St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW POLY LOCK 2.5

Facility IP

$460.00

Service Code	HCPCS C1713
Hospital Charge Code	64907049
Hospital Revenue Code	278
Min. Negotiated Rate	$230.00
Max. Negotiated Rate	$230.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$230.00
Rate for Payer: Hamaspik Choice Inc Medicare	$230.00

SCREW POLY LOCK 2.5

Facility OP

$460.00

Service Code	HCPCS C1713
Hospital Charge Code	64907049
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$483.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$253.00
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	$230.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$264.50
Rate for Payer: Fidelis Medicare Advantage	$483.00
Rate for Payer: Group Health Inc Commercial	$230.00
Rate for Payer: Group Health Inc Medicare	$161.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$230.00
Rate for Payer: Hamaspik Choice Inc Medicare	$230.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$299.00

SCREW POLY NON 3.5

Facility OP

$380.00

Service Code	HCPCS C1713
Hospital Charge Code	64907468
Hospital Revenue Code	278
Min. Negotiated Rate	$133.00
Max. Negotiated Rate	$399.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$209.00
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	$190.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$218.50
Rate for Payer: Fidelis Medicare Advantage	$399.00
Rate for Payer: Group Health Inc Commercial	$190.00
Rate for Payer: Group Health Inc Medicare	$133.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$190.00
Rate for Payer: Hamaspik Choice Inc Medicare	$190.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$247.00

SCREW POLY NON 3.5

Facility IP

$380.00

Service Code	HCPCS C1713
Hospital Charge Code	64907468
Hospital Revenue Code	278
Min. Negotiated Rate	$190.00
Max. Negotiated Rate	$190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$190.00
Rate for Payer: Hamaspik Choice Inc Medicare	$190.00

SCREW POLY SERRATO 5.5X30MM

Facility IP

$2,332.79

Service Code	HCPCS C1713
Hospital Charge Code	64906402
Hospital Revenue Code	278
Min. Negotiated Rate	$1,166.40
Max. Negotiated Rate	$1,166.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,166.40
Rate for Payer: Hamaspik Choice Inc Medicare	$1,166.40

SCREW POLY SERRATO 5.5X30MM

Facility OP

$2,332.79

Service Code	HCPCS C1713
Hospital Charge Code	64906402
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,449.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,283.03
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	$1,166.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,341.35
Rate for Payer: Fidelis Medicare Advantage	$2,449.43
Rate for Payer: Group Health Inc Commercial	$1,166.40
Rate for Payer: Group Health Inc Medicare	$816.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,166.40
Rate for Payer: Hamaspik Choice Inc Medicare	$1,166.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,516.31

SCREW POLY SERRATO 5.5X35MM

Facility IP

$2,332.79

Service Code	HCPCS C1713
Hospital Charge Code	64906399
Hospital Revenue Code	278
Min. Negotiated Rate	$1,166.40
Max. Negotiated Rate	$1,166.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,166.40
Rate for Payer: Hamaspik Choice Inc Medicare	$1,166.40

SCREW POLY SERRATO 5.5X35MM

Facility OP

$2,332.79

Service Code	HCPCS C1713
Hospital Charge Code	64906399
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,449.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,283.03
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	$1,166.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,341.35
Rate for Payer: Fidelis Medicare Advantage	$2,449.43
Rate for Payer: Group Health Inc Commercial	$1,166.40
Rate for Payer: Group Health Inc Medicare	$816.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,166.40
Rate for Payer: Hamaspik Choice Inc Medicare	$1,166.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,516.31

SCREW POLY SERRATO 6.0X35MM

Facility IP

$2,332.79

Service Code	HCPCS C1713
Hospital Charge Code	64906400
Hospital Revenue Code	278
Min. Negotiated Rate	$1,166.40
Max. Negotiated Rate	$1,166.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,166.40
Rate for Payer: Hamaspik Choice Inc Medicare	$1,166.40

SCREW POLY SERRATO 6.0X35MM

Facility OP

$2,332.79

Service Code	HCPCS C1713
Hospital Charge Code	64906400
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,449.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,283.03
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	$1,166.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,341.35
Rate for Payer: Fidelis Medicare Advantage	$2,449.43
Rate for Payer: Group Health Inc Commercial	$1,166.40
Rate for Payer: Group Health Inc Medicare	$816.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,166.40
Rate for Payer: Hamaspik Choice Inc Medicare	$1,166.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,516.31

SCREW POLY SERRATO 6.0X40MM

Facility OP

$2,332.79

Service Code	HCPCS C1713
Hospital Charge Code	64906401
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,449.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,283.03
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	$1,166.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,341.35
Rate for Payer: Fidelis Medicare Advantage	$2,449.43
Rate for Payer: Group Health Inc Commercial	$1,166.40
Rate for Payer: Group Health Inc Medicare	$816.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,166.40
Rate for Payer: Hamaspik Choice Inc Medicare	$1,166.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,516.31

