St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW MIDFACE 1.5X9MM

Facility IP

$111.48

Service Code	HCPCS C1713
Hospital Charge Code	64906600
Hospital Revenue Code	278
Min. Negotiated Rate	$55.74
Max. Negotiated Rate	$55.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$55.74
Rate for Payer: Hamaspik Choice Inc Medicare	$55.74

SCREW MIDFACE 1.5X9MM

Facility OP

$111.48

Service Code	HCPCS C1713
Hospital Charge Code	64906600
Hospital Revenue Code	278
Min. Negotiated Rate	$39.02
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$61.31
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	$55.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$64.10
Rate for Payer: Fidelis Medicare Advantage	$117.05
Rate for Payer: Group Health Inc Commercial	$55.74
Rate for Payer: Group Health Inc Medicare	$39.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$55.74
Rate for Payer: Hamaspik Choice Inc Medicare	$55.74
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$72.46

SCREW MIDFACE 1.5X9MM 19007

Facility OP

$98.42

Service Code	HCPCS C1713
Hospital Charge Code	64906601
Hospital Revenue Code	278
Min. Negotiated Rate	$34.45
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$54.13
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	$49.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$56.59
Rate for Payer: Fidelis Medicare Advantage	$103.34
Rate for Payer: Group Health Inc Commercial	$49.21
Rate for Payer: Group Health Inc Medicare	$34.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.21
Rate for Payer: Hamaspik Choice Inc Medicare	$49.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$63.97

SCREW MIDFACE 1.5X9MM 19007

Facility IP

$98.42

Service Code	HCPCS C1713
Hospital Charge Code	64906601
Hospital Revenue Code	278
Min. Negotiated Rate	$49.21
Max. Negotiated Rate	$49.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.21
Rate for Payer: Hamaspik Choice Inc Medicare	$49.21

SCREW MINI CROSSDRIVEDRILL FR

Facility OP

$96.00

Service Code	HCPCS C1776
Hospital Charge Code	40206053
Hospital Revenue Code	278
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$52.80
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	$48.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$55.20
Rate for Payer: Fidelis Medicare Advantage	$100.80
Rate for Payer: Group Health Inc Commercial	$48.00
Rate for Payer: Group Health Inc Medicare	$33.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$48.00
Rate for Payer: Hamaspik Choice Inc Medicare	$48.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$62.40

SCREW MINI CROSSDRIVEDRILL FR

Facility IP

$96.00

Service Code	HCPCS C1776
Hospital Charge Code	40206053
Hospital Revenue Code	278
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$48.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$48.00
Rate for Payer: Hamaspik Choice Inc Medicare	$48.00

SCREW MIRCO DRILL FREE 1.5X 3 MM

Facility IP

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	40200377
Hospital Revenue Code	278
Min. Negotiated Rate	$50.00
Max. Negotiated Rate	$50.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.00
Rate for Payer: Hamaspik Choice Inc Medicare	$50.00

SCREW MIRCO DRILL FREE 1.5X 3 MM

Facility OP

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	40200377
Hospital Revenue Code	278
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.00
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	$50.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$57.50
Rate for Payer: Fidelis Medicare Advantage	$105.00
Rate for Payer: Group Health Inc Commercial	$50.00
Rate for Payer: Group Health Inc Medicare	$35.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.00
Rate for Payer: Hamaspik Choice Inc Medicare	$50.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$65.00

SCREW MM 4.0 X 12

Facility OP

$1,112.50

Service Code	HCPCS C1713
Hospital Charge Code	64904957
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,168.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$611.88
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	$556.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$639.69
Rate for Payer: Fidelis Medicare Advantage	$1,168.12
Rate for Payer: Group Health Inc Commercial	$556.25
Rate for Payer: Group Health Inc Medicare	$389.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$556.25
Rate for Payer: Hamaspik Choice Inc Medicare	$556.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$723.12

SCREW MM 4.0 X 12

Facility IP

$1,112.50

Service Code	HCPCS C1713
Hospital Charge Code	64904957
Hospital Revenue Code	278
Min. Negotiated Rate	$556.25
Max. Negotiated Rate	$556.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$556.25
Rate for Payer: Hamaspik Choice Inc Medicare	$556.25

SCREW MMF 8MM 4/PK

Facility IP

$172.00

Service Code	HCPCS C1713
Hospital Charge Code	40201318
Hospital Revenue Code	278
Min. Negotiated Rate	$86.00
Max. Negotiated Rate	$86.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$86.00
Rate for Payer: Hamaspik Choice Inc Medicare	$86.00

SCREW MMF 8MM 4/PK

Facility OP

$172.00

Service Code	HCPCS C1713
Hospital Charge Code	40201318
Hospital Revenue Code	278
Min. Negotiated Rate	$60.20
Max. Negotiated Rate	$180.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$94.60
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	$86.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$98.90
Rate for Payer: Fidelis Medicare Advantage	$180.60
Rate for Payer: Group Health Inc Commercial	$86.00
Rate for Payer: Group Health Inc Medicare	$60.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$86.00
Rate for Payer: Hamaspik Choice Inc Medicare	$86.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$111.80

SCREW MM W NEW TH 1.7 X 5

Facility OP

$127.33

Service Code	HCPCS C1713
Hospital Charge Code	64904565
Hospital Revenue Code	278
Min. Negotiated Rate	$44.57
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$70.03
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	$63.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$73.21
Rate for Payer: Fidelis Medicare Advantage	$133.70
Rate for Payer: Group Health Inc Commercial	$63.66
Rate for Payer: Group Health Inc Medicare	$44.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$63.66
Rate for Payer: Hamaspik Choice Inc Medicare	$63.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$82.76

