St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

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	$472.96
Max. Negotiated Rate	$472.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$472.96
Rate for Payer: Hamaspik Choice Inc Medicare	$472.96

SCREW BONE LAG 10.5 X 75MM

Facility

$1,289.75

Service Code	HCPCS C1713
Hospital Charge Code	64902521
Hospital Revenue Code	278
Min. Negotiated Rate	$644.88
Max. Negotiated Rate	$644.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$644.88
Rate for Payer: Hamaspik Choice Inc Medicare	$644.88

SCREW BONE LAG 10.5 X 75MM

Facility

$1,289.75

Service Code	HCPCS C1713
Hospital Charge Code	64902521
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,354.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$709.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$773.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$644.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$741.61
Rate for Payer: EmblemHealth Commercial	$644.88
Rate for Payer: Fidelis Medicare Advantage	$1,354.24
Rate for Payer: Group Health Inc Commercial	$644.88
Rate for Payer: Group Health Inc Medicare	$451.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$644.88
Rate for Payer: Hamaspik Choice Inc Medicare	$644.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$838.34

SCREW BONE LAG 95MM

Facility

$729.63

Service Code	HCPCS C1713
Hospital Charge Code	64902849
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$766.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$401.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$437.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$364.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$419.54
Rate for Payer: EmblemHealth Commercial	$364.82
Rate for Payer: Fidelis Medicare Advantage	$766.11
Rate for Payer: Group Health Inc Commercial	$364.82
Rate for Payer: Group Health Inc Medicare	$255.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$364.82
Rate for Payer: Hamaspik Choice Inc Medicare	$364.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$474.26

SCREW BONE LAG 95MM

Facility

$729.63

Service Code	HCPCS C1713
Hospital Charge Code	64902849
Hospital Revenue Code	278
Min. Negotiated Rate	$364.82
Max. Negotiated Rate	$364.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$364.82
Rate for Payer: Hamaspik Choice Inc Medicare	$364.82

SCREW BONE LOCKING 2.3 X 16

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64905418
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 LOCKING 2.3 X 16

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64905418
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 LOCKING 2.7 X 20

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	64905366
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$682.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$357.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$390.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$325.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$373.75
Rate for Payer: EmblemHealth Commercial	$325.00
Rate for Payer: Fidelis Medicare Advantage	$682.50
Rate for Payer: Group Health Inc Commercial	$325.00
Rate for Payer: Group Health Inc Medicare	$227.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$325.00
Rate for Payer: Hamaspik Choice Inc Medicare	$325.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$422.50

SCREW BONE LOCKING 2.7 X 20

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	64905366
Hospital Revenue Code	278
Min. Negotiated Rate	$325.00
Max. Negotiated Rate	$325.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$325.00
Rate for Payer: Hamaspik Choice Inc Medicare	$325.00

SCREW BONE LOCKING 3.5 X 48

Facility

$732.50

Service Code	HCPCS C1713
Hospital Charge Code	64905367
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$769.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$402.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$439.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$366.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$421.19
Rate for Payer: EmblemHealth Commercial	$366.25
Rate for Payer: Fidelis Medicare Advantage	$769.12
Rate for Payer: Group Health Inc Commercial	$366.25
Rate for Payer: Group Health Inc Medicare	$256.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$366.25
Rate for Payer: Hamaspik Choice Inc Medicare	$366.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$476.12

SCREW BONE LOCKING 3.5 X 48

Facility

$732.50

Service Code	HCPCS C1713
Hospital Charge Code	64905367
Hospital Revenue Code	278
Min. Negotiated Rate	$366.25
Max. Negotiated Rate	$366.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$366.25
Rate for Payer: Hamaspik Choice Inc Medicare	$366.25

SCREW BONE LOCKING 4.0 X 26

Facility

$561.00

Service Code	HCPCS C1713
Hospital Charge Code	64905432
Hospital Revenue Code	278
Min. Negotiated Rate	$280.50
Max. Negotiated Rate	$280.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$280.50
Rate for Payer: Hamaspik Choice Inc Medicare	$280.50

SCREW BONE LOCKING 4.0 X 26

Facility

$561.00

Service Code	HCPCS C1713
Hospital Charge Code	64905432
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$589.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$308.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$336.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$280.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$322.58
Rate for Payer: EmblemHealth Commercial	$280.50
Rate for Payer: Fidelis Medicare Advantage	$589.05
Rate for Payer: Group Health Inc Commercial	$280.50
Rate for Payer: Group Health Inc Medicare	$196.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$280.50
Rate for Payer: Hamaspik Choice Inc Medicare	$280.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$364.65

SCREW BONE LOCKING 4.0 X 46

Facility

$561.00

Service Code	HCPCS C1713
Hospital Charge Code	64905364
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$589.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$308.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$336.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$280.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$322.58
Rate for Payer: EmblemHealth Commercial	$280.50
Rate for Payer: Fidelis Medicare Advantage	$589.05
Rate for Payer: Group Health Inc Commercial	$280.50
Rate for Payer: Group Health Inc Medicare	$196.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$280.50
Rate for Payer: Hamaspik Choice Inc Medicare	$280.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$364.65

