St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW BONE CRS-DRV 2.3X11MM

Facility

$160.20

Service Code	HCPCS C1713
Hospital Charge Code	64902373
Hospital Revenue Code	278
Min. Negotiated Rate	$56.07
Max. Negotiated Rate	$168.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$96.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.12
Rate for Payer: EmblemHealth Commercial	$80.10
Rate for Payer: Fidelis Medicare Advantage	$168.21
Rate for Payer: Group Health Inc Commercial	$80.10
Rate for Payer: Group Health Inc Medicare	$56.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.10
Rate for Payer: Hamaspik Choice Inc Medicare	$80.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.13

SCREW BONE CRS-DRV 2.3X11MM

Facility

$160.20

Service Code	HCPCS C1713
Hospital Charge Code	64902373
Hospital Revenue Code	278
Min. Negotiated Rate	$80.10
Max. Negotiated Rate	$80.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.10
Rate for Payer: Hamaspik Choice Inc Medicare	$80.10

SCREW BONE CRS-DRV 2.3X5MM

Facility

$160.20

Service Code	HCPCS C1713
Hospital Charge Code	64902375
Hospital Revenue Code	278
Min. Negotiated Rate	$56.07
Max. Negotiated Rate	$168.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$96.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.12
Rate for Payer: EmblemHealth Commercial	$80.10
Rate for Payer: Fidelis Medicare Advantage	$168.21
Rate for Payer: Group Health Inc Commercial	$80.10
Rate for Payer: Group Health Inc Medicare	$56.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.10
Rate for Payer: Hamaspik Choice Inc Medicare	$80.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.13

SCREW BONE CRS-DRV 2.3X5MM

Facility

$160.20

Service Code	HCPCS C1713
Hospital Charge Code	64902375
Hospital Revenue Code	278
Min. Negotiated Rate	$80.10
Max. Negotiated Rate	$80.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.10
Rate for Payer: Hamaspik Choice Inc Medicare	$80.10

SCREW BONE CRS-DRV 2.3X9MM

Facility

$160.20

Service Code	HCPCS C1713
Hospital Charge Code	64902426
Hospital Revenue Code	278
Min. Negotiated Rate	$56.07
Max. Negotiated Rate	$168.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$96.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.12
Rate for Payer: EmblemHealth Commercial	$80.10
Rate for Payer: Fidelis Medicare Advantage	$168.21
Rate for Payer: Group Health Inc Commercial	$80.10
Rate for Payer: Group Health Inc Medicare	$56.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.10
Rate for Payer: Hamaspik Choice Inc Medicare	$80.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.13

SCREW BONE CRS-DRV 2.3X9MM

Facility

$160.20

Service Code	HCPCS C1713
Hospital Charge Code	64902426
Hospital Revenue Code	278
Min. Negotiated Rate	$80.10
Max. Negotiated Rate	$80.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.10
Rate for Payer: Hamaspik Choice Inc Medicare	$80.10

SCREW BONE CRS PIN

Facility

$146.90

Service Code	HCPCS C1713
Hospital Charge Code	64907194
Hospital Revenue Code	278
Min. Negotiated Rate	$51.42
Max. Negotiated Rate	$154.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$80.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$88.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$73.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$84.47
Rate for Payer: EmblemHealth Commercial	$73.45
Rate for Payer: Fidelis Medicare Advantage	$154.24
Rate for Payer: Group Health Inc Commercial	$73.45
Rate for Payer: Group Health Inc Medicare	$51.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.45
Rate for Payer: Hamaspik Choice Inc Medicare	$73.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$95.48

SCREW BONE CRS PIN

Facility

$146.90

Service Code	HCPCS C1713
Hospital Charge Code	64907194
Hospital Revenue Code	278
Min. Negotiated Rate	$73.45
Max. Negotiated Rate	$73.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.45
Rate for Payer: Hamaspik Choice Inc Medicare	$73.45

SCREW BONE EMERG 1.9 X 5MML

Facility

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64905443
Hospital Revenue Code	278
Min. Negotiated Rate	$68.82
Max. Negotiated Rate	$206.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$108.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$98.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$113.06
Rate for Payer: EmblemHealth Commercial	$98.32
Rate for Payer: Fidelis Medicare Advantage	$206.46
Rate for Payer: Group Health Inc Commercial	$98.32
Rate for Payer: Group Health Inc Medicare	$68.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.81

SCREW BONE EMERG 1.9 X 5MML

Facility

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64905443
Hospital Revenue Code	278
Min. Negotiated Rate	$98.32
Max. Negotiated Rate	$98.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32

SCREW BONE EMERG 2.5 X 12MM

Facility

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64904528
Hospital Revenue Code	278
Min. Negotiated Rate	$98.32
Max. Negotiated Rate	$98.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32

SCREW BONE EMERG 2.5 X 12MM

Facility

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64904528
Hospital Revenue Code	278
Min. Negotiated Rate	$68.82
Max. Negotiated Rate	$206.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$108.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$98.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$113.06
Rate for Payer: EmblemHealth Commercial	$98.32
Rate for Payer: Fidelis Medicare Advantage	$206.46
Rate for Payer: Group Health Inc Commercial	$98.32
Rate for Payer: Group Health Inc Medicare	$68.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.81

SCREW BONE EMERGENCY 1.9X10

Facility

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64905025
Hospital Revenue Code	278
Min. Negotiated Rate	$68.82
Max. Negotiated Rate	$206.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$108.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$98.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$113.06
Rate for Payer: EmblemHealth Commercial	$98.32
Rate for Payer: Fidelis Medicare Advantage	$206.46
Rate for Payer: Group Health Inc Commercial	$98.32
Rate for Payer: Group Health Inc Medicare	$68.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.81

