St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW LOW PRO HEX

Facility OP

$385.00

Service Code	HCPCS C1713
Hospital Charge Code	64907205
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$404.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$211.75
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	$192.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$221.38
Rate for Payer: Fidelis Medicare Advantage	$404.25
Rate for Payer: Group Health Inc Commercial	$192.50
Rate for Payer: Group Health Inc Medicare	$134.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$192.50
Rate for Payer: Hamaspik Choice Inc Medicare	$192.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$250.25

SCREW LOW P TI 4.5X45MM

Facility OP

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	64903699
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$656.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$343.75
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	$312.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$359.38
Rate for Payer: Fidelis Medicare Advantage	$656.25
Rate for Payer: Group Health Inc Commercial	$312.50
Rate for Payer: Group Health Inc Medicare	$218.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$312.50
Rate for Payer: Hamaspik Choice Inc Medicare	$312.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$406.25

SCREW LOW P TI 4.5X45MM

Facility IP

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	64903699
Hospital Revenue Code	278
Min. Negotiated Rate	$312.50
Max. Negotiated Rate	$312.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$312.50
Rate for Payer: Hamaspik Choice Inc Medicare	$312.50

SCREW LOW P TI 4.5X50MM

Facility IP

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	64903701
Hospital Revenue Code	278
Min. Negotiated Rate	$312.50
Max. Negotiated Rate	$312.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$312.50
Rate for Payer: Hamaspik Choice Inc Medicare	$312.50

SCREW LOW P TI 4.5X50MM

Facility OP

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	64903701
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$656.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$343.75
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	$312.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$359.38
Rate for Payer: Fidelis Medicare Advantage	$656.25
Rate for Payer: Group Health Inc Commercial	$312.50
Rate for Payer: Group Health Inc Medicare	$218.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$312.50
Rate for Payer: Hamaspik Choice Inc Medicare	$312.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$406.25

SCREW LOW P TI 4.5X55MM

Facility OP

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	64903785
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$656.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$343.75
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	$312.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$359.38
Rate for Payer: Fidelis Medicare Advantage	$656.25
Rate for Payer: Group Health Inc Commercial	$312.50
Rate for Payer: Group Health Inc Medicare	$218.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$312.50
Rate for Payer: Hamaspik Choice Inc Medicare	$312.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$406.25

SCREW LOW P TI 4.5X55MM

Facility IP

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	64903785
Hospital Revenue Code	278
Min. Negotiated Rate	$312.50
Max. Negotiated Rate	$312.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$312.50
Rate for Payer: Hamaspik Choice Inc Medicare	$312.50

SCREW LPRO LCK 4.0

Facility OP

$70.00

Service Code	HCPCS C1713
Hospital Charge Code	64906941
Hospital Revenue Code	278
Min. Negotiated Rate	$24.50
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.50
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	$35.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.25
Rate for Payer: Fidelis Medicare Advantage	$73.50
Rate for Payer: Group Health Inc Commercial	$35.00
Rate for Payer: Group Health Inc Medicare	$24.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.00
Rate for Payer: Hamaspik Choice Inc Medicare	$35.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$45.50

SCREW LPRO LCK 4.0

Facility IP

$70.00

Service Code	HCPCS C1713
Hospital Charge Code	64906941
Hospital Revenue Code	278
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$35.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.00
Rate for Payer: Hamaspik Choice Inc Medicare	$35.00

SCREW LUCK 1.7 X10

Facility IP

$229.13

Service Code	HCPCS C1713
Hospital Charge Code	64903630
Hospital Revenue Code	278
Min. Negotiated Rate	$114.56
Max. Negotiated Rate	$114.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.56
Rate for Payer: Hamaspik Choice Inc Medicare	$114.56

SCREW LUCK 1.7 X10

Facility OP

$229.13

Service Code	HCPCS C1713
Hospital Charge Code	64903630
Hospital Revenue Code	278
Min. Negotiated Rate	$80.20
Max. Negotiated Rate	$240.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$126.02
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	$114.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$131.75
Rate for Payer: Fidelis Medicare Advantage	$240.59
Rate for Payer: Group Health Inc Commercial	$114.56
Rate for Payer: Group Health Inc Medicare	$80.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.56
Rate for Payer: Hamaspik Choice Inc Medicare	$114.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$148.93

SCREW LUCK 1.7 X11

Facility IP

$229.13

Service Code	HCPCS C1713
Hospital Charge Code	64903631
Hospital Revenue Code	278
Min. Negotiated Rate	$114.56
Max. Negotiated Rate	$114.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.56
Rate for Payer: Hamaspik Choice Inc Medicare	$114.56

SCREW LUCK 1.7 X11

Facility OP

$229.13

Service Code	HCPCS C1713
Hospital Charge Code	64903631
Hospital Revenue Code	278
Min. Negotiated Rate	$80.20
Max. Negotiated Rate	$240.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$126.02
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	$114.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$131.75
Rate for Payer: Fidelis Medicare Advantage	$240.59
Rate for Payer: Group Health Inc Commercial	$114.56
Rate for Payer: Group Health Inc Medicare	$80.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.56
Rate for Payer: Hamaspik Choice Inc Medicare	$114.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$148.93

