St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW ROS 4.6 X 14

Facility IP

$866.25

Service Code	HCPCS C1713
Hospital Charge Code	64904594
Hospital Revenue Code	278
Min. Negotiated Rate	$433.12
Max. Negotiated Rate	$433.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$433.12
Rate for Payer: Hamaspik Choice Inc Medicare	$433.12

SCREW SCHANZ 4.0X80MM

Facility OP

$135.00

Service Code	HCPCS C1713
Hospital Charge Code	64901166
Hospital Revenue Code	278
Min. Negotiated Rate	$47.25
Max. Negotiated Rate	$141.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$74.25
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	$67.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$77.62
Rate for Payer: Fidelis Medicare Advantage	$141.75
Rate for Payer: Group Health Inc Commercial	$67.50
Rate for Payer: Group Health Inc Medicare	$47.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.50
Rate for Payer: Hamaspik Choice Inc Medicare	$67.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$87.75

SCREW SCHANZ 4.0X80MM

Facility IP

$135.00

Service Code	HCPCS C1713
Hospital Charge Code	64901166
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.50
Rate for Payer: Hamaspik Choice Inc Medicare	$67.50

SCREW SELF DRILL 1.5MM

Facility IP

$168.05

Service Code	HCPCS C1713
Hospital Charge Code	64904848
Hospital Revenue Code	278
Min. Negotiated Rate	$84.02
Max. Negotiated Rate	$84.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$84.02
Rate for Payer: Hamaspik Choice Inc Medicare	$84.02

SCREW SELF DRILL 1.5MM

Facility OP

$168.05

Service Code	HCPCS C1713
Hospital Charge Code	64904848
Hospital Revenue Code	278
Min. Negotiated Rate	$58.82
Max. Negotiated Rate	$176.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$92.43
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	$84.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$96.63
Rate for Payer: Fidelis Medicare Advantage	$176.45
Rate for Payer: Group Health Inc Commercial	$84.02
Rate for Payer: Group Health Inc Medicare	$58.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$84.02
Rate for Payer: Hamaspik Choice Inc Medicare	$84.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$109.23

SCREW SELF DRILL 1.5X4MM

Facility OP

$148.25

Service Code	HCPCS C1713
Hospital Charge Code	64901864
Hospital Revenue Code	278
Min. Negotiated Rate	$51.89
Max. Negotiated Rate	$155.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$81.54
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	$74.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$85.24
Rate for Payer: Fidelis Medicare Advantage	$155.66
Rate for Payer: Group Health Inc Commercial	$74.12
Rate for Payer: Group Health Inc Medicare	$51.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.12
Rate for Payer: Hamaspik Choice Inc Medicare	$74.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$96.36

SCREW SELF DRILL 1.5X4MM

Facility IP

$148.25

Service Code	HCPCS C1713
Hospital Charge Code	64901864
Hospital Revenue Code	278
Min. Negotiated Rate	$74.12
Max. Negotiated Rate	$74.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.12
Rate for Payer: Hamaspik Choice Inc Medicare	$74.12

SCREW SELF DRILL 1.7 X 4MM

Facility OP

$127.33

Service Code	HCPCS C1713
Hospital Charge Code	64904786
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 SELF DRILL 1.7 X 4MM

Facility IP

$127.33

Service Code	HCPCS C1713
Hospital Charge Code	64904786
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 SELF START 14MM

Facility OP

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	64907504
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,150.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,650.00
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	$1,500.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,725.00
Rate for Payer: Fidelis Medicare Advantage	$3,150.00
Rate for Payer: Group Health Inc Commercial	$1,500.00
Rate for Payer: Group Health Inc Medicare	$1,050.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,500.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,950.00

SCREW SELF START 14MM

Facility IP

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	64907504
Hospital Revenue Code	278
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,500.00

SCREW SELF-TAP 1.7

Facility OP

$46.32

Service Code	HCPCS C1713
Hospital Charge Code	64907477
Hospital Revenue Code	278
Min. Negotiated Rate	$16.21
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.48
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	$23.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$26.63
Rate for Payer: Fidelis Medicare Advantage	$48.64
Rate for Payer: Group Health Inc Commercial	$23.16
Rate for Payer: Group Health Inc Medicare	$16.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.16
Rate for Payer: Hamaspik Choice Inc Medicare	$23.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$30.11

SCREW SELF-TAP 1.7

Facility IP

$46.32

Service Code	HCPCS C1713
Hospital Charge Code	64907477
Hospital Revenue Code	278
Min. Negotiated Rate	$23.16
Max. Negotiated Rate	$23.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.16
Rate for Payer: Hamaspik Choice Inc Medicare	$23.16

SCREW SELF TAP CORTICAL 4.5X18MM

Facility IP

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	64905743
Hospital Revenue Code	278
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$28.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.44
Rate for Payer: Hamaspik Choice Inc Medicare	$28.44

