaspik Choice Inc Medicare	$687.50

SCREW FIXOS 5.0X36

Facility OP

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	64904926
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,443.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$756.25
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	$687.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$790.62
Rate for Payer: Fidelis Medicare Advantage	$1,443.75
Rate for Payer: Group Health Inc Commercial	$687.50
Rate for Payer: Group Health Inc Medicare	$481.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$687.50
Rate for Payer: Hamaspik Choice Inc Medicare	$687.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$893.75

SCREW F/T LCKNG 5

Facility OP

$394.68

Service Code	HCPCS C1713
Hospital Charge Code	64907412
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$414.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$217.07
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	$197.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$226.94
Rate for Payer: Fidelis Medicare Advantage	$414.41
Rate for Payer: Group Health Inc Commercial	$197.34
Rate for Payer: Group Health Inc Medicare	$138.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$197.34
Rate for Payer: Hamaspik Choice Inc Medicare	$197.34
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$256.54

SCREW F/T LCKNG 5

Facility IP

$394.68

Service Code	HCPCS C1713
Hospital Charge Code	64907412
Hospital Revenue Code	278
Min. Negotiated Rate	$197.34
Max. Negotiated Rate	$197.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$197.34
Rate for Payer: Hamaspik Choice Inc Medicare	$197.34

SCREW G7 6.5MM X 30MM

Facility IP

$336.00

Service Code	HCPCS C1713
Hospital Charge Code	64906781
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$168.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$168.00
Rate for Payer: Hamaspik Choice Inc Medicare	$168.00

SCREW G7 6.5MM X 30MM

Facility OP

$336.00

Service Code	HCPCS C1713
Hospital Charge Code	64906781
Hospital Revenue Code	278
Min. Negotiated Rate	$117.60
Max. Negotiated Rate	$352.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$184.80
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	$168.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$193.20
Rate for Payer: Fidelis Medicare Advantage	$352.80
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
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$218.40

SCREW GAMMA3 TI LAG 10.5X80MM

Facility IP

$963.20

Service Code	HCPCS C1713
Hospital Charge Code	40205453
Hospital Revenue Code	278
Min. Negotiated Rate	$481.60
Max. Negotiated Rate	$481.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$481.60
Rate for Payer: Hamaspik Choice Inc Medicare	$481.60

SCREW GAMMA3 TI LAG 10.5X80MM

Facility OP

$1,282.13

Service Code	HCPCS C1713
Hospital Charge Code	64901442
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,346.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$705.17
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	$641.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$737.22
Rate for Payer: Fidelis Medicare Advantage	$1,346.24
Rate for Payer: Group Health Inc Commercial	$641.06
Rate for Payer: Group Health Inc Medicare	$448.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$641.06
Rate for Payer: Hamaspik Choice Inc Medicare	$641.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$833.38

Price Transparency.

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