St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW 7.5 X 45

Facility

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64905288
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: Brighton Health Commercial	$2,852.61
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: EmblemHealth Commercial	$2,377.18
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 7.5 X 45

Facility

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64905288
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 80MM

Facility

$406.00

Service Code	HCPCS C1776
Hospital Charge Code	40205100
Hospital Revenue Code	278
Min. Negotiated Rate	$142.10
Max. Negotiated Rate	$426.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$223.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$243.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$203.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$233.45
Rate for Payer: EmblemHealth Commercial	$203.00
Rate for Payer: Fidelis Medicare Advantage	$426.30
Rate for Payer: Group Health Inc Commercial	$203.00
Rate for Payer: Group Health Inc Medicare	$142.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$203.00
Rate for Payer: Hamaspik Choice Inc Medicare	$203.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$263.90

SCREW 80MM

Facility

$406.00

Service Code	HCPCS C1776
Hospital Charge Code	40205100
Hospital Revenue Code	278
Min. Negotiated Rate	$203.00
Max. Negotiated Rate	$203.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$203.00
Rate for Payer: Hamaspik Choice Inc Medicare	$203.00

SCREW 85MM

Facility

$512.00

Service Code	HCPCS C1776
Hospital Charge Code	40207051
Hospital Revenue Code	278
Min. Negotiated Rate	$179.20
Max. Negotiated Rate	$537.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$281.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$307.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$256.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$294.40
Rate for Payer: EmblemHealth Commercial	$256.00
Rate for Payer: Fidelis Medicare Advantage	$537.60
Rate for Payer: Group Health Inc Commercial	$256.00
Rate for Payer: Group Health Inc Medicare	$179.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$256.00
Rate for Payer: Hamaspik Choice Inc Medicare	$256.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$332.80

SCREW 85MM

Facility

$512.00

Service Code	HCPCS C1776
Hospital Charge Code	40207051
Hospital Revenue Code	278
Min. Negotiated Rate	$256.00
Max. Negotiated Rate	$256.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$256.00
Rate for Payer: Hamaspik Choice Inc Medicare	$256.00

SCREW 90MM

Facility

$340.00

Service Code	HCPCS C1776
Hospital Charge Code	40205102
Hospital Revenue Code	278
Min. Negotiated Rate	$119.00
Max. Negotiated Rate	$357.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$187.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$204.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$170.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$195.50
Rate for Payer: EmblemHealth Commercial	$170.00
Rate for Payer: Fidelis Medicare Advantage	$357.00
Rate for Payer: Group Health Inc Commercial	$170.00
Rate for Payer: Group Health Inc Medicare	$119.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$170.00
Rate for Payer: Hamaspik Choice Inc Medicare	$170.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$221.00

SCREW 90MM

Facility

$340.00

Service Code	HCPCS C1776
Hospital Charge Code	40205102
Hospital Revenue Code	278
Min. Negotiated Rate	$170.00
Max. Negotiated Rate	$170.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$170.00
Rate for Payer: Hamaspik Choice Inc Medicare	$170.00

SCREW > 999

Facility

$3,109.92

Service Code	HCPCS C1713
Hospital Charge Code	40203080
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,265.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,710.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,865.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,554.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,788.20
Rate for Payer: EmblemHealth Commercial	$1,554.96
Rate for Payer: Fidelis Medicare Advantage	$3,265.42
Rate for Payer: Group Health Inc Commercial	$1,554.96
Rate for Payer: Group Health Inc Medicare	$1,088.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,554.96
Rate for Payer: Hamaspik Choice Inc Medicare	$1,554.96
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,021.45

SCREW > 999

Facility

$3,109.92

Service Code	HCPCS C1713
Hospital Charge Code	40203080
Hospital Revenue Code	278
Min. Negotiated Rate	$1,554.96
Max. Negotiated Rate	$1,554.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,554.96
Rate for Payer: Hamaspik Choice Inc Medicare	$1,554.96

SCREW 9X23

Facility

$840.00

Service Code	HCPCS C1713
Hospital Charge Code	64903916
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$882.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$462.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$504.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$420.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$483.00
Rate for Payer: EmblemHealth Commercial	$420.00
Rate for Payer: Fidelis Medicare Advantage	$882.00
Rate for Payer: Group Health Inc Commercial	$420.00
Rate for Payer: Group Health Inc Medicare	$294.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$420.00
Rate for Payer: Hamaspik Choice Inc Medicare	$420.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$546.00

SCREW 9X23

Facility

$840.00

Service Code	HCPCS C1713
Hospital Charge Code	64903916
Hospital Revenue Code	278
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$420.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$420.00
Rate for Payer: Hamaspik Choice Inc Medicare	$420.00

SCREW ACETAB CANC 6.5X25MM UNIV

Facility

$268.00

Service Code	HCPCS C1713
Hospital Charge Code	40202213
Hospital Revenue Code	278
Min. Negotiated Rate	$134.00
Max. Negotiated Rate	$134.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$134.00
Rate for Payer: Hamaspik Choice Inc Medicare	$134.00