SCREW SELF TAP CORTICAL 4.5X18MM

Facility OP

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	64905743
Hospital Revenue Code	278
Min. Negotiated Rate	$19.91
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.28
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	$28.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.71
Rate for Payer: Fidelis Medicare Advantage	$59.72
Rate for Payer: Group Health Inc Commercial	$28.44
Rate for Payer: Group Health Inc Medicare	$19.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.44
Rate for Payer: Hamaspik Choice Inc Medicare	$28.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$36.97

SCREW SELF-TAPPING 1.5 X 5MM

Facility IP

$237.50

Service Code	HCPCS C1713
Hospital Charge Code	64902592
Hospital Revenue Code	278
Min. Negotiated Rate	$118.75
Max. Negotiated Rate	$118.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$118.75
Rate for Payer: Hamaspik Choice Inc Medicare	$118.75

SCREW SELF-TAPPING 1.5 X 5MM

Facility OP

$237.50

Service Code	HCPCS C1713
Hospital Charge Code	64902592
Hospital Revenue Code	278
Min. Negotiated Rate	$83.12
Max. Negotiated Rate	$249.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$130.62
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	$118.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$136.56
Rate for Payer: Fidelis Medicare Advantage	$249.38
Rate for Payer: Group Health Inc Commercial	$118.75
Rate for Payer: Group Health Inc Medicare	$83.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$118.75
Rate for Payer: Hamaspik Choice Inc Medicare	$118.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$154.38

SCREW SELF TAPPING CORTEX A

Facility IP

$84.38

Service Code	HCPCS C1713
Hospital Charge Code	64901145
Hospital Revenue Code	278
Min. Negotiated Rate	$42.19
Max. Negotiated Rate	$42.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.19
Rate for Payer: Hamaspik Choice Inc Medicare	$42.19

SCREW SELF TAPPING CORTEX A

Facility OP

$84.38

Service Code	HCPCS C1713
Hospital Charge Code	64901145
Hospital Revenue Code	278
Min. Negotiated Rate	$29.53
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$46.41
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	$42.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$48.52
Rate for Payer: Fidelis Medicare Advantage	$88.60
Rate for Payer: Group Health Inc Commercial	$42.19
Rate for Payer: Group Health Inc Medicare	$29.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.19
Rate for Payer: Hamaspik Choice Inc Medicare	$42.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$54.85

SCREW SELF TAPPING CORTEX B

Facility OP

$68.13

Service Code	HCPCS C1713
Hospital Charge Code	64901147
Hospital Revenue Code	278
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$37.47
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	$34.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.17
Rate for Payer: Fidelis Medicare Advantage	$71.54
Rate for Payer: Group Health Inc Commercial	$34.06
Rate for Payer: Group Health Inc Medicare	$23.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.06
Rate for Payer: Hamaspik Choice Inc Medicare	$34.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$44.28

SCREW SELF TAPPING CORTEX B

Facility IP

$68.13

Service Code	HCPCS C1713
Hospital Charge Code	64901147
Hospital Revenue Code	278
Min. Negotiated Rate	$34.06
Max. Negotiated Rate	$34.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.06
Rate for Payer: Hamaspik Choice Inc Medicare	$34.06

SCREW SELF-TAP STAR D 3.5MM

Facility IP

$87.50

Service Code	HCPCS C1713
Hospital Charge Code	64903979
Hospital Revenue Code	278
Min. Negotiated Rate	$43.75
Max. Negotiated Rate	$43.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.75
Rate for Payer: Hamaspik Choice Inc Medicare	$43.75

SCREW SELF-TAP STAR D 3.5MM

Facility OP

$87.50

Service Code	HCPCS C1713
Hospital Charge Code	64903979
Hospital Revenue Code	278
Min. Negotiated Rate	$30.62
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$48.12
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	$43.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$50.31
Rate for Payer: Fidelis Medicare Advantage	$91.88
Rate for Payer: Group Health Inc Commercial	$43.75
Rate for Payer: Group Health Inc Medicare	$30.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$43.75
Rate for Payer: Hamaspik Choice Inc Medicare	$43.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$56.88

SCREW SELF-TAP TI 2.06MM

Facility OP

$120.00

Service Code	HCPCS C1776
Hospital Charge Code	40202429
Hospital Revenue Code	278
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$66.00
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	$60.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$69.00
Rate for Payer: Fidelis Medicare Advantage	$126.00
Rate for Payer: Group Health Inc Commercial	$60.00
Rate for Payer: Group Health Inc Medicare	$42.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$60.00
Rate for Payer: Hamaspik Choice Inc Medicare	$60.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$78.00

SCREW SELF-TAP TI 2.06MM

Facility IP

$120.00

Service Code	HCPCS C1776
Hospital Charge Code	40202429
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$60.00
Rate for Payer: Hamaspik Choice Inc Medicare	$60.00

Price Transparency.

All Charges