St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW BNE T8 FTHRD 2.7MM,L50MM

Facility

$239.78

Service Code	HCPCS C1713
Hospital Charge Code	64906530
Hospital Revenue Code	278
Min. Negotiated Rate	$119.89
Max. Negotiated Rate	$119.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$119.89
Rate for Payer: Hamaspik Choice Inc Medicare	$119.89

SCREW BNE T8 FTHRD2.7MMXL45MM

Facility

$119.89

Service Code	HCPCS C1713
Hospital Charge Code	64906420
Hospital Revenue Code	278
Min. Negotiated Rate	$41.96
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$65.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$71.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$59.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.94
Rate for Payer: EmblemHealth Commercial	$59.94
Rate for Payer: Fidelis Medicare Advantage	$125.88
Rate for Payer: Group Health Inc Commercial	$59.94
Rate for Payer: Group Health Inc Medicare	$41.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.94
Rate for Payer: Hamaspik Choice Inc Medicare	$59.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$77.93

SCREW BNE T8 FTHRD2.7MMXL45MM

Facility

$119.89

Service Code	HCPCS C1713
Hospital Charge Code	64906420
Hospital Revenue Code	278
Min. Negotiated Rate	$59.94
Max. Negotiated Rate	$59.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.94
Rate for Payer: Hamaspik Choice Inc Medicare	$59.94

SCREW BN T10 FL THRD 2.7MM,28MML

Facility

$136.00

Service Code	HCPCS C1713
Hospital Charge Code	64906498
Hospital Revenue Code	278
Min. Negotiated Rate	$68.00
Max. Negotiated Rate	$68.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$68.00
Rate for Payer: Hamaspik Choice Inc Medicare	$68.00

SCREW BN T10 FL THRD 2.7MM,28MML

Facility

$136.00

Service Code	HCPCS C1713
Hospital Charge Code	64906498
Hospital Revenue Code	278
Min. Negotiated Rate	$47.60
Max. Negotiated Rate	$142.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$74.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$81.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$68.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$78.20
Rate for Payer: EmblemHealth Commercial	$68.00
Rate for Payer: Fidelis Medicare Advantage	$142.80
Rate for Payer: Group Health Inc Commercial	$68.00
Rate for Payer: Group Health Inc Medicare	$47.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$68.00
Rate for Payer: Hamaspik Choice Inc Medicare	$68.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$88.40

SCREW BN T10 FULL THREAD 27X22MM

Facility

$260.00

Service Code	HCPCS C1713
Hospital Charge Code	40008276
Hospital Revenue Code	278
Min. Negotiated Rate	$91.00
Max. Negotiated Rate	$273.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$143.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$156.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$130.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$149.50
Rate for Payer: EmblemHealth Commercial	$130.00
Rate for Payer: Fidelis Medicare Advantage	$273.00
Rate for Payer: Group Health Inc Commercial	$130.00
Rate for Payer: Group Health Inc Medicare	$91.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$130.00
Rate for Payer: Hamaspik Choice Inc Medicare	$130.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$169.00

SCREW BN T10 FULL THREAD 27X22MM

Facility

$260.00

Service Code	HCPCS C1713
Hospital Charge Code	40008276
Hospital Revenue Code	278
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$130.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$130.00
Rate for Payer: Hamaspik Choice Inc Medicare	$130.00

SCREW BONE 1.2 16

Facility

$154.38

Service Code	HCPCS C1713
Hospital Charge Code	64904375
Hospital Revenue Code	278
Min. Negotiated Rate	$54.03
Max. Negotiated Rate	$162.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$84.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$92.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$88.77
Rate for Payer: EmblemHealth Commercial	$77.19
Rate for Payer: Fidelis Medicare Advantage	$162.10
Rate for Payer: Group Health Inc Commercial	$77.19
Rate for Payer: Group Health Inc Medicare	$54.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.19
Rate for Payer: Hamaspik Choice Inc Medicare	$77.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$100.35