SCREW ACETAB CANC 6.5X25MM UNIV

Facility

$268.00

Service Code	HCPCS C1713
Hospital Charge Code	40202213
Hospital Revenue Code	278
Min. Negotiated Rate	$93.80
Max. Negotiated Rate	$281.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$147.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$160.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$134.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$154.10
Rate for Payer: EmblemHealth Commercial	$134.00
Rate for Payer: Fidelis Medicare Advantage	$281.40
Rate for Payer: Group Health Inc Commercial	$134.00
Rate for Payer: Group Health Inc Medicare	$93.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$134.00
Rate for Payer: Hamaspik Choice Inc Medicare	$134.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$174.20

SCREW ACETUB 6.5MM 25L

Facility

$336.00

Service Code	HCPCS C1713
Hospital Charge Code	64906851
Hospital Revenue Code	278
Min. Negotiated Rate	$117.60
Max. Negotiated Rate	$352.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$184.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$201.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$193.20
Rate for Payer: EmblemHealth Commercial	$168.00
Rate for Payer: Fidelis Medicare Advantage	$352.80
Rate for Payer: Group Health Inc Commercial	$168.00
Rate for Payer: Group Health Inc Medicare	$117.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$168.00
Rate for Payer: Hamaspik Choice Inc Medicare	$168.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$218.40

SCREW ACETUB 6.5MM 25L

Facility

$336.00

Service Code	HCPCS C1713
Hospital Charge Code	64906851
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$168.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$168.00
Rate for Payer: Hamaspik Choice Inc Medicare	$168.00

SCREW ACETUBE G7 6.5MM L25

Facility

$336.00

Hospital Charge Code	64906843
Hospital Revenue Code	279
Min. Negotiated Rate	$117.60
Max. Negotiated Rate	$268.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$184.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$168.00
Rate for Payer: Aetna Government	$168.00
Rate for Payer: Brighton Health Commercial	$252.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$268.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$228.48
Rate for Payer: Group Health Inc Commercial	$168.00
Rate for Payer: Group Health Inc Medicare	$117.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$168.00
Rate for Payer: Hamaspik Choice Inc Medicare	$168.00

SCREW ADVAN LOCK 5X50MM

Facility

$941.33

Service Code	HCPCS C1713
Hospital Charge Code	64907533
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$988.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$517.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$564.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$470.66
Rate for Payer: Cigna LocalPlus Benefit Plan	$541.26
Rate for Payer: EmblemHealth Commercial	$470.66
Rate for Payer: Fidelis Medicare Advantage	$988.40
Rate for Payer: Group Health Inc Commercial	$470.66
Rate for Payer: Group Health Inc Medicare	$329.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$470.66
Rate for Payer: Hamaspik Choice Inc Medicare	$470.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$611.86

SCREW ADVAN LOCK 5X50MM

Facility

$941.33

Service Code	HCPCS C1713
Hospital Charge Code	64907533
Hospital Revenue Code	278
Min. Negotiated Rate	$470.66
Max. Negotiated Rate	$470.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$470.66
Rate for Payer: Hamaspik Choice Inc Medicare	$470.66

SCREW AFIX COMP T7 2.0 X 13MM

Facility

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906427
Hospital Revenue Code	278
Min. Negotiated Rate	$195.20
Max. Negotiated Rate	$195.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20

SCREW AFIX COMP T7 2.0 X 13MM

Facility

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906427
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$234.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$195.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.47
Rate for Payer: EmblemHealth Commercial	$195.20
Rate for Payer: Fidelis Medicare Advantage	$409.91
Rate for Payer: Group Health Inc Commercial	$195.20
Rate for Payer: Group Health Inc Medicare	$136.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.75

SCREW AFIX COMP T7 2.0 X 14MM

Facility

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906430
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$234.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$195.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.47
Rate for Payer: EmblemHealth Commercial	$195.20
Rate for Payer: Fidelis Medicare Advantage	$409.91
Rate for Payer: Group Health Inc Commercial	$195.20
Rate for Payer: Group Health Inc Medicare	$136.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.75

SCREW AFIX COMP T7 2.0 X 14MM

Facility

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906430
Hospital Revenue Code	278
Min. Negotiated Rate	$195.20
Max. Negotiated Rate	$195.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20

SCREW AFIX COMP T7 2.0 X 16MM

Facility

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906429
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$234.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$195.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.47
Rate for Payer: EmblemHealth Commercial	$195.20
Rate for Payer: Fidelis Medicare Advantage	$409.91
Rate for Payer: Group Health Inc Commercial	$195.20
Rate for Payer: Group Health Inc Medicare	$136.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.75

SCREW AFIX COMP T7 2.0 X 16MM

Facility

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906429
Hospital Revenue Code	278
Min. Negotiated Rate	$195.20
Max. Negotiated Rate	$195.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20

Know your out-of-pocket cost for care.

All Charges