SCREW BONE LOCKING 4.0 X 46

Facility

$561.00

Service Code	HCPCS C1713
Hospital Charge Code	64905364
Hospital Revenue Code	278
Min. Negotiated Rate	$280.50
Max. Negotiated Rate	$280.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$280.50
Rate for Payer: Hamaspik Choice Inc Medicare	$280.50

SCREW BONE LOCKING 4.0 X 90

Facility

$680.00

Service Code	HCPCS C1713
Hospital Charge Code	64905434
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$714.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$374.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$408.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$340.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$391.00
Rate for Payer: EmblemHealth Commercial	$340.00
Rate for Payer: Fidelis Medicare Advantage	$714.00
Rate for Payer: Group Health Inc Commercial	$340.00
Rate for Payer: Group Health Inc Medicare	$238.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$340.00
Rate for Payer: Hamaspik Choice Inc Medicare	$340.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$442.00

SCREW BONE LOCKING 4.0 X 90

Facility

$680.00

Service Code	HCPCS C1713
Hospital Charge Code	64905434
Hospital Revenue Code	278
Min. Negotiated Rate	$340.00
Max. Negotiated Rate	$340.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$340.00
Rate for Payer: Hamaspik Choice Inc Medicare	$340.00

SCREW BONE LOCK SELF TAP

Facility

$541.45

Service Code	HCPCS C1713
Hospital Charge Code	64907246
Hospital Revenue Code	278
Min. Negotiated Rate	$270.72
Max. Negotiated Rate	$270.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$270.72
Rate for Payer: Hamaspik Choice Inc Medicare	$270.72

SCREW BONE LOCK SELF TAP

Facility

$541.45

Service Code	HCPCS C1713
Hospital Charge Code	64907246
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$568.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$297.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$324.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$270.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$311.33
Rate for Payer: EmblemHealth Commercial	$270.72
Rate for Payer: Fidelis Medicare Advantage	$568.52
Rate for Payer: Group Health Inc Commercial	$270.72
Rate for Payer: Group Health Inc Medicare	$189.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$270.72
Rate for Payer: Hamaspik Choice Inc Medicare	$270.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$351.94

SCREW BONE MICRO 20MM

Facility

$1,320.00

Service Code	HCPCS C1713
Hospital Charge Code	64903643
Hospital Revenue Code	278
Min. Negotiated Rate	$660.00
Max. Negotiated Rate	$660.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$660.00
Rate for Payer: Hamaspik Choice Inc Medicare	$660.00

SCREW BONE MICRO 20MM

Facility

$1,320.00

Service Code	HCPCS C1713
Hospital Charge Code	64903643
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,386.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$726.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$792.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$660.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$759.00
Rate for Payer: EmblemHealth Commercial	$660.00
Rate for Payer: Fidelis Medicare Advantage	$1,386.00
Rate for Payer: Group Health Inc Commercial	$660.00
Rate for Payer: Group Health Inc Medicare	$462.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$660.00
Rate for Payer: Hamaspik Choice Inc Medicare	$660.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$858.00

SCREW BONE MP 2.0X14MM CRS PIN

Facility

$130.95

Service Code	HCPCS C1713
Hospital Charge Code	64905924
Hospital Revenue Code	278
Min. Negotiated Rate	$65.48
Max. Negotiated Rate	$65.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.48
Rate for Payer: Hamaspik Choice Inc Medicare	$65.48

SCREW BONE MP 2.0X14MM CRS PIN

Facility

$130.95

Service Code	HCPCS C1713
Hospital Charge Code	64905924
Hospital Revenue Code	278
Min. Negotiated Rate	$45.83
Max. Negotiated Rate	$137.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$72.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$78.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$65.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$75.30
Rate for Payer: EmblemHealth Commercial	$65.48
Rate for Payer: Fidelis Medicare Advantage	$137.50
Rate for Payer: Group Health Inc Commercial	$65.48
Rate for Payer: Group Health Inc Medicare	$45.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$65.48
Rate for Payer: Hamaspik Choice Inc Medicare	$65.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$85.12

SCREW BONE MP 2.0X4MM CRS PIN

Facility

$128.78

Service Code	HCPCS C1713
Hospital Charge Code	64902010
Hospital Revenue Code	278
Min. Negotiated Rate	$45.07
Max. Negotiated Rate	$135.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$70.83
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$77.27
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$64.39
Rate for Payer: Cigna LocalPlus Benefit Plan	$74.05
Rate for Payer: EmblemHealth Commercial	$64.39
Rate for Payer: Fidelis Medicare Advantage	$135.22
Rate for Payer: Group Health Inc Commercial	$64.39
Rate for Payer: Group Health Inc Medicare	$45.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$64.39
Rate for Payer: Hamaspik Choice Inc Medicare	$64.39
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$83.71

SCREW BONE MP 2.0X4MM CRS PIN

Facility

$128.78

Service Code	HCPCS C1713
Hospital Charge Code	64902010
Hospital Revenue Code	278
Min. Negotiated Rate	$64.39
Max. Negotiated Rate	$64.39
Rate for Payer: Hamaspik Choice Inc Medicaid	$64.39
Rate for Payer: Hamaspik Choice Inc Medicare	$64.39

Know your out-of-pocket cost for care.

All Charges