SCREW BONE 1.2 16

Facility

$154.38

Service Code	HCPCS C1713
Hospital Charge Code	64904375
Hospital Revenue Code	278
Min. Negotiated Rate	$77.19
Max. Negotiated Rate	$77.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.19
Rate for Payer: Hamaspik Choice Inc Medicare	$77.19

SCREW BONE 1.2 18

Facility

$154.38

Service Code	HCPCS C1713
Hospital Charge Code	64904377
Hospital Revenue Code	278
Min. Negotiated Rate	$77.19
Max. Negotiated Rate	$77.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.19
Rate for Payer: Hamaspik Choice Inc Medicare	$77.19

SCREW BONE 1.2 18

Facility

$154.38

Service Code	HCPCS C1713
Hospital Charge Code	64904377
Hospital Revenue Code	278
Min. Negotiated Rate	$54.03
Max. Negotiated Rate	$162.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$84.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$92.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$88.77
Rate for Payer: EmblemHealth Commercial	$77.19
Rate for Payer: Fidelis Medicare Advantage	$162.10
Rate for Payer: Group Health Inc Commercial	$77.19
Rate for Payer: Group Health Inc Medicare	$54.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.19
Rate for Payer: Hamaspik Choice Inc Medicare	$77.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$100.35

SCREW BONE 1.2 X 10 ING

Facility

$154.38

Service Code	HCPCS C1713
Hospital Charge Code	64904947
Hospital Revenue Code	278
Min. Negotiated Rate	$77.19
Max. Negotiated Rate	$77.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.19
Rate for Payer: Hamaspik Choice Inc Medicare	$77.19

SCREW BONE 1.2 X 10 ING

Facility

$154.38

Service Code	HCPCS C1713
Hospital Charge Code	64904947
Hospital Revenue Code	278
Min. Negotiated Rate	$54.03
Max. Negotiated Rate	$162.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$84.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$92.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$88.77
Rate for Payer: EmblemHealth Commercial	$77.19
Rate for Payer: Fidelis Medicare Advantage	$162.10
Rate for Payer: Group Health Inc Commercial	$77.19
Rate for Payer: Group Health Inc Medicare	$54.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.19
Rate for Payer: Hamaspik Choice Inc Medicare	$77.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$100.35

SCREW BONE 1.2X12MM CROSSPIN

Facility

$154.38

Service Code	HCPCS C1713
Hospital Charge Code	64905477
Hospital Revenue Code	278
Min. Negotiated Rate	$54.03
Max. Negotiated Rate	$162.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$84.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$92.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$88.77
Rate for Payer: EmblemHealth Commercial	$77.19
Rate for Payer: Fidelis Medicare Advantage	$162.10
Rate for Payer: Group Health Inc Commercial	$77.19
Rate for Payer: Group Health Inc Medicare	$54.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.19
Rate for Payer: Hamaspik Choice Inc Medicare	$77.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$100.35

SCREW BONE 1.2X12MM CROSSPIN

Facility

$154.38

Service Code	HCPCS C1713
Hospital Charge Code	64905477
Hospital Revenue Code	278
Min. Negotiated Rate	$77.19
Max. Negotiated Rate	$77.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.19
Rate for Payer: Hamaspik Choice Inc Medicare	$77.19

SCREW,BONE,1.2X12MM CRSSPIN SELFT

Facility

$123.50

Service Code	HCPCS C1713
Hospital Charge Code	40005903
Hospital Revenue Code	278
Min. Negotiated Rate	$61.75
Max. Negotiated Rate	$61.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.75
Rate for Payer: Hamaspik Choice Inc Medicare	$61.75

SCREW,BONE,1.2X12MM CRSSPIN SELFT

Facility

$123.50

Service Code	HCPCS C1713
Hospital Charge Code	40005903
Hospital Revenue Code	278
Min. Negotiated Rate	$43.22
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$67.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$74.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$61.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$71.01
Rate for Payer: EmblemHealth Commercial	$61.75
Rate for Payer: Fidelis Medicare Advantage	$129.68
Rate for Payer: Group Health Inc Commercial	$61.75
Rate for Payer: Group Health Inc Medicare	$43.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.75
Rate for Payer: Hamaspik Choice Inc Medicare	$61.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$80.28