SCREW LUCK 1.7 X12

Facility IP

$229.13

Service Code	HCPCS C1713
Hospital Charge Code	64903632
Hospital Revenue Code	278
Min. Negotiated Rate	$114.56
Max. Negotiated Rate	$114.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.56
Rate for Payer: Hamaspik Choice Inc Medicare	$114.56

SCREW LUCK 1.7 X12

Facility OP

$229.13

Service Code	HCPCS C1713
Hospital Charge Code	64903632
Hospital Revenue Code	278
Min. Negotiated Rate	$80.20
Max. Negotiated Rate	$240.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$126.02
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	$114.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$131.75
Rate for Payer: Fidelis Medicare Advantage	$240.59
Rate for Payer: Group Health Inc Commercial	$114.56
Rate for Payer: Group Health Inc Medicare	$80.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.56
Rate for Payer: Hamaspik Choice Inc Medicare	$114.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$148.93

SCREW LUCK 1.7 X 9

Facility OP

$229.13

Service Code	HCPCS C1713
Hospital Charge Code	64903628
Hospital Revenue Code	278
Min. Negotiated Rate	$80.20
Max. Negotiated Rate	$240.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$126.02
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	$114.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$131.75
Rate for Payer: Fidelis Medicare Advantage	$240.59
Rate for Payer: Group Health Inc Commercial	$114.56
Rate for Payer: Group Health Inc Medicare	$80.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.56
Rate for Payer: Hamaspik Choice Inc Medicare	$114.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$148.93

SCREW LUCK 1.7 X 9

Facility IP

$229.13

Service Code	HCPCS C1713
Hospital Charge Code	64903628
Hospital Revenue Code	278
Min. Negotiated Rate	$114.56
Max. Negotiated Rate	$114.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.56
Rate for Payer: Hamaspik Choice Inc Medicare	$114.56

SCREW MAXDRIVE DRILL FREE

Facility IP

$160.95

Service Code	HCPCS C1713
Hospital Charge Code	64907374
Hospital Revenue Code	278
Min. Negotiated Rate	$80.48
Max. Negotiated Rate	$80.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.48
Rate for Payer: Hamaspik Choice Inc Medicare	$80.48

SCREW MAXDRIVE DRILL FREE

Facility OP

$160.95

Service Code	HCPCS C1713
Hospital Charge Code	64907374
Hospital Revenue Code	278
Min. Negotiated Rate	$56.33
Max. Negotiated Rate	$169.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.52
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	$80.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.55
Rate for Payer: Fidelis Medicare Advantage	$169.00
Rate for Payer: Group Health Inc Commercial	$80.48
Rate for Payer: Group Health Inc Medicare	$56.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.48
Rate for Payer: Hamaspik Choice Inc Medicare	$80.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.62

SCREW MAXDRIVE MINI 2.0X11MM

Facility IP

$142.50

Service Code	HCPCS C1713
Hospital Charge Code	64902469
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.25
Rate for Payer: Hamaspik Choice Inc Medicare	$71.25

SCREW MAXDRIVE MINI 2.0X11MM

Facility OP

$142.50

Service Code	HCPCS C1713
Hospital Charge Code	64902469
Hospital Revenue Code	278
Min. Negotiated Rate	$49.88
Max. Negotiated Rate	$149.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$78.38
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	$71.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.94
Rate for Payer: Fidelis Medicare Advantage	$149.62
Rate for Payer: Group Health Inc Commercial	$71.25
Rate for Payer: Group Health Inc Medicare	$49.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.25
Rate for Payer: Hamaspik Choice Inc Medicare	$71.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$92.62

SCREW MAXDRIVE MINI 2.0X9MM

Facility IP

$142.50

Service Code	HCPCS C1713
Hospital Charge Code	64902446
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.25
Rate for Payer: Hamaspik Choice Inc Medicare	$71.25

SCREW MAXDRIVE MINI 2.0X9MM

Facility OP

$142.50

Service Code	HCPCS C1713
Hospital Charge Code	64902446
Hospital Revenue Code	278
Min. Negotiated Rate	$49.88
Max. Negotiated Rate	$149.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$78.38
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	$71.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.94
Rate for Payer: Fidelis Medicare Advantage	$149.62
Rate for Payer: Group Health Inc Commercial	$71.25
Rate for Payer: Group Health Inc Medicare	$49.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.25
Rate for Payer: Hamaspik Choice Inc Medicare	$71.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$92.62

SCREW MENISCAL 11MM W/DSP DRIVER

Facility OP

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	64902505
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$630.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$330.00
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	$300.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$345.00
Rate for Payer: Fidelis Medicare Advantage	$630.00
Rate for Payer: Group Health Inc Commercial	$300.00
Rate for Payer: Group Health Inc Medicare	$210.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$300.00
Rate for Payer: Hamaspik Choice Inc Medicare	$300.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$390.00

SCREW MENISCAL 11MM W/DSP DRIVER

Facility IP

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	64902505
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$300.00
Rate for Payer: Hamaspik Choice Inc Medicare	$300.00

Price Transparency.

All Charges