St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW LOCKING 3.5 24MM 816135024

Facility IP

$228.00

Service Code	HCPCS C1713
Hospital Charge Code	64906553
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 LOCKING 3.5MM X 16MM

Facility OP

$712.50

Service Code	HCPCS C1713
Hospital Charge Code	64902839
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$748.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$391.88
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	$356.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$409.69
Rate for Payer: Fidelis Medicare Advantage	$748.12
Rate for Payer: Group Health Inc Commercial	$356.25
Rate for Payer: Group Health Inc Medicare	$249.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$356.25
Rate for Payer: Hamaspik Choice Inc Medicare	$356.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$463.12

SCREW LOCKING 3.5MM X 16MM

Facility IP

$712.50

Service Code	HCPCS C1713
Hospital Charge Code	64902839
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$356.25
Rate for Payer: Hamaspik Choice Inc Medicare	$356.25

SCREW LOCKING 3.5 X 10

Facility IP

$317.50

Service Code	HCPCS C1713
Hospital Charge Code	64903705
Hospital Revenue Code	278
Min. Negotiated Rate	$158.75
Max. Negotiated Rate	$158.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$158.75
Rate for Payer: Hamaspik Choice Inc Medicare	$158.75

SCREW LOCKING 3.5 X 10

Facility OP

$317.50

Service Code	HCPCS C1713
Hospital Charge Code	64903705
Hospital Revenue Code	278
Min. Negotiated Rate	$111.12
Max. Negotiated Rate	$333.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$174.62
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	$158.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$182.56
Rate for Payer: Fidelis Medicare Advantage	$333.38
Rate for Payer: Group Health Inc Commercial	$158.75
Rate for Payer: Group Health Inc Medicare	$111.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$158.75
Rate for Payer: Hamaspik Choice Inc Medicare	$158.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$206.38

SCREW LOCKING 3.5 X 10MM A

Facility OP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902247
Hospital Revenue Code	278
Min. Negotiated Rate	$116.60
Max. Negotiated Rate	$349.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.22
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	$166.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.55
Rate for Payer: Fidelis Medicare Advantage	$349.79
Rate for Payer: Group Health Inc Commercial	$166.56
Rate for Payer: Group Health Inc Medicare	$116.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.53

SCREW LOCKING 3.5 X 10MM A

Facility IP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902247
Hospital Revenue Code	278
Min. Negotiated Rate	$166.56
Max. Negotiated Rate	$166.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56

SCREW LOCKING 3.5 X 12MM B

Facility OP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902249
Hospital Revenue Code	278
Min. Negotiated Rate	$116.60
Max. Negotiated Rate	$349.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.22
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	$166.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.55
Rate for Payer: Fidelis Medicare Advantage	$349.79
Rate for Payer: Group Health Inc Commercial	$166.56
Rate for Payer: Group Health Inc Medicare	$116.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.53

SCREW LOCKING 3.5 X 12MM B

Facility IP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902249
Hospital Revenue Code	278
Min. Negotiated Rate	$166.56
Max. Negotiated Rate	$166.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56

SCREW LOCKING 3.5 X 14MM A

Facility IP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902181
Hospital Revenue Code	278
Min. Negotiated Rate	$166.56
Max. Negotiated Rate	$166.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56

SCREW LOCKING 3.5 X 14MM A

Facility OP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902181
Hospital Revenue Code	278
Min. Negotiated Rate	$116.60
Max. Negotiated Rate	$349.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.22
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	$166.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.55
Rate for Payer: Fidelis Medicare Advantage	$349.79
Rate for Payer: Group Health Inc Commercial	$166.56
Rate for Payer: Group Health Inc Medicare	$116.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.53

SCREW LOCKING 3.5 X 14MM B

Facility OP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902234
Hospital Revenue Code	278
Min. Negotiated Rate	$116.60
Max. Negotiated Rate	$349.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.22
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	$166.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.55
Rate for Payer: Fidelis Medicare Advantage	$349.79
Rate for Payer: Group Health Inc Commercial	$166.56
Rate for Payer: Group Health Inc Medicare	$116.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.53

SCREW LOCKING 3.5 X 14MM B

Facility IP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902234
Hospital Revenue Code	278
Min. Negotiated Rate	$166.56
Max. Negotiated Rate	$166.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56

