St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW STRYKER LOCKING 2.4MMX18MM

Facility IP

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40204481
Hospital Revenue Code	278
Min. Negotiated Rate	$260.00
Max. Negotiated Rate	$260.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00

SCREW STRYKER LOCKING 2.7MMX10

Facility OP

$451.00

Service Code	HCPCS C1713
Hospital Charge Code	40204494
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$473.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$248.05
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	$225.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$259.32
Rate for Payer: Fidelis Medicare Advantage	$473.55
Rate for Payer: Group Health Inc Commercial	$225.50
Rate for Payer: Group Health Inc Medicare	$157.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.50
Rate for Payer: Hamaspik Choice Inc Medicare	$225.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$293.15

SCREW STRYKER LOCKING 2.7MMX10

Facility IP

$451.00

Service Code	HCPCS C1713
Hospital Charge Code	40204494
Hospital Revenue Code	278
Min. Negotiated Rate	$225.50
Max. Negotiated Rate	$225.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.50
Rate for Payer: Hamaspik Choice Inc Medicare	$225.50

SCREW STRYKER LOCKING 2.7MMX10MM

Facility OP

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40204483
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$546.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$286.00
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	$260.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$299.00
Rate for Payer: Fidelis Medicare Advantage	$546.00
Rate for Payer: Group Health Inc Commercial	$260.00
Rate for Payer: Group Health Inc Medicare	$182.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$338.00

SCREW STRYKER LOCKING 2.7MMX10MM

Facility IP

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40204483
Hospital Revenue Code	278
Min. Negotiated Rate	$260.00
Max. Negotiated Rate	$260.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00

SCREW STRYKER LOCKING 2.7MMX14MM

Facility OP

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	40204485
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$473.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$247.78
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	$225.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$259.04
Rate for Payer: Fidelis Medicare Advantage	$473.02
Rate for Payer: Group Health Inc Commercial	$225.25
Rate for Payer: Group Health Inc Medicare	$157.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.25
Rate for Payer: Hamaspik Choice Inc Medicare	$225.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$292.82

SCREW STRYKER LOCKING 2.7MMX14MM

Facility IP

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	40204485
Hospital Revenue Code	278
Min. Negotiated Rate	$225.25
Max. Negotiated Rate	$225.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.25
Rate for Payer: Hamaspik Choice Inc Medicare	$225.25

SCREW STRYKER LOCKING 2.7MMX8MM

Facility OP

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	40204493
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$473.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$247.78
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	$225.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$259.04
Rate for Payer: Fidelis Medicare Advantage	$473.02
Rate for Payer: Group Health Inc Commercial	$225.25
Rate for Payer: Group Health Inc Medicare	$157.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.25
Rate for Payer: Hamaspik Choice Inc Medicare	$225.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$292.82

SCREW STRYKER LOCKING 2.7MMX8MM

Facility IP

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	40204493
Hospital Revenue Code	278
Min. Negotiated Rate	$225.25
Max. Negotiated Rate	$225.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.25
Rate for Payer: Hamaspik Choice Inc Medicare	$225.25

SCREW STRYKER NON-LOCK 2.7MMX14MM

Facility IP

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40204482
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00

SCREW STRYKER NON-LOCK 2.7MMX14MM

Facility OP

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40204482
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$315.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$165.00
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	$150.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$172.50
Rate for Payer: Fidelis Medicare Advantage	$315.00
Rate for Payer: Group Health Inc Commercial	$150.00
Rate for Payer: Group Health Inc Medicare	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$195.00

SCREW STRYKER NON-LOCK 2.7MMX22MM

Facility IP

$263.50

Service Code	HCPCS C1713
Hospital Charge Code	40204498
Hospital Revenue Code	278
Min. Negotiated Rate	$131.75
Max. Negotiated Rate	$131.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.75
Rate for Payer: Hamaspik Choice Inc Medicare	$131.75

SCREW STRYKER NON-LOCK 2.7MMX22MM

Facility OP

$263.50

Service Code	HCPCS C1713
Hospital Charge Code	40204498
Hospital Revenue Code	278
Min. Negotiated Rate	$92.22
Max. Negotiated Rate	$276.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$144.92
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	$131.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$151.51
Rate for Payer: Fidelis Medicare Advantage	$276.68
Rate for Payer: Group Health Inc Commercial	$131.75
Rate for Payer: Group Health Inc Medicare	$92.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.75
Rate for Payer: Hamaspik Choice Inc Medicare	$131.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$171.28

