St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.0 X 14MM

Facility

$195.55

Service Code	HCPCS C1713
Hospital Charge Code	64901385
Hospital Revenue Code	278
Min. Negotiated Rate	$68.44
Max. Negotiated Rate	$205.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$97.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.44
Rate for Payer: EmblemHealth Commercial	$97.78
Rate for Payer: Fidelis Medicare Advantage	$205.33
Rate for Payer: Group Health Inc Commercial	$97.78
Rate for Payer: Group Health Inc Medicare	$68.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.78
Rate for Payer: Hamaspik Choice Inc Medicare	$97.78
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.11

SCREW 2.0 X 14 TWIST OFF

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	64904671
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 14 TWIST OFF

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	64904671
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, 2.0X7MM

Facility

$147.60

Service Code	HCPCS C1713
Hospital Charge Code	64905713
Hospital Revenue Code	278
Min. Negotiated Rate	$73.80
Max. Negotiated Rate	$73.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.80
Rate for Payer: Hamaspik Choice Inc Medicare	$73.80

SCREW, 2.0X7MM

Facility

$147.60

Service Code	HCPCS C1713
Hospital Charge Code	64905713
Hospital Revenue Code	278
Min. Negotiated Rate	$51.66
Max. Negotiated Rate	$154.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$81.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$88.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$73.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$84.87
Rate for Payer: EmblemHealth Commercial	$73.80
Rate for Payer: Fidelis Medicare Advantage	$154.98
Rate for Payer: Group Health Inc Commercial	$73.80
Rate for Payer: Group Health Inc Medicare	$51.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.80
Rate for Payer: Hamaspik Choice Inc Medicare	$73.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$95.94

SCREW 23 8M

Facility

$245.00

Service Code	HCPCS C1713
Hospital Charge Code	64903645
Hospital Revenue Code	278
Min. Negotiated Rate	$122.50
Max. Negotiated Rate	$122.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$122.50
Rate for Payer: Hamaspik Choice Inc Medicare	$122.50

SCREW 23 8M

Facility

$245.00

Service Code	HCPCS C1713
Hospital Charge Code	64903645
Hospital Revenue Code	278
Min. Negotiated Rate	$85.75
Max. Negotiated Rate	$257.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$134.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$147.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$122.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$140.88
Rate for Payer: EmblemHealth Commercial	$122.50
Rate for Payer: Fidelis Medicare Advantage	$257.25
Rate for Payer: Group Health Inc Commercial	$122.50
Rate for Payer: Group Health Inc Medicare	$85.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$122.50
Rate for Payer: Hamaspik Choice Inc Medicare	$122.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$159.25

SCREW 23 9MM

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64903226
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 23 9MM

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64903226
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 2.3X10 HEX ST COMMAND

Facility

$81.00

Service Code	HCPCS C1713
Hospital Charge Code	40202379
Hospital Revenue Code	278
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$40.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.50
Rate for Payer: Hamaspik Choice Inc Medicare	$40.50

SCREW 2.3X10 HEX ST COMMAND

Facility

$81.00

Service Code	HCPCS C1713
Hospital Charge Code	40202379
Hospital Revenue Code	278
Min. Negotiated Rate	$28.35
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$48.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.58
Rate for Payer: EmblemHealth Commercial	$40.50
Rate for Payer: Fidelis Medicare Advantage	$85.05
Rate for Payer: Group Health Inc Commercial	$40.50
Rate for Payer: Group Health Inc Medicare	$28.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.50
Rate for Payer: Hamaspik Choice Inc Medicare	$40.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$52.65

SCREW 2.3X12 HEX ST COMMAND

Facility

$81.00

Service Code	HCPCS C1713
Hospital Charge Code	40202380
Hospital Revenue Code	278
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$40.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.50
Rate for Payer: Hamaspik Choice Inc Medicare	$40.50

SCREW 2.3X12 HEX ST COMMAND

Facility

$81.00

Service Code	HCPCS C1713
Hospital Charge Code	40202380
Hospital Revenue Code	278
Min. Negotiated Rate	$28.35
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$48.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.58
Rate for Payer: EmblemHealth Commercial	$40.50
Rate for Payer: Fidelis Medicare Advantage	$85.05
Rate for Payer: Group Health Inc Commercial	$40.50
Rate for Payer: Group Health Inc Medicare	$28.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.50
Rate for Payer: Hamaspik Choice Inc Medicare	$40.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$52.65

