St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW XIA3 PA 5.5MM X 40MM

Facility IP

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902283
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.18
Max. Negotiated Rate	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18

SCREW XIA3 PA 5.5MM X 45MM

Facility OP

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902325
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,614.89
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	$2,377.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.75
Rate for Payer: Fidelis Medicare Advantage	$4,992.07
Rate for Payer: Group Health Inc Commercial	$2,377.18
Rate for Payer: Group Health Inc Medicare	$1,664.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.33

SCREW XIA3 PA 5.5MM X 45MM

Facility IP

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902325
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.18
Max. Negotiated Rate	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18

SCREW XIA3 PA 6.5MM X 35MM

Facility OP

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902345
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,614.89
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	$2,377.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.75
Rate for Payer: Fidelis Medicare Advantage	$4,992.07
Rate for Payer: Group Health Inc Commercial	$2,377.18
Rate for Payer: Group Health Inc Medicare	$1,664.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.33

SCREW XIA3 PA 6.5MM X 35MM

Facility IP

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902345
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.18
Max. Negotiated Rate	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18

SCREW XIA3 PA 6.5MM X 40MM

Facility IP

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902343
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.18
Max. Negotiated Rate	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18

SCREW XIA3 PA 6.5MM X 40MM

Facility OP

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902343
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,614.89
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	$2,377.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.75
Rate for Payer: Fidelis Medicare Advantage	$4,992.07
Rate for Payer: Group Health Inc Commercial	$2,377.18
Rate for Payer: Group Health Inc Medicare	$1,664.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.33

SCREW XIA3 PA 6.5MM X 45MM

Facility OP

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902331
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,614.89
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	$2,377.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.75
Rate for Payer: Fidelis Medicare Advantage	$4,992.07
Rate for Payer: Group Health Inc Commercial	$2,377.18
Rate for Payer: Group Health Inc Medicare	$1,664.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.33

SCREW XIA3 PA 6.5MM X 45MM

Facility IP

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902331
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.18
Max. Negotiated Rate	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18

SCREW XIA3 S 6.5 X 55

Facility IP

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64903939
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.18
Max. Negotiated Rate	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18

SCREW XIA3 S 6.5 X 55

Facility OP

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64903939
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,614.89
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	$2,377.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.75
Rate for Payer: Fidelis Medicare Advantage	$4,992.07
Rate for Payer: Group Health Inc Commercial	$2,377.18
Rate for Payer: Group Health Inc Medicare	$1,664.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.33

SCREW XIA 6.5X30MM

Facility IP

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64903993
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.18
Max. Negotiated Rate	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18

SCREW XIA 6.5X30MM

Facility OP

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64903993
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,614.89
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	$2,377.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.75
Rate for Payer: Fidelis Medicare Advantage	$4,992.07
Rate for Payer: Group Health Inc Commercial	$2,377.18
Rate for Payer: Group Health Inc Medicare	$1,664.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.33

SCREW XIA 70 MM

Facility OP

$4,310.60

Service Code	HCPCS C1713
Hospital Charge Code	64906868
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,526.13
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,370.83
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	$2,155.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,478.60
Rate for Payer: Fidelis Medicare Advantage	$4,526.13
Rate for Payer: Group Health Inc Commercial	$2,155.30
Rate for Payer: Group Health Inc Medicare	$1,508.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,155.30
Rate for Payer: Hamaspik Choice Inc Medicare	$2,155.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,801.89

SCREW XIA 70 MM

Facility IP

$4,310.60

Service Code	HCPCS C1713
Hospital Charge Code	64906868
Hospital Revenue Code	278
Min. Negotiated Rate	$2,155.30
Max. Negotiated Rate	$2,155.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,155.30
Rate for Payer: Hamaspik Choice Inc Medicare	$2,155.30

