St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW LCKNG CROSS PIN 2.3X18MM

Facility IP

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901499
Hospital Revenue Code	278
Min. Negotiated Rate	$112.62
Max. Negotiated Rate	$112.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.62
Rate for Payer: Hamaspik Choice Inc Medicare	$112.62

SCREW LCKNG CROSS PIN 2.3X18MM

Facility OP

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901499
Hospital Revenue Code	278
Min. Negotiated Rate	$78.83
Max. Negotiated Rate	$236.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$123.88
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	$112.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$129.51
Rate for Payer: Fidelis Medicare Advantage	$236.49
Rate for Payer: Group Health Inc Commercial	$112.62
Rate for Payer: Group Health Inc Medicare	$78.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.62
Rate for Payer: Hamaspik Choice Inc Medicare	$112.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$146.40

SCREW LCKNG CROSS PIN 2.3X6MM

Facility IP

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901484
Hospital Revenue Code	278
Min. Negotiated Rate	$112.62
Max. Negotiated Rate	$112.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.62
Rate for Payer: Hamaspik Choice Inc Medicare	$112.62

SCREW LCKNG CROSS PIN 2.3X6MM

Facility OP

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901484
Hospital Revenue Code	278
Min. Negotiated Rate	$78.83
Max. Negotiated Rate	$236.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$123.88
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	$112.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$129.51
Rate for Payer: Fidelis Medicare Advantage	$236.49
Rate for Payer: Group Health Inc Commercial	$112.62
Rate for Payer: Group Health Inc Medicare	$78.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.62
Rate for Payer: Hamaspik Choice Inc Medicare	$112.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$146.40

SCREW LCKNG CROSS PIN 2.3X8MM

Facility OP

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901489
Hospital Revenue Code	278
Min. Negotiated Rate	$78.83
Max. Negotiated Rate	$236.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$123.88
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	$112.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$129.51
Rate for Payer: Fidelis Medicare Advantage	$236.49
Rate for Payer: Group Health Inc Commercial	$112.62
Rate for Payer: Group Health Inc Medicare	$78.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.62
Rate for Payer: Hamaspik Choice Inc Medicare	$112.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$146.40

SCREW LCKNG CROSS PIN 2.3X8MM

Facility IP

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901489
Hospital Revenue Code	278
Min. Negotiated Rate	$112.62
Max. Negotiated Rate	$112.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.62
Rate for Payer: Hamaspik Choice Inc Medicare	$112.62

SCREW LCKNG ER CRSPIN 2.7X5MM

Facility IP

$257.05

Service Code	HCPCS C1713
Hospital Charge Code	64901515
Hospital Revenue Code	278
Min. Negotiated Rate	$128.52
Max. Negotiated Rate	$128.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$128.52
Rate for Payer: Hamaspik Choice Inc Medicare	$128.52

SCREW LCKNG ER CRSPIN 2.7X5MM

Facility OP

$257.05

Service Code	HCPCS C1713
Hospital Charge Code	64901515
Hospital Revenue Code	278
Min. Negotiated Rate	$89.97
Max. Negotiated Rate	$269.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$141.38
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	$128.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$147.80
Rate for Payer: Fidelis Medicare Advantage	$269.90
Rate for Payer: Group Health Inc Commercial	$128.52
Rate for Payer: Group Health Inc Medicare	$89.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$128.52
Rate for Payer: Hamaspik Choice Inc Medicare	$128.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$167.08

SCREW LCKNG FL THRD 2.7MM, 38MML

Facility IP

$456.36

Service Code	HCPCS C1713
Hospital Charge Code	64906692
Hospital Revenue Code	278
Min. Negotiated Rate	$228.18
Max. Negotiated Rate	$228.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$228.18
Rate for Payer: Hamaspik Choice Inc Medicare	$228.18

SCREW LCKNG FL THRD 2.7MM, 38MML

Facility OP

$456.36

Service Code	HCPCS C1713
Hospital Charge Code	64906692
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$479.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$251.00
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	$228.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$262.41
Rate for Payer: Fidelis Medicare Advantage	$479.18
Rate for Payer: Group Health Inc Commercial	$228.18
Rate for Payer: Group Health Inc Medicare	$159.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$228.18
Rate for Payer: Hamaspik Choice Inc Medicare	$228.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$296.63

SCREW LCKNG FL THRD 3.5

Facility IP

$570.45

Service Code	HCPCS C1713
Hospital Charge Code	64907411
Hospital Revenue Code	278
Min. Negotiated Rate	$285.22
Max. Negotiated Rate	$285.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.22
Rate for Payer: Hamaspik Choice Inc Medicare	$285.22

SCREW LCKNG FL THRD 3.5

Facility OP

$570.45

Service Code	HCPCS C1713
Hospital Charge Code	64907411
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$598.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$313.75
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	$285.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$328.01
Rate for Payer: Fidelis Medicare Advantage	$598.97
Rate for Payer: Group Health Inc Commercial	$285.22
Rate for Payer: Group Health Inc Medicare	$199.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.22
Rate for Payer: Hamaspik Choice Inc Medicare	$285.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$370.79

