St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW LOCKING FL THRD 2.7 L42

Facility OP

$456.36

Service Code	HCPCS C1713
Hospital Charge Code	64906859
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 LOCKING NEW 2.7X12

Facility OP

$162.50

Service Code	HCPCS C1713
Hospital Charge Code	64903745
Hospital Revenue Code	278
Min. Negotiated Rate	$56.88
Max. Negotiated Rate	$170.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$89.38
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	$81.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$93.44
Rate for Payer: Fidelis Medicare Advantage	$170.62
Rate for Payer: Group Health Inc Commercial	$81.25
Rate for Payer: Group Health Inc Medicare	$56.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.25
Rate for Payer: Hamaspik Choice Inc Medicare	$81.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$105.62

SCREW LOCKING NEW 2.7X12

Facility IP

$162.50

Service Code	HCPCS C1713
Hospital Charge Code	64903745
Hospital Revenue Code	278
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$81.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.25
Rate for Payer: Hamaspik Choice Inc Medicare	$81.25

SCREW LOCKING NEW 2.7X14

Facility IP

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	64903747
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$80.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00

SCREW LOCKING NEW 2.7X14

Facility OP

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	64903747
Hospital Revenue Code	278
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.00
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	$80.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.00
Rate for Payer: Fidelis Medicare Advantage	$168.00
Rate for Payer: Group Health Inc Commercial	$80.00
Rate for Payer: Group Health Inc Medicare	$56.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.00

SCREW LOCKING NEW 7.7X16

Facility IP

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	64903749
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$80.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00

SCREW LOCKING NEW 7.7X16

Facility OP

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	64903749
Hospital Revenue Code	278
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.00
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	$80.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.00
Rate for Payer: Fidelis Medicare Advantage	$168.00
Rate for Payer: Group Health Inc Commercial	$80.00
Rate for Payer: Group Health Inc Medicare	$56.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.00

SCREW LOCKING PERI 5.0MM/L20MM

Facility OP

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	64904089
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$735.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$385.00
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	$350.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$402.50
Rate for Payer: Fidelis Medicare Advantage	$735.00
Rate for Payer: Group Health Inc Commercial	$350.00
Rate for Payer: Group Health Inc Medicare	$245.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$350.00
Rate for Payer: Hamaspik Choice Inc Medicare	$350.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$455.00

SCREW LOCKING PERI 5.0MM/L20MM

Facility IP

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	64904089
Hospital Revenue Code	278
Min. Negotiated Rate	$350.00
Max. Negotiated Rate	$350.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$350.00
Rate for Payer: Hamaspik Choice Inc Medicare	$350.00

SCREW, LOCKING PLATE 2.7X13MM

Facility IP

$413.96

Service Code	HCPCS C1713
Hospital Charge Code	40004421
Hospital Revenue Code	278
Min. Negotiated Rate	$206.98
Max. Negotiated Rate	$206.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$206.98
Rate for Payer: Hamaspik Choice Inc Medicare	$206.98

SCREW, LOCKING PLATE 2.7X13MM

Facility OP

$413.96

Service Code	HCPCS C1713
Hospital Charge Code	40004421
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$434.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$227.68
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	$206.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$238.03
Rate for Payer: Fidelis Medicare Advantage	$434.66
Rate for Payer: Group Health Inc Commercial	$206.98
Rate for Payer: Group Health Inc Medicare	$144.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$206.98
Rate for Payer: Hamaspik Choice Inc Medicare	$206.98
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$269.07

SCREW, LOCKING PLATE 2.7X15MM

Facility OP

$413.96

Service Code	HCPCS C1713
Hospital Charge Code	40004422
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$434.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$227.68
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	$206.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$238.03
Rate for Payer: Fidelis Medicare Advantage	$434.66
Rate for Payer: Group Health Inc Commercial	$206.98
Rate for Payer: Group Health Inc Medicare	$144.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$206.98
Rate for Payer: Hamaspik Choice Inc Medicare	$206.98
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$269.07

SCREW, LOCKING PLATE 2.7X15MM

Facility IP

$413.96

Service Code	HCPCS C1713
Hospital Charge Code	40004422
Hospital Revenue Code	278
Min. Negotiated Rate	$206.98
Max. Negotiated Rate	$206.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$206.98
Rate for Payer: Hamaspik Choice Inc Medicare	$206.98

SCREW, LOCKING PLATE 2.7X16MM

Facility OP

$413.96

Service Code	HCPCS C1713
Hospital Charge Code	40004423
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$434.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$227.68
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	$206.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$238.03
Rate for Payer: Fidelis Medicare Advantage	$434.66
Rate for Payer: Group Health Inc Commercial	$206.98
Rate for Payer: Group Health Inc Medicare	$144.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$206.98
Rate for Payer: Hamaspik Choice Inc Medicare	$206.98
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$269.07