SCREW 2.3X14 HEX ST COMMAND

Facility

$81.00

Service Code	HCPCS C1713
Hospital Charge Code	40202381
Hospital Revenue Code	278
Min. Negotiated Rate	$28.35
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$48.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.58
Rate for Payer: EmblemHealth Commercial	$40.50
Rate for Payer: Fidelis Medicare Advantage	$85.05
Rate for Payer: Group Health Inc Commercial	$40.50
Rate for Payer: Group Health Inc Medicare	$28.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.50
Rate for Payer: Hamaspik Choice Inc Medicare	$40.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$52.65

SCREW 2.3X14 HEX ST COMMAND

Facility

$81.00

Service Code	HCPCS C1713
Hospital Charge Code	40202381
Hospital Revenue Code	278
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$40.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.50
Rate for Payer: Hamaspik Choice Inc Medicare	$40.50

SCREW 2.3X8 HEX ST COMMAND

Facility

$81.00

Service Code	HCPCS C1713
Hospital Charge Code	40202383
Hospital Revenue Code	278
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$40.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.50
Rate for Payer: Hamaspik Choice Inc Medicare	$40.50

SCREW 2.3X8 HEX ST COMMAND

Facility

$81.00

Service Code	HCPCS C1713
Hospital Charge Code	40202383
Hospital Revenue Code	278
Min. Negotiated Rate	$28.35
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$48.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.58
Rate for Payer: EmblemHealth Commercial	$40.50
Rate for Payer: Fidelis Medicare Advantage	$85.05
Rate for Payer: Group Health Inc Commercial	$40.50
Rate for Payer: Group Health Inc Medicare	$28.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.50
Rate for Payer: Hamaspik Choice Inc Medicare	$40.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$52.65

SCREW 2.3 X 9 NL

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64904085
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 2.3 X 9 NL

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64904085
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 2.5 X 20MM

Facility

$712.50

Service Code	HCPCS C1713
Hospital Charge Code	64904047
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$356.25
Rate for Payer: Hamaspik Choice Inc Medicare	$356.25

SCREW 2.5 X 20MM

Facility

$712.50

Service Code	HCPCS C1713
Hospital Charge Code	64904047
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$748.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$391.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$427.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$356.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$409.69
Rate for Payer: EmblemHealth Commercial	$356.25
Rate for Payer: Fidelis Medicare Advantage	$748.12
Rate for Payer: Group Health Inc Commercial	$356.25
Rate for Payer: Group Health Inc Medicare	$249.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$356.25
Rate for Payer: Hamaspik Choice Inc Medicare	$356.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$463.12

SCREW 2.7 X 26MM

Facility

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	64903188
Hospital Revenue Code	278
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$28.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.44
Rate for Payer: Hamaspik Choice Inc Medicare	$28.44

SCREW 2.7 X 26MM

Facility

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	64903188
Hospital Revenue Code	278
Min. Negotiated Rate	$19.91
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$34.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$28.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.71
Rate for Payer: EmblemHealth Commercial	$28.44
Rate for Payer: Fidelis Medicare Advantage	$59.72
Rate for Payer: Group Health Inc Commercial	$28.44
Rate for Payer: Group Health Inc Medicare	$19.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.44
Rate for Payer: Hamaspik Choice Inc Medicare	$28.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$36.97

SCREW 3.0

Facility

$437.50

Service Code	HCPCS C1713
Hospital Charge Code	64907158
Hospital Revenue Code	278
Min. Negotiated Rate	$218.75
Max. Negotiated Rate	$218.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$218.75
Rate for Payer: Hamaspik Choice Inc Medicare	$218.75

SCREW 3.0

Facility

$437.50

Service Code	HCPCS C1713
Hospital Charge Code	64907158
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$218.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$251.56
Rate for Payer: EmblemHealth Commercial	$218.75
Rate for Payer: Fidelis Medicare Advantage	$459.38
Rate for Payer: Group Health Inc Commercial	$218.75
Rate for Payer: Group Health Inc Medicare	$153.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$218.75
Rate for Payer: Hamaspik Choice Inc Medicare	$218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$284.38

Know your out-of-pocket cost for care.

All Charges