St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW BONE 2.3MM X 12MM

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64901982
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 BONE 2.3MM X 12MM

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64901982
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 BONE 2.3 X 10MM

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64903036
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 BONE 2.3 X 10MM

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64903036
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 BONE 2.3 X 10MM CROSS PIN

Facility

$134.58

Service Code	HCPCS C1713
Hospital Charge Code	64901401
Hospital Revenue Code	278
Min. Negotiated Rate	$67.29
Max. Negotiated Rate	$67.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.29
Rate for Payer: Hamaspik Choice Inc Medicare	$67.29

SCREW BONE 2.3 X 10MM CROSS PIN

Facility

$134.58

Service Code	HCPCS C1713
Hospital Charge Code	64901401
Hospital Revenue Code	278
Min. Negotiated Rate	$47.10
Max. Negotiated Rate	$141.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$74.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$80.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$67.29
Rate for Payer: Cigna LocalPlus Benefit Plan	$77.38
Rate for Payer: EmblemHealth Commercial	$67.29
Rate for Payer: Fidelis Medicare Advantage	$141.31
Rate for Payer: Group Health Inc Commercial	$67.29
Rate for Payer: Group Health Inc Medicare	$47.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.29
Rate for Payer: Hamaspik Choice Inc Medicare	$67.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$87.48

SCREW BONE 2.3 X 11MM

Facility

$124.00

Service Code	HCPCS C1776
Hospital Charge Code	40202433
Hospital Revenue Code	278
Min. Negotiated Rate	$62.00
Max. Negotiated Rate	$62.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.00
Rate for Payer: Hamaspik Choice Inc Medicare	$62.00

SCREW BONE 2.3 X 11MM

Facility

$124.00

Service Code	HCPCS C1776
Hospital Charge Code	40202433
Hospital Revenue Code	278
Min. Negotiated Rate	$43.40
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$68.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$74.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$62.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$71.30
Rate for Payer: EmblemHealth Commercial	$62.00
Rate for Payer: Fidelis Medicare Advantage	$130.20
Rate for Payer: Group Health Inc Commercial	$62.00
Rate for Payer: Group Health Inc Medicare	$43.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.00
Rate for Payer: Hamaspik Choice Inc Medicare	$62.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$80.60

SCREW BONE 2.3X13MM

Facility

$124.00

Service Code	HCPCS C1776
Hospital Charge Code	40205087
Hospital Revenue Code	278
Min. Negotiated Rate	$43.40
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$68.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$74.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$62.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$71.30
Rate for Payer: EmblemHealth Commercial	$62.00
Rate for Payer: Fidelis Medicare Advantage	$130.20
Rate for Payer: Group Health Inc Commercial	$62.00
Rate for Payer: Group Health Inc Medicare	$43.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.00
Rate for Payer: Hamaspik Choice Inc Medicare	$62.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$80.60

SCREW BONE 2.3X13MM

Facility

$124.00

Service Code	HCPCS C1776
Hospital Charge Code	40205087
Hospital Revenue Code	278
Min. Negotiated Rate	$62.00
Max. Negotiated Rate	$62.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.00
Rate for Payer: Hamaspik Choice Inc Medicare	$62.00

SCREW BONE 2.3X20

Facility

$262.50

Service Code	HCPCS C1713
Hospital Charge Code	64903710
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.25
Rate for Payer: Hamaspik Choice Inc Medicare	$131.25

SCREW BONE 2.3X20

Facility

$262.50

Service Code	HCPCS C1713
Hospital Charge Code	64903710
Hospital Revenue Code	278
Min. Negotiated Rate	$91.88
Max. Negotiated Rate	$275.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$144.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$157.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$131.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$150.94
Rate for Payer: EmblemHealth Commercial	$131.25
Rate for Payer: Fidelis Medicare Advantage	$275.62
Rate for Payer: Group Health Inc Commercial	$131.25
Rate for Payer: Group Health Inc Medicare	$91.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.25
Rate for Payer: Hamaspik Choice Inc Medicare	$131.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$170.62

SCREW BONE 2.3X6MM CROSS

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64905838
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 BONE 2.3X6MM CROSS

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64905838
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 BONE 2.3 X 6MM CROSS PIN

Facility

$131.18

Service Code	HCPCS C1713
Hospital Charge Code	64901399
Hospital Revenue Code	278
Min. Negotiated Rate	$65.59
Max. Negotiated Rate	$65.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.59
Rate for Payer: Hamaspik Choice Inc Medicare	$65.59