SCREW MM W NEW TH 1.7 X 5

Facility IP

$127.33

Service Code	HCPCS C1713
Hospital Charge Code	64904565
Hospital Revenue Code	278
Min. Negotiated Rate	$63.66
Max. Negotiated Rate	$63.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$63.66
Rate for Payer: Hamaspik Choice Inc Medicare	$63.66

SCREW MULTI DIRECT 2.7X12

Facility OP

$507.50

Service Code	HCPCS C1713
Hospital Charge Code	64903759
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$532.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$279.12
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	$253.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$291.81
Rate for Payer: Fidelis Medicare Advantage	$532.88
Rate for Payer: Group Health Inc Commercial	$253.75
Rate for Payer: Group Health Inc Medicare	$177.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$253.75
Rate for Payer: Hamaspik Choice Inc Medicare	$253.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$329.88

SCREW MULTI DIRECT 2.7X12

Facility IP

$507.50

Service Code	HCPCS C1713
Hospital Charge Code	64903759
Hospital Revenue Code	278
Min. Negotiated Rate	$253.75
Max. Negotiated Rate	$253.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$253.75
Rate for Payer: Hamaspik Choice Inc Medicare	$253.75

SCREW NCB CORT 4.0 X 26MM

Facility IP

$278.10

Service Code	HCPCS C1713
Hospital Charge Code	64905619
Hospital Revenue Code	278
Min. Negotiated Rate	$139.05
Max. Negotiated Rate	$139.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$139.05
Rate for Payer: Hamaspik Choice Inc Medicare	$139.05

SCREW NCB CORT 4.0 X 26MM

Facility OP

$278.10

Service Code	HCPCS C1713
Hospital Charge Code	64905619
Hospital Revenue Code	278
Min. Negotiated Rate	$97.34
Max. Negotiated Rate	$292.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$152.96
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	$139.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$159.91
Rate for Payer: Fidelis Medicare Advantage	$292.00
Rate for Payer: Group Health Inc Commercial	$139.05
Rate for Payer: Group Health Inc Medicare	$97.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$139.05
Rate for Payer: Hamaspik Choice Inc Medicare	$139.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$180.76

SCREW NCB CORT 4.0X26MM SELF-TAP

Facility IP

$222.48

Service Code	HCPCS C1713
Hospital Charge Code	40204626
Hospital Revenue Code	278
Min. Negotiated Rate	$111.24
Max. Negotiated Rate	$111.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$111.24
Rate for Payer: Hamaspik Choice Inc Medicare	$111.24

SCREW NCB CORT 4.0X26MM SELF-TAP

Facility OP

$222.48

Service Code	HCPCS C1713
Hospital Charge Code	40007545
Hospital Revenue Code	278
Min. Negotiated Rate	$77.87
Max. Negotiated Rate	$233.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$122.36
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	$111.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$127.93
Rate for Payer: Fidelis Medicare Advantage	$233.60
Rate for Payer: Group Health Inc Commercial	$111.24
Rate for Payer: Group Health Inc Medicare	$77.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$111.24
Rate for Payer: Hamaspik Choice Inc Medicare	$111.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$144.61

SCREW NCB CORT 4.0X26MM SELF-TAP

Facility IP

$222.48

Service Code	HCPCS C1713
Hospital Charge Code	40007545
Hospital Revenue Code	278
Min. Negotiated Rate	$111.24
Max. Negotiated Rate	$111.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$111.24
Rate for Payer: Hamaspik Choice Inc Medicare	$111.24

SCREW NCB CORT 4.0X26MM SELF-TAP

Facility OP

$222.48

Service Code	HCPCS C1713
Hospital Charge Code	40204626
Hospital Revenue Code	278
Min. Negotiated Rate	$77.87
Max. Negotiated Rate	$233.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$122.36
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	$111.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$127.93
Rate for Payer: Fidelis Medicare Advantage	$233.60
Rate for Payer: Group Health Inc Commercial	$111.24
Rate for Payer: Group Health Inc Medicare	$77.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$111.24
Rate for Payer: Hamaspik Choice Inc Medicare	$111.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$144.61

SCREW NCB CORT 4.0X30MM SELF-TAP

Facility OP

$222.48

Service Code	HCPCS C1713
Hospital Charge Code	40007538
Hospital Revenue Code	278
Min. Negotiated Rate	$77.87
Max. Negotiated Rate	$233.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$122.36
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	$111.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$127.93
Rate for Payer: Fidelis Medicare Advantage	$233.60
Rate for Payer: Group Health Inc Commercial	$111.24
Rate for Payer: Group Health Inc Medicare	$77.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$111.24
Rate for Payer: Hamaspik Choice Inc Medicare	$111.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$144.61

SCREW NCB CORT 4.0X30MM SELF-TAP

Facility IP

$222.48

Service Code	HCPCS C1713
Hospital Charge Code	40007538
Hospital Revenue Code	278
Min. Negotiated Rate	$111.24
Max. Negotiated Rate	$111.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$111.24
Rate for Payer: Hamaspik Choice Inc Medicare	$111.24

SCREW NCB CORT 4.0X30MM SELF-TAP

Facility IP

$222.48

Service Code	HCPCS C1713
Hospital Charge Code	40204619
Hospital Revenue Code	278
Min. Negotiated Rate	$111.24
Max. Negotiated Rate	$111.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$111.24
Rate for Payer: Hamaspik Choice Inc Medicare	$111.24

Price Transparency.

All Charges