SCREW LOCKING 3.5 X 16MM A

Facility IP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902164
Hospital Revenue Code	278
Min. Negotiated Rate	$166.56
Max. Negotiated Rate	$166.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56

SCREW LOCKING 3.5 X 16MM A

Facility OP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902164
Hospital Revenue Code	278
Min. Negotiated Rate	$116.60
Max. Negotiated Rate	$349.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.22
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	$166.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.55
Rate for Payer: Fidelis Medicare Advantage	$349.79
Rate for Payer: Group Health Inc Commercial	$166.56
Rate for Payer: Group Health Inc Medicare	$116.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.53

SCREW LOCKING 3.5 X 16MM B

Facility IP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902236
Hospital Revenue Code	278
Min. Negotiated Rate	$166.56
Max. Negotiated Rate	$166.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56

SCREW LOCKING 3.5 X 16MM B

Facility OP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902236
Hospital Revenue Code	278
Min. Negotiated Rate	$116.60
Max. Negotiated Rate	$349.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.22
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	$166.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.55
Rate for Payer: Fidelis Medicare Advantage	$349.79
Rate for Payer: Group Health Inc Commercial	$166.56
Rate for Payer: Group Health Inc Medicare	$116.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.53

SCREW LOCKING 3.5 X 18

Facility OP

$692.50

Service Code	HCPCS C1713
Hospital Charge Code	64903089
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$727.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$380.88
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	$346.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$398.19
Rate for Payer: Fidelis Medicare Advantage	$727.12
Rate for Payer: Group Health Inc Commercial	$346.25
Rate for Payer: Group Health Inc Medicare	$242.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$346.25
Rate for Payer: Hamaspik Choice Inc Medicare	$346.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$450.12

SCREW LOCKING 3.5 X 18

Facility IP

$692.50

Service Code	HCPCS C1713
Hospital Charge Code	64903089
Hospital Revenue Code	278
Min. Negotiated Rate	$346.25
Max. Negotiated Rate	$346.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$346.25
Rate for Payer: Hamaspik Choice Inc Medicare	$346.25

SCREW LOCKING 3.5 X 18MM A

Facility IP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902160
Hospital Revenue Code	278
Min. Negotiated Rate	$166.56
Max. Negotiated Rate	$166.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56

SCREW LOCKING 3.5 X 18MM A

Facility OP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902160
Hospital Revenue Code	278
Min. Negotiated Rate	$116.60
Max. Negotiated Rate	$349.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.22
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	$166.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.55
Rate for Payer: Fidelis Medicare Advantage	$349.79
Rate for Payer: Group Health Inc Commercial	$166.56
Rate for Payer: Group Health Inc Medicare	$116.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.53

SCREW LOCKING 3.5 X 18MM B

Facility IP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902162
Hospital Revenue Code	278
Min. Negotiated Rate	$166.56
Max. Negotiated Rate	$166.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56

SCREW LOCKING 3.5 X 18MM B

Facility OP

$333.13

Service Code	HCPCS C1713
Hospital Charge Code	64902162
Hospital Revenue Code	278
Min. Negotiated Rate	$116.60
Max. Negotiated Rate	$349.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$183.22
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	$166.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$191.55
Rate for Payer: Fidelis Medicare Advantage	$349.79
Rate for Payer: Group Health Inc Commercial	$166.56
Rate for Payer: Group Health Inc Medicare	$116.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$166.56
Rate for Payer: Hamaspik Choice Inc Medicare	$166.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$216.53

SCREW LOCKING 3.5 X 20

Facility OP

$712.50

Service Code	HCPCS C1713
Hospital Charge Code	64903737
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$748.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$391.88
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	$356.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$409.69
Rate for Payer: Fidelis Medicare Advantage	$748.12
Rate for Payer: Group Health Inc Commercial	$356.25
Rate for Payer: Group Health Inc Medicare	$249.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$356.25
Rate for Payer: Hamaspik Choice Inc Medicare	$356.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$463.12

SCREW LOCKING 3.5 X 20

Facility IP

$712.50

Service Code	HCPCS C1713
Hospital Charge Code	64903737
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$356.25
Rate for Payer: Hamaspik Choice Inc Medicare	$356.25

Price Transparency.

All Charges