SCREW POLY SERRATO 6.0X40MM

Facility IP

$2,332.79

Service Code	HCPCS C1713
Hospital Charge Code	64906401
Hospital Revenue Code	278
Min. Negotiated Rate	$1,166.40
Max. Negotiated Rate	$1,166.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,166.40
Rate for Payer: Hamaspik Choice Inc Medicare	$1,166.40

SCREW PRECEPT 6.5X40MM P

Facility IP

$4,200.00

Service Code	HCPCS C1713
Hospital Charge Code	64903550
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$2,100.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,100.00

SCREW PRECEPT 6.5X40MM P

Facility OP

$4,200.00

Service Code	HCPCS C1713
Hospital Charge Code	64903550
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,410.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,310.00
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	$2,100.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,415.00
Rate for Payer: Fidelis Medicare Advantage	$4,410.00
Rate for Payer: Group Health Inc Commercial	$2,100.00
Rate for Payer: Group Health Inc Medicare	$1,470.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,100.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,730.00

SCREW PRECEPT 6.5X45MM P

Facility IP

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	64903552
Hospital Revenue Code	278
Min. Negotiated Rate	$2,000.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,000.00

SCREW PRECEPT 6.5X45MM P

Facility OP

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	64903552
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,200.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,200.00
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	$2,000.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,300.00
Rate for Payer: Fidelis Medicare Advantage	$4,200.00
Rate for Payer: Group Health Inc Commercial	$2,000.00
Rate for Payer: Group Health Inc Medicare	$1,400.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,000.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,600.00

SCREW PRECEPT SET

Facility OP

$643.75

Service Code	HCPCS C1713
Hospital Charge Code	64903553
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$675.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$354.06
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	$321.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$370.16
Rate for Payer: Fidelis Medicare Advantage	$675.94
Rate for Payer: Group Health Inc Commercial	$321.88
Rate for Payer: Group Health Inc Medicare	$225.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$321.88
Rate for Payer: Hamaspik Choice Inc Medicare	$321.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$418.44

SCREW PRECEPT SET

Facility IP

$643.75

Service Code	HCPCS C1713
Hospital Charge Code	64903553
Hospital Revenue Code	278
Min. Negotiated Rate	$321.88
Max. Negotiated Rate	$321.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$321.88
Rate for Payer: Hamaspik Choice Inc Medicare	$321.88

SCREW PSN HEX

Facility OP

$277.50

Service Code	HCPCS C1713
Hospital Charge Code	64907166
Hospital Revenue Code	278
Min. Negotiated Rate	$97.12
Max. Negotiated Rate	$291.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$152.62
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	$138.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$159.56
Rate for Payer: Fidelis Medicare Advantage	$291.38
Rate for Payer: Group Health Inc Commercial	$138.75
Rate for Payer: Group Health Inc Medicare	$97.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.75
Rate for Payer: Hamaspik Choice Inc Medicare	$138.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$180.38

SCREW PSN HEX

Facility IP

$277.50

Service Code	HCPCS C1713
Hospital Charge Code	64907166
Hospital Revenue Code	278
Min. Negotiated Rate	$138.75
Max. Negotiated Rate	$138.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.75
Rate for Payer: Hamaspik Choice Inc Medicare	$138.75

SCREW PT 6.5 X 65MM

Facility OP

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64903066
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$644.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$337.84
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	$307.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$353.19
Rate for Payer: Fidelis Medicare Advantage	$644.96
Rate for Payer: Group Health Inc Commercial	$307.12
Rate for Payer: Group Health Inc Medicare	$214.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.12
Rate for Payer: Hamaspik Choice Inc Medicare	$307.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$399.26

SCREW PT 6.5 X 65MM

Facility IP

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64903066
Hospital Revenue Code	278
Min. Negotiated Rate	$307.12
Max. Negotiated Rate	$307.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.12
Rate for Payer: Hamaspik Choice Inc Medicare	$307.12

SCREW REDUCT 6.25 X 40

Facility IP

$4,497.50

Service Code	HCPCS C1713
Hospital Charge Code	64904583
Hospital Revenue Code	278
Min. Negotiated Rate	$2,248.75
Max. Negotiated Rate	$2,248.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,248.75
Rate for Payer: Hamaspik Choice Inc Medicare	$2,248.75

SCREW REDUCT 6.25 X 40

Facility OP

$4,497.50

Service Code	HCPCS C1713
Hospital Charge Code	64904583
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,722.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,473.62
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	$2,248.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,586.06
Rate for Payer: Fidelis Medicare Advantage	$4,722.38
Rate for Payer: Group Health Inc Commercial	$2,248.75
Rate for Payer: Group Health Inc Medicare	$1,574.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,248.75
Rate for Payer: Hamaspik Choice Inc Medicare	$2,248.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,923.38

SCREW RELINE 6.5X50MM

Facility IP

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	64904181
Hospital Revenue Code	278
Min. Negotiated Rate	$1,737.50
Max. Negotiated Rate	$1,737.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,737.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,737.50

Price Transparency.

All Charges