SCREW, LOCKING PLATE 2.7X16MM

Facility IP

$413.96

Service Code	HCPCS C1713
Hospital Charge Code	40004423
Hospital Revenue Code	278
Min. Negotiated Rate	$206.98
Max. Negotiated Rate	$206.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$206.98
Rate for Payer: Hamaspik Choice Inc Medicare	$206.98

SCREW, LOCKING PLATE 2.7X17MM

Facility IP

$413.96

Service Code	HCPCS C1713
Hospital Charge Code	40004424
Hospital Revenue Code	278
Min. Negotiated Rate	$206.98
Max. Negotiated Rate	$206.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$206.98
Rate for Payer: Hamaspik Choice Inc Medicare	$206.98

SCREW, LOCKING PLATE 2.7X17MM

Facility OP

$413.96

Service Code	HCPCS C1713
Hospital Charge Code	40004424
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$434.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$227.68
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	$206.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$238.03
Rate for Payer: Fidelis Medicare Advantage	$434.66
Rate for Payer: Group Health Inc Commercial	$206.98
Rate for Payer: Group Health Inc Medicare	$144.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$206.98
Rate for Payer: Hamaspik Choice Inc Medicare	$206.98
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$269.07

SCREW, LOCKING PLATE 2.7X19MM

Facility OP

$413.96

Service Code	HCPCS C1713
Hospital Charge Code	40004425
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$434.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$227.68
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	$206.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$238.03
Rate for Payer: Fidelis Medicare Advantage	$434.66
Rate for Payer: Group Health Inc Commercial	$206.98
Rate for Payer: Group Health Inc Medicare	$144.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$206.98
Rate for Payer: Hamaspik Choice Inc Medicare	$206.98
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$269.07

SCREW, LOCKING PLATE 2.7X19MM

Facility IP

$413.96

Service Code	HCPCS C1713
Hospital Charge Code	40004425
Hospital Revenue Code	278
Min. Negotiated Rate	$206.98
Max. Negotiated Rate	$206.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$206.98
Rate for Payer: Hamaspik Choice Inc Medicare	$206.98

SCREW LOCKING SELF 2.7MM 14MM

Facility OP

$490.00

Service Code	HCPCS C1713
Hospital Charge Code	64903577
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$514.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$269.50
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	$245.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$281.75
Rate for Payer: Fidelis Medicare Advantage	$514.50
Rate for Payer: Group Health Inc Commercial	$245.00
Rate for Payer: Group Health Inc Medicare	$171.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$245.00
Rate for Payer: Hamaspik Choice Inc Medicare	$245.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$318.50

SCREW LOCKING SELF 2.7MM 14MM

Facility IP

$490.00

Service Code	HCPCS C1713
Hospital Charge Code	64903577
Hospital Revenue Code	278
Min. Negotiated Rate	$245.00
Max. Negotiated Rate	$245.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$245.00
Rate for Payer: Hamaspik Choice Inc Medicare	$245.00

SCREW LOCKING SELF 2.7MM 34MM

Facility IP

$490.00

Service Code	HCPCS C1713
Hospital Charge Code	64903579
Hospital Revenue Code	278
Min. Negotiated Rate	$245.00
Max. Negotiated Rate	$245.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$245.00
Rate for Payer: Hamaspik Choice Inc Medicare	$245.00

SCREW LOCKING SELF 2.7MM 34MM

Facility OP

$490.00

Service Code	HCPCS C1713
Hospital Charge Code	64903579
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$514.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$269.50
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	$245.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$281.75
Rate for Payer: Fidelis Medicare Advantage	$514.50
Rate for Payer: Group Health Inc Commercial	$245.00
Rate for Payer: Group Health Inc Medicare	$171.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$245.00
Rate for Payer: Hamaspik Choice Inc Medicare	$245.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$318.50

SCREW LOCKING SELF 2.7MM 36MM

Facility OP

$490.00

Service Code	HCPCS C1713
Hospital Charge Code	64903581
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$514.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$269.50
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	$245.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$281.75
Rate for Payer: Fidelis Medicare Advantage	$514.50
Rate for Payer: Group Health Inc Commercial	$245.00
Rate for Payer: Group Health Inc Medicare	$171.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$245.00
Rate for Payer: Hamaspik Choice Inc Medicare	$245.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$318.50

SCREW LOCKING SELF 2.7MM 36MM

Facility IP

$490.00

Service Code	HCPCS C1713
Hospital Charge Code	64903581
Hospital Revenue Code	278
Min. Negotiated Rate	$245.00
Max. Negotiated Rate	$245.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$245.00
Rate for Payer: Hamaspik Choice Inc Medicare	$245.00

Price Transparency.

All Charges