St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW 1.7 X 12MM

Facility

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901395
Hospital Revenue Code	278
Min. Negotiated Rate	$39.66
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$62.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$67.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$65.15
Rate for Payer: EmblemHealth Commercial	$56.65
Rate for Payer: Fidelis Medicare Advantage	$118.96
Rate for Payer: Group Health Inc Commercial	$56.65
Rate for Payer: Group Health Inc Medicare	$39.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$73.64

SCREW 1.7X14MM LOCKING CROSS

Facility

$229.13

Service Code	HCPCS C1713
Hospital Charge Code	64905641
Hospital Revenue Code	278
Min. Negotiated Rate	$80.20
Max. Negotiated Rate	$240.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$126.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$137.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$114.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$131.75
Rate for Payer: EmblemHealth Commercial	$114.56
Rate for Payer: Fidelis Medicare Advantage	$240.59
Rate for Payer: Group Health Inc Commercial	$114.56
Rate for Payer: Group Health Inc Medicare	$80.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.56
Rate for Payer: Hamaspik Choice Inc Medicare	$114.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$148.93

SCREW 1.7X14MM LOCKING CROSS

Facility

$229.13

Service Code	HCPCS C1713
Hospital Charge Code	64905641
Hospital Revenue Code	278
Min. Negotiated Rate	$114.56
Max. Negotiated Rate	$114.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.56
Rate for Payer: Hamaspik Choice Inc Medicare	$114.56

SCREW 1.7X3MM CRSS PIN SLF TAP

Facility

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901596
Hospital Revenue Code	278
Min. Negotiated Rate	$56.65
Max. Negotiated Rate	$56.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65

SCREW 1.7X3MM CRSS PIN SLF TAP

Facility

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901596
Hospital Revenue Code	278
Min. Negotiated Rate	$39.66
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$62.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$67.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$65.15
Rate for Payer: EmblemHealth Commercial	$56.65
Rate for Payer: Fidelis Medicare Advantage	$118.96
Rate for Payer: Group Health Inc Commercial	$56.65
Rate for Payer: Group Health Inc Medicare	$39.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$73.64

SCREW 1.7X3MM EMERGENCY SLF DRL

Facility

$140.00

Service Code	HCPCS C1713
Hospital Charge Code	40200753
Hospital Revenue Code	278
Min. Negotiated Rate	$49.00
Max. Negotiated Rate	$147.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$77.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$84.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$70.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$80.50
Rate for Payer: EmblemHealth Commercial	$70.00
Rate for Payer: Fidelis Medicare Advantage	$147.00
Rate for Payer: Group Health Inc Commercial	$70.00
Rate for Payer: Group Health Inc Medicare	$49.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.00
Rate for Payer: Hamaspik Choice Inc Medicare	$70.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$91.00

SCREW 1.7X3MM EMERGENCY SLF DRL

Facility

$140.00

Service Code	HCPCS C1713
Hospital Charge Code	40200753
Hospital Revenue Code	278
Min. Negotiated Rate	$70.00
Max. Negotiated Rate	$70.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.00
Rate for Payer: Hamaspik Choice Inc Medicare	$70.00

SCREW 1.7X3MM W/NEW TH

Facility

$127.33

Service Code	HCPCS C1713
Hospital Charge Code	64904959
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: Brighton Health Commercial	$76.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$63.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$73.21
Rate for Payer: EmblemHealth Commercial	$63.66
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 1.7X3MM W/NEW TH

Facility

$127.33

Service Code	HCPCS C1713
Hospital Charge Code	64904959
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 1.7 X 4 EMR

Facility

$124.05

Service Code	HCPCS C1713
Hospital Charge Code	64904353
Hospital Revenue Code	278
Min. Negotiated Rate	$43.42
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$68.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$74.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$62.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$71.33
Rate for Payer: EmblemHealth Commercial	$62.02
Rate for Payer: Fidelis Medicare Advantage	$130.25
Rate for Payer: Group Health Inc Commercial	$62.02
Rate for Payer: Group Health Inc Medicare	$43.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.02
Rate for Payer: Hamaspik Choice Inc Medicare	$62.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$80.63

SCREW 1.7 X 4 EMR

Facility

$124.05

Service Code	HCPCS C1713
Hospital Charge Code	64904353
Hospital Revenue Code	278
Min. Negotiated Rate	$62.02
Max. Negotiated Rate	$62.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.02
Rate for Payer: Hamaspik Choice Inc Medicare	$62.02

SCREW 1.7 X 4MM

Facility

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901393
Hospital Revenue Code	278
Min. Negotiated Rate	$39.66
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$62.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$67.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$65.15
Rate for Payer: EmblemHealth Commercial	$56.65
Rate for Payer: Fidelis Medicare Advantage	$118.96
Rate for Payer: Group Health Inc Commercial	$56.65
Rate for Payer: Group Health Inc Medicare	$39.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$73.64