SCREW XIA 7.5X50MM

Facility IP

$4,606.93

Service Code	HCPCS C1713
Hospital Charge Code	64903925
Hospital Revenue Code	278
Min. Negotiated Rate	$2,303.46
Max. Negotiated Rate	$2,303.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,303.46
Rate for Payer: Hamaspik Choice Inc Medicare	$2,303.46

SCREW XIA 7.5X50MM

Facility OP

$4,606.93

Service Code	HCPCS C1713
Hospital Charge Code	64903925
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,837.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,533.81
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	$2,303.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,648.98
Rate for Payer: Fidelis Medicare Advantage	$4,837.28
Rate for Payer: Group Health Inc Commercial	$2,303.46
Rate for Payer: Group Health Inc Medicare	$1,612.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,303.46
Rate for Payer: Hamaspik Choice Inc Medicare	$2,303.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,994.50

SCREW YUKON 14MM 03514

Facility OP

$4,590.00

Service Code	HCPCS C1713
Hospital Charge Code	64906723
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,819.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,524.50
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	$2,295.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,639.25
Rate for Payer: Fidelis Medicare Advantage	$4,819.50
Rate for Payer: Group Health Inc Commercial	$2,295.00
Rate for Payer: Group Health Inc Medicare	$1,606.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,295.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,295.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,983.50

SCREW YUKON 14MM 03514

Facility IP

$4,590.00

Service Code	HCPCS C1713
Hospital Charge Code	64906723
Hospital Revenue Code	278
Min. Negotiated Rate	$2,295.00
Max. Negotiated Rate	$2,295.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,295.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,295.00

SCREW YUKON 3.5

Facility IP

$5,737.50

Service Code	HCPCS C1713
Hospital Charge Code	64907189
Hospital Revenue Code	278
Min. Negotiated Rate	$2,868.75
Max. Negotiated Rate	$2,868.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,868.75
Rate for Payer: Hamaspik Choice Inc Medicare	$2,868.75

SCREW YUKON 3.5

Facility OP

$5,737.50

Service Code	HCPCS C1713
Hospital Charge Code	64907189
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,024.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,155.62
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	$2,868.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,299.06
Rate for Payer: Fidelis Medicare Advantage	$6,024.38
Rate for Payer: Group Health Inc Commercial	$2,868.75
Rate for Payer: Group Health Inc Medicare	$2,008.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,868.75
Rate for Payer: Hamaspik Choice Inc Medicare	$2,868.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,729.38

SCREW YUKON 4.5 X 30MM

Facility IP

$4,590.00

Service Code	HCPCS C1713
Hospital Charge Code	64906882
Hospital Revenue Code	278
Min. Negotiated Rate	$2,295.00
Max. Negotiated Rate	$2,295.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,295.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,295.00

SCREW YUKON 4.5 X 30MM

Facility OP

$4,590.00

Service Code	HCPCS C1713
Hospital Charge Code	64906882
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,819.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,524.50
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	$2,295.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,639.25
Rate for Payer: Fidelis Medicare Advantage	$4,819.50
Rate for Payer: Group Health Inc Commercial	$2,295.00
Rate for Payer: Group Health Inc Medicare	$1,606.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,295.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,295.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,983.50

SCREW YUKON 5.0 X 26

Facility OP

$4,590.00

Service Code	HCPCS C1713
Hospital Charge Code	64906786
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,819.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,524.50
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	$2,295.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,639.25
Rate for Payer: Fidelis Medicare Advantage	$4,819.50
Rate for Payer: Group Health Inc Commercial	$2,295.00
Rate for Payer: Group Health Inc Medicare	$1,606.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,295.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,295.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,983.50

SCREW YUKON 5.0 X 26

Facility IP

$4,590.00

Service Code	HCPCS C1713
Hospital Charge Code	64906786
Hospital Revenue Code	278
Min. Negotiated Rate	$2,295.00
Max. Negotiated Rate	$2,295.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,295.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,295.00

Price Transparency.

All Charges