St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW 1.7X6MM LOCKING CRSS PIN

Facility

$147.00

Service Code	HCPCS C1713
Hospital Charge Code	64901605
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 1.7X6MM LOCKING CRSS PIN

Facility

$147.00

Service Code	HCPCS C1713
Hospital Charge Code	64901605
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 1.7X6 MM SQ-FIT

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	40202375
Hospital Revenue Code	278
Min. Negotiated Rate	$62.56
Max. Negotiated Rate	$187.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$98.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$107.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$89.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$102.78
Rate for Payer: EmblemHealth Commercial	$89.38
Rate for Payer: Fidelis Medicare Advantage	$187.69
Rate for Payer: Group Health Inc Commercial	$89.38
Rate for Payer: Group Health Inc Medicare	$62.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$89.38
Rate for Payer: Hamaspik Choice Inc Medicare	$89.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$116.19

SCREW 1.7X6 MM SQ-FIT

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	40202375
Hospital Revenue Code	278
Min. Negotiated Rate	$89.38
Max. Negotiated Rate	$89.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$89.38
Rate for Payer: Hamaspik Choice Inc Medicare	$89.38

SCREW 1.7 X 8MM

Facility

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901374
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 8MM

Facility

$113.30

Service Code	HCPCS C1713
Hospital Charge Code	64901374
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 1.9X3MM CRS PIN SLF TAP

Facility

$123.03

Service Code	HCPCS C1713
Hospital Charge Code	64901600
Hospital Revenue Code	278
Min. Negotiated Rate	$61.52
Max. Negotiated Rate	$61.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.52
Rate for Payer: Hamaspik Choice Inc Medicare	$61.52

SCREW 1.9X3MM CRS PIN SLF TAP

Facility

$123.03

Service Code	HCPCS C1713
Hospital Charge Code	64901600
Hospital Revenue Code	278
Min. Negotiated Rate	$43.06
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$67.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$73.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$61.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$70.74
Rate for Payer: EmblemHealth Commercial	$61.52
Rate for Payer: Fidelis Medicare Advantage	$129.18
Rate for Payer: Group Health Inc Commercial	$61.52
Rate for Payer: Group Health Inc Medicare	$43.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.52
Rate for Payer: Hamaspik Choice Inc Medicare	$61.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$79.97

SCREW 1.9X5MM CRS PIN SLF TAP

Facility

$123.03

Service Code	HCPCS C1713
Hospital Charge Code	64901601
Hospital Revenue Code	278
Min. Negotiated Rate	$61.52
Max. Negotiated Rate	$61.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.52
Rate for Payer: Hamaspik Choice Inc Medicare	$61.52

SCREW 1.9X5MM CRS PIN SLF TAP

Facility

$123.03

Service Code	HCPCS C1713
Hospital Charge Code	64901601
Hospital Revenue Code	278
Min. Negotiated Rate	$43.06
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$67.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$73.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$61.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$70.74
Rate for Payer: EmblemHealth Commercial	$61.52
Rate for Payer: Fidelis Medicare Advantage	$129.18
Rate for Payer: Group Health Inc Commercial	$61.52
Rate for Payer: Group Health Inc Medicare	$43.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.52
Rate for Payer: Hamaspik Choice Inc Medicare	$61.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$79.97

SCREW 20MM

Facility

$251.45

Service Code	HCPCS C1713
Hospital Charge Code	64903623
Hospital Revenue Code	278
Min. Negotiated Rate	$88.01
Max. Negotiated Rate	$264.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$138.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$150.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$125.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$144.58
Rate for Payer: EmblemHealth Commercial	$125.72
Rate for Payer: Fidelis Medicare Advantage	$264.02
Rate for Payer: Group Health Inc Commercial	$125.72
Rate for Payer: Group Health Inc Medicare	$88.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.72
Rate for Payer: Hamaspik Choice Inc Medicare	$125.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$163.44

SCREW 20MM

Facility

$251.45

Service Code	HCPCS C1713
Hospital Charge Code	64903623
Hospital Revenue Code	278
Min. Negotiated Rate	$125.72
Max. Negotiated Rate	$125.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.72
Rate for Payer: Hamaspik Choice Inc Medicare	$125.72

SCREW 2.0MM TI MAT MAN (EA)

Facility

$120.00

Service Code	HCPCS C1776
Hospital Charge Code	40202443
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

SCREW 2.0MM TI MAT MAN (EA)

Facility

$120.00

Service Code	HCPCS C1776
Hospital Charge Code	40202443
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: Brighton Health Commercial	$72.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$60.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$69.00
Rate for Payer: EmblemHealth Commercial	$60.00
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, 2.0X11MM