SCREW STRY NON-LOCK 2.7MM X 22MM

Facility OP

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40204721
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$315.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$165.00
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	$150.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$172.50
Rate for Payer: Fidelis Medicare Advantage	$315.00
Rate for Payer: Group Health Inc Commercial	$150.00
Rate for Payer: Group Health Inc Medicare	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$195.00

SCREW STRY NON-LOCK 2.7MM X 22MM

Facility IP

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40204721
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00

SCREW STRY NON-LOCK 2.7 X 16 MM

Facility OP

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40203393
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$315.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$165.00
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	$150.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$172.50
Rate for Payer: Fidelis Medicare Advantage	$315.00
Rate for Payer: Group Health Inc Commercial	$150.00
Rate for Payer: Group Health Inc Medicare	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$195.00

SCREW STRY NON-LOCK 2.7 X 16 MM

Facility IP

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40203393
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00

SCREW STRY NON-LOCK 2.7 X 16MM

Facility OP

$562.00

Service Code	HCPCS C1713
Hospital Charge Code	40203395
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$590.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$309.10
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	$281.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$323.15
Rate for Payer: Fidelis Medicare Advantage	$590.10
Rate for Payer: Group Health Inc Commercial	$281.00
Rate for Payer: Group Health Inc Medicare	$196.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$281.00
Rate for Payer: Hamaspik Choice Inc Medicare	$281.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$365.30

SCREW STRY NON-LOCK 2.7 X 16MM

Facility IP

$562.00

Service Code	HCPCS C1713
Hospital Charge Code	40203395
Hospital Revenue Code	278
Min. Negotiated Rate	$281.00
Max. Negotiated Rate	$281.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$281.00
Rate for Payer: Hamaspik Choice Inc Medicare	$281.00

SCREW STRY NON-LOCK 2.7 X 18 MM

Facility OP

$562.00

Service Code	HCPCS C1713
Hospital Charge Code	40203396
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$590.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$309.10
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	$281.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$323.15
Rate for Payer: Fidelis Medicare Advantage	$590.10
Rate for Payer: Group Health Inc Commercial	$281.00
Rate for Payer: Group Health Inc Medicare	$196.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$281.00
Rate for Payer: Hamaspik Choice Inc Medicare	$281.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$365.30

SCREW STRY NON-LOCK 2.7 X 18 MM

Facility IP

$562.00

Service Code	HCPCS C1713
Hospital Charge Code	40203396
Hospital Revenue Code	278
Min. Negotiated Rate	$281.00
Max. Negotiated Rate	$281.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$281.00
Rate for Payer: Hamaspik Choice Inc Medicare	$281.00

SCREW STRY NON-LOCK 2.7 X 20 MM

Facility OP

$562.00

Service Code	HCPCS C1713
Hospital Charge Code	40203397
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$590.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$309.10
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	$281.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$323.15
Rate for Payer: Fidelis Medicare Advantage	$590.10
Rate for Payer: Group Health Inc Commercial	$281.00
Rate for Payer: Group Health Inc Medicare	$196.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$281.00
Rate for Payer: Hamaspik Choice Inc Medicare	$281.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$365.30

SCREW STRY NON-LOCK 2.7 X 20 MM

Facility IP

$562.00

Service Code	HCPCS C1713
Hospital Charge Code	40203397
Hospital Revenue Code	278
Min. Negotiated Rate	$281.00
Max. Negotiated Rate	$281.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$281.00
Rate for Payer: Hamaspik Choice Inc Medicare	$281.00

SCREW STRY NON-LOCK 2.7 X 22 MM

Facility OP

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40203398
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$546.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$286.00
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	$260.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$299.00
Rate for Payer: Fidelis Medicare Advantage	$546.00
Rate for Payer: Group Health Inc Commercial	$260.00
Rate for Payer: Group Health Inc Medicare	$182.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$338.00

SCREW STRY NON-LOCK 2.7 X 22 MM

Facility IP

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40203398
Hospital Revenue Code	278
Min. Negotiated Rate	$260.00
Max. Negotiated Rate	$260.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00

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All Charges