St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW NCB CORT 4.0X85MM SELF-TAP

Facility OP

$358.00

Service Code	HCPCS C1713
Hospital Charge Code	40204583
Hospital Revenue Code	278
Min. Negotiated Rate	$125.30
Max. Negotiated Rate	$375.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$196.90
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	$179.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$205.85
Rate for Payer: Fidelis Medicare Advantage	$375.90
Rate for Payer: Group Health Inc Commercial	$179.00
Rate for Payer: Group Health Inc Medicare	$125.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$179.00
Rate for Payer: Hamaspik Choice Inc Medicare	$179.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$232.70

SCREW NCB CORT 4.0X85MM SELF-TAP

Facility IP

$358.00

Service Code	HCPCS C1713
Hospital Charge Code	40204583
Hospital Revenue Code	278
Min. Negotiated Rate	$179.00
Max. Negotiated Rate	$179.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$179.00
Rate for Payer: Hamaspik Choice Inc Medicare	$179.00

SCREW, NCB CORT 4.0X85MM SELF-TAP

Facility OP

$222.48

Service Code	HCPCS C1713
Hospital Charge Code	40006609
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 4.0X85MM SELF-TAP

Facility IP

$222.48

Service Code	HCPCS C1713
Hospital Charge Code	40006609
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 4.0X90MM SELF-TAP

Facility OP

$222.48

Service Code	HCPCS C1713
Hospital Charge Code	40204620
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 4.0X90MM SELF-TAP

Facility IP

$222.48

Service Code	HCPCS C1713
Hospital Charge Code	40007539
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 4.0X90MM SELF-TAP

Facility OP

$222.48

Service Code	HCPCS C1713
Hospital Charge Code	40007539
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 4.0X90MM SELF-TAP

Facility IP

$222.48

Service Code	HCPCS C1713
Hospital Charge Code	40204620
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 4.0 X 90MM ST

Facility IP

$278.10

Service Code	HCPCS C1713
Hospital Charge Code	64905601
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 90MM ST

Facility OP

$278.10

Service Code	HCPCS C1713
Hospital Charge Code	64905601
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 LOCKING CAP

Facility OP

$398.63

Service Code	HCPCS C1713
Hospital Charge Code	64905482
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$418.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$219.25
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	$199.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$229.21
Rate for Payer: Fidelis Medicare Advantage	$418.56
Rate for Payer: Group Health Inc Commercial	$199.32
Rate for Payer: Group Health Inc Medicare	$139.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$199.32
Rate for Payer: Hamaspik Choice Inc Medicare	$199.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$259.11

SCREW, NCB LOCKING CAP

Facility OP

$318.90

Service Code	HCPCS C1713
Hospital Charge Code	40006599
Hospital Revenue Code	278
Min. Negotiated Rate	$111.62
Max. Negotiated Rate	$334.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$175.40
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	$159.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$183.37
Rate for Payer: Fidelis Medicare Advantage	$334.84
Rate for Payer: Group Health Inc Commercial	$159.45
Rate for Payer: Group Health Inc Medicare	$111.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$159.45
Rate for Payer: Hamaspik Choice Inc Medicare	$159.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$207.28

SCREW, NCB LOCKING CAP

Facility IP

$488.00

Service Code	HCPCS C1713
Hospital Charge Code	40204573
Hospital Revenue Code	278
Min. Negotiated Rate	$244.00
Max. Negotiated Rate	$244.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$244.00
Rate for Payer: Hamaspik Choice Inc Medicare	$244.00

SCREW, NCB LOCKING CAP

Facility IP

$398.63

Service Code	HCPCS C1713
Hospital Charge Code	64905482
Hospital Revenue Code	278
Min. Negotiated Rate	$199.32
Max. Negotiated Rate	$199.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$199.32
Rate for Payer: Hamaspik Choice Inc Medicare	$199.32

