St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW LCK T2 F/T 5X100 MM 5100S

Facility IP

$312.32

Service Code	HCPCS C1713
Hospital Charge Code	64906705
Hospital Revenue Code	278
Min. Negotiated Rate	$156.16
Max. Negotiated Rate	$156.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.16
Rate for Payer: Hamaspik Choice Inc Medicare	$156.16

SCREW LCK T8 FL 1/3 2.4MM L10MM

Facility OP

$225.25

Service Code	HCPCS C1713
Hospital Charge Code	64906433
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 LCK T8 FL 1/3 2.4MM L10MM

Facility IP

$225.25

Service Code	HCPCS C1713
Hospital Charge Code	64906433
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 LCK T8 FULL THRD 2.4,L36MM

Facility IP

$204.97

Service Code	HCPCS C1713
Hospital Charge Code	64906315
Hospital Revenue Code	278
Min. Negotiated Rate	$102.48
Max. Negotiated Rate	$102.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$102.48
Rate for Payer: Hamaspik Choice Inc Medicare	$102.48

SCREW LCK T8 FULL THRD 2.4,L36MM

Facility OP

$204.97

Service Code	HCPCS C1713
Hospital Charge Code	64906315
Hospital Revenue Code	278
Min. Negotiated Rate	$71.74
Max. Negotiated Rate	$215.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$112.73
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	$102.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$117.86
Rate for Payer: Fidelis Medicare Advantage	$215.22
Rate for Payer: Group Health Inc Commercial	$102.48
Rate for Payer: Group Health Inc Medicare	$71.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$102.48
Rate for Payer: Hamaspik Choice Inc Medicare	$102.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$133.23

SCREW LEVERAGE 2.6X5

Facility OP

$689.43

Service Code	HCPCS C1713
Hospital Charge Code	64903866
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$723.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$379.19
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	$344.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$396.42
Rate for Payer: Fidelis Medicare Advantage	$723.90
Rate for Payer: Group Health Inc Commercial	$344.72
Rate for Payer: Group Health Inc Medicare	$241.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$344.72
Rate for Payer: Hamaspik Choice Inc Medicare	$344.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$448.13

SCREW LEVERAGE 2.6X5

Facility IP

$689.43

Service Code	HCPCS C1713
Hospital Charge Code	64903866
Hospital Revenue Code	278
Min. Negotiated Rate	$344.72
Max. Negotiated Rate	$344.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$344.72
Rate for Payer: Hamaspik Choice Inc Medicare	$344.72

SCREW LEVERAGE 2.6X6

Facility IP

$685.00

Service Code	HCPCS C1713
Hospital Charge Code	64903865
Hospital Revenue Code	278
Min. Negotiated Rate	$342.50
Max. Negotiated Rate	$342.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$342.50
Rate for Payer: Hamaspik Choice Inc Medicare	$342.50

SCREW LEVERAGE 2.6X6

Facility OP

$685.00

Service Code	HCPCS C1713
Hospital Charge Code	64903865
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$719.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$376.75
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	$342.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$393.88
Rate for Payer: Fidelis Medicare Advantage	$719.25
Rate for Payer: Group Health Inc Commercial	$342.50
Rate for Payer: Group Health Inc Medicare	$239.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$342.50
Rate for Payer: Hamaspik Choice Inc Medicare	$342.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$445.25

SCREW LEVERAGE 2.6X8MM LAT

Facility OP

$493.93

Service Code	HCPCS C1713
Hospital Charge Code	64904213
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$518.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$271.66
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	$246.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$284.01
Rate for Payer: Fidelis Medicare Advantage	$518.63
Rate for Payer: Group Health Inc Commercial	$246.96
Rate for Payer: Group Health Inc Medicare	$172.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$246.96
Rate for Payer: Hamaspik Choice Inc Medicare	$246.96
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$321.05

SCREW LEVERAGE 2.6X8MM LAT

Facility IP

$493.93

Service Code	HCPCS C1713
Hospital Charge Code	64904213
Hospital Revenue Code	278
Min. Negotiated Rate	$246.96
Max. Negotiated Rate	$246.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$246.96
Rate for Payer: Hamaspik Choice Inc Medicare	$246.96

SCREW LG 5.5 X 35

Facility IP

$8,552.70

Service Code	HCPCS C1713
Hospital Charge Code	64904930
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 LG 5.5 X 35

