St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW STRY NON-LOCK 2.7 X 26 MM

Facility OP

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40203394
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 26 MM

Facility IP

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40203394
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 STY NON-LOCK 2.7 X 24 MM

Facility OP

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40203399
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 STY NON-LOCK 2.7 X 24 MM

Facility IP

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40203399
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

SCREWS VASD 14MM

Facility OP

$1,400.75

Service Code	HCPCS C1713
Hospital Charge Code	64905414
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,470.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$770.41
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	$700.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$805.43
Rate for Payer: Fidelis Medicare Advantage	$1,470.79
Rate for Payer: Group Health Inc Commercial	$700.38
Rate for Payer: Group Health Inc Medicare	$490.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$700.38
Rate for Payer: Hamaspik Choice Inc Medicare	$700.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$910.49

SCREWS VASD 14MM

Facility IP

$1,400.75

Service Code	HCPCS C1713
Hospital Charge Code	64905414
Hospital Revenue Code	278
Min. Negotiated Rate	$700.38
Max. Negotiated Rate	$700.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$700.38
Rate for Payer: Hamaspik Choice Inc Medicare	$700.38

SCREW SYS ANATOM SHOULDER

Facility IP

$320.00

Service Code	HCPCS C1713
Hospital Charge Code	64906914
Hospital Revenue Code	278
Min. Negotiated Rate	$160.00
Max. Negotiated Rate	$160.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$160.00
Rate for Payer: Hamaspik Choice Inc Medicare	$160.00

SCREW SYS ANATOM SHOULDER

Facility OP

$320.00

Service Code	HCPCS C1713
Hospital Charge Code	64906914
Hospital Revenue Code	278
Min. Negotiated Rate	$112.00
Max. Negotiated Rate	$336.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$176.00
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	$160.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$184.00
Rate for Payer: Fidelis Medicare Advantage	$336.00
Rate for Payer: Group Health Inc Commercial	$160.00
Rate for Payer: Group Health Inc Medicare	$112.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$160.00
Rate for Payer: Hamaspik Choice Inc Medicare	$160.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$208.00

SCREW SZ 1.2MMX7MM

Facility IP

$145.80

Service Code	HCPCS C1713
Hospital Charge Code	40209564
Hospital Revenue Code	278
Min. Negotiated Rate	$72.90
Max. Negotiated Rate	$72.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$72.90
Rate for Payer: Hamaspik Choice Inc Medicare	$72.90

SCREW SZ 1.2MMX7MM

Facility OP

$145.80

Service Code	HCPCS C1713
Hospital Charge Code	40209564
Hospital Revenue Code	278
Min. Negotiated Rate	$51.03
Max. Negotiated Rate	$153.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$80.19
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	$72.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$83.84
Rate for Payer: Fidelis Medicare Advantage	$153.09
Rate for Payer: Group Health Inc Commercial	$72.90
Rate for Payer: Group Health Inc Medicare	$51.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$72.90
Rate for Payer: Hamaspik Choice Inc Medicare	$72.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$94.77

SCREW TAP

Facility IP

$1,183.00

Service Code	HCPCS C1713
Hospital Charge Code	64907137
Hospital Revenue Code	278
Min. Negotiated Rate	$591.50
Max. Negotiated Rate	$591.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$591.50
Rate for Payer: Hamaspik Choice Inc Medicare	$591.50

SCREW TAP

Facility OP

$1,183.00

Service Code	HCPCS C1713
Hospital Charge Code	64907137
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,242.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$650.65
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	$591.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$680.22
Rate for Payer: Fidelis Medicare Advantage	$1,242.15
Rate for Payer: Group Health Inc Commercial	$591.50
Rate for Payer: Group Health Inc Medicare	$414.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$591.50
Rate for Payer: Hamaspik Choice Inc Medicare	$591.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$768.95

SCREW TAP SLFDRILL 1.7 X .75MM

Facility IP

$855.60

Service Code	HCPCS C1713
Hospital Charge Code	64906928
Hospital Revenue Code	278
Min. Negotiated Rate	$427.80
Max. Negotiated Rate	$427.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$427.80
Rate for Payer: Hamaspik Choice Inc Medicare	$427.80

SCREW TAP SLFDRILL 1.7 X .75MM

Facility OP

$855.60

Service Code	HCPCS C1713
Hospital Charge Code	64906928
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$898.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$470.58
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	$427.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$491.97
Rate for Payer: Fidelis Medicare Advantage	$898.38
Rate for Payer: Group Health Inc Commercial	$427.80
Rate for Payer: Group Health Inc Medicare	$299.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$427.80
Rate for Payer: Hamaspik Choice Inc Medicare	$427.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$556.14

SCREW THREAD 4.0 X 45 LONG

Facility OP

$165.00

Service Code	HCPCS C1713
Hospital Charge Code	64906359
Hospital Revenue Code	278
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$173.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$90.75
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	$82.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$94.88
Rate for Payer: Fidelis Medicare Advantage	$173.25
Rate for Payer: Group Health Inc Commercial	$82.50
Rate for Payer: Group Health Inc Medicare	$57.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.50
Rate for Payer: Hamaspik Choice Inc Medicare	$82.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$107.25

SCREW THREAD 4.0 X 45 LONG

Facility IP

$165.00

Service Code	HCPCS C1713
Hospital Charge Code	64906359
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.50
Rate for Payer: Hamaspik Choice Inc Medicare	$82.50

SCREW TI65

Facility OP

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64903761
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 TI65

Facility IP

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64903761
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 TI ASNIS II CANN 6.5X60MM

Facility OP

$491.40

Service Code	HCPCS C1713
Hospital Charge Code	40005925
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$515.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$270.27
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	$245.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$282.56
Rate for Payer: Fidelis Medicare Advantage	$515.97
Rate for Payer: Group Health Inc Commercial	$245.70
Rate for Payer: Group Health Inc Medicare	$171.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$245.70
Rate for Payer: Hamaspik Choice Inc Medicare	$245.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$319.41

SCREW TI ASNIS II CANN 6.5X60MM

Facility IP

$491.40

Service Code	HCPCS C1713
Hospital Charge Code	40005925
Hospital Revenue Code	278
Min. Negotiated Rate	$245.70
Max. Negotiated Rate	$245.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$245.70
Rate for Payer: Hamaspik Choice Inc Medicare	$245.70

SCREW TI ASNIS III CANU 6.5X110

Facility OP

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64905795
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 TI ASNIS III CANU 6.5X110

Facility IP

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64905795
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 TRANSLATION

Facility OP

$3,497.50

Service Code	HCPCS C1713
Hospital Charge Code	64907328
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,672.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,923.62
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	$1,748.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,011.06
Rate for Payer: Fidelis Medicare Advantage	$3,672.38
Rate for Payer: Group Health Inc Commercial	$1,748.75
Rate for Payer: Group Health Inc Medicare	$1,224.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,748.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,748.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,273.38

SCREW TRANSLATION

Facility IP

$3,497.50

Service Code	HCPCS C1713
Hospital Charge Code	64907328
Hospital Revenue Code	278
Min. Negotiated Rate	$1,748.75
Max. Negotiated Rate	$1,748.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,748.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,748.75

SCREW TULIP AND LAM HOOK

Facility OP

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	64903803
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$656.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$343.75
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	$312.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$359.38
Rate for Payer: Fidelis Medicare Advantage	$656.25
Rate for Payer: Group Health Inc Commercial	$312.50
Rate for Payer: Group Health Inc Medicare	$218.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$312.50
Rate for Payer: Hamaspik Choice Inc Medicare	$312.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$406.25

Price Transparency.

All Charges