St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW LOCKING 4MM 4.0MM / L24M

Facility IP

$583.58

Service Code	HCPCS C1713
Hospital Charge Code	64904065
Hospital Revenue Code	278
Min. Negotiated Rate	$291.79
Max. Negotiated Rate	$291.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$291.79
Rate for Payer: Hamaspik Choice Inc Medicare	$291.79

SCREW LOCKING 4MM 4.0MM / L24M

Facility OP

$583.58

Service Code	HCPCS C1713
Hospital Charge Code	64904065
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$612.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$320.97
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	$291.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$335.56
Rate for Payer: Fidelis Medicare Advantage	$612.76
Rate for Payer: Group Health Inc Commercial	$291.79
Rate for Payer: Group Health Inc Medicare	$204.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$291.79
Rate for Payer: Hamaspik Choice Inc Medicare	$291.79
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$379.33

SCREW LOCKING 4MM X 85MM

Facility IP

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	64904994
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 4MM X 85MM

Facility OP

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	64904994
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 4MM X L16MM

Facility OP

$408.40

Service Code	HCPCS C1713
Hospital Charge Code	64906792
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$428.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$224.62
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	$204.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$234.83
Rate for Payer: Fidelis Medicare Advantage	$428.82
Rate for Payer: Group Health Inc Commercial	$204.20
Rate for Payer: Group Health Inc Medicare	$142.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.20
Rate for Payer: Hamaspik Choice Inc Medicare	$204.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$265.46

SCREW LOCKING 4MM X L16MM

Facility IP

$408.40

Service Code	HCPCS C1713
Hospital Charge Code	64906792
Hospital Revenue Code	278
Min. Negotiated Rate	$204.20
Max. Negotiated Rate	$204.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.20
Rate for Payer: Hamaspik Choice Inc Medicare	$204.20

SCREW LOCKING 4 X 20MM FT T2

Facility OP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64902501
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$447.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$234.16
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	$212.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$244.81
Rate for Payer: Fidelis Medicare Advantage	$447.04
Rate for Payer: Group Health Inc Commercial	$212.88
Rate for Payer: Group Health Inc Medicare	$149.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$276.74

SCREW LOCKING 4 X 20MM FT T2

Facility IP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64902501
Hospital Revenue Code	278
Min. Negotiated Rate	$212.88
Max. Negotiated Rate	$212.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88

SCREW LOCKING 4 X 24MM FT T2

Facility OP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64901439
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$447.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$234.16
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	$212.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$244.81
Rate for Payer: Fidelis Medicare Advantage	$447.04
Rate for Payer: Group Health Inc Commercial	$212.88
Rate for Payer: Group Health Inc Medicare	$149.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$276.74

SCREW LOCKING 4 X 24MM FT T2

Facility IP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64901439
Hospital Revenue Code	278
Min. Negotiated Rate	$212.88
Max. Negotiated Rate	$212.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88

SCREW LOCKING 4 X 26MM FT T2

Facility IP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64901641
Hospital Revenue Code	278
Min. Negotiated Rate	$212.88
Max. Negotiated Rate	$212.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88

SCREW LOCKING 4 X 26MM FT T2

Facility OP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64901641
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$447.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$234.16
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	$212.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$244.81
Rate for Payer: Fidelis Medicare Advantage	$447.04
Rate for Payer: Group Health Inc Commercial	$212.88
Rate for Payer: Group Health Inc Medicare	$149.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$276.74

SCREW LOCKING 4 X 28MM FT T2

Facility OP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64901643
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$447.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$234.16
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	$212.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$244.81
Rate for Payer: Fidelis Medicare Advantage	$447.04
Rate for Payer: Group Health Inc Commercial	$212.88
Rate for Payer: Group Health Inc Medicare	$149.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$276.74

SCREW LOCKING 4 X 28MM FT T2

Facility IP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64901643
Hospital Revenue Code	278
Min. Negotiated Rate	$212.88
Max. Negotiated Rate	$212.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88

SCREW LOCKING 4 X 30MM FT T2

Facility OP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64901441
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$447.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$234.16
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	$212.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$244.81
Rate for Payer: Fidelis Medicare Advantage	$447.04
Rate for Payer: Group Health Inc Commercial	$212.88
Rate for Payer: Group Health Inc Medicare	$149.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$276.74

SCREW LOCKING 4 X 30MM FT T2

Facility IP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64901441
Hospital Revenue Code	278
Min. Negotiated Rate	$212.88
Max. Negotiated Rate	$212.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88

SCREW LOCKING 4 X 32

Facility IP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64903106
Hospital Revenue Code	278
Min. Negotiated Rate	$212.88
Max. Negotiated Rate	$212.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88

SCREW LOCKING 4 X 32

Facility OP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64903106
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$447.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$234.16
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	$212.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$244.81
Rate for Payer: Fidelis Medicare Advantage	$447.04
Rate for Payer: Group Health Inc Commercial	$212.88
Rate for Payer: Group Health Inc Medicare	$149.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$276.74

SCREW LOCKING 4 X 34MM FT T2

Facility IP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64901950
Hospital Revenue Code	278
Min. Negotiated Rate	$212.88
Max. Negotiated Rate	$212.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88

SCREW LOCKING 4 X 34MM FT T2

Facility OP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64901950
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$447.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$234.16
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	$212.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$244.81
Rate for Payer: Fidelis Medicare Advantage	$447.04
Rate for Payer: Group Health Inc Commercial	$212.88
Rate for Payer: Group Health Inc Medicare	$149.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$276.74

SCREW LOCKING 4 X 38MM FT T2

Facility OP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64902509
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$447.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$234.16
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	$212.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$244.81
Rate for Payer: Fidelis Medicare Advantage	$447.04
Rate for Payer: Group Health Inc Commercial	$212.88
Rate for Payer: Group Health Inc Medicare	$149.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$276.74

SCREW LOCKING 4 X 38MM FT T2

Facility IP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64902509
Hospital Revenue Code	278
Min. Negotiated Rate	$212.88
Max. Negotiated Rate	$212.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88

SCREW LOCKING 4 X 40MM FT T2

Facility IP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64901952
Hospital Revenue Code	278
Min. Negotiated Rate	$212.88
Max. Negotiated Rate	$212.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88

SCREW LOCKING 4 X 40MM FT T2

Facility OP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64901952
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$447.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$234.16
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	$212.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$244.81
Rate for Payer: Fidelis Medicare Advantage	$447.04
Rate for Payer: Group Health Inc Commercial	$212.88
Rate for Payer: Group Health Inc Medicare	$149.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$276.74

SCREW LOCKING 4 X 45MM FT T2

Facility IP

$425.75

Service Code	HCPCS C1713
Hospital Charge Code	64901644
Hospital Revenue Code	278
Min. Negotiated Rate	$212.88
Max. Negotiated Rate	$212.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.88
Rate for Payer: Hamaspik Choice Inc Medicare	$212.88

Price Transparency.

All Charges