Facility OP

$8,552.70

Service Code	HCPCS C1713
Hospital Charge Code	64904930
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 LG OMEGA 100MM

Facility OP

$729.63

Service Code	HCPCS C1713
Hospital Charge Code	64903641
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$766.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$401.30
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	$364.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$419.54
Rate for Payer: Fidelis Medicare Advantage	$766.11
Rate for Payer: Group Health Inc Commercial	$364.82
Rate for Payer: Group Health Inc Medicare	$255.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$364.82
Rate for Payer: Hamaspik Choice Inc Medicare	$364.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$474.26

SCREW LG OMEGA 100MM

Facility IP

$729.63

Service Code	HCPCS C1713
Hospital Charge Code	64903641
Hospital Revenue Code	278
Min. Negotiated Rate	$364.82
Max. Negotiated Rate	$364.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$364.82
Rate for Payer: Hamaspik Choice Inc Medicare	$364.82

SCREW LOCK 2.4X 10MM TI ST

Facility OP

$290.00

Service Code	HCPCS C1776
Hospital Charge Code	40205075
Hospital Revenue Code	278
Min. Negotiated Rate	$101.50
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$159.50
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	$145.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$166.75
Rate for Payer: Fidelis Medicare Advantage	$304.50
Rate for Payer: Group Health Inc Commercial	$145.00
Rate for Payer: Group Health Inc Medicare	$101.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.00
Rate for Payer: Hamaspik Choice Inc Medicare	$145.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$188.50

SCREW LOCK 2.4X 10MM TI ST

Facility IP

$290.00

Service Code	HCPCS C1776
Hospital Charge Code	40205075
Hospital Revenue Code	278
Min. Negotiated Rate	$145.00
Max. Negotiated Rate	$145.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.00
Rate for Payer: Hamaspik Choice Inc Medicare	$145.00

SCREW LOCK 2.4 X 8MM TI ST

Facility IP

$290.00

Service Code	HCPCS C1776
Hospital Charge Code	40205076
Hospital Revenue Code	278
Min. Negotiated Rate	$145.00
Max. Negotiated Rate	$145.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.00
Rate for Payer: Hamaspik Choice Inc Medicare	$145.00

SCREW LOCK 2.4 X 8MM TI ST

Facility OP

$290.00

Service Code	HCPCS C1776
Hospital Charge Code	40205076
Hospital Revenue Code	278
Min. Negotiated Rate	$101.50
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$159.50
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	$145.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$166.75
Rate for Payer: Fidelis Medicare Advantage	$304.50
Rate for Payer: Group Health Inc Commercial	$145.00
Rate for Payer: Group Health Inc Medicare	$101.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.00
Rate for Payer: Hamaspik Choice Inc Medicare	$145.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$188.50

SCREW LOCK 5 X 42.5MM FT T2

Facility OP

$429.00

Service Code	HCPCS C1713
Hospital Charge Code	64902576
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 LOCK 5 X 42.5MM FT T2

Facility IP

$429.00

Service Code	HCPCS C1713
Hospital Charge Code	64902576
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 LOCK 5 X 47.5MM FT T2

Facility OP

$429.00

Service Code	HCPCS C1713
Hospital Charge Code	64902579
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 LOCK 5 X 47.5MM FT T2

Facility IP

$429.00

Service Code	HCPCS C1713
Hospital Charge Code	64902579
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 LOCK AXS 1.7

Facility OP

$179.78

Service Code	HCPCS C1713
Hospital Charge Code	64907453
Hospital Revenue Code	278
Min. Negotiated Rate	$62.92
Max. Negotiated Rate	$188.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$98.88
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	$89.89
Rate for Payer: Cigna LocalPlus Benefit Plan	$103.37
Rate for Payer: Fidelis Medicare Advantage	$188.77
Rate for Payer: Group Health Inc Commercial	$89.89
Rate for Payer: Group Health Inc Medicare	$62.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$89.89
Rate for Payer: Hamaspik Choice Inc Medicare	$89.89
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$116.86

SCREW LOCK AXS 1.7

Facility IP

$179.78

Service Code	HCPCS C1713
Hospital Charge Code	64907453
Hospital Revenue Code	278
Min. Negotiated Rate	$89.89
Max. Negotiated Rate	$89.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$89.89
Rate for Payer: Hamaspik Choice Inc Medicare	$89.89

Price Transparency.

All Charges