SCREW LCKNG T8 FL THRD 2.4X30MML

Facility OP

$225.25

Service Code	HCPCS C1713
Hospital Charge Code	64906421
Hospital Revenue Code	278
Min. Negotiated Rate	$78.84
Max. Negotiated Rate	$236.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$123.89
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	$112.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$129.52
Rate for Payer: Fidelis Medicare Advantage	$236.51
Rate for Payer: Group Health Inc Commercial	$112.62
Rate for Payer: Group Health Inc Medicare	$78.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.62
Rate for Payer: Hamaspik Choice Inc Medicare	$112.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$146.41

SCREW LCKNG T8 FL THRD 2.4X30MML

Facility IP

$225.25

Service Code	HCPCS C1713
Hospital Charge Code	64906421
Hospital Revenue Code	278
Min. Negotiated Rate	$112.62
Max. Negotiated Rate	$112.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.62
Rate for Payer: Hamaspik Choice Inc Medicare	$112.62

SCREW LCKNG T8 FL THRD 2.7X28MML

Facility IP

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	64906527
Hospital Revenue Code	278
Min. Negotiated Rate	$225.25
Max. Negotiated Rate	$225.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.25
Rate for Payer: Hamaspik Choice Inc Medicare	$225.25

SCREW LCKNG T8 FL THRD 2.7X28MML

Facility OP

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	64906527
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$473.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$247.78
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	$225.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$259.04
Rate for Payer: Fidelis Medicare Advantage	$473.02
Rate for Payer: Group Health Inc Commercial	$225.25
Rate for Payer: Group Health Inc Medicare	$157.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.25
Rate for Payer: Hamaspik Choice Inc Medicare	$225.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$292.82

SCREW LCKNG TRRD FULL 2.4XL14MM

Facility IP

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	64906585
Hospital Revenue Code	278
Min. Negotiated Rate	$225.25
Max. Negotiated Rate	$225.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.25
Rate for Payer: Hamaspik Choice Inc Medicare	$225.25

SCREW LCKNG TRRD FULL 2.4XL14MM

Facility OP

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	64906585
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$473.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$247.78
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	$225.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$259.04
Rate for Payer: Fidelis Medicare Advantage	$473.02
Rate for Payer: Group Health Inc Commercial	$225.25
Rate for Payer: Group Health Inc Medicare	$157.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.25
Rate for Payer: Hamaspik Choice Inc Medicare	$225.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$292.82

SCREW LCK T10 F THRD 2.7MM,30MML

Facility IP

$250.75

Service Code	HCPCS C1713
Hospital Charge Code	64906435
Hospital Revenue Code	278
Min. Negotiated Rate	$125.38
Max. Negotiated Rate	$125.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.38
Rate for Payer: Hamaspik Choice Inc Medicare	$125.38

SCREW LCK T10 F THRD 2.7MM,30MML

Facility OP

$250.75

Service Code	HCPCS C1713
Hospital Charge Code	64906435
Hospital Revenue Code	278
Min. Negotiated Rate	$87.76
Max. Negotiated Rate	$263.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$137.91
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	$125.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$144.18
Rate for Payer: Fidelis Medicare Advantage	$263.29
Rate for Payer: Group Health Inc Commercial	$125.38
Rate for Payer: Group Health Inc Medicare	$87.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.38
Rate for Payer: Hamaspik Choice Inc Medicare	$125.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$162.99

SCREW LCK T10 FULL THR 3.5/L46MM

Facility OP

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40005933
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$526.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.82
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	$250.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$288.36
Rate for Payer: Fidelis Medicare Advantage	$526.58
Rate for Payer: Group Health Inc Commercial	$250.75
Rate for Payer: Group Health Inc Medicare	$175.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$325.98

SCREW LCK T10 FULL THR 3.5/L46MM

Facility IP

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40005933
Hospital Revenue Code	278
Min. Negotiated Rate	$250.75
Max. Negotiated Rate	$250.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75

SCREW LCK T10 FULL THRD 2.7,L55

Facility OP

$456.36

Service Code	HCPCS C1713
Hospital Charge Code	64906813
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$479.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$251.00
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	$228.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$262.41
Rate for Payer: Fidelis Medicare Advantage	$479.18
Rate for Payer: Group Health Inc Commercial	$228.18
Rate for Payer: Group Health Inc Medicare	$159.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$228.18
Rate for Payer: Hamaspik Choice Inc Medicare	$228.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$296.63

SCREW LCK T10 FULL THRD 2.7,L55

Facility IP

$456.36

Service Code	HCPCS C1713
Hospital Charge Code	64906813
Hospital Revenue Code	278
Min. Negotiated Rate	$228.18
Max. Negotiated Rate	$228.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$228.18
Rate for Payer: Hamaspik Choice Inc Medicare	$228.18

SCREW LCK T2 F/T 5X100 MM 5100S

Facility OP

$312.32

Service Code	HCPCS C1713
Hospital Charge Code	64906705
Hospital Revenue Code	278
Min. Negotiated Rate	$109.31
Max. Negotiated Rate	$327.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$171.78
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	$156.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$179.58
Rate for Payer: Fidelis Medicare Advantage	$327.94
Rate for Payer: Group Health Inc Commercial	$156.16
Rate for Payer: Group Health Inc Medicare	$109.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.16
Rate for Payer: Hamaspik Choice Inc Medicare	$156.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$203.01

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