SCREW BONE EMERGENCY 1.9X10

Facility

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64905025
Hospital Revenue Code	278
Min. Negotiated Rate	$98.32
Max. Negotiated Rate	$98.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32

SCREW BONE EMERGENCY 1.9X8

Facility

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64905023
Hospital Revenue Code	278
Min. Negotiated Rate	$98.32
Max. Negotiated Rate	$98.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32

SCREW BONE EMERGENCY 1.9X8

Facility

$196.63

Service Code	HCPCS C1713
Hospital Charge Code	64905023
Hospital Revenue Code	278
Min. Negotiated Rate	$68.82
Max. Negotiated Rate	$206.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$108.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$98.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$113.06
Rate for Payer: EmblemHealth Commercial	$98.32
Rate for Payer: Fidelis Medicare Advantage	$206.46
Rate for Payer: Group Health Inc Commercial	$98.32
Rate for Payer: Group Health Inc Medicare	$68.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.32
Rate for Payer: Hamaspik Choice Inc Medicare	$98.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.81

SCREW BONE EMG 1.9

Facility

$224.20

Service Code	HCPCS C1713
Hospital Charge Code	64907451
Hospital Revenue Code	278
Min. Negotiated Rate	$78.47
Max. Negotiated Rate	$235.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$123.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$134.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$112.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$128.92
Rate for Payer: EmblemHealth Commercial	$112.10
Rate for Payer: Fidelis Medicare Advantage	$235.41
Rate for Payer: Group Health Inc Commercial	$112.10
Rate for Payer: Group Health Inc Medicare	$78.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.10
Rate for Payer: Hamaspik Choice Inc Medicare	$112.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$145.73

SCREW BONE EMG 1.9

Facility

$224.20

Service Code	HCPCS C1713
Hospital Charge Code	64907451
Hospital Revenue Code	278
Min. Negotiated Rate	$112.10
Max. Negotiated Rate	$112.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.10
Rate for Payer: Hamaspik Choice Inc Medicare	$112.10

SCREW BONE ER 2.7MM CROSS PIN

Facility

$163.05

Service Code	HCPCS C1713
Hospital Charge Code	40201317
Hospital Revenue Code	278
Min. Negotiated Rate	$57.07
Max. Negotiated Rate	$171.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$89.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$97.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$81.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$93.75
Rate for Payer: EmblemHealth Commercial	$81.52
Rate for Payer: Fidelis Medicare Advantage	$171.20
Rate for Payer: Group Health Inc Commercial	$81.52
Rate for Payer: Group Health Inc Medicare	$57.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.52
Rate for Payer: Hamaspik Choice Inc Medicare	$81.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$105.98

SCREW BONE ER 2.7MM CROSS PIN

Facility

$163.05

Service Code	HCPCS C1713
Hospital Charge Code	40201317
Hospital Revenue Code	278
Min. Negotiated Rate	$81.52
Max. Negotiated Rate	$81.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.52
Rate for Payer: Hamaspik Choice Inc Medicare	$81.52

SCREW BONE ER CRSS PIN 2.7X5MM

Facility

$146.90

Service Code	HCPCS C1713
Hospital Charge Code	64901501
Hospital Revenue Code	278
Min. Negotiated Rate	$73.45
Max. Negotiated Rate	$73.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.45
Rate for Payer: Hamaspik Choice Inc Medicare	$73.45

SCREW BONE ER CRSS PIN 2.7X5MM

Facility

$146.90

Service Code	HCPCS C1713
Hospital Charge Code	64901501
Hospital Revenue Code	278
Min. Negotiated Rate	$51.42
Max. Negotiated Rate	$154.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$80.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$88.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$73.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$84.47
Rate for Payer: EmblemHealth Commercial	$73.45
Rate for Payer: Fidelis Medicare Advantage	$154.24
Rate for Payer: Group Health Inc Commercial	$73.45
Rate for Payer: Group Health Inc Medicare	$51.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.45
Rate for Payer: Hamaspik Choice Inc Medicare	$73.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$95.48

SCREW BONE FULL THRD 2.7 X 38MM

Facility

$299.72

Service Code	HCPCS C1713
Hospital Charge Code	64906953
Hospital Revenue Code	278
Min. Negotiated Rate	$149.86
Max. Negotiated Rate	$149.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$149.86
Rate for Payer: Hamaspik Choice Inc Medicare	$149.86

SCREW BONE FULL THRD 2.7 X 38MM

Facility

$299.72

Service Code	HCPCS C1713
Hospital Charge Code	64906953
Hospital Revenue Code	278
Min. Negotiated Rate	$104.90
Max. Negotiated Rate	$314.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$164.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$179.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$149.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$172.34
Rate for Payer: EmblemHealth Commercial	$149.86
Rate for Payer: Fidelis Medicare Advantage	$314.71
Rate for Payer: Group Health Inc Commercial	$149.86
Rate for Payer: Group Health Inc Medicare	$104.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$149.86
Rate for Payer: Hamaspik Choice Inc Medicare	$149.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$194.82

SCREW BONE HBRD 4.0X14MM VA-SD

Facility

$945.92

Service Code	HCPCS C1713
Hospital Charge Code	64906562
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$993.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$520.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$567.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$472.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$543.90
Rate for Payer: EmblemHealth Commercial	$472.96
Rate for Payer: Fidelis Medicare Advantage	$993.22
Rate for Payer: Group Health Inc Commercial	$472.96
Rate for Payer: Group Health Inc Medicare	$331.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$472.96
Rate for Payer: Hamaspik Choice Inc Medicare	$472.96
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$614.85

Know your out-of-pocket cost for care.

All Charges