St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW LOCKING 4.0 X 44MM

Facility OP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902064
Hospital Revenue Code	278
Min. Negotiated Rate	$84.44
Max. Negotiated Rate	$253.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.69
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	$120.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.72
Rate for Payer: Fidelis Medicare Advantage	$253.31
Rate for Payer: Group Health Inc Commercial	$120.62
Rate for Payer: Group Health Inc Medicare	$84.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.81

SCREW LOCKING 4.0 X 44MM

Facility OP

$213.00

Service Code	HCPCS C1776
Hospital Charge Code	40202407
Hospital Revenue Code	278
Min. Negotiated Rate	$74.55
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$117.15
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	$106.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$122.48
Rate for Payer: Fidelis Medicare Advantage	$223.65
Rate for Payer: Group Health Inc Commercial	$106.50
Rate for Payer: Group Health Inc Medicare	$74.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$106.50
Rate for Payer: Hamaspik Choice Inc Medicare	$106.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$138.45

SCREW LOCKING 4.0 X 44MM

Facility IP

$213.00

Service Code	HCPCS C1776
Hospital Charge Code	40202407
Hospital Revenue Code	278
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$106.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$106.50
Rate for Payer: Hamaspik Choice Inc Medicare	$106.50

SCREW LOCKING 4.0 X 46MM

Facility OP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902096
Hospital Revenue Code	278
Min. Negotiated Rate	$84.44
Max. Negotiated Rate	$253.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.69
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	$120.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.72
Rate for Payer: Fidelis Medicare Advantage	$253.31
Rate for Payer: Group Health Inc Commercial	$120.62
Rate for Payer: Group Health Inc Medicare	$84.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.81

SCREW LOCKING 4.0 X 46MM

Facility IP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902096
Hospital Revenue Code	278
Min. Negotiated Rate	$120.62
Max. Negotiated Rate	$120.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62

SCREW LOCKING 4.0 X 5.0

Facility OP

$502.00

Service Code	HCPCS C1713
Hospital Charge Code	64904206
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$527.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$276.10
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	$251.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$288.65
Rate for Payer: Fidelis Medicare Advantage	$527.10
Rate for Payer: Group Health Inc Commercial	$251.00
Rate for Payer: Group Health Inc Medicare	$175.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$251.00
Rate for Payer: Hamaspik Choice Inc Medicare	$251.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$326.30

SCREW LOCKING 4.0 X 5.0

Facility IP

$502.00

Service Code	HCPCS C1713
Hospital Charge Code	64904206
Hospital Revenue Code	278
Min. Negotiated Rate	$251.00
Max. Negotiated Rate	$251.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$251.00
Rate for Payer: Hamaspik Choice Inc Medicare	$251.00

SCREW LOCKING 4.0 X 50MM

Facility OP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902065
Hospital Revenue Code	278
Min. Negotiated Rate	$84.44
Max. Negotiated Rate	$253.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.69
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	$120.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.72
Rate for Payer: Fidelis Medicare Advantage	$253.31
Rate for Payer: Group Health Inc Commercial	$120.62
Rate for Payer: Group Health Inc Medicare	$84.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.81

SCREW LOCKING 4.0 X 50MM

Facility IP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902065
Hospital Revenue Code	278
Min. Negotiated Rate	$120.62
Max. Negotiated Rate	$120.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62

SCREW LOCKING 4.0 X 55MM

Facility OP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902099
Hospital Revenue Code	278
Min. Negotiated Rate	$84.44
Max. Negotiated Rate	$253.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.69
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	$120.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.72
Rate for Payer: Fidelis Medicare Advantage	$253.31
Rate for Payer: Group Health Inc Commercial	$120.62
Rate for Payer: Group Health Inc Medicare	$84.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.81

SCREW LOCKING 4.0 X 55MM

Facility IP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902099
Hospital Revenue Code	278
Min. Negotiated Rate	$120.62
Max. Negotiated Rate	$120.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62

SCREW LOCKING 4.0 X 60MM

Facility IP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902055
Hospital Revenue Code	278
Min. Negotiated Rate	$120.62
Max. Negotiated Rate	$120.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62