SCREW BONE 2.3 X 6MM CROSS PIN

Facility

$131.18

Service Code	HCPCS C1713
Hospital Charge Code	64901399
Hospital Revenue Code	278
Min. Negotiated Rate	$45.91
Max. Negotiated Rate	$137.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$72.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$78.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$65.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$75.43
Rate for Payer: EmblemHealth Commercial	$65.59
Rate for Payer: Fidelis Medicare Advantage	$137.74
Rate for Payer: Group Health Inc Commercial	$65.59
Rate for Payer: Group Health Inc Medicare	$45.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.59
Rate for Payer: Hamaspik Choice Inc Medicare	$65.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$85.27

SCREW BONE 2.3 X 8MM CROSS PIN

Facility

$131.18

Service Code	HCPCS C1713
Hospital Charge Code	64901400
Hospital Revenue Code	278
Min. Negotiated Rate	$65.59
Max. Negotiated Rate	$65.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.59
Rate for Payer: Hamaspik Choice Inc Medicare	$65.59

SCREW BONE 2.3 X 8MM CROSS PIN

Facility

$131.18

Service Code	HCPCS C1713
Hospital Charge Code	64901400
Hospital Revenue Code	278
Min. Negotiated Rate	$45.91
Max. Negotiated Rate	$137.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$72.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$78.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$65.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$75.43
Rate for Payer: EmblemHealth Commercial	$65.59
Rate for Payer: Fidelis Medicare Advantage	$137.74
Rate for Payer: Group Health Inc Commercial	$65.59
Rate for Payer: Group Health Inc Medicare	$45.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.59
Rate for Payer: Hamaspik Choice Inc Medicare	$65.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$85.27

SCREW BONE 2.3 X9MM

Facility

$124.00

Service Code	HCPCS C1776
Hospital Charge Code	40206054
Hospital Revenue Code	278
Min. Negotiated Rate	$43.40
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$68.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$74.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$62.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$71.30
Rate for Payer: EmblemHealth Commercial	$62.00
Rate for Payer: Fidelis Medicare Advantage	$130.20
Rate for Payer: Group Health Inc Commercial	$62.00
Rate for Payer: Group Health Inc Medicare	$43.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.00
Rate for Payer: Hamaspik Choice Inc Medicare	$62.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$80.60

SCREW BONE 2.3 X9MM

Facility

$124.00

Service Code	HCPCS C1776
Hospital Charge Code	40206054
Hospital Revenue Code	278
Min. Negotiated Rate	$62.00
Max. Negotiated Rate	$62.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.00
Rate for Payer: Hamaspik Choice Inc Medicare	$62.00

SCREW BONE 2.7MM DIA 10MM

Facility

$134.88

Service Code	HCPCS C1713
Hospital Charge Code	64904056
Hospital Revenue Code	278
Min. Negotiated Rate	$47.21
Max. Negotiated Rate	$141.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$74.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$80.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$67.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$77.56
Rate for Payer: EmblemHealth Commercial	$67.44
Rate for Payer: Fidelis Medicare Advantage	$141.62
Rate for Payer: Group Health Inc Commercial	$67.44
Rate for Payer: Group Health Inc Medicare	$47.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.44
Rate for Payer: Hamaspik Choice Inc Medicare	$67.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$87.67

SCREW BONE 2.7MM DIA 10MM

Facility

$134.88

Service Code	HCPCS C1713
Hospital Charge Code	64904056
Hospital Revenue Code	278
Min. Negotiated Rate	$67.44
Max. Negotiated Rate	$67.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.44
Rate for Payer: Hamaspik Choice Inc Medicare	$67.44

SCREW BONE 2.7MM DIA 12MML STA

Facility

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	64903966
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 BONE 2.7MM DIA 12MML STA

Facility

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	64903966
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 BONE 2.7MM DIA 12MML TT

Facility

$134.88

Service Code	HCPCS C1713
Hospital Charge Code	64902831
Hospital Revenue Code	278
Min. Negotiated Rate	$47.21
Max. Negotiated Rate	$141.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$74.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$80.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$67.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$77.56
Rate for Payer: EmblemHealth Commercial	$67.44
Rate for Payer: Fidelis Medicare Advantage	$141.62
Rate for Payer: Group Health Inc Commercial	$67.44
Rate for Payer: Group Health Inc Medicare	$47.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.44
Rate for Payer: Hamaspik Choice Inc Medicare	$67.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$87.67

Know your out-of-pocket cost for care.

All Charges