SCREW BONE 1.2X14MM CROSSPIN

Facility

$154.38

Service Code	HCPCS C1713
Hospital Charge Code	64905478
Hospital Revenue Code	278
Min. Negotiated Rate	$77.19
Max. Negotiated Rate	$77.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.19
Rate for Payer: Hamaspik Choice Inc Medicare	$77.19

SCREW BONE 1.2X14MM CROSSPIN

Facility

$154.38

Service Code	HCPCS C1713
Hospital Charge Code	64905478
Hospital Revenue Code	278
Min. Negotiated Rate	$54.03
Max. Negotiated Rate	$162.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$84.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$92.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$88.77
Rate for Payer: EmblemHealth Commercial	$77.19
Rate for Payer: Fidelis Medicare Advantage	$162.10
Rate for Payer: Group Health Inc Commercial	$77.19
Rate for Payer: Group Health Inc Medicare	$54.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.19
Rate for Payer: Hamaspik Choice Inc Medicare	$77.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$100.35

SCREW,BONE,1.2X14MM CRSSPIN SELFT

Facility

$123.50

Service Code	HCPCS C1713
Hospital Charge Code	40005904
Hospital Revenue Code	278
Min. Negotiated Rate	$43.22
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$67.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$74.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$61.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$71.01
Rate for Payer: EmblemHealth Commercial	$61.75
Rate for Payer: Fidelis Medicare Advantage	$129.68
Rate for Payer: Group Health Inc Commercial	$61.75
Rate for Payer: Group Health Inc Medicare	$43.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.75
Rate for Payer: Hamaspik Choice Inc Medicare	$61.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$80.28

SCREW,BONE,1.2X14MM CRSSPIN SELFT

Facility

$123.50

Service Code	HCPCS C1713
Hospital Charge Code	40005904
Hospital Revenue Code	278
Min. Negotiated Rate	$61.75
Max. Negotiated Rate	$61.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$61.75
Rate for Payer: Hamaspik Choice Inc Medicare	$61.75

SCREW BONE 1.2 X 4MM

Facility

$154.38

Service Code	HCPCS C1713
Hospital Charge Code	64903033
Hospital Revenue Code	278
Min. Negotiated Rate	$77.19
Max. Negotiated Rate	$77.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.19
Rate for Payer: Hamaspik Choice Inc Medicare	$77.19

SCREW BONE 1.2 X 4MM

Facility

$154.38

Service Code	HCPCS C1713
Hospital Charge Code	64903033
Hospital Revenue Code	278
Min. Negotiated Rate	$54.03
Max. Negotiated Rate	$162.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$84.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$92.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$88.77
Rate for Payer: EmblemHealth Commercial	$77.19
Rate for Payer: Fidelis Medicare Advantage	$162.10
Rate for Payer: Group Health Inc Commercial	$77.19
Rate for Payer: Group Health Inc Medicare	$54.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.19
Rate for Payer: Hamaspik Choice Inc Medicare	$77.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$100.35

SCREW BONE 1.5MM DIA 5MML

Facility

$149.50

Service Code	HCPCS C1713
Hospital Charge Code	64904151
Hospital Revenue Code	278
Min. Negotiated Rate	$52.32
Max. Negotiated Rate	$156.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$82.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$89.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$74.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$85.96
Rate for Payer: EmblemHealth Commercial	$74.75
Rate for Payer: Fidelis Medicare Advantage	$156.98
Rate for Payer: Group Health Inc Commercial	$74.75
Rate for Payer: Group Health Inc Medicare	$52.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.75
Rate for Payer: Hamaspik Choice Inc Medicare	$74.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$97.18

SCREW BONE 1.5MM DIA 5MML

Facility

$149.50

Service Code	HCPCS C1713
Hospital Charge Code	64904151
Hospital Revenue Code	278
Min. Negotiated Rate	$74.75
Max. Negotiated Rate	$74.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.75
Rate for Payer: Hamaspik Choice Inc Medicare	$74.75

Know your out-of-pocket cost for care.

All Charges