SCREW LOCKING 4.0 X 60MM

Facility OP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902055
Hospital Revenue Code	278
Min. Negotiated Rate	$84.44
Max. Negotiated Rate	$253.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.69
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	$120.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.72
Rate for Payer: Fidelis Medicare Advantage	$253.31
Rate for Payer: Group Health Inc Commercial	$120.62
Rate for Payer: Group Health Inc Medicare	$84.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.81

SCREW LOCKING 4.0 X 65MM

Facility IP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902057
Hospital Revenue Code	278
Min. Negotiated Rate	$120.62
Max. Negotiated Rate	$120.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62

SCREW LOCKING 4.0 X 65MM

Facility OP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902057
Hospital Revenue Code	278
Min. Negotiated Rate	$84.44
Max. Negotiated Rate	$253.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.69
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	$120.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.72
Rate for Payer: Fidelis Medicare Advantage	$253.31
Rate for Payer: Group Health Inc Commercial	$120.62
Rate for Payer: Group Health Inc Medicare	$84.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.81

SCREW LOCKING 4.0 X 70MM

Facility IP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902101
Hospital Revenue Code	278
Min. Negotiated Rate	$120.62
Max. Negotiated Rate	$120.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62

SCREW LOCKING 4.0 X 70MM

Facility OP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902101
Hospital Revenue Code	278
Min. Negotiated Rate	$84.44
Max. Negotiated Rate	$253.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.69
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	$120.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.72
Rate for Payer: Fidelis Medicare Advantage	$253.31
Rate for Payer: Group Health Inc Commercial	$120.62
Rate for Payer: Group Health Inc Medicare	$84.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.81

SCREW LOCKING 4.0 X 75MM

Facility IP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902049
Hospital Revenue Code	278
Min. Negotiated Rate	$120.62
Max. Negotiated Rate	$120.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62

SCREW LOCKING 4.0 X 75MM

Facility OP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902049
Hospital Revenue Code	278
Min. Negotiated Rate	$84.44
Max. Negotiated Rate	$253.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.69
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	$120.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.72
Rate for Payer: Fidelis Medicare Advantage	$253.31
Rate for Payer: Group Health Inc Commercial	$120.62
Rate for Payer: Group Health Inc Medicare	$84.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.81

SCREW LOCKING 4.0 X75MM

Facility IP

$212.80

Service Code	HCPCS C1776
Hospital Charge Code	40206051
Hospital Revenue Code	278
Min. Negotiated Rate	$106.40
Max. Negotiated Rate	$106.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$106.40
Rate for Payer: Hamaspik Choice Inc Medicare	$106.40

SCREW LOCKING 4.0 X75MM

Facility OP

$212.80

Service Code	HCPCS C1776
Hospital Charge Code	40206051
Hospital Revenue Code	278
Min. Negotiated Rate	$74.48
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$117.04
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	$106.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$122.36
Rate for Payer: Fidelis Medicare Advantage	$223.44
Rate for Payer: Group Health Inc Commercial	$106.40
Rate for Payer: Group Health Inc Medicare	$74.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$106.40
Rate for Payer: Hamaspik Choice Inc Medicare	$106.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$138.32

SCREW LOCKING 4.0 X 80

Facility IP

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	64903316
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$330.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$330.00
Rate for Payer: Hamaspik Choice Inc Medicare	$330.00

SCREW LOCKING 4.0 X 80

Facility OP

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	64903316
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$693.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$363.00
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	$330.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$379.50
Rate for Payer: Fidelis Medicare Advantage	$693.00
Rate for Payer: Group Health Inc Commercial	$330.00
Rate for Payer: Group Health Inc Medicare	$231.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$330.00
Rate for Payer: Hamaspik Choice Inc Medicare	$330.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$429.00

SCREW LOCKING 4.0 X 80MM

Facility OP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902050
Hospital Revenue Code	278
Min. Negotiated Rate	$84.44
Max. Negotiated Rate	$253.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.69
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	$120.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.72
Rate for Payer: Fidelis Medicare Advantage	$253.31
Rate for Payer: Group Health Inc Commercial	$120.62
Rate for Payer: Group Health Inc Medicare	$84.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.81

SCREW LOCKING 4.0 X 80MM

Facility IP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	64902050
Hospital Revenue Code	278
Min. Negotiated Rate	$120.62
Max. Negotiated Rate	$120.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62

Price Transparency.

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