Facility

$135.70

Service Code	HCPCS C1713
Hospital Charge Code	64905715
Hospital Revenue Code	278
Min. Negotiated Rate	$47.50
Max. Negotiated Rate	$142.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$74.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$81.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$67.85
Rate for Payer: Cigna LocalPlus Benefit Plan	$78.03
Rate for Payer: EmblemHealth Commercial	$67.85
Rate for Payer: Fidelis Medicare Advantage	$142.48
Rate for Payer: Group Health Inc Commercial	$67.85
Rate for Payer: Group Health Inc Medicare	$47.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.85
Rate for Payer: Hamaspik Choice Inc Medicare	$67.85
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$88.20

SCREW, 2.0X11MM

Facility

$135.70

Service Code	HCPCS C1713
Hospital Charge Code	64905715
Hospital Revenue Code	278
Min. Negotiated Rate	$67.85
Max. Negotiated Rate	$67.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.85
Rate for Payer: Hamaspik Choice Inc Medicare	$67.85

SCREW 2.0 X 12

Facility

$107.10

Service Code	HCPCS C1713
Hospital Charge Code	64901381
Hospital Revenue Code	278
Min. Negotiated Rate	$37.48
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$64.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$61.58
Rate for Payer: EmblemHealth Commercial	$53.55
Rate for Payer: Fidelis Medicare Advantage	$112.46
Rate for Payer: Group Health Inc Commercial	$53.55
Rate for Payer: Group Health Inc Medicare	$37.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.55
Rate for Payer: Hamaspik Choice Inc Medicare	$53.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$69.62

SCREW 2.0 X 12

Facility

$107.10

Service Code	HCPCS C1713
Hospital Charge Code	64901381
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$53.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.55
Rate for Payer: Hamaspik Choice Inc Medicare	$53.55

SCREW 2.0 X 12MM

Facility

$912.50

Service Code	HCPCS C1713
Hospital Charge Code	64901311
Hospital Revenue Code	278
Min. Negotiated Rate	$456.25
Max. Negotiated Rate	$456.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$456.25
Rate for Payer: Hamaspik Choice Inc Medicare	$456.25

SCREW 2.0 X 12MM

Facility

$912.50

Service Code	HCPCS C1713
Hospital Charge Code	64901311
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$958.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$501.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$547.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$456.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$524.69
Rate for Payer: EmblemHealth Commercial	$456.25
Rate for Payer: Fidelis Medicare Advantage	$958.12
Rate for Payer: Group Health Inc Commercial	$456.25
Rate for Payer: Group Health Inc Medicare	$319.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$456.25
Rate for Payer: Hamaspik Choice Inc Medicare	$456.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$593.12

SCREW 2.0 X 13MM

Facility

$353.00

Service Code	HCPCS C1776
Hospital Charge Code	40202435
Hospital Revenue Code	278
Min. Negotiated Rate	$123.55
Max. Negotiated Rate	$370.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$194.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$211.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$176.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$202.98
Rate for Payer: EmblemHealth Commercial	$176.50
Rate for Payer: Fidelis Medicare Advantage	$370.65
Rate for Payer: Group Health Inc Commercial	$176.50
Rate for Payer: Group Health Inc Medicare	$123.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$176.50
Rate for Payer: Hamaspik Choice Inc Medicare	$176.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$229.45

SCREW 2.0 X 13MM

Facility

$353.00

Service Code	HCPCS C1776
Hospital Charge Code	40202435
Hospital Revenue Code	278
Min. Negotiated Rate	$176.50
Max. Negotiated Rate	$176.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$176.50
Rate for Payer: Hamaspik Choice Inc Medicare	$176.50

SCREW 2.0 X 13 TWIST OFF

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	64904673
Hospital Revenue Code	278
Min. Negotiated Rate	$692.50
Max. Negotiated Rate	$692.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$692.50
Rate for Payer: Hamaspik Choice Inc Medicare	$692.50

SCREW 2.0 X 13 TWIST OFF

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	64904673
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,454.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$761.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$831.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$692.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$796.38
Rate for Payer: EmblemHealth Commercial	$692.50
Rate for Payer: Fidelis Medicare Advantage	$1,454.25
Rate for Payer: Group Health Inc Commercial	$692.50
Rate for Payer: Group Health Inc Medicare	$484.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$692.50
Rate for Payer: Hamaspik Choice Inc Medicare	$692.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$900.25

SCREW 2.0 X 14MM

Facility

$195.55

Service Code	HCPCS C1713
Hospital Charge Code	64901385
Hospital Revenue Code	278
Min. Negotiated Rate	$97.78
Max. Negotiated Rate	$97.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.78
Rate for Payer: Hamaspik Choice Inc Medicare	$97.78

Know your out-of-pocket cost for care.

All Charges