SCREW, NCB LOCKING CAP

Facility IP

$318.90

Service Code	HCPCS C1713
Hospital Charge Code	40006599
Hospital Revenue Code	278
Min. Negotiated Rate	$159.45
Max. Negotiated Rate	$159.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$159.45
Rate for Payer: Hamaspik Choice Inc Medicare	$159.45

SCREW, NCB LOCKING CAP

Facility OP

$488.00

Service Code	HCPCS C1713
Hospital Charge Code	40204573
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$512.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$268.40
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	$244.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$280.60
Rate for Payer: Fidelis Medicare Advantage	$512.40
Rate for Payer: Group Health Inc Commercial	$244.00
Rate for Payer: Group Health Inc Medicare	$170.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$244.00
Rate for Payer: Hamaspik Choice Inc Medicare	$244.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$317.20

SCREW NEURO 1.5 X 4MM

Facility OP

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	64903214
Hospital Revenue Code	278
Min. Negotiated Rate	$86.62
Max. Negotiated Rate	$259.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$136.12
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	$123.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.31
Rate for Payer: Fidelis Medicare Advantage	$259.88
Rate for Payer: Group Health Inc Commercial	$123.75
Rate for Payer: Group Health Inc Medicare	$86.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.75
Rate for Payer: Hamaspik Choice Inc Medicare	$123.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$160.88

SCREW NEURO 1.5 X 4MM

Facility IP

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	64903214
Hospital Revenue Code	278
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.75
Rate for Payer: Hamaspik Choice Inc Medicare	$123.75

SCREW NEURO C-P SLF DRL 1.5X5MM

Facility IP

$29.65

Service Code	HCPCS C1713
Hospital Charge Code	64901866
Hospital Revenue Code	278
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$14.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.82
Rate for Payer: Hamaspik Choice Inc Medicare	$14.82

SCREW NEURO C-P SLF DRL 1.5X5MM

Facility OP

$29.65

Service Code	HCPCS C1713
Hospital Charge Code	64901866
Hospital Revenue Code	278
Min. Negotiated Rate	$10.38
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.31
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	$14.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$17.05
Rate for Payer: Fidelis Medicare Advantage	$31.13
Rate for Payer: Group Health Inc Commercial	$14.82
Rate for Payer: Group Health Inc Medicare	$10.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.82
Rate for Payer: Hamaspik Choice Inc Medicare	$14.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$19.27

SCREW N-LOCK 4.75

Facility OP

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64906967
Hospital Revenue Code	278
Min. Negotiated Rate	$65.62
Max. Negotiated Rate	$196.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$103.12
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	$93.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$107.81
Rate for Payer: Fidelis Medicare Advantage	$196.88
Rate for Payer: Group Health Inc Commercial	$93.75
Rate for Payer: Group Health Inc Medicare	$65.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.75
Rate for Payer: Hamaspik Choice Inc Medicare	$93.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$121.88

SCREW N-LOCK 4.75

Facility IP

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64906967
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.75
Rate for Payer: Hamaspik Choice Inc Medicare	$93.75

SCREW NOLOCK CORT 3.5

Facility OP

$285.00

Service Code	HCPCS C1713
Hospital Charge Code	64907035
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$299.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$156.75
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	$142.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$163.88
Rate for Payer: Fidelis Medicare Advantage	$299.25
Rate for Payer: Group Health Inc Commercial	$142.50
Rate for Payer: Group Health Inc Medicare	$99.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$142.50
Rate for Payer: Hamaspik Choice Inc Medicare	$142.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$185.25

SCREW NOLOCK CORT 3.5

Facility IP

$285.00

Service Code	HCPCS C1713
Hospital Charge Code	64907035
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$142.50
Rate for Payer: Hamaspik Choice Inc Medicare	$142.50

SCREW NONBIAS 12MM

Facility IP

$3,755.80

Service Code	HCPCS C1713
Hospital Charge Code	64902603
Hospital Revenue Code	278
Min. Negotiated Rate	$1,877.90
Max. Negotiated Rate	$1,877.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,877.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,877.90

Price Transparency.

All Charges