SCREW 1.7 X 4MM

Facility

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901393
Hospital Revenue Code	278
Min. Negotiated Rate	$56.65
Max. Negotiated Rate	$56.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65

SCREW 1.7X4MM CRS PIN SLF DRL

Facility

$127.33

Service Code	HCPCS C1713
Hospital Charge Code	64901597
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 1.7X4MM CRS PIN SLF DRL

Facility

$127.33

Service Code	HCPCS C1713
Hospital Charge Code	64901597
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: Brighton Health Commercial	$76.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$63.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$73.21
Rate for Payer: EmblemHealth Commercial	$63.66
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 1.7X4MM LOCKING CRSS PIN

Facility

$149.15

Service Code	HCPCS C1713
Hospital Charge Code	64901603
Hospital Revenue Code	278
Min. Negotiated Rate	$52.20
Max. Negotiated Rate	$156.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$82.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$89.49
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$74.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$85.76
Rate for Payer: EmblemHealth Commercial	$74.58
Rate for Payer: Fidelis Medicare Advantage	$156.61
Rate for Payer: Group Health Inc Commercial	$74.58
Rate for Payer: Group Health Inc Medicare	$52.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.58
Rate for Payer: Hamaspik Choice Inc Medicare	$74.58
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$96.95

SCREW 1.7X4MM LOCKING CRSS PIN

Facility

$149.15

Service Code	HCPCS C1713
Hospital Charge Code	64901603
Hospital Revenue Code	278
Min. Negotiated Rate	$74.58
Max. Negotiated Rate	$74.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.58
Rate for Payer: Hamaspik Choice Inc Medicare	$74.58

SCREW 1.7 X 5MM

Facility

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901376
Hospital Revenue Code	278
Min. Negotiated Rate	$56.65
Max. Negotiated Rate	$56.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65

SCREW 1.7 X 5MM

Facility

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901376
Hospital Revenue Code	278
Min. Negotiated Rate	$39.66
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$62.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$67.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$65.15
Rate for Payer: EmblemHealth Commercial	$56.65
Rate for Payer: Fidelis Medicare Advantage	$118.96
Rate for Payer: Group Health Inc Commercial	$56.65
Rate for Payer: Group Health Inc Medicare	$39.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$73.64

SCREW 1.7X5MM CRS PIN SLF DRL

Facility

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901598
Hospital Revenue Code	278
Min. Negotiated Rate	$56.65
Max. Negotiated Rate	$56.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65

SCREW 1.7X5MM CRS PIN SLF DRL

Facility

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901598
Hospital Revenue Code	278
Min. Negotiated Rate	$39.66
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$62.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$67.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$65.15
Rate for Payer: EmblemHealth Commercial	$56.65
Rate for Payer: Fidelis Medicare Advantage	$118.96
Rate for Payer: Group Health Inc Commercial	$56.65
Rate for Payer: Group Health Inc Medicare	$39.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$73.64

SCREW 1.7X5MM LOCKING CRSS PIN

Facility

$147.00

Service Code	HCPCS C1713
Hospital Charge Code	64901604
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.50
Rate for Payer: Hamaspik Choice Inc Medicare	$73.50

SCREW 1.7X5MM LOCKING CRSS PIN

Facility

$147.00

Service Code	HCPCS C1713
Hospital Charge Code	64901604
Hospital Revenue Code	278
Min. Negotiated Rate	$51.45
Max. Negotiated Rate	$154.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$80.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$88.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$73.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$84.52
Rate for Payer: EmblemHealth Commercial	$73.50
Rate for Payer: Fidelis Medicare Advantage	$154.35
Rate for Payer: Group Health Inc Commercial	$73.50
Rate for Payer: Group Health Inc Medicare	$51.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.50
Rate for Payer: Hamaspik Choice Inc Medicare	$73.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$95.55

SCREW 1.7 X 6MM CRS PN SLF TAP

Facility

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64902005
Hospital Revenue Code	278
Min. Negotiated Rate	$39.66
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$62.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$67.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$65.15
Rate for Payer: EmblemHealth Commercial	$56.65
Rate for Payer: Fidelis Medicare Advantage	$118.96
Rate for Payer: Group Health Inc Commercial	$56.65
Rate for Payer: Group Health Inc Medicare	$39.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$73.64

SCREW 1.7 X 6MM CRS PN SLF TAP

Facility

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64902005
Hospital Revenue Code	278
Min. Negotiated Rate	$56.65
Max. Negotiated Rate	$56.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$56.65
Rate for Payer: Hamaspik Choice Inc Medicare	$56.65

Know your out-of-